Sternal Closure With STERNUMFIX in Patients With High Risk

NCT ID: NCT01408745

Last Updated: 2015-04-14

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2012-11-30

Brief Summary

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The primary objective is to establish if the SternumFix System improves sternal closure. The study should test the hypothesis that in a high risk patient population with increased risk for the development of sternal wound complications SternumFix will reduce the incidence of sternal healing complications. The control group will be treated with wire cerclage, the standard method of sternal closure.

Detailed Description

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Conditions

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Sternum Wound Infection Nonunion of Fracture of Sternum

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Sternumfix

sternotomy closure with Sternumfix

Group Type EXPERIMENTAL

Sternumfix

Intervention Type DEVICE

sternotomy closure with Sternumfix

Steel wire

sternotomy closure with steel wire

Group Type ACTIVE_COMPARATOR

steel wire

Intervention Type PROCEDURE

sternotomy closure with steel wire

Interventions

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Sternumfix

sternotomy closure with Sternumfix

Intervention Type DEVICE

steel wire

sternotomy closure with steel wire

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective cardiac surgery with a median sternotomy
* Age \>18 years
* Male and female sex
* Informed consent
* Patients with high risk for sternal wound complications

Patients are designated as high risk patients if they have either:

* one or more major risk factors or
* four or more minor risk factors.

Major risk factors are:

* Obesity: BMI \> 30.
* Diabetes: intake of oral anti-diabetic drugs and/or insulin at time of surgery.
* COPD: history of chronic coughing plus expectoration for at least 3 months by at least two consecutive years, plus evidence of restrictive pattern at spirometry.
* Planned BITA: bilateral use of thoracic artery
* Age \> 75 years

Minor risk factors are:

* History of smoking;(minimum of 1 year of history of smoking)
* Hyperlipoproteinaemia (as stated in the patient data)
* Planned surgery is a CABG
* Patient is on dialysis
* Repeat sternotomy
* Left ventricular ejection fraction \< 30% (as stated in the patient data)
* Male sex

Exclusion:

* Active infection
* Participation in a pharmaceutical clinical study or any trial with interfering endpoints within the last 30 days
* Pregnancy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aesculap AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roland Hetzer, Prof.

Role: PRINCIPAL_INVESTIGATOR

Direktor der Klinik für Herz-, Thorax- und Gefäßchirurgie des DHZB

Locations

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Kerckhoff Klinik

Bad Nauheim, , Germany

Site Status

Deutsches Herzzentrum Berlin

Berlin, , Germany

Site Status

Evangelisch-Freikirchliches Krankenhaus und Herzzentrum Brandenburg in Bernau

Bernau, , Germany

Site Status

University Hospital Zürich

Zurich, , Switzerland

Site Status

Countries

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Germany Switzerland

Other Identifiers

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AAG-G-H-0802

Identifier Type: -

Identifier Source: org_study_id

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