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Randomized controlled trial of Stopping Perioperative Angiotensin-II Converting Enzyme inhibitors and/or Angiotensin Receptor Blockers in major noncardiac surgery.

Phase 1
Conditions
Myocardial injury (as measured by plasma troponin) after major surgery.
MedDRA version: 20.0 Level: PT Classification code 10061024 Term: Cardiac disorder System Organ Class: 10007541 - Cardiac disorders
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2016-004141-90-GB
Lead Sponsor
Queen Mary University of London
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Not specified
Target Recruitment
260
Inclusion Criteria

• Informed consent (no incapacitated or vulnerable adult or minors will be included).
• Age 60 years and over.
• Undergoing major surgery (major joint replacement/ vascular/ gastrointestinal) requiring general and/or regional anaesthesia with sedation.
• Currently taking ACE-I, ARB or combined ACE-I and ARB therapy.
• Duration of surgery longer than 120 minutes.
• ASA grade 3 or above.
• All female subjects must be postmenopausal, as demonstrated by clinical history or demonstrated not to be pregnant though a preoperative pregnancy test.
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 100
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 160

Exclusion Criteria

• Current participation in any other trials where care or treatment is being altered.
• Recent myocardial infarction (within 3 months).
• Any condition, which in the opinion of the treating clinician would result in the patient being harmed by the cessation of the ACE-I and/or ARB therapy.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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