Intraoperative diuretics during deceased-donor kidney transplants
Official title: A Pilot Randomized, Surgeon-blinded, Trial of Intraoperative Furosemide Versus Mannitol Among Deceased Donor Kidney Transplant Recipients
Run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · NCT07726134 · Data updated 2026-11-12
This trial tests whether using furosemide or mannitol during kidney transplant surgery affects delayed graft function in adults receiving a deceased-donor kidney.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Academic / other |
| Locations | 2 sites (London, Ontario and 1 other locations) |
| Status | Recruiting |
| Started | September 2026 |
| Main results expected | August 2028 |
| Study ends | December 2028 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT07726134 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older undergoing a deceased-donor kidney transplant (NDD or DCD) who consent to participate.
✕Probably not a fit
Patients who do not experience delayed graft function or who have contraindications to either diuretic may not derive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center, prospective, randomized pilot study compares two intraoperative diuretics—furosemide and mannitol—in adult recipients of deceased-donor kidney transplants. Participants are randomized 1:1, stratified by donor type, and surgeon-blinded to the diuretic used. The goal is to determine if one agent more effectively reduces the risk of delayed graft function, defined as dialysis within the first seven days post-transplant. DGF is a common complication linked to longer hospital stays and higher rejection risk, potentially impacting long-term graft survival. The trial will enroll up to 240 participants at London Health Sciences Centre to inform future practice and larger studies.
Why it matters
Potential benefit: If one diuretic proves superior, it could reduce delayed graft function and improve short- and long-term kidney graft outcomes.
How similar studies have gone: There have been decades of intraoperative diuretic use, but no prospective randomized comparison between furosemide and mannitol prior to this trial.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age \>18 years; 2. Patient is scheduled to receive a deceased-donor kidney transplant (including both NDD and DCD donors) 3. Patient is willing and able to provide written and informed consent, or a substitute decision maker (SDM) is available to sign on the patient's behalf Exclusion Criteria: 1. Patient is receiving another organ at the time of their kidney transplant (e.g., simultaneous kidney-pancreas or kidney-liver) 2. Known allergy or contraindication to mannitol or furosemide 3. Inability to provide informed consent 4. Pediatric recipients (\<18 years of age) 5. Previously enrolled in this clinical trial
Where it's running
-
University Hospital - London Health Sciences Centre
London, Ontario, Canada Recruiting -
London Health Sciences Centre
London, Ontario, Canada Not yet recruiting
Study contacts
- Study coordinator: Cadence Research Manager, BSc, MSc
- Email: Cadence.Baker@lhsc.on.ca
- Phone: (519) 685-8500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.