NCT03291210

Brief Summary

Hyperoxemia can produce various complications including oxidative stress and myocardial injury. We hypothesized that the normoxic group would have lower myocardial injury compared to hyperoxic group after transcatheter aortic valve replacement.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 18, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 25, 2017

Completed
23 days until next milestone

Study Start

First participant enrolled

October 18, 2017

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 6, 2022

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 18, 2022

Completed
Last Updated

July 19, 2022

Status Verified

July 1, 2022

Enrollment Period

4.5 years

First QC Date

September 18, 2017

Last Update Submit

July 18, 2022

Conditions

Keywords

hyperoxemiamyocardial injurytranscatheter aortic valve replacement

Outcome Measures

Primary Outcomes (1)

  • Troponin I

    Area under the curve of troponin I

    72 hours after the end of procedure

Secondary Outcomes (5)

  • CK MB

    72 hours after the end of procedure

  • Changes in cerebral oximetry

    through procedure completion, an average of 3 hours

  • Delirum

    through admission completion, an average of 5 days

  • AKI or RRT

    through admission completion, an average of 5 days

  • stroke, myocardial infarction or mortality

    through admission completion, an average of 5 days

Study Arms (2)

Normoxemia

EXPERIMENTAL

Patients randomized to the normoxemia group receives inspired oxygen fraction of 0.3 from initiation of induction of anesthesia to the end of the procedure.

Other: normal inspired oxygen fraction

Hyperoxemia

ACTIVE COMPARATOR

Patients randomized to the hyperoxemia group receives inspired oxygen fraction of 0.8 from initiation of induction of anesthesia to the end of the procedure.

Other: high inspired oxygen fraction

Interventions

receives inspired oxygen fraction of 0.3

Normoxemia

receives inspired oxygen fraction of 0.8

Hyperoxemia

Eligibility Criteria

Age20 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Scheduled for transcatheter aortic valve replacement due to aortic stenosis

You may not qualify if:

  • Transapical approach
  • Pre-procedural PaO2 \< 65 mmHg or oxygen support therapy
  • Pre-procedural severe kidney injury (end-stage renal disease)
  • Pre-procedural chronic pulmonary disease, symptomatic asthma
  • Pre-procedural Tb-destroyed lung
  • Lung cancer
  • History of acute coronary syndrome within 6 months
  • Pre-procedural elevated Troponin I or CKMB
  • History of stroke or transient ischemic attack within 6 months
  • Refuse to participate
  • Pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Seoul National University Hospital

Seoul, 03080, South Korea

Location

Study Officials

  • Yunseok Jeon, MD, PhD

    Seoul National University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prinicipal investigator

Study Record Dates

First Submitted

September 18, 2017

First Posted

September 25, 2017

Study Start

October 18, 2017

Primary Completion

April 6, 2022

Study Completion

July 18, 2022

Last Updated

July 19, 2022

Record last verified: 2022-07

Locations