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临床试验/NCT01418521
NCT01418521Unknown4 期

Safety and Effectiveness of a Balanced 3rd Generation HES Solution (Tetraspan®) Versus Albumin Solution for Volume Replacement in Patients After Cardiac Surgery

Rambam Health Care Campus1 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2011年8月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
入组人数
300
试验地点
1
主要终点
Chest tube drainage volume

研究概览

简要总结

The purpose of this randomized controlled trial in patients undergoing cardiac surgery is to show that a 3rd generation HES (Hydroxyethyl Starch) solution - Tetraspan® is as good as in terms of safety and effectiveness as the commonly used albumin based solution for volume replacement after the surgery.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Written informed consent must be obtained from the subject or his/her legal guardian before any assessment is performed.
  • Male or Female subject, 18 years or older.
  • Any elective cardiac surgery

排除标准

  • Subjects with impaired liver function defined as an elevated level of ALT and AST over 100 U/L.
  • Hyperhydration states (e.g. pulmonary edema, congestive heart failure).
  • Renal failure with creatinine blood levels > 2.5 mg/dL or eGFR < 30 ml/min (calculated using the DMRD formula).
  • Oliguria (UO<0.5ml\kg\hr) or anuria (not related to hypovolemia) more than 12 hours.
  • Current Intracranial hemorrhage.
  • Current, hard to balance hyperkalemia.
  • Severe hypernatremia or severe hyperchloremia.
  • Known hypersensitivity to hydroxyethyl starch or to any of the excipients.

研究组 & 干预措施

Ringer-albumin

Active Comparator

Patients receiving the standard care of ringer-albumin as volume replacement after cardiac surgery

干预措施: Ringer- albumin (Drug)

Tetraspan

Experimental

patients receiving a 3rd generation HES solution (tetraspan) for volume replacement after cardiac surgery

干预措施: Balanced hydroxyethyl starch solution (Drug)

结局指标

主要结局

Chest tube drainage volume

时间窗: Total volume at the time of removal of drains (48 hours after surgery on average)

次要结局

  • In hospital - all cause mortality(End of hospitalization (5 days postsurgery on average))
  • Volume of replacement fluids given after surgery at each group(Summary of volume replacement at the time of discharge from ICU (48 hours after surgery on average))
  • 30-days all cause mortality(30 days from surgery)
  • Incidence of kidney injury as defined by RIFLE criteria(Duration of hospitalization after surgery (expected average duration of 5 days))
  • Incidence of coagulopathy as defined by prolonged PT\PTT and abnormal thromboelastogram not due to clotting inhibitors during hospitalization.(Duration of hospitalization after surgery (expected average duration of 5 days))
  • Volume of Transfused blood products during hospitalization postsurgery(Duration of hospitalization after surgery (expected average duration of 5 days))

研究者

申办方类型
Other

研究点 (1)

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