Table 2.
# Patients analyzed | Mean cisplatin dose | Cisplatin naïve (yes/no) | # Patients with clinical AKI | Highest mean/median fold change from baseline during the observation period | Timing of peak change | References |
---|---|---|---|---|---|---|
35 | 27–145 mg | No | None | U: ↑ 8.8-fold | Day 0.5 | 35 |
8 | 30–90 mg/m2 | Yes | n = 1 | U: ↑ up to 10-fold | Day 3 | 40 |
20 | 50 mg/m2 (6 cycles) | Yes | Unknown | U: ↑ 2-fold | Day 0.5 | 32 |
57 | 63.4 mg/m2 | Mixed | n = 1 | U: ↑ 3.3-fold | Day 3 | 31 |
14 | 70 mg | Unknown | None | U: ↑ 10-fold | Day 4 | 36 |
11 | <80 mg/m2 | Unknown | Unknown | U: No difference between AKI and non-AKI | 37 | |
19 | 80 mg/m2 | Yes | None | U: ↑ 6-fold | Day 1 (1–3 hr) | 38 |
14 | 100 mg/m2 (over 5 days) | No | None | U: ↑ 4.9-fold | Day <5 | 25 |
41 | 100 mg/m2 (over 5 days)(3 cycles) | Unknown | NE | U: Cycle 1: ↑ 474-fold U: Cycle 2: ↑ 551-foldU: Cycle 3: ↑ 63-fold | Cycle 1: Day 6Cycle 2: Day 6Cycle 3: Day 6 | 27 |
11 | 100 mg/m2 (over 5 days)(6 cycles) | Yes | None | U: ↑ 2- to 5-fold | Day 3 | 33 |
22 | 100 mg/m2 (5 cycles) | Yes | None | U: ↓ 1.7-fold | Days 21+ | 34 |
12 | 120 mg/m2 | No | NE | U: ↑ 5.7-fold | Day <6 | 39 |
30 | 200 mg/m2 (over 5 days)(3 cycles) | Unknown | Mean 25% ↓ eGFR Day 9 | U: Cycle 1: up to 80-fold | Cycle 1: Day 9 | 26 |
5 | 375 mg/m2 (over 5 days) | Yes | None | U: ↑ 13-fold | Day <5 | 23 |
AKI: acute kidney injury; eGFR: estimated glomerular filtration rate; NE: not evaluated; S: serum; UK: Unknown; U: urine.
Each publication provides different definitions for the diagnosis of clinical acute kidney injury.