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Omacor in Prevention of Cardiovascular Events in Patients Undergoing Chronic Hemodialysis

Phase 4
Completed
Conditions
Kidney Failure, Chronic
Registration Number
NCT00257283
Lead Sponsor
Pronova BioPharma
Brief Summary

The aim of this investigator initated study is to examine the effect of OMACOR (Omega-3-acid ethyl ester 90) on the incidence of cardiovascular events and mortality in patients undergoing chronic hemodialysis, who has previously experienced a cardiovascular event.

Detailed Description

Patients with renal failure have a high incidence of cardiovascular disease and increased premature mortality. Omega-3 polyunsaturated fatty acids from fish are known to have cardioprotective effects in subects with normal renal function. The aim of present study is to examine the effect of OMACOR (Omega-3-acid ethyl ester 90) on the incidence of cardiovascular events and mortality in patients undergoing chronic hemodialysis, who has previously experienced a cardiovascular event.

Design: A prospective, randomised, placebo controlled study. 2 year treatment period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Males and females above 18 years of age

  • Patients having been treated with chronic hemodialysis for at least 6 months

  • Patients with documented cardiovascular disease, at least one of the following

    1. Angina pectoris
    2. Previous Acute myocardial infarction
    3. Previous PTCA/CABG or demonstated atheroclerosis after coronary angio
    4. Previous Transitory Cerebral Ischemia
    5. Previous Apoplexia Cerebri
    6. Symptoms of peripheral vascular disease
  • Written informed consent

Exclusion Criteria
  • Active malignant disease, except basal cell carcinoma or spinocellular carcinoma
  • Patients undergoing peritoneal dialysis
  • Any condition associated with a risk of poor compliance, as judged by investigator
  • Pregnant or breastfeeding
  • Participation in other clinical studies involving treatment with drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Composite endpoint, including either of the following events:
- Acute Myocardial Infarction
- Angina Pectoris, leading to coronary investigation or intervention
- Transient Cerebral Ischemia (TCI)
- Apoplexia cerebri (stroke)
- Peripheral Vascular disease, new symptoms or worsening of old symptoms
- Death
Secondary Outcome Measures
NameTimeMethod
- Efficacy laboratory variables (lipids, adhesion molecules, other efficacy lab variables, data for S-LDL-c size)
- Efficacy, fatty acid profile for phospholipids fraction
- Efficacy: diet registration, fish score
- Thrombosis and/or stenosis of dialysis graft
- Effect on heart rate variability, substudy of 50 patients at baseline and after three months

Trial Locations

Locations (1)

Department of Nephrology, Aalborg Hospital, Aarhus University Hospital

🇩🇰

Aalborg, Denmark

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