Preventing Systemic Inflammation After Cardiac Surgery With Alkaline Phosphatase

NCT ID: NCT03050476

Last Updated: 2024-04-19

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

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

1250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2026-03-31

Brief Summary

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Study should demonstrate that alkaline phosphatase reduces the incidence and extent of acute kidney injury after cardiopulmonary bypass (CPB) as defined by the AKIN criteria.

Detailed Description

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After cardiac surgery under cardiopulmonary bypass (CPB) patients often show impairments of the immune system. Compared to placebo, CPB patients given alkaline phosphatase will have reduced composite endpoint of acute kidney injury (AKI), late extubation, gastrointestinal or neurological complications within 7 days and AKI within 90 days.

Conditions

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Systemic Inflammation Cardiopulmonary-bypass

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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RESCAP®

Bolus of 1000 IU of bovine intestinal alkaline phosphatase on induction of anaesthesia, followed by an infusion with a sum of 10,000 IU/day over the next 24 or 96 hours.

Group Type EXPERIMENTAL

RESCAP®

Intervention Type DRUG

intravenous application before, during, and for 24 or 96 hours after heart surgery

Placebo

Bolus of of media on induction of anaesthesia, followed by an infusion of media over the next 24 or 96 hours.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

intravenous application before, during, and for 24 or 96 hours after heart surgery

Interventions

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RESCAP®

intravenous application before, during, and for 24 or 96 hours after heart surgery

Intervention Type DRUG

placebo

intravenous application before, during, and for 24 or 96 hours after heart surgery

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Undergoing cardiac surgery with planned cardiopulmonary bypass
* Additive Euroscore II ≥ 3 OR at least 3 surgical cardiac interventions are planned
* Ability to provide informed consent (not incapacitated)

Exclusion Criteria

* Already on renal replacement therapy
* Patients with chronic kidney disease defined as estimated glomerular filtration rate \[eGFR\] \< 30 mL/min/1.73 m2 \[ CKD stage \> 3 \]
* Patients who are pregnant or lactating
* Concurrent enrollment in another clinical trial
* Known allergic reaction to bovine alkaline phosphatase or patient is vegetarian or vegan
* Patients with ongoing infections or current use of steroids
* Patients with high-risk emergency surgery or with follow-up procedures already planned at admission (like e.g. TEVAR)
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aix Scientifics

INDUSTRY

Sponsor Role collaborator

Alloksys Life Sciences B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ruud Brands, PhD

Role: STUDY_CHAIR

Alloksys Life Sciences BV . President

Dominik Wiedemann, Prof.Dr.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum St. Pölten, Austria

Locations

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Dept. Cardiothoracic Surgery , Monash Medical Centre

Clayton, Melbourne, Australia

Site Status TERMINATED

Division of Cardiac Surgery, Department of Surgery, LKH Medical University of Graz

Graz, , Austria

Site Status NOT_YET_RECRUITING

MedUniWien / AKH-Wien

Vienna, , Austria

Site Status RECRUITING

Department of Intensive Care, CHU Saint-Pierre, Université Libre de Bruxelles (ULB)

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

Department of Intensive Care, Hôpital Universitaire de Bruxelles (HUB)

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

Hospital ZOL

Genk, , Belgium

Site Status SUSPENDED

Dept. of Anesthesia and Intensive Care, AZ Maria Middelares

Ghent, , Belgium

Site Status RECRUITING

Jessa Ziekenhuis,Campus Virga Jesse

Hasselt, , Belgium

Site Status RECRUITING

German Heart Centre Munich, Dept.Cardio-Vascular Surgery

Munich, Bavaria, Germany

Site Status NOT_YET_RECRUITING

Klinik für Herzchirurgie, Universitätsklinik

Leipzig, , Germany

Site Status SUSPENDED

U.O.C. Cardiochirurgia e Trapianti di Cuore, Azienda Ospedaliera San Camillo Forlanini

Roma, , Italy

Site Status NOT_YET_RECRUITING

Policlinico Gemelli, Institute Cardiology

Roma, , Italy

Site Status NOT_YET_RECRUITING

Institut Jantung Negara (IJN , Natl. Heart Inst.)

Kuala Lumpur, , Malaysia

Site Status TERMINATED

Dept. Cardiothoracic Surgery, Maastricht University Medical Centre

Maastricht, Limburg, Netherlands

Site Status SUSPENDED

Catharina Ziekenhuis, Cathreine R&D, Heartcentre

Eindhoven, , Netherlands

Site Status TERMINATED

Hospital de Santa Marta

Lisbon, , Portugal

Site Status NOT_YET_RECRUITING

State Autonomous Healthcare Institution "Interregional Clinical Diagnostic Center"

Kazan', , Russia

Site Status TERMINATED

Federal State Budgetary Military Educational Institution of the Higher Education

Saint Petersburg, , Russia

Site Status TERMINATED

Almazov Heart Center

Saint Petersburg, , Russia

Site Status TERMINATED

National University Hospital (NUH),

Singapore, , Singapore

Site Status TERMINATED

Jefe de Servicio de Cirugía Cardiovascular, Hospital Universitario La Princesa

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Countries

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Australia Austria Belgium Germany Italy Malaysia Netherlands Portugal Russia Singapore Spain

Central Contacts

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Ruud Brands, PhD

Role: CONTACT

+31 647 228 395

Eike G Fischer, PhD

Role: CONTACT

+49 241 4500 358

Facility Contacts

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Heinrich Mächler, Prof. Dr.

Role: primary

Julia Riebandt, PD. Dr.

Role: primary

+43-1-40400-69660

Günther Laufer, Univ.Prof.Dr

Role: backup

Antoine Herpain, MD

Role: primary

+32 2 535 4912

Fabio S Taccone, MD, PhD

Role: primary

+ 32 25 555 587

Jan Heerman, Dr.

Role: primary

+32 9 246 17 21

Alaaddin Yilmaz, Dr.

Role: primary

+32 11 - 309060

Hendrik Ruge, Dr.

Role: primary

+49 89 1218 1510

Antonio Lio, Dr

Role: primary

+39 32 0228 4282

Massimo Massetti, Prof.MD

Role: primary

+39 06 - 3015 - 8762

José Fragata, Prof.MD PhD

Role: primary

+351 21 359 41 06

Pedro Coelho, MD

Role: backup

Guillermo Reyes Copa, Prof. Dr.

Role: primary

+34 915 202 268

Other Identifiers

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NUH-ALS-2015-04

Identifier Type: -

Identifier Source: org_study_id

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