Prophylactic Effect of Nirmatrelvir/Ritonavir and Ursodeoxycholic Acid on Reducing Complications After Cardiac Surgery

NCT ID: NCT05690646

Last Updated: 2023-04-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

491 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-28

Study Completion Date

2026-01-06

Brief Summary

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Prophylactic effect of nirmatrelvir/ritonavir and ursodeoxycholic acid on reducing complications after cardiac surgery during covid-19 pandemics (the pep trial) is a multicenter, randomized controlled trial. The aim of the pep trial is to investigate whether prophylactic use of nirmatrelvir/ritonavir and ursodeoxycholic could reduce complications after cardiac surgery.

Detailed Description

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After informed consent, four centers and 436 eligible admissions will be recruited. Eligible patients would be randomized (1:1:1:1) to nirmatrelvir/ritonavir group (nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days), ursodeoxycholic acid group (ursodeoxycholic acid group, 15mg/kg/day bid for5 days), combination group (nirmatrelvir/ritonavir and ursodeoxycholic acid for 5days) and control group.

Conditions

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Cardiac Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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NR group

nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days

Group Type EXPERIMENTAL

Nirmatrelvir/ritonavir

Intervention Type DRUG

nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days

UA group

ursodeoxycholic acid group, 15mg/kg/day bid for5 days

Group Type EXPERIMENTAL

Ursodeoxycholic acid

Intervention Type DRUG

ursodeoxycholic acid 15mg/kg/day bid for5 days

combination group

nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days and ursodeoxycholic acid group, 15mg/kg/day bid for5 days

Group Type EXPERIMENTAL

Nirmatrelvir/ritonavir

Intervention Type DRUG

nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days

Ursodeoxycholic acid

Intervention Type DRUG

ursodeoxycholic acid 15mg/kg/day bid for5 days

control group

No intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nirmatrelvir/ritonavir

nirmatrelvir 300mg q12h and ritonavir 100 mg q12h for 5 days

Intervention Type DRUG

Ursodeoxycholic acid

ursodeoxycholic acid 15mg/kg/day bid for5 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* COVID-19 nucleic acid test or antigen test positive history, without symptom or recover from COVID-19 related symptoms ≥2 weeks
* Receive open-chest cardiac surgery
* COVID-19 nucleic acid test and antigen test negative and no signs of pneumonia in chest CT
* Patients with written informed consent.

Exclusion Criteria

* Emergency surgery
* eGFR ≤30ml/min
* Severe liver dysfunction
* Contraindication to nirmatrelvir/ritonavir or ursodeoxycholic acid
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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China National Center for Cardiovascular Diseases

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shengshou Hu

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences, Fuwai Hospital

Locations

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Fuwai Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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NCRC2023001

Identifier Type: -

Identifier Source: org_study_id

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