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A Study of Hemopure® to Enhance Tissue Preservation During Cardiopulmonary Bypass Surgery

Primary Purpose

Coronary Artery Disease

Status
Unknown status
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
HBOC-201 (hemoglobin glutamer-250 bovine)
Sponsored by
Biopure Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring Coronary Artery Bypass Graft, memory loss after cardiac surgery, side effects of bypass

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Subject is between the ages of 18 and 80. Subject is an acceptable candidate for CABG. Subject is scheduled for CABG (without planned valvular repair or replacement) by cardiopulmonary bypass. Subject signs informed consent Subject and the treating physician agree that subject can comply with all study procedures and follow-up visit at time of subject screening. Exclusion Criteria: Pre-operative myocardial infarction, defined as CK-MB level > 2 times upper limit of normal 24 hours prior to CABG surgery. Renal failure defined as serum creatinine greater 220 µmol/L Subject has an ejection fraction ≤ 30% (as measured by Echocardiography within 30 days of study enrollment). Active infection. History of prior stroke within last six months or history of prior stroke with residual neurological deficit. Transient Ischemic attack within last 6 months. Subject has a history of coagulopathy. Subject is pregnant or currently breastfeeding. History of allergy to beef products. Pre-operative cardiogenic shock defined as cardiac index ≤ 1.8.L/min/m2 despite the use of vasopressors. Underlying medical conditions that would limit subject's life expectancy to less than 12 months. Severe pulmonary disease [based upon clinical diagnosis or pulmonary function tests (FEV <1 liter), if available] that may interfere with weaning subject from ventilator. History of acute central nervous disorder (e.g., seizure or traumatic injury). Severe hypertension (≥ 160/90 mm Hg) that cannot be medically controlled despite treatment with two antihypertensive therapies. Severe liver dysfunction as defined by total bilirubin ≥ 51 µmol/L or 2 times the site normal limit of AST or ALT activity. Subject has systemic mastocytosis. Subject has any condition that predisposes the subject to systemic mast cell degranulation or hypersensitivity reactions or a history of severe allergic reactions to drugs or environmental allergens. Subject has participated in another investigational drug, biologic or device study within 30 days prior to study enrollment.

Sites / Locations

  • Thessaloniki Heart Institute - St. Luke's HospitalRecruiting
  • Milpark HospitalRecruiting
  • Oxford Heart Centre - John Radcliffe HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Rate of peak CK-MB elevation ≥ 5X upper limit of normal

Secondary Outcome Measures

MACE @ discharge and 30 days post surgery; Change in renal function; Renal failure; Increased Cardiac Troponin T; Death rate; MI/stroke; Supplemental RBC transfusions; Total units RBC and HBOC-201; Intra Aortic Balloon Pump use, pump time; New onset CHF

Full Information

First Posted
March 9, 2006
Last Updated
May 15, 2008
Sponsor
Biopure Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00301535
Brief Title
A Study of Hemopure® to Enhance Tissue Preservation During Cardiopulmonary Bypass Surgery
Official Title
Enhancement of Tissue Preservation During Cardiopulmonary Bypass With HBOC-201 (Registry Study)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2008
Overall Recruitment Status
Unknown status
Study Start Date
February 2006 (undefined)
Primary Completion Date
July 2008 (Anticipated)
Study Completion Date
September 2008 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Biopure Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine if Hemopure® will enhance tissue preservation during Cardiopulmonary Bypass surgery.
Detailed Description
The primary objective is to determine the safety and feasibility of administering Hemopure® (HBOC-201) to reduce myocardial necrosis, as measured by CK-MB enzyme elevation, and enhance tissue preservation during cardiopulmonary bypass.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
Coronary Artery Bypass Graft, memory loss after cardiac surgery, side effects of bypass

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
HBOC-201 (hemoglobin glutamer-250 bovine)
Intervention Description
HBOC-201 is an investigational solution of purified, glutaraldehyde-polymerized bovine hemoglobin with a concentration of hemoglobin of 13 ± 1 g/dL
Primary Outcome Measure Information:
Title
Rate of peak CK-MB elevation ≥ 5X upper limit of normal
Time Frame
Baseline; Peri-op; Days 1,2,3 post procedure; Discharge or Day 6 post procedure(whichever is earlier)
Secondary Outcome Measure Information:
Title
MACE @ discharge and 30 days post surgery; Change in renal function; Renal failure; Increased Cardiac Troponin T; Death rate; MI/stroke; Supplemental RBC transfusions; Total units RBC and HBOC-201; Intra Aortic Balloon Pump use, pump time; New onset CHF
Time Frame
Duration of the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is between the ages of 18 and 80. Subject is an acceptable candidate for CABG. Subject is scheduled for CABG (without planned valvular repair or replacement) by cardiopulmonary bypass. Subject signs informed consent Subject and the treating physician agree that subject can comply with all study procedures and follow-up visit at time of subject screening. Exclusion Criteria: Pre-operative myocardial infarction, defined as CK-MB level > 2 times upper limit of normal 24 hours prior to CABG surgery. Renal failure defined as serum creatinine greater 220 µmol/L Subject has an ejection fraction ≤ 30% (as measured by Echocardiography within 30 days of study enrollment). Active infection. History of prior stroke within last six months or history of prior stroke with residual neurological deficit. Transient Ischemic attack within last 6 months. Subject has a history of coagulopathy. Subject is pregnant or currently breastfeeding. History of allergy to beef products. Pre-operative cardiogenic shock defined as cardiac index ≤ 1.8.L/min/m2 despite the use of vasopressors. Underlying medical conditions that would limit subject's life expectancy to less than 12 months. Severe pulmonary disease [based upon clinical diagnosis or pulmonary function tests (FEV <1 liter), if available] that may interfere with weaning subject from ventilator. History of acute central nervous disorder (e.g., seizure or traumatic injury). Severe hypertension (≥ 160/90 mm Hg) that cannot be medically controlled despite treatment with two antihypertensive therapies. Severe liver dysfunction as defined by total bilirubin ≥ 51 µmol/L or 2 times the site normal limit of AST or ALT activity. Subject has systemic mastocytosis. Subject has any condition that predisposes the subject to systemic mast cell degranulation or hypersensitivity reactions or a history of severe allergic reactions to drugs or environmental allergens. Subject has participated in another investigational drug, biologic or device study within 30 days prior to study enrollment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tiana Gorham
Email
tgorham@biopure.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
A. Gerson Greenburg, MD, Ph.D
Organizational Affiliation
Biopure Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Thessaloniki Heart Institute - St. Luke's Hospital
City
Thessaloniki
ZIP/Postal Code
552 36
Country
Greece
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Julia Tzelepi, MD
Email
ktzelepipal@yahoo.gr
First Name & Middle Initial & Last Name & Degree
Antonis Pitsis, MD
Facility Name
Milpark Hospital
City
Johannesburg
Country
South Africa
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ronel Snyman
Email
research.jhb@mweb.co.za
First Name & Middle Initial & Last Name & Degree
Martin Sussman, MD
First Name & Middle Initial & Last Name & Degree
Christopher A Hammond, MD
Facility Name
Oxford Heart Centre - John Radcliffe Hospital
City
Headington
State/Province
Oxfordshire
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Stephen Westaby, MD

12. IPD Sharing Statement

Learn more about this trial

A Study of Hemopure® to Enhance Tissue Preservation During Cardiopulmonary Bypass Surgery

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