Effects of Glutamine in Ischemic Heart Disease Patients Following Cardiopulmonary Bypass
Primary Purpose
Coronary Artery Disease
Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
N(2)-L-Alanine L-Glutamine dipeptide
Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Coronary Artery Disease
Eligibility Criteria
Inclusion Criteria:
- Adult patients with coronary artery disease operated on under cardiopulmonary bypass
Exclusion Criteria:
- Ejection fraction<40%
- Viral hepatitis
- Liver cirrhosis
- Cholecystitis
- Pancreatitis
- Chronic severe gastrointestinal disease
- Surgery on gastrointestinal tract in patient's medical history
Sites / Locations
- State Research Institute of Circulation Pathology
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Glutamine
Placebo
Arm Description
Intravenous glutamine infusion perioperatively and 24 hours after surgery
Outcomes
Primary Outcome Measures
Troponin I
Secondary Outcome Measures
Liver Fatty Acid Binding Protein
Liver fatty acid binding protein
Intestinal fatty acid binding protein
Intestinal fatty acid binding protein
alpha-glutathione s-transferase
alpha-glutathione s-transferase
Alanine Aminotransferase (ALT)
Aspartate transaminase (AST)
Serum HSP-70
Glutathione
SH-groups
Full Information
NCT ID
NCT01478126
First Posted
November 16, 2011
Last Updated
October 30, 2013
Sponsor
Meshalkin Research Institute of Pathology of Circulation
1. Study Identification
Unique Protocol Identification Number
NCT01478126
Brief Title
Effects of Glutamine in Ischemic Heart Disease Patients Following Cardiopulmonary Bypass
Official Title
Prospective Randomized Study of Glutamin Protective Properties in Cardiac Surgery.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
September 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Meshalkin Research Institute of Pathology of Circulation
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine whether perioperative glutamine administration possess protective properties on internal organs (heart and gut) in patients with coronary atherosclerosis, operated under cardiopulmonary bypass.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Glutamine
Arm Type
Experimental
Arm Description
Intravenous glutamine infusion perioperatively and 24 hours after surgery
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
N(2)-L-Alanine L-Glutamine dipeptide
Other Intervention Name(s)
Dipeptiven (N(2)-L-Alanine L-Glutamine dipeptide)
Intervention Description
Intravenous infusion of glutamine in total dose of 2 g/kg/day (rate=2*weight/24 ml/h). Infusion starts in operating room and ends next day after the surgery.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intravenous infusion of 0,9% solution of NaCl, rate=2*weight/24. Infusion starts in operating room and ends next day after the surgery.
Primary Outcome Measure Information:
Title
Troponin I
Time Frame
Induction to anaesthesia, 30 min after cardiopulmonary bypass, 6, 24 hours after CPB
Secondary Outcome Measure Information:
Title
Liver Fatty Acid Binding Protein
Description
Liver fatty acid binding protein
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
Intestinal fatty acid binding protein
Description
Intestinal fatty acid binding protein
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
alpha-glutathione s-transferase
Description
alpha-glutathione s-transferase
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
Alanine Aminotransferase (ALT)
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
Aspartate transaminase (AST)
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
Serum HSP-70
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
Glutathione
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
Title
SH-groups
Time Frame
Induction to anaesthesia (0 hour of operation), before heparin injection (1 hour of operation), 5min after aorta unclaming, 2, 6, 24 hours after CPB
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Adult patients with coronary artery disease operated on under cardiopulmonary bypass
Exclusion Criteria:
Ejection fraction<40%
Viral hepatitis
Liver cirrhosis
Cholecystitis
Pancreatitis
Chronic severe gastrointestinal disease
Surgery on gastrointestinal tract in patient's medical history
Facility Information:
Facility Name
State Research Institute of Circulation Pathology
City
Novosibirsk
Country
Russian Federation
12. IPD Sharing Statement
Citations:
PubMed Identifier
22167767
Citation
Lomivorotov VV, Efremov SM, Shmirev VA, Ponomarev DN, Lomivorotov VN, Karaskov AM. Glutamine is cardioprotective in patients with ischemic heart disease following cardiopulmonary bypass. Heart Surg Forum. 2011 Dec;14(6):E384-8. doi: 10.1532/HSF98.20111074.
Results Reference
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Effects of Glutamine in Ischemic Heart Disease Patients Following Cardiopulmonary Bypass
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