Hypertension
Conditions
Keywords
Postoperative hypertension
Brief summary
The purpose of this study is to establish the safety of clevidipine in the treatment of postoperative hypertension. Approximately 250-500 patients with postoperative hypertension after undergoing coronary artery bypass grafting (CABG), off-pump coronary artery bypass (OPCAB) or minimally invasive direct coronary artery bypass (MIDCAB) surgery and/or valve replacement/repair procedures were anticipated to be randomly assigned to one of two treatment groups: clevidipine or nicardipine.
Detailed description
The primary objective was to establish the safety of clevidipine in the treatment of postoperative hypertension, as assessed by comparing the incidences of death, stroke, MI and renal dysfunction in the clevidipine and nicardipine treatment groups from the initiation of study drug infusion through postoperative Day 30. Secondary objectives were to evaluate the efficacy of study drug, assessed by the blood pressure (BP) lowering effect, and additional safety variables.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Prerandomization Inclusion Criteria: * Provide written informed consent before initiation of any study related procedures. * Be at least 18 years of age * Be scheduled for Coronary Artery Bypass Grafting (CABG), Off Pump Coronary Artery Bypass (OPCAB), Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) surgery, and/or valve replacement/repair surgery Prerandomization
Exclusion criteria
* Women of child-bearing potential (unless they have a negative pregnancy test) * Recent cerebrovascular accident (within 3 months before randomization) * Known intolerance to calcium channel blockers * Known or suspected hypersensitivity to nicardipine * Allergy to soybean oil or egg lecithin (components of the lipid vehicle) * Pre-existing permanent ventricular pacing * Any other disease or condition, which, in the judgment of the investigator would place a patient at undue risk by being enrolled in the trial * Participation in another therapeutic drug or therapeutic device trial within 30 days of starting study Postrandomization Inclusion Criteria: * Expected to survive beyond 24 hours post-surgical procedure * No surgical complications or conditions, present or anticipated, that preclude them from inclusion in the study * Determined to be hypertensive postoperatively as determined by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of death, stroke, MI, and renal dysfunction | Initiation of study drug infusion through post-operative Day 30 |
Countries
United States