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A Multicenter, Randomized, Double-Blind, Parallel, Placebo-Controlled Study of Ulinastatin in Cognitive Dysfunction after Heart Valve Surgery

A Multicenter, Randomized, Double-Blind, Parallel, Placebo-Controlled Study of Ulinastatin in Cognitive Dysfunction after Heart Valve Surgery

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200059084
Enrollment
Unknown
Registered
2022-04-24
Start date
2022-06-01
Completion date
Unknown
Last updated
2024-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart Valve Surgery

Interventions

Sponsors

Zhongshan Hospital, Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
45 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. The patients ranged in age from 45 to 75 years; 2. In the screening period, the renal and liver function of the patient is normal, which refers to the following clinical biochemical results: (1) Serum creatinine 50 mL/min (calculated using the Cockcroft-Gult formula); (2) Serum alanine aminotransferase = 8.5 g/dL (SI units: >= 85 g/L or 5.28 mmol/L); (2) WBC count >= 3.5 * 10^3 cells / µL (SI unit: >= 3.5 * 10^9 cells/L); (3) Neutrophils count >= 1.5 * 10^3 cells/L (SI unit: >= 1.5 * 10^9 cells/L); (4) Platelet count >= 100 * 10^3 cells / µL (SI unit: >= 100 * 10^9 cells/L). 4. Patients can understand the full nature and purpose of the study, including possible risks and side effects, cooperate with the investigator, understand oral and/or written instructions, and comply with the requirements of the entire study; 5. Patients (or legal guardians, if applicable) have been informed of the full nature and purpose of the study, including possible risks and side effects, given sufficient time and opportunity to read or understand the relevant information, and signed and dated written informed consent before enrolment; 6. Intravenous access is sufficient for blood sample collection and IV administration according to the study protocol; 7. The patient is in line with the indications of heart valve surgery; 8. There was no evidence of active infection during the screening period; 9. The patients with 12 years of education and above can successfully answer all the cognitive scale questions during the screening period.

Exclusion criteria

Exclusion criteria: 1. The investigator believes that the subjects have conditions that may interfere with the study results; 2. Subjects with evidence of active liver disease (liver function test results: alanine aminotransferase [ALT] or aspartate aminotransferase [AST] >= 2 times the upper limit of normal [ULN]) or with chronic active hepatitis B or hepatitis C within 1 month prior to kidney transplantation; 3. Active systemic infection requiring antibiotics in the first week before surgery; 4. patients suffering from one or more of the following diseases: (1) Classified as obese (BMI >= 30 kg/m2); (2) Diabetes remains uncontrolled even after insulin treatment; (3) Uncontrolled hypertension (defined as systolic blood pressure >= 180 mmHg or diastolic blood pressure >= 100 mmHg); (4) A history of lymphoma or tissue-proliferative disease or bone marrow; (5) A history of organ transplantation, including corneas; (6) Has any clinically significant uncontrolled respiratory disease, including but not limited to chronic obstructive lung disease, asthma bronchiectasis or pleural effusion; (7) Previous diagnosis or suspected demyelinating diseases, including multiple sclerosis, Guillain-Barre syndrome, etc.; (8) Any disease that significantly affects the nervous system.

Design outcomes

Primary

MeasureTime frame
Postoperative cognitive dysfunction;

Secondary

MeasureTime frame
Inflammatory cytokines;Renal Function;Incidence of postoperative complications;Incidence of cardiac autonomic reentry after extracorporeal circulation;Total hospitalization days;Incidence of postoperative mechanical ventilation for more than 24 hours and reintubation of trachea;

Countries

China

Contacts

Public ContactXian-Fu Lu

The First Affiliated Hospital of Anhui Medical University

luxianfu@ahmu.edu.cn+86 18256031820

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026