Spironolactone and Perioperative Atrial Fibrillation Occurrence in Cardiac Surgery Patients.
NCT03551548 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1500
Last updated 2019-03-05
Summary
Study hypothesis : Pre-operative aldosterone receptor blockade may reduce post-operative atrial fibrillation (POAF) occurrence within 5 days after coronary artery bypass graft surgery (CABG) ± aortic valve replacement (AVR) without any heart failure or any mitral surgery.
Primary efficacy criterion : occurrence of POAF occurring from randomization and within 5 days after surgery, assess, in a standardized manner, by continuous ECG monitoring (during the ICU stay) or Holter-ECG monitoring (during the stepdown unit stay).
Primary objective: To establish whether pre-operative administration of spironolactone leads to a reduction in POAF incidence occurring from randomization and within 5 days after surgery, compared with placebo, in patients referred for on-pump elective CABG surgery ± AVR without heart failure.
Study design : Phase III drug trial - Randomized, double blind, multicentre, prospective study.
Conditions
- Cardiac Surgery
- Atrial Fibrillation
- Aldosterone Blockade
Interventions
- DRUG
-
Spironolactone 25mg
25 mg oral spironolactone once daily on top of standard therapy, started 14 ± 4 days before cardiac surgery and continued during 30 days after surgery.
- DRUG
-
Placebo oral capsule
oral placebo once daily on top of standard therapy, started 14 ± 4 days before cardiac surgery and continued during 30 days after surgery.
Sponsors & Collaborators
-
Ministry of Health, France
collaborator OTHER_GOV -
University Hospital, Caen
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-02-26
- Primary Completion
- 2021-07-31
- Completion
- 2021-09-30
Countries
- France
Study Locations
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