Neuroprotection With Erythromycin in Cardiac Surgery
Recruitment status was Recruiting
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Purpose
Neurological complications occur in open heart surgery with a frequency of 40% and they range from major neurological deficits (due to a stroke) to neurocognitive and behavioral disorders. This study aims to determine if erythromycin, a worldwide known antibiotic, protects the brain from damage when given in high doses before and during open heart surgery.
The investigators consume that high dose of erythromycin will protect the brain with a pharmacological preconditioning against the global ischemia during the perioperative period of heart surgery.
| Condition |
|---|
|
Functional Disturbances Following Cardiac Surgery |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Perioperative Administration of Erythromycin and Brain Protection |
- biochemical markers of brain ischemia and intraoperative cerebral oxymetry data [ Time Frame: September 2010 ] [ Designated as safety issue: No ]
- better neurocognitive outcome in Erythromycin group [ Time Frame: November 2010 ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples Without DNA
Blood samples will be taken from all patients for the detection of tau protein, IL-1 and IL-6,
- preoperatively
- 12 hours after surgery
- the 6th day after surgery
| Estimated Enrollment: | 40 |
| Study Start Date: | November 2008 |
| Estimated Study Completion Date: | June 2011 |
| Estimated Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
erythromycin group
Patients of erythromycin group: 25mg/kg erythromycin intravenously 12 hours before surgery and 12 hours after the end of surgery.
|
|
control group
no administration of erythromycin
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
patients scheduled for elective cardiac surgey coronary artery bypass grafting
Inclusion Criteria:
- patients < 80 years old scheduled for elective cardiac surgery coronary artery bypass grafting, good cooperation with the clinical psychologist
Exclusion Criteria:
- patients > 80 years old
- cerebrovascular disease with residual deficits
- stroke
- alcoholism
- psychiatric disease
Contacts and Locations| Contact: George Vretzakis, Prof. | 00306946215721 | gvretzakis@yahoo.com |
| Contact: Georgia Stamatiou, Prof. | 00306978993102 | gstamat@yahoo.com |
| Greece | |
| Ahepa University Hospital | Recruiting |
| Thessaloniki, Hotmail, Greece, 54636 | |
| Contact: Evanthia Thomaidou, Dr 00302310993593 evathom1975@yahoo.gr | |
| Contact: Elena Argiriadou, Dr 00302310993868 argiriadou@hotmail.com | |
| Ahepa University Hospital | Recruiting |
| Thessaloniki, Greece, 54636 | |
| Contact: Evanthia V Thomaidou, Dr 00302310993599 evathom1975@yahoo.gr | |
| Contact: Elena G Argiriadou, Dr 00302310993868 argiriadou@hotmail.com | |
| Study Director: | George Vretzakis, Prof. | University of Thessaly |
More Information
No publications provided
| Responsible Party: | Thomaidou Evanthia, AHEPA University Hospital |
| ClinicalTrials.gov Identifier: | NCT01274754 History of Changes |
| Other Study ID Numbers: | VRTE |
| Study First Received: | March 1, 2010 |
| Last Updated: | January 11, 2011 |
| Health Authority: | Greece: Ethics Committee |
Keywords provided by AHEPA University Hospital:
|
neuroprotection erythromycin neurocognitive assessment |
Additional relevant MeSH terms:
|
Erythromycin stearate Erythromycin Erythromycin Estolate Erythromycin Ethylsuccinate Gastrointestinal Agents Therapeutic Uses |
Pharmacologic Actions Protein Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-Bacterial Agents Anti-Infective Agents |
ClinicalTrials.gov processed this record on May 23, 2013