Cardiac protection with phosphocreatine: a meta-analysis.
Giovanni Landoni, Alberto Zangrillo, Vladimir V Lomivorotov...
https://pubmed.ncbi.nlm.nih.gov/27318357Actively Recruiting
Led by Università Vita-Salute San Raffaele · Updated on 2025-08-06
400
Participants Needed
1
Research Sites
13 weeks
Total Duration
U
Università Vita-Salute San Raffaele
Lead Sponsor
S
Silvia Ajello
Collaborating Sponsor
Researchers are studying hospitalized patients who experience unexpected health deteriorations requiring intervention by a Medical Emergency Team (MET). These events often result in intensive care unit (ICU) admissions and long hospital stays. The trial aims to evaluate whether adding phosphocreatine (PCr), a natural molecule linked to improved outcomes in acute cardiac and other organ failures, to standard care can improve patient recovery and reduce hospital stay length. Participants are randomly assigned to receive either phosphocreatine or a saline placebo for up to three days. Dosage varies based on kidney function: patients without renal failure receive multiple doses starting with two 4-gram doses on day 0 and then 2 grams twice daily on days 1 and 2; those with a history of renal failure or acute kidney injury receive fewer doses accordingly. The placebo group receives a matching saline solution on the same schedule. This is a double-blind, randomized, placebo-controlled Phase 3 clinical trial. During the study, participants are monitored for up to 30 days, with outcomes such as days alive and out of hospital, cognitive function, arrhythmia rates, ICU admissions, and mortality recorded. Safety and effectiveness are assessed through these measures. The total participation includes treatment administration and follow-up evaluations, ensuring detailed data collection on patient recovery and clinical status.
CONDITIONS
The Effect of phoSPHocreatine on mEdical Emergency Team (Met) tREated Patients
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 3 days
Participants receive phosphocreatine or placebo through intravenous administration for up to 3 days depending on kidney function and group assignment.
Daily dosing with 1 to 2 infusions per day during the treatment period
Duration - Up to 90 days
Participants are monitored for outcomes including survival, cognitive function, arrhythmia, and ICU admissions up to 90 days after treatment.
Follow-up assessments at day 30 and day 90
Total: 1 location
1
IRCCS San Raffaele Scientific Institute
Milan, Italy, 20132
Actively Recruiting
G
Giovanni Landoni, Prof.
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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Giovanni Landoni, Alberto Zangrillo, Vladimir V Lomivorotov...
https://pubmed.ncbi.nlm.nih.gov/27318357Fang Mingxing, Giovanni Landoni, Alberto Zangrillo...
https://pubmed.ncbi.nlm.nih.gov/29409711