Cellular precOnditioning for Post-Surgical Myocardial Ischemic Complications - Observational Study
COSMIC
1 other identifier
observational
12
1 country
1
Brief Summary
The goal of this observational study is to collect health data on people who are at high risk of having heart complications and are having a surgery that is not on the heart. The main questions it aims to answer are:
- Is this study feasible in terms of recruiting enough people to participate in this study?
- How often do heart complications happen in people who are at high risk of heart complications and are having a surgery that is not on the heart? Participants will have their usual care and will also be asked to:
- Have extra bloodwork done
- Complete some surveys
- Have two echocardiograms (ultrasounds of the heart)
- Continue to follow-up with the research team for one year after their surgery Researchers will compare how often heart complications occur in this high risk population to a future study where participants will receive stem cells before their surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Feb 2023
Typical duration for all trials
1 active site
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
First Submitted
Initial submission to the registry
February 8, 2023
CompletedStudy Start
First participant enrolled
February 15, 2023
CompletedFirst Posted
Study publicly available on registry
March 9, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2025
CompletedApril 3, 2024
April 1, 2024
1.5 years
February 8, 2023
April 2, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Feasibility of Participant Recruitment
Our primary outcome is the feasibility of participant recruitment. This will be determined by measurements of recruitment efficiency: 1) proportion of potentially eligible participants that are successfully screened; 2) proportion of participants successfully screened who do not enroll (reason for failure to enroll will be recorded).
1 year
Baseline Frequency of adverse events and serious adverse events
To determine the baseline frequency of adverse events and serious adverse events in this high risk population
1 year
Secondary Outcomes (1)
Quality of life of participants
1 year
Eligibility Criteria
Participants will be recruited from the Ottawa Hospital
You may qualify if:
- Referred for elective intermediate to high risk noncardiac surgery as defined by the American Heart Association guidelines (e.g., intrathoracic, open intraabdominal, or open vascular surgery)
- years of age or older
- Revised cardiac risk index ≥ 2
- NT-proBNP level of ≥ 200 pg/mL
- Able to provide informed consent
You may not qualify if:
- Experience an acute coronary syndrome, myocardial infarction, heart failure, or stroke within preceding 3 months
- Coronary revascularization anticipated during the study period
- Severe mitral/aortic valve stenosis
- Evidence of clinically significant arrhythmia in last three months.
- Major surgical procedure in previous 3 months
- History of malignancy requiring surgery, chemotherapy, immunotherapy, or radiation within previous 5 years
- Ongoing malignancy requiring surgical resection
- Women who are pregnant, breastfeeding, or of childbearing potential who are unable to use a medically acceptable form of contraception throughout the study
- Received any experimental cell therapy previously
- Unable to provide written informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
Related Publications (1)
Lalu MM, Mazzarello S, Zlepnig J, Dong YYR, Montroy J, McIntyre L, Devereaux PJ, Stewart DJ, David Mazer C, Barron CC, McIsaac DI, Fergusson DA. Safety and Efficacy of Adult Stem Cell Therapy for Acute Myocardial Infarction and Ischemic Heart Failure (SafeCell Heart): A Systematic Review and Meta-Analysis. Stem Cells Transl Med. 2018 Dec;7(12):857-866. doi: 10.1002/sctm.18-0120. Epub 2018 Sep 26.
PMID: 30255989BACKGROUND
Biospecimen
Only plasma will be retained.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Manoj M Lalu, MD, PhD
The Ottawa Hospital Research Institute, The Ottawa Hospital, University of Ottawa
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 8, 2023
First Posted
March 9, 2023
Study Start
February 15, 2023
Primary Completion
September 1, 2024
Study Completion
September 1, 2025
Last Updated
April 3, 2024
Record last verified: 2024-04