Cardiothoracic & vascular anesthesia

Influence of Pre-emptive Haptoglobin on Postoperative Acute Kidney Injury in Cardiac Surgical Patients: A Randomized Controlled Trial

Anesth AnalgPublished Randomised controlled trial

  • Terminated with the results of interim analysis due to patients' safety concerns

Authors' conclusion

The interim study results demonstrated that in patients undergoing major cardiovascular surgery using CPB, pre-emptive haptoglobin administration worsened Cr values and independently associated with increased ΔCr.

Study context

Population
Adults undergoing major cardiovascular surgery using cardiopulmonary bypass (CPB) with serum-free Hb reaching 0.05 g/dL
Participants
34 vs 33
Comparison
Pre-emptive haptoglobin vs standard of care
  • Pre-emptive haptoglobinn = 34
  • Standard of caren = 33reference
Primary endpoint
ΔCr: difference between preoperative and maximum creatinine within 48 hours after surgery
Follow-up
48 hours
Methodological detailssingle-center, open-label, terminated at interim analysis
  • Single-center
  • Open-label
  • Terminated at interim analysis

Primary result

As reported in the abstract

ΔCr

Pre-emptive haptoglobin

0.20

median · IQR 0.05–0.44

Standard of care

0.14

median · IQR 0.04–0.19

P = 0.05

Further findings

OutcomeP value
ΔCr, multiple linear regression adjusted for preoperative eGFR and agePre-emptive haptoglobin significantly increased ΔCrP = 0.03

Original publication

Influence of Pre-emptive Haptoglobin on Postoperative Acute Kidney Injury in Cardiac Surgical Patients: A Randomized Controlled Trial. Anesth Analg. Published 19 May 2026. doi:10.1213/ane.0000000000007827

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