NCT07633600

Phenotype Guided Vasoactive Medication During Kidney Transplantation

Not Yet Recruiting
PHASE4Ages 18+InterventionalPrevention
Jennifer Cutler
~255 participants
Updated 2026-06-08 on ClinicalTrials.gov
What's tested:Phenotype-Guided Vasoactive Management

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Positive Flow-Pressure Coupling Proportion in Hyperdynamic Phenotype as measured by pulse contour analysis on the Edwards Hemosphere
Measured over Intraoperative (from induction to end of surgery)
Kidney Transplant
Fluid Management
1 sites across 1 states
California1

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Eligibility criteria

Inclusion

Adults aged 18 years or older
Undergoing kidney transplantation at Cedars-Sinai Medical Center
Able to provide informed consent

Exclusion

Patients unable to provide informed consent
Patients with contraindications to protocol vasoactive medications, as determined by the treating anesthesiologist
Patients in whom required intraoperative monitoring cannot be performed
  • Positive Flow-Pressure Coupling Proportion in Hyperdynamic Phenotype as measured by pulse contour analysis on the Edwards HemosphereIntraoperative (from induction to end of surgery)

    Proportion of positive flow-pressure coupling responses among recipients classified intraoperatively as Hyperdynamic. Flow-Pressure coupling is defined as demonstrating both fluid responsiveness and pressure responsiveness following a fluid responsiveness test. Fluid responsiveness is defined as \>= 10% increase in the stroke volume (ml/beat) and pressure responsiveness is defined as \>= 15% in the mean arterial pressure (mmHg) 2 minutes after conclusion of the fluid responsiveness test. Hyperdynamic phenotypes are defined as having the following hemodynamics: CI \>4.0 L/min/m², SVRI \<1970 dyn·s·cm-⁵/m², and dP/dt \>1000 mmHg/s .