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Dosing of Amicar and Measure of Fibrinolysis by TEG During Cardiac Surgery

Early Phase 1
Terminated
Conditions
Aortic Disease
Interventions
Drug: epsilon-aminocaproic acid (EACA)
Registration Number
NCT01965730
Lead Sponsor
University of Pennsylvania
Brief Summary

This study hopes to determine the optimal antifibrinolytic dosing to decrease bleeding and blood transfusion after cardiac surgery without increasing adverse events

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
8
Inclusion Criteria
  • Ability to sign informed consent
  • Elective cardiac surgery patients undergoing primary surgery involving circulatory arrest
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Exclusion Criteria
  • Inability to sign informed consent
  • Baseline hypercoagulable condition as defined in medical record
  • Coronary disease with untreated lesions or recent coronary stent placement
  • Severe renal dysfunction (ESRD) as documented in medical record
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Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
EACAepsilon-aminocaproic acid (EACA)125mg/kg loading dose of EACA followed by an infusion of EACA at 25mg/kg/hr for length of cardiac surgery.
epsilon-aminocaproic acid (EACA)epsilon-aminocaproic acid (EACA)75mg/kg loading dose with infusion 15mg/kg/hr
Primary Outcome Measures
NameTimeMethod
degree of fibrinolysis as measured by thromboelastographyLength of cardiac surgery

The primary objective of the study will be to determine if a change in EACA dosing for cardiac surgery cases involving circulatory arrest actually leads to a quantifiable change in the degree of fibrinolysis as measured by TEG.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

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