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临床试验/EUCTR2018-000539-29-NL
EUCTR2018-000539-29-NL进行中(未招募)1 期

PeriOperative ISchemic Evaluation-3 (POISE-3) Trial - PeriOperative ISchemic Evaluation-3 (POISE-3) Trial

Hamilton Health Sciences Corporation0 个研究点目标入组 10,000 人开始时间: 2019年8月13日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
10,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients are eligible if they fulfill all of the following criteria: 1. =45 years of age; 2. expected to require at least an overnight hospital admission after noncardiac surgery; 3. provide written informed consent to participate in POISE-3; AND 4. have a preoperative NT-pro-BNP measurement =200 ng/L; OR 5. if a preoperative NT-pro-BNP measurement is not available, then the patient must fulfill =1 of the following 5 criteria: A. history of coronary artery disease; B. history of peripheral arterial disease; C. history of stroke; D. undergoing major vascular surgery; E. any 3 of the following 9 criteria: undergoing major surgery (i.e. intraperitoneal, intrathoracic, retroperitoneal, or major orthopedic surgery), history of congestive heart failure, transient ischemic attack, diabetic and currently taking an oral hypoglycemic agent or insulin, age >70 years, hypertension, serum creatinine >175 µmol/L (>2.0 mg/dl), history of smoking within 2 years of surgery, undergoing urgent/emergent surgery.
  • Additionally, patients will be considered eligible for the BP partial factorial if they have been chronically receiving =1 antihypertensive medication.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 3000
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 7000

排除标准

  • We will exclude patients meeting any of the following criteria:
  • 1. Patients undergoing cardiac surgery
  • 2. Patients undergoing cranial neurosurgery
  • 3. Planned use of systemic TXA during surgery
  • 4. Hypersensitivity or known allergy to TXA
  • 5. Creatinine clearance <30 mL/min (Cockcroft-Gault equation) or on chronic dialysis
  • 6. History of seizure disorder
  • 7. Patients with recent stroke, myocardial infarction, acute arterial thrombosis or venous thromboembolism (<3 months)
  • 8. Patients with fibrinolytic conditions following consumption coagulopathy
  • 9. Patients with subarachnoid hemorrhage within the past 30 days
  • 10. Women of childbearing potential who are not taking effective contraception, pregnant or breast-feeding
  • 11. Previously enrolled in POISE-3 Trial
  • Additionally, patients will be excluded for the BP partial factorial if:
  • 1. Patients with advanced congestive heart failure (New York Heart Association functional class III or IV or left ventricular ejection fraction =30%),
  • 2. Patients with untreated brain aneurysm,
  • 3. Patients with previous history of hypertensive related cerebral hemorrhage,
  • 4. Patients undergoing surgery for pheochromocytoma or history of untreated pheochromocytoma,
  • 5. Patients who are hemodynamically unstable or requiring vasopressors or inotropic support before undergoing surgery.
  • 6. Patients with thyrotoxicosis (i.e., severe hyperthyroidism) requiring perioperative beta-blocker therapy.

研究者

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