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Is the optimal dose of statin given before open heart surgery involving cardiopulmonary bypass associated with decreased organs injury and better recovery?

Is the optimal dose of preoperative statin associated with decreased end organ injury and better clinical outcome post cardiopulmonary bypass?

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2012-003396-20-IE
Enrollment
70
Registered
2012-09-06
Start date
2012-11-26
Completion date
Unknown
Last updated
2025-04-14

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

Conditions

Patient listed for open heart surgery involving cardiopulmonary bypass.

Interventions

Trade Name: Lipitor Pharmaceutical Form: Film-coated tablet INN or Proposed INN: Atorvastatin Calcium Trihydrate CAS Number: S 40054-69-1 Current Sponsor code: MMUH-Conway01 Other descriptive name: AT

Sponsors

Cardiothoracic Surgery, Mater Misericordiae University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients listed for elective open heart surgery involving cardiopulmonary bypass in Mater Misericordiae University Hospital. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 25 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 45

Exclusion criteria

Exclusion criteria: Patients who are undergoing emergency surgery, redo surgery, intra aortic balloon pump preoperatively. Age less than 18 years. Patients whose surgery does not involve cardiopulmonary byass. Patients with underlying infection or other significant disease e.g. malignancy or inflammatory disease, on antibiotics, steroids or anti-inflammatory medication. Patients who have haemoglobin of less than 9g/dL on admission.

Design outcomes

Primary

MeasureTime frame
Main Objective: To investigate the effect of higher dose pre operative statin (80mg) on neutrophil migration, and postoperative inflammatory markers.;Secondary Objective: To determine the effects of preoperative statin therapy on systemic inflammatory response to CPB. Patients were divided into two groups based on preoperative dosage, group 1 (high dose, 80mg) versus group 2 (baseline statin as prescribed by primary physician); To correlate optimal dose of preoperative statins with clinical outcome post open heart surgery.;Primary end point(s): To investigate the effect of higher dose of pre operative statin (80mg) on neutrophil migration, by measuring inflammatory biomarkers (Interleukin-8, IL-8 and Matrix Metalloproteinase-9, MMP-9).;Timepoint(s) of evaluation of this end point: At induction of anaesthesia, 5-10 minutes after release of aortic cross clamp, within 12 hours post open heart surgery

Secondary

MeasureTime frame
Secondary end point(s): To determine the effects of preoperative statin therapy on systemic inflammatory response to CPB, using heart, kidney and lung as end organ for assessment. To correlate high dose preoperative statins with clinical outcome post open heart surgery.;Timepoint(s) of evaluation of this end point: At induction of anaesthesia, 5-10 minutes after release of aortic cross clamp, within 12 hours post open heart surgery

Countries

Ireland

Contacts

Public ContactYie Roei Chee- Research Registrar

Cardiothoracic Surgery, Mater Misericordiae University Hospital

yrchee@mater.ie35318032823

Outcome results

None listed

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