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The objective of this investigation is to compare the cardioprotective effects and safety of two cardioplegic solutions, HTK Cardioplegic Solution (Custodiol) and Custodiol-N in patients undergoing aortic valve surgery. The study design is a prospective, double blind, multicenter, randomized, Phase III comparison study intended to demonstrate superiority in surgical outcome between Custodiol and Custodiol-N as determined by CK-MB peak value 4-24 hours after opening of the aortic cross-clamp (primary endpoint), catecholamine requirement (cumulative dose) and cardiac Troponin T, occurrence of comorbid events postoperatively (e.g., myocardial infarction).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Custodiol-N | Experimental | comparison of two cardioplegic solutions, Custodiol-N versus Custodiol, in aortic valve surgery |
|
| Custodiol | Active Comparator | comparison of two cardioplegic solutions, Custodiol-N versus Custodiol, in aortic valve surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Custodiol-N | Drug | comparison of two cardioplegic solutions, Custodiol-N versus Custodiol, in aortic valve surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| peak value for CK-MB | measured at 4, 8, 12, 16, 20 and 24 hours after the release of the aortic cross clamp |
| Measure | Description | Time Frame |
|---|---|---|
| Catecholamine requirement on SICU | within 24 hours (cumulative dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Safety parameters | documentation and reporting of AE and SAE | from time of the study inclusion up to the follow-up visit on day 5 |
Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gabor Szabó, Prof. | Department of Cardiac Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinik für Herzchirurgie, Universitätsklinikum Heidelberg | Heidelberg | Baden-Wurttemberg | 69120 | Germany | ||
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| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D003327 | Coronary Disease |
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| ID | Term |
|---|---|
| C549285 | Custodiol-N solution |
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| Custodiol | Drug | comparison of two cardioplegic solutions, Custodiol-N versus Custodiol, in aortic valve surgery |
|
| Klinik für Herz- und Gefäßchirurgie GmbH, Herz-Kreislauf-Zentrum Rotenburg |
| Rotenburg an der Fulda |
| Hesse |
| 36199 |
| Germany |
| Klinik für Herzchirurgie Universität Leipzig/ Herzzentrum Leipzig | Leipzig | Saxony | 04289 | Germany |
| Klinik für Herz- und Thoraxchirurgie Universitätsklinikum Jena | Jena | Thuringia | 07747 | Germany |
| Klinik für Thorax-, Herz- und Gefäßchirurgie, Uniklinik der RWTH Aachen | Aachen | 52074 | Germany |
| Klinik für Gefäßchirurgie, Universitäres Herzzentrum am UKE Hamburg | Hamburg | 20246 | Germany |
| D017202 |
| Myocardial Ischemia |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |