Preparation of Patients for Cardiac Surgery (MPM)
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Purpose
This was a prospective randomised trial of metabolic therapy including antioxidants and cellular energisers to determine whether this therapy could improve the results of cardiac surgery. The hypothesis was that the metabolic therapy could improve clinical recovery.
| Condition | Intervention | Phase |
|---|---|---|
|
Coronary Artery Bypass Graft Surgery Cardiac Valve Surgery |
Dietary Supplement: Metabolic therapy Dietary Supplement: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Preparation of Patients for Cardiac Surgery |
- Troponin release [ Time Frame: 24 hours after surgery ] [ Designated as safety issue: No ]
- Length of hospital stay [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Rate of atrial fibrillation [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 117 |
| Study Start Date: | April 2004 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | June 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Metabolic therapy
Metabolic therapy with antioxidants and cellular energisers
|
Dietary Supplement: Metabolic therapy
Coenzyme Q10 - 100 mg tds Magnesium orotate - 400 mg tds Lipoic acid - 100 mg tds Omega-3 fatty acids - 300 mg (in 1 g fish oils) tds Selenium - 200 µg
|
|
Placebo Comparator: Placebo
Placebo tablets
|
Dietary Supplement: Placebo
Placebo tablets
|
Detailed Description:
Objective Perioperative therapy with antioxidants and metabolic substrates has the potential to reduce oxidative stress and improve recovery from cardiac surgery, particularly in elderly and high risk cases. The aim of the study was to assess the effect of perioperative metabolic therapy at a biochemical and clinical level in cardiac surgical patients.
Methods Patients (n = 117, mean age 65 ± 1.0 years, 74% male) undergoing elective coronary artery bypass graft (CABG) and/or valve surgery were randomized to receive for a minimum of 2 weeks before and one month after surgery, either metabolic therapy (coenzyme Q10, magnesium orotate, lipoic acid, omega-3 fatty acids and selenium) or placebo. Biochemical and clinical outcomes were assessed.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients undergoing elective coronary artery bypass graft (CABG) and/or valve surgery
Exclusion Criteria:
- urgent or emergency surgery
- NYHA class IV heart failure
- taken antioxidant supplements in the previous month
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Professor Franklin Rosenfeldt, Alfred Hospital |
| ClinicalTrials.gov Identifier: | NCT00906646 History of Changes |
| Other Study ID Numbers: | 91/04 |
| Study First Received: | May 20, 2009 |
| Last Updated: | May 20, 2009 |
| Health Authority: | Australia: National Health and Medical Research Council |
Keywords provided by Bayside Health:
|
cardiac surgery metabolic supplements antioxidant |
Additional relevant MeSH terms:
|
Antioxidants Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Protective Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 21, 2013