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Phase III Study Comparing Two Methods of Cardioplegia in Aortic Valve Surgery Custodiol-N Versus Custodiol

Sponsored by Dr. F. Köhler Chemie GmbH

About this trial

Last updated 5 years ago

Study ID

CL-N-CSM-AV-III/05/12

Status

Completed

Type

Interventional

Phase

Phase 3

Placebo

No

Accepting

18-75 Years
30 to 85 Years
All
All

Not accepting

Not accepting
Healthy Volunteers

Trial Timing

Ended 7 years ago

What is this trial about?

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 aortic valve surgery. The study design is a prospective, double blind, multicenter, randomized, Phase III comparison study intended to demonstrate superiority in surgical outcome between Custodiol and Custodiol-N as determined by CK-MB peak value 4-24 hours after opening of the aortic cross-clamp (primary endpoint), catecholamine requirement (cumulative dose) and cardiac Troponin T, occurrence of comorbid events postoperatively (e.g., myocardial infarction).

What are the participation requirements?

Yes

Inclusion Criteria

- Patients >/= 30 and </= 85 years of age

- Male or female with aortic valve disease

- Able to understand character and individual consequences of the clinical trial and to provide written informed consent to participate in the study

- Women of childbearing potential (ie, those who have not undergone a hysterectomy or who have not been post-menopausal for at least 12 consecutive months) must test negative for pregnancy prior to bypass surgery.

No

Exclusion Criteria

- History of recent (< 6 weeks) Q-wave myocardial infarction

- Left ventricular ejection fraction < 25% (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)

- GFR <60 ml/min

- Planned Ross-procedure, Mitral valve surgery, Aortic valve reconstruction, double valve surgery, other concomitant operations excluding coronary artery bypass surgery or closing a patent foramen ovale

- Evidence of severe organic (e.g. cirrhosis of the liver) or psychiatric disease by history or physical examination

- History of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid, or any history of drug abuse or addiction within 12 months of study enrollment.

Locations

Location

Status