Selenium is a key component of a number of selenoproteins which protect against oxidative stress and is well recognised for its prominent role in immune defence. Selenoproteins have the potential to reduce inflammatory reactions e.g. after trauma, sepsis or multi organ failure. However, Germany is a shortage region for Selenium. Especially patients in need of treatment requiring the use of heart-lung-machines have shown a significant decrease of Selenium levels after surgery. MedDRA version: 17
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: It is intended to include 20 adult patients (> 18 years) diagnosed with left ventricular heart failure scheduled for LVAD. 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 5 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 15
Exclusion criteria
Exclusion criteria: Selenium intoxication, pregnant or lactating women, women of child-bearing age not using a suitable method of contraception, patients with severe co-morbidities (renal failure requiring dialysis, hepatic impairment defined as bilirubin > 2 mg/dl) as well as patients with known anaphylaxis against the investigational product are excluded from this clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the effects and safety of Selenium supplementation on postoperative recovery after LVAD implant surgery.;Secondary Objective: ICU independency (freedom of life sustaining therapies e.g. ventilation); Quality of life, inflammation;Primary end point(s): composite outcome (ICU independency, independency of dialysis, circulatory support and ventilation);Timepoint(s) of evaluation of this end point: ICU discharge, hospital discharge, 28 days follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 28 days mortality; persistent organ disfunction, aquired infectious disease, renal failure, duration on respirator, neurocognitive disorder, quality of life;Timepoint(s) of evaluation of this end point: depending on end point (up to daily), up to 28 days post implantation | — |
Countries
Germany
Contacts
University Clinic RWTH Aachen