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Pre-operative treatment with Erythropoietin and iron supplement for prevention of perioperative blood transfusion in cardiac surgery

Conditions
Patients (male and female) scheduled for coronary artery bypass grafting surgery (CABG) or single Aortic Valve replacement (AVR) on conventional cardiopulmonary bypass.
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2012-002076-14-NL
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
100
Inclusion Criteria

1. Age of 18 years or more undergoing isolated CABG or AVR
2. BSA < 1.7 m2. and preoperative Hb < 7.5 mmol/l
3. Preoperative Hb < 7 mmol/l.

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 100
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 100

Exclusion Criteria

1. Off pump surgery.
2. Combination surgery.
3. Re-operation.
4. Emergency operation.
5. Patients with bleeding disturbances; e.g, hemophilia and patients with chronic liver disease.
6. Concomitant use of cyclosporine prior to, during or following surgery.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: Primary objective: To determine the reduction of blood transfusion in the coronary artery bypass graft patients in patients pre-treated with erythropoietin and iron supplement compared to the non-treated patients. We aim to reduce total blood transfusion with 50% in the pre-treated group. ;Secondary Objective: Secondary Objective: To determine the cost reduction on blood products in our program.;Primary end point(s): The use of blood products (mean number of transfused red blood cells units per patient).;Timepoint(s) of evaluation of this end point: Pre- and post-operative period during admission up to 30 days post-surgery
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Routine pre- and post-operative haematology parameters, such as hemoglobin and hematocrit will be collected. Moreover, early mortality and morbidity (presence of myocardial infarction, CVA, renal function disturbances) will be determined.;Timepoint(s) of evaluation of this end point: 30 days post-surgery
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