Blood Sparing Strategies: Single Shot High Dose Erythropoietin Two Days Before Heart Surgery

NCT ID: NCT01265680

Last Updated: 2013-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2013-01-31

Brief Summary

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All patients operated on at the European Hospital Heart surgery Division will be randomized to either single dose 80.000 UI of Human Recombinant Erythropoietin and intravenous iron or control.

Primary end point is the amount of transfused blood. Secondary end point is the Hemoglobin level in the patient on postoperative day four.

Ancillary analysis regarding safety at 45 days and cost effectiveness are planned as well

Detailed Description

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Growing evidence points out blood transfusion as a major determinant in medium and long term prognosis as regarding heart surgery population. Moreover blood has become a scarce resource, thus often delaying intervention due to lack of availability.

Previous studies at our Hospital have shown that high dose Human Recombinant Erythropoietin (HRE)effectively spares transfusions even when administered two days before surgery. The previous protocol was fragmented into 5 administration which proved to be unpractical even if effective.

After multidisciplinal discussion with nephrologists and transfusionists a new protocol was established: 80.000 UI in a single dose at time of arrival at the hospital. There are no exclusion criteria planned.

Our primary end point is the amount of transfused blood. Our secondary end point is the Hemoglobin level in the patient on postoperative day four.

Ancillary analysis regarding safety at 45 days and cost effectiveness are planned as well.

Conditions

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Blood Transfusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Erythropoietin

80.000 UI of Human Recombinant Erythropoietin and intravenous iron at time of arrival at the hospital

Group Type EXPERIMENTAL

Erythropoietin

Intervention Type DRUG

80.000 UI of Human Recombinant Erythropoietin and intravenous iron at time of arrival at the hospital.

Control

No added administration other than our standard of care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Erythropoietin

80.000 UI of Human Recombinant Erythropoietin and intravenous iron at time of arrival at the hospital.

Intervention Type DRUG

Other Intervention Names

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Eprex

Eligibility Criteria

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Inclusion Criteria

* All comers

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardiochirurgia E.H.

OTHER

Sponsor Role lead

Responsible Party

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Luca Weltert

Project Leader Luca Weltert

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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European Hospital

Rome, , Italy

Site Status

Countries

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Italy

References

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Nishiwaki H, Abe Y, Suzuki T, Hasegawa T, Levack WM, Noma H, Ota E. Erythropoiesis-stimulating agents for preventing acute kidney injury. Cochrane Database Syst Rev. 2024 Sep 20;9(9):CD014820. doi: 10.1002/14651858.CD014820.pub2.

Reference Type DERIVED
PMID: 39301879 (View on PubMed)

Other Identifiers

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00-05

Identifier Type: -

Identifier Source: org_study_id

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