Steroids In caRdiac Surgery Trial (SIRS Trial)
NCT00427388 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 7507
Last updated 2014-08-04
Summary
SIRS trial is a large simple study in which high-risk patients undergoing cardiac surgery requiring the use of cardiopulmonary bypass (CPB) are randomly allocated to receive a pulse dose of Methylprednisolone or a matching placebo. Cardiopulmonary bypass initiates a systemic inflammatory response that facilitates development of post-operative complications. SIRS will confirm or deny the potential clinical benefits of suppressing this response through the use of systemic steroids. Specifically, does 250 mg of intravenous Methylprednisolone given twice, once on anesthetic induction and again on CPB initiation, result in improved early survival and less myocardial infarction in high-risk cardiac surgery patients requiring CPB?
Conditions
- Cardiac Surgical Procedures
- Cardiopulmonary Bypass
- Systemic Inflammatory Response Syndrome
Interventions
- DRUG
-
Methylprednisolone
Given by IV in 2 doses (250 mg each dose for a total of 500 mg)
- OTHER
-
Placebo
Given in 2 IV doses (approximately 4 ml of 0.9% normal saline solution in each dose)
Sponsors & Collaborators
-
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV -
Population Health Research Institute
lead OTHER
Principal Investigators
-
Salim Yusuf, MD, DPhil · Pranic Healing Research Institute
-
Kevin Teoh, MD, MSc · McMaster University
-
Richard P Whitlock, MD, MSc · McMaster University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-06-30
- Primary Completion
- 2014-02-28
- Completion
- 2014-08-31
Countries
- Canada
Study Locations
More Related Trials
-
Corticosteroid Prophylaxis on the Cardiopulmonary Bypass-Induced Systemic Inflammatory Response
NCT01296074 ·Status: COMPLETED ·Phase: NA
-
SGC Stimulation, Perioperative Vascular Reactivity, and Organ Injury in Cardiac Surgery
NCT05812755 ·Status: RECRUITING ·Phase: PHASE4
-
Removal of Cytokines in Patients Undergoing Cardiac Surgery With CPB
NCT03104179 ·Status: UNKNOWN ·Phase: NA
-
Protective Mechanical VENTilation Strategy in Patients Undergoing CARDiac Surgery
NCT03288558 ·Status: UNKNOWN ·Phase: NA
-
Preoperative Maltodextrin's Effect on Cardiac Function in Cardiac Surgery
NCT05188222 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Randomized Comparison Angioplasty Outcomes at Hospitals With and Without On-site Cardiac Surgery
NCT00549796 ·Status: COMPLETED ·Phase: NA
-
Evaluating Outcomes in Cardiac Surgery Patients Who Receive Sugammadex vs. Placebo
NCT05801679 ·Status: COMPLETED ·Phase: PHASE3
-
Protection During Cardiac Surgery.
NCT03230136 ·Status: COMPLETED ·Phase: NA
-
HELIox CardiOPlegia Trial During Cardiac surgERy
NCT02745951 ·Status: UNKNOWN ·Phase: NA
-
Myocardial Protection With Phosphocreatine in High-RIsk Cardiac SurgEry Patients
NCT02757443 ·Status: COMPLETED ·Phase: PHASE3
-
Clinical and Genomic Responses to Open Heart Surgery
NCT00650507 ·Status: COMPLETED ·Phase: PHASE3
-
Program on Surgical Control of Hyperlipidemias (POSCH)
NCT00000490 ·Status: COMPLETED ·Phase: PHASE3
-
Feasibility of Transepicardial Atrial Injection
NCT05634213 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Long-acting Parasternal Blocks for Analgesia After Cardiac Surgery
NCT05191745 ·Status: COMPLETED ·Phase: PHASE3
-
Phase III Study Comparing Two Methods of Cardioplegia in Coronary Artery Bypass Surgery
NCT01444235 ·Status: COMPLETED ·Phase: PHASE2
-
Biobank Cardiac Surgery
NCT06747806 ·Status: RECRUITING
-
Safety & Efficacy of BCT197 in Patients Undergoing Cardiac Surgery
NCT01336959 ·Status: TERMINATED ·Phase: PHASE2
-
Steroid-induced Reduction of Surgical Stress Study
NCT00807521 ·Status: WITHDRAWN ·Phase: NA
-
Prophylactic Methylprednisolone for Renal Protection in Cardiac Surgeries With Cardiopulmonary Bypass
NCT06917859 ·Status: RECRUITING ·Phase: PHASE1
-
Evaluation of Clinical Impact of the Type of Cardioplegia Used in the Patient Undergoing Major Cardiac Surgery.
NCT06530641 ·Status: RECRUITING ·Phase: PHASE4
-
Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery
NCT04796233 ·Status: UNKNOWN
-
Pentastarch Use in Cardiac Surgery
NCT00182377 ·Status: UNKNOWN ·Phase: NA
-
Clinical Outcome of Pericardial Closure Using Gentrix Following Cardiac Surgery
NCT06136182 ·Status: TERMINATED
-
Effect of Oxiris® Membrane on Microcirculation Following Cardiac Surgery Under Cardiopulmonary Bypass: a Pilot Prospective Monocentric Study (Oxicard Study).
NCT04201119 ·Status: COMPLETED ·Phase: NA
-
Stellate Ganglion Block in Beating Heart Surgery
NCT03450226 ·Status: UNKNOWN ·Phase: NA