Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06279793

Intravenous Fish Oil Based Lipid Emulsion to Enhance Recovery in High-Risk Cardiac Surgery Patients

Led by GCP-Service International West GmbH · Updated on 2026-02-23

550

Participants Needed

10

Research Sites

341 weeks

Total Duration

On this page

Sponsors

G

GCP-Service International West GmbH

Lead Sponsor

U

University Hospital, Bonn

Collaborating Sponsor

AI-Summary

What this Trial Is About

The MODIFY CSX study is a prospective, randomized, placebo-controlled trial conducted in heart centers in Germany and Italy. A total of 550 high-risk cardiac surgery patients will receive either 0.20 g fish oil/kg body weight (BW) + standard of care versus same volume of placebo (NaCl) + standard of care.

CONDITIONS

Official Title

Intravenous Fish Oil Based Lipid Emulsion to Enhance Recovery in High-Risk Cardiac Surgery Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Written informed consent prior to study participation
  • Adult patients (18 years or older)
  • Scheduled for elective cardiac surgery using cardiopulmonary bypass
  • Undergoing one of the following surgeries: valvular heart surgery only, coronary artery bypass grafting, combined valve and bypass surgery, multiple valve surgeries, combined cardiac procedures, or aortic surgical procedures (including aortic arch, descending aorta, aortic valve and ascending aorta)
  • At least one additional risk factor: predicted operative mortality of 8% or higher (EuroSCORE II), age 70 or older, Clinical Frailty Score 4 or higher, urgent surgery within 24-48 hours of admission, or left ventricular ejection fraction less than 35%
Not Eligible

You will not qualify if you...

  • Known hypersensitivity to fish oil, fish products, or egg protein
  • Pregnancy or lactation
  • History of chronic atrial fibrillation, atrial flutter, or atrial tachyarrhythmia
  • Unable or unwilling to provide written informed consent
  • Not expected to survive more than 48 hours from screening
  • Lack of commitment to full aggressive care (except isolated Do Not Resuscitate orders)
  • Admission with diabetic ketoacidosis or non-ketotic hyperosmolar coma
  • Receiving extracorporeal mechanical assist devices or advanced heart failure therapies
  • Participation in another interventional trial within the last 30 days
  • Already receiving fish oil-containing medical nutrition
  • Severe malnutrition (BMI less than 18.5)
  • Severe liver dysfunction (Child Pugh Class C)
  • Severe chronic kidney dysfunction (glomerular filtration rate less than 30 ml/min, National Kidney Foundation stage 4 or 5)
  • Known severe coagulation disorder

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 10 locations

1

University Hospital Augsburg

Augsburg, Germany

Not Yet Recruiting

2

Charité Universitätsmedizin Berlin

Berlin, Germany

Actively Recruiting

3

University of Bonn

Bonn, Germany

Actively Recruiting

4

University Hospital Goettingen

Göttingen, Germany

Actively Recruiting

5

University Hospital Hamburg-Eppendorf

Hamburg, Germany

Actively Recruiting

6

University Medical Center Schleswig-Holstein

Kiel, Germany

Actively Recruiting

7

University Hospital Mainz

Mainz, Germany

Actively Recruiting

8

University Hospital Muenster

Münster, Germany

Actively Recruiting

9

University Medical Center Rostock

Rostock, Germany

Not Yet Recruiting

10

Robert Bosch Medical Center

Stuttgart, Germany

Not Yet Recruiting

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Research Team

C

Christian Stoppe, Prof. Dr.

CONTACT

E

Ellen Dresen, Dr.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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