Status:
COMPLETED
Phase III Study Comparing Two Methods of Cardioplegia in Coronary Artery Bypass Surgery
Lead Sponsor:
Dr. F. Köhler Chemie GmbH
Conditions:
Coronary Artery Disease (CAD)
Eligibility:
All Genders
35-80 years
Phase:
PHASE2
Brief Summary
Comparison of the cardioprotective effects and safety of two cardioplegic solutions (solutions used during a cardiac arrest in the heart surgery) in patients undergoing cardiopulmonary bypass for coro...
Detailed Description
The objective of this investigation is to compare the cardioprotective effects and safety of two cardioplegic solutions, HTK Cardioplegic Solution (Custodiol) and Custodiol-N in patients undergoing ca...
Eligibility Criteria
Inclusion
- The study population will be selected from patients of either sex with coronary artery disease (CAD) who are to undergo cardiopulmonary bypass for coronary artery bypass surgery.
- Patients \>/=35 and \</=80 years of age
- Male or female with 2 or 3 vessel coronary disease, who are scheduled for elective CBP surgery for coronary revascularisation
- Presence of definite CAD for which surgical intervention is deemed necessary, without evidence of ongoing infarction.
- Patients with unstable angina can be included as long as there is no objective (negative cardiac isoenzymes in the immediate six hours preceding CABG, current intravenous use of nitrate therapy) or subjective (absence of prolonged symptoms suggestive of coronary insufficiency that do not respond to pharmacologic intervention) evidence of myocardial necrosis.
- Eligibility for Swan-Ganz-Catheter
- Able to understand character and individual consequences of the clinical trial and to provide written informed consent to participate in the study
- No evidence of severe organic or psychiatric disease by history or physical examination
- No history of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid, or no any history of drug abuse or addiction within 12 months of study enrollment.
Exclusion
- Patients undergoing valve repair or replacement
- History of recent (\< 6 weeks) Q-wave myocardial infarction
- Left ventricular ejection fraction \< 35% (as assessed by any one of the following: contrast ventriculography, multigated acquisition scanning \[MUGA\], or 2-D ECHO)
- Patients on intra-aortic balloon devices or with history of previous coronary artery bypass surgery
- Pregnant or lactating patients
- Patients who have participated in any other investigational studies within 30 days previous to enrollment
- Patients in cardiogenic shock (defined as a systolic BP \< 90 mmHg for over one hour despite inotropic and chronotropic support)
- Patients with severe chronic obstructive lung disease (FEV1 \< 50%)
- Previous cardiac valvular disease (clinical relevant)
- Dialysis or creatinine \> 2 mmol/L
- BMS-Stent \< 4 weeks
- DES-Stent \< 6 month
- Guidance depended Plavix therapy
Key Trial Info
Start Date :
March 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2012
Estimated Enrollment :
102 Patients enrolled
Trial Details
Trial ID
NCT01444235
Start Date
March 1 2011
End Date
July 1 2012
Last Update
May 17 2013
Active Locations (4)
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1
Klinik für Thorax- und Kardiovaskuläre Chirurgie, Universitätsklinikum Essen
Essen, Germany, 45147
2
Abt. Herzchirugie, Universitätsklinikum Heidelberg
Heidelberg, Germany, 69120
3
Klinik für Herz- und Thoraxchirurgie, Universitätsklinikum Jena
Jena, Germany, 07740
4
Herzzentrum Leipzig GmbH
Leipzig, Germany, 04289