Effect of Steroids on Cerebral Inflammation and Neuronal Damage After Surgical Aortic Valve Replacement

NCT ID: NCT01755338

Last Updated: 2017-06-01

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2017-02-28

Brief Summary

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The purpose of this study is to investigate if methylprednisolone is effective in reducing the cerebral inflammatory response after open heart surgery with cardiopulmonary bypass.

Detailed Description

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In a previous study we found that patients undergoing aortic valve surgery had elevated cerebrospinal inflammatory markers. In this study we aim to investigate if this inflammatory response can be reduced after treatment with steroids.

30 patients will be randomized to intraoperative treatment with either placebo or methylprednisolone 15mg/kg. CSF and blood will be collected the day before and the day after surgery, analyzed for markers of inflammation (IL-6, IL-8), neuronal damage (S-100) and blood brain barrier function (alb).

Conditions

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Aortic Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Methylprednisolone

Methylprednisolone i.v. 15mg/kg x 1 intraoperative Aortic Valve Replacement

Group Type ACTIVE_COMPARATOR

Methylprednisolone

Intervention Type DRUG

Methylprednisolone 15mg/kg

Placebo (NaCl)

Placebo i.v., x1, intraoperative Aortic Valve Replacement

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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Methylprednisolone

Methylprednisolone 15mg/kg

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Other Intervention Names

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Solu-Medrol Sodium Chloride

Eligibility Criteria

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Inclusion Criteria

* elective aortic surgery +/- coronary artery bypass grafting (CABG)

Exclusion Criteria

* coagulopathy
* preoperative neurologic deficit
* uncontrolled hypertension
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sahlgrenska University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mattias Danielson

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sven-Erik Ricksten, Professor

Role: STUDY_CHAIR

Sahlgrenska University Hospital

Locations

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Sahlgrenska University Hospital

Gothenburg, VGR, Sweden

Site Status

Countries

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Sweden

References

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Danielson M, Reinsfelt B, Westerlind A, Zetterberg H, Blennow K, Ricksten SE. Effects of methylprednisolone on blood-brain barrier and cerebral inflammation in cardiac surgery-a randomized trial. J Neuroinflammation. 2018 Sep 27;15(1):283. doi: 10.1186/s12974-018-1318-y.

Reference Type DERIVED
PMID: 30261896 (View on PubMed)

Other Identifiers

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2012-004232-37

Identifier Type: -

Identifier Source: org_study_id

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