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临床试验/PER-111-10
PER-111-10已完成未知

A LARGE, INTERNATIONAL, PLACEBO-CONTROLLED, FACTORIAL TRIAL TO ASSESS THE IMPACT OF CLONIDINE AND ACETYL-SALICYLIC ACID (ASA) IN PATIENTS UNDERGOING NONCARDIAC SURGERY WHO ARE AT RISK OF A PERIOPERATIVE CARDIOVASCULAR EVENT

POPULATION HEALTH RESEARCH INSTITUTE DE LA UNIVERSIDAD MC MASTER DE CANADA,0 个研究点目标入组 211 人开始时间: 2011年5月4日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
发起方
入组人数
211

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
45 至 90(—)
性别
All

入选标准

  • 1. Are undergoing noncardiac surgery;
  • 2. Are ≥ 45 years of age;
  • 3. Are expected to require at least an overnight hospital admission after surgery; AND
  • 4. Fulfill one or more of the following 5 criteria:
  • o History of coronary artery disease
  • o History of peripheral vascular disease
  • o History of stroke
  • o Undergoing major vascular surgery
  • o Any 3 of the following 9 criteria:
  • undergoing major surgery (i.e. intraperitoneal, intrathoracic, retroperitoneal or major orthopedic surgery
  • history of congestive heart failure
  • transient ischemic attack
  • diabetes and currently taking an oral hypoglycemic agent or insulin
  • age ≥ 70 years
  • hypertension
  • serum creatinine > 175 µmol/L (> 2.0 mg/dL)
  • history of smoking within 2 years of surgery
  • undergoing urgent/emergent surgery

排除标准

  • 1. Consumption of ASA within 72 hours prior to surgery
  • 2. Hypersensitivity or known allergy to ASA or clonidine
  • 3. Systolic blood pressure < 105 mm Hg
  • 4. Heart rate < 55 beats per minute in a patient who does not have a permanent pacemaker
  • 5. Second or third degree heart block without a permanent pacemaker
  • 6. Active peptic ulcer disease or gastrointestinal bleeding within previous 6 weeks
  • 7. Intracranial hemorrhage documented by neuro-imaging, in the 6 months prior to randomization. This does not include petechial hemorrhagic transformation of a primary ischemic stroke
  • 8. Subarachnoid hemorrhage or epidural hematoma unless the event occurred more than 6 months prior to randomization and the offending aneurysm or arterial lesion has been repaired
  • 9. Drug-eluting coronary stent in the year prior to randomization
  • 10. Bare-metal coronary stent in the 6 weeks prior to randomization
  • 11. Thienopyridine (e.g., clopidogrel, ticlopidine, prasugrel) or ticagrelor within 72 hours prior to surgery; or intent to restart a thienopyridine or ticagrelor during the first 7 days post-op; or currently taking an alpha-2 agonist, alpha methyldopa, monoamine oxidase inhibitors or reserpine;
  • 12. Planned use - during the first 3 days after surgery - therapeutic dose anticoagulation or a therapeutic subcutaneous or intravenous antithrombotic agent
  • 13. Undergoing intracranial surgery, carotid endarterectomy, or retinal surgery
  • 14. Not consenting to participate in POISE-2 prior to surgery
  • 15. Previously enrolled in POISE-2 Trial

研究者

发起方
POPULATION HEALTH RESEARCH INSTITUTE DE LA UNIVERSIDAD MC MASTER DE CANADA,

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