Trial Outcomes & Findings for Atrial Natriuretic Peptide in Assessing Fluid Status (NCT NCT05070819)

NCT ID: NCT05070819

Last Updated: 2025-06-08

Results Overview

To assess the atria strain and consequent rise of pro-ANP by the end of surgery

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

intraoperatively

Results posted on

2025-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
Cardiac Surgery Patients
1. After admission to OR and arterial catheter is placed the pro-ANP probe is obtained. 2. After anesthesia induction, trachea intubation before Teboul' test pro-ANP is obtained 3. At the end of Teboul' test when lower limbs are lifted 4. 30 minutes of CPB 5. End of CPB 6. End of volume transition from CPB circuit to patient 7. Before Teboul' test at the end of surgery 8. End of Teboul' test when lower limbs are lifted pro-ANP: pro-ANP samples and fluid status assessment with functional tests (Teboul test) will be used 8 times intraoperatively.
Overall Study
STARTED
30
Overall Study
COMPLETED
30
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Atrial Natriuretic Peptide in Assessing Fluid Status

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=99 Participants
Age, Categorical
>=65 years
9 Participants
n=99 Participants
Age, Continuous
58 years
STANDARD_DEVIATION 13 • n=99 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
Sex: Female, Male
Male
23 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
30 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
Russia
30 participants
n=99 Participants
Body surface area, м²
2 square meters
STANDARD_DEVIATION 0.23 • n=99 Participants

PRIMARY outcome

Timeframe: intraoperatively

To assess the atria strain and consequent rise of pro-ANP by the end of surgery

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Number of Patients With Pro-ANP Twofold Raise by the End of Surgery
17 Participants

PRIMARY outcome

Timeframe: intraoperative

According to positive PLR the assessment of pro-ANP consequent raise

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Number of Patients With Pro-ANP Increase > 10% by the PLR Maneuver
5 Participants

PRIMARY outcome

Timeframe: 10 minutes of PLR test

Using Massimo vigileo hard- and software the first assessment of cardiac index was made before Teboul test after the trachea intubation. After 10 minutes of passive leg raising maneuver second assessment. If raise in cardiac index above 10 percent was detected the patient was considered a responder. If not - non-responder.

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Number of Patients With Cardiac Index Rise > 10% After Passive Leg Raising Maneuver
5 Responders

PRIMARY outcome

Timeframe: 10 minutes of PLR test

Using Massimo vigileo hard- and software the assessment of cardiac index was made before Teboul test at the end of surgery before leaving the operating room. After 10 minutes of passive leg raising maneuver second assessment. If raise in cardiac index above 10 percent was detected the patient was considered a responder. If not - non-responder.

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Number of Patients With Pro-ANP Increase > 10% by the PLR Maneuver at the End of Surgery
8 Responders

SECONDARY outcome

Timeframe: up to 10 days

Total amount of various postoperative complications

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Postoperative Complications
8 Participants

SECONDARY outcome

Timeframe: up to 10 days

Mortality rate

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Mortality
0 Participants

SECONDARY outcome

Timeframe: up to 10 days

Number of more than 2 organs failure

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Multiorgan Failure
0 Participants

SECONDARY outcome

Timeframe: up to 10 days

Number of patients who require prolonged and/or repeated artificial lung ventilation

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Respiratory Failure
0 Participants

SECONDARY outcome

Timeframe: up to 10 days

Number of patients who require extracorporeal detoxication

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Renal Failure
0 Participants

SECONDARY outcome

Timeframe: up to 10 days

Need in medicamental cardiotonic support more than 1 day

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Heart Failure
1 Participants

SECONDARY outcome

Timeframe: up to 10 days

Need in medicamental vasopressor support more than 1 day

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Circulatory Insufficiency
3 Participants

SECONDARY outcome

Timeframe: up to 10 days

Number of patients who develop systemic infection and/or operation wound infection

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Infection Rate
0 Participants

SECONDARY outcome

Timeframe: up to 10 days

Duration of summarized length in ICU, including readmission to ICU

Outcome measures

Outcome measures
Measure
Cardiac Surgery Patients
n=30 Participants
30 patients enrolled in a study
Length of Intensive Care Stay
22 hours
Interval 19.0 to 23.0

Adverse Events

Cardiac Surgery Patients

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Artem Gubko

Petrovsky NRCS

Phone: +79684241490

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place