Actively Recruiting

Phase 4
Age: 50Years +
All Genders
ID07031128

Evaluating the Impact of Alpha Ketoglutarate (AKG), a Geroprotector, in Reducing Morbidity and Improving Patient-Centred Outcomes After Coronary Artery Bypass Grafting Surgery in Resilient and Poorly-Resilient Patients: A Double-Blind Placebo-Controlled Clinical Trial

Led by National University Hospital, Singapore · Updated on 2025-06-22

250

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

Sponsors

N

National University Hospital, Singapore

Lead Sponsor

W

Wellcome Leap Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Coronary artery bypass grafting surgery (CABG) is a common major surgery performed on older patients, involving significant surgical stress and immune responses. This stress can trigger inflammation and systemic effects, sometimes leading to complications like multiple organ dysfunction. Aging also changes immune function, causing increased inflammation and reduced ability to respond to stress, which may affect recovery from surgery. This study evaluates alpha-ketoglutarate (AKG), a dietary supplement thought to protect against aging-related immune changes and improve surgical resilience in patients undergoing CABG. Participants will be randomly assigned to receive either AKG tablets or placebo tablets once daily. The trial is double-blind and placebo-controlled, assessing the impact of AKG on inflammation and recovery after surgery. Participants will be monitored from surgery through 90 days afterward, with assessments including immune and inflammatory markers, muscle mass and strength, infection rates, frailty, pain, disability, quality of life, fatigue, depression, and patient satisfaction. Researchers will also track hospital resource use and long-term outcomes. The primary measurement is a combined assessment of systemic inflammatory response syndrome and organ dysfunction within 90 days after surgery.

CONDITIONS

Brief Title

Alpha Ketoglutarate Enhances Geroprotection In Surgery (AEGIS)

Who Can Participate

Age: 50Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Scheduled for elective coronary artery bypass grafting surgery with cardiopulmonary bypass
  • Aged 50 years and above
  • Adequate cognitive function to provide informed consent
Not Eligible

You will not qualify if you...

  • Currently taking alpha-ketoglutarate supplements
  • Untreated or treated substance abuse disorder
  • Untreated or poorly controlled mental health or mood disorders including PTSD, bipolar disorder, schizophrenia, or hospitalization due to mental health in the past 3 years
  • HIV/AIDS
  • Undergoing or scheduled for chemotherapy or other cancer treatments
  • Scheduled for immunosuppressant therapy for transplant
  • Active infection requiring antibiotic or antiviral therapy
  • Pregnant, planning to conceive, or breastfeeding
  • Taking chronic anti-inflammatory drugs such as NSAIDs
  • Hypersensitivity to alpha-ketoglutarate, placebo, or any tablet components

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 90 days post-surgery

Participants take either Alpha-ketoglutarate or placebo tablets daily to assess their effects on recovery after coronary artery bypass grafting surgery.

Regular visits during the 90-day postoperative period

Trial Site Locations

Total: 2 locations

1

National University Hospital

Singapore, Singapore, Singapore, 119074

Actively Recruiting

2

Singapore General Hospital

Singapore, Singapore

Actively Recruiting

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Research Team

L

Lian Kah Ti

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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