NCT01120405

Brief Summary

The Primary Objective is to show non inferiority in cardiac safety (i.e myocardial necrosis-MN- assessed by positive cardiac Troponin I -cTnI- ultrasensitive assay) of a Xenon based general anesthesia procedure in patients with elevated cardiac risk scheduled for atherosclerotic vascular surgery (i.e patient with Coronary Arteries Disease risk) when compared to sevoflurane based general anesthesia procedure, postoperatively up to 3 days.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
600

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started May 2010

Geographic Reach
1 country

13 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2010

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

May 4, 2010

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 11, 2010

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2012

Completed
2 years until next milestone

Results Posted

Study results publicly available

June 17, 2014

Completed
Last Updated

June 17, 2014

Status Verified

May 1, 2014

Enrollment Period

2.2 years

First QC Date

May 4, 2010

Results QC Date

March 20, 2014

Last Update Submit

May 20, 2014

Conditions

Keywords

XenonCardiac safetyCardiovascular riskNon cardiac surgeryAtherosclerotic vascular surgery

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Myocardial Necrosis (MN)

    Myocardial Necrosis: at least 1 value of serum cardiac troponin I above the 99th percentile (measurement performed by a central laboratory using the ABBOTT-ARCHITECT technique)

    3 Postoperative Days

Secondary Outcomes (11)

  • Number of Participants With Cardiac Troponin I or T Above the 99th Percentile (Local Laboratories)

    3 Postoperative days

  • Number of Participants With Myocardial Infarction (MI)

    3 Postoperative Days

  • Number of Participants With Cerebro-Vascular Event

    3 postoperative days

  • Number of Participants With Life-Threatening Arrhythmia

    3 Postoperative Days

  • Number of Participants Who Died From Cardiac Origin

    3 postoperative days

  • +6 more secondary outcomes

Study Arms (2)

Xenon

EXPERIMENTAL

0.8-1.1 minimum alveolar concentration (MAC) Xenon in 30 % oxygen (Group A)

Drug: Xenon

sevoflurane

ACTIVE COMPARATOR

0.8-1.1 Minimum Alveolar Concentration (MAC) Sevoflurane in 30 % oxygen (Group B)

Drug: Sevoflurane

Interventions

XenonDRUG
Also known as: LENOXe
Xenon
Also known as: Sevo
sevoflurane

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥ 18 years
  • Scheduled for atherosclerotic vascular elective surgery with presumed fast-track,
  • Cardiac ischaemic risk supported by:
  • History of myocardial infarction older than 1 month and/or
  • Documented Stable angina (asymptomatic ± medical treatment) and/or
  • History of coronary revascularisation, and/or
  • Surgical Risk Index ("Lee" index) ≥ 3.
  • Written informed consent

You may not qualify if:

  • Unstable angina within the last 30 days,
  • Non controlled arterial Hypertension .
  • Severe Cardiac heart Failure (NYHA IV)
  • Severe Chronic Obstructive Pulmonary Disease
  • Patient already randomized in another ongoing clinical trial
  • Patient with recent myocardial infarction (M.I) (less than one month )
  • Patient already included in a clinical trial
  • History of hypersensitivity to study drugs( i.e Xenon, propofol, sevoflurane, desflurane, isoflurane)
  • Malignant hyperthermia
  • Documented Elevated intracranial pressure
  • Preeclampsia or eclampsia
  • Pregnancy and lactation
  • Presumed uncooperativeness or legal incapacity

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

Nouvel Hopital Civil

Strasbourg, Bas Rhin, 67091, France

Location

CHU Nord

Marseille, Bouches du Rhône, 13915, France

Location

Centre Hospitalier Universitaire de Caen - Pôle Anesthésie-Réanimation-SAMU, Avenue de la Côte de Nacre

Caen, Calvados, 14033 Cedex 9, France

Location

CHU Dijon

Dijon, Côte d'Or, 21079, France

Location

Hopital Pellegrin

Bordeaux, Gironde, 33076, France

Location

CHU Bordeaux Haut Lévèque

Bordeaux, Gironde, 33604, France

Location

CHU Rennes

Rennes, Ille et Vilaine, 35009, France

Location

CHRU, Hôpital Cardiologique, Département Anesthésie-Réanimation, Bld du Président Jules Leclerc

Lille, Nord, 59037 Cedex, France

Location

Chu Pitie Salpetriere

Paris, Paris, 75013, France

Location

Hopital Saint Joseph

Paris, Paris, 75014, France

Location

CHU Clermont Ferrand

Clermont-Ferrand, Puy de Dôme, 63003, France

Location

Hopital Henri Mondor

Créteil, Val de Marne, 94000, France

Location

CHU Poitiers, Service Anesthésie-Réanimation, 2 rue de Milétrie, BP577

Poitiers, Vienne, 86021 Cedex, France

Location

MeSH Terms

Interventions

XenonSevoflurane

Intervention Hierarchy (Ancestors)

Noble GasesElementsInorganic ChemicalsGasesMethyl EthersEthersOrganic ChemicalsHydrocarbons, FluorinatedHydrocarbons, HalogenatedHydrocarbons

Results Point of Contact

Title
Yannick LE MANACH, MD, PhD
Organization
Population Health Research Institute - Mc Master University, Hamilton CANADA

Study Officials

  • Yanncik Le Manach, MD

    CHU PITIE SALPETRIERE, PARIS, FRANCE

    PRINCIPAL INVESTIGATOR
  • Pierre CORIAT, MD Prof

    CHU PITIE SALPETRIERE, PARIS, FRANCE

    STUDY CHAIR
  • Benoit VALLET, MD Prof

    University Hospital, Lille

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 4, 2010

First Posted

May 11, 2010

Study Start

May 1, 2010

Primary Completion

July 1, 2012

Study Completion

July 1, 2012

Last Updated

June 17, 2014

Results First Posted

June 17, 2014

Record last verified: 2014-05

Locations