Congenital Heart Defects Clinical Trial
— MiLe-1Official title:
The Prophylactic Effect of Levosimendan in Reducting Acute Kidney Injury Postoperatively in Pediatric Patients Undergoing Corrective Heart Surgery
Verified date | March 2024 |
Source | Göteborg University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of the study is to assess the ability of Levosimendan to reduce the postoperative acute kidney injury in pediatric patients undergoing surgery for congenital heart disease (CHDs).
Status | Completed |
Enrollment | 72 |
Est. completion date | April 25, 2017 |
Est. primary completion date | April 25, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 1 Month to 12 Months |
Eligibility | Inclusion Criteria: 1. Provision of informed consent prior to any study specific procedures 2. Female and male children between 1 and 12 months of age 3. Non-restrictive VSD (corrective surgery) 4. Complete AVSD (biventricular repair) 5. Tetralogy of Fallot Exclusion Criteria: 1. Unbalanced AtrioVentricular Septal Defect or AVSD with cyanosis 2. Age less than one month and more than one year 3. Acute operation that is unscheduled operation during the first 24 hours after presentation to the department for thoracic surgery 4. Mild, moderate, or severe kidney dysfunction and known anatomical anomalies of kidneys 5. Liver impairment or disease 6. Ongoing infection 7. Use of nephrotoxic drugs (like ibuprofen, angiotensin-converting-enzyme inhibitors, gentamicin, vancomycin) preoperative or postoperative until first post operative day. Contrast agents whithin 24 hours before operation. 8. Use of inhibitors of membrane transport proteins (cimetidine, cetirizine, trimethoprim, probenecid, rifampin and gemfibrosil). 9. Allergy to Levosimendan or substance included in the preparation or previous use of Levosimendan. 10. Severe arrhythmias needing pace-maker treatment prior to the operation 11. Severe cardiac dysfunction needing for treatment with extracorporeal membrane oxygenation (ECMO) prior to the operation. 12. Preoperative need for mechanical ventilation and/or inotropic agents. 13. Re-operation (open heart surgery). Earlier surgical closure of the arterial duct does not count as an exclusion criteria. 14. Prematurity: Gestational age < 30 weeks, irrespective of postpartum age. Gestational age 30-34 weeks if patient is included at postpartum age under 3 months. |
Country | Name | City | State |
---|---|---|---|
Finland | Children´s Hospital, Helsinki University Central Hospital | Helsinki | |
Sweden | Queen Silvia Children´s Hospital | Göteborg | Västra Götaland |
Lead Sponsor | Collaborator |
---|---|
Göteborg University | Helsinki University Central Hospital |
Finland, Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | S-creatinine | The primary outcome variable was the absolute value of serum creatinine data on postoperative day 1. | One day after cardiac surgery | |
Secondary | Acute Kidney Injury (AKI) | Secondary outcomes included the occurrence rate of AKI, defined as a 50% rise in serum creatinine, or more, within 48 hours after surgery. All stages of AKI (stage 1 and stage 2 and stage 3) | Two days (second postoperative day) | |
Secondary | 30 Days Mortality | Mortality at 30th day | 30 days |
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