Cardiothoracic & vascular anaesthesia

A Randomized Trial of Intravenous Amino Acids for Kidney Protection

N Engl J MedPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.85 95% CI 0.77–0.94

Authors' conclusion

Among adult patients undergoing cardiac surgery, infusion of amino acids reduced the occurrence of AKI.

Study context

Population
Adults scheduled for cardiac surgery with cardiopulmonary bypass
Participants
3,511 adults · 22 centres · 3 countries
Comparison
IV amino acids vs placebo
  • Amino acidn = 1,759
  • Placebon = 1,752reference
Primary endpoint
Acute kidney injury (AKI) (KDIGO creatinine criteria)
Methodological detailsmultinational, double-blind, placebo-controlled
  • Multinational
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Relative risk

0.85

95% CI 0.77–0.94

P = 0.002

Events by treatment group

Amino acid vs Placebo
RR 0.85 (95% CI 0.77–0.94); P = 0.002

Secondary outcomes

OutcomeAmino acidPlaceboRR (95% CI)
Stage 3 AKI1.6%3.0%0.56 (0.35–0.87)

Kidney-replacement therapy

Other secondary outcomes

No substantial differences between groups

Safety

Adverse events

No substantial differences between groups

Original publication

A Randomized Trial of Intravenous Amino Acids for Kidney Protection. N Engl J Med. Published 12 June 2024. doi:10.1056/nejmoa2403769

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