- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01423955
Erythropoietin (EPO) to Protect Renal Function After Cardiac Surgery (EPRICS)
EPO to Protect Renal Function After Cardiac Surgery. A Phase II Double Blind Randomized Controlled Study.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Acute kidney injury is a common complication after cardiac surgery and is associated with decreased long-term survival.
Several experimental and animal studies have showed cytoprotective, preconditioning and anti-apoptotic effects of high dose erythropoietin. Clinical studies in human have also suggested that high dose erythropoietin has preconditioning effects against injury after ischemia and reperfusion on different organs in human, such as brain, heart, liver, and kidneys.
Administration of Epo in high doses in conjunction with cardiac surgery has shown to be safe with no direct side-effects.
The investigators therefore hypothesize that a preconditioning effect of erythropoietin before cardiac surgery can reduce the level of renal dysfunction after surgery in a group with preoperative renal impairment.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Lund, Sweden, 221 85
- Dept Thoracic Surgery, Anestesia and Intensive Care, SUS-Lund
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patient is scheduled for non-emergent CABG surgery.
- CyC eGFR or MDRD eGFR < 60 ml/min.
- The patient has given his/her written consent to participate
Exclusion Criteria:
- The patient has an uncontrolled hypertension.
- Hypersensitivity to the active drug.
- The patient is pregnant or is a fertile woman (<50 years).
- The patient has been treated with Erythropoietin within 4 weeks prior to the surgery.
- Preoperative CyC eGFR or MDRD eGFR is < 15, or the patient is treated with dialysis.
- The patient has a known malignancy.
- The patient is planned for Off-pump CABG surgery.
- The patient is included in other ongoing clinical trial. Yes / No
- Clinically judgment by the investigator that the patient should not participate in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Placebo arm will receive NaCl 9mg/ml with a dose of 0.2 ml/kg.
The placebo dose will be prepared prior to the surgery by a independent nurse.
The calculated volume will match the volume of the active durg.
|
Placebo arm will receive NaCl 9mg/ml with a dose of 0.2 ml/kg.
The placebo dose will be prepared prior to the surgery by a independent nurse.
The calculated volume will match the volume of the active durg.
|
Experimental: Erythropoietin
• Active substance: Erythropoietin zeta with the ATC-code: B03XA01.
The drug is a Clear colorless solution for injection.
The active substance will be diluted with NaCl 9mg/ml to a to a concentration of 2000 U/ml.
A dose of 400U/kg will be prepared and marked before the operation.
The drug will be administrated after the anesthesia induction and before the start of surgery.
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The active drug will be given only once after the anesthesia induction and before the start of surgery.
The active drug will be diluted to 2000U/kg and given as a single dose of 400U/kg.
The dose will be prepared prior to surgery by a independent nurse.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in plasma cystatin C measured on day 3 postoperatively.
Time Frame: 3 days postoperatively
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3 days postoperatively
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Henrik Bjursten, M.D. Ph.D, Region Skane
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2011-001673-70
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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