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Cardiac Surgery SubjectsPhase 2FCAD02NCT00838383

Confirming The Sitaxsentan Dose In Patients Undergoing Heart Surgery

A Phase 2 study testing sitaxsentan (Thelin) in people with Cardiac Surgery Subjects and Subjects Undergoing CABG and/or Cardiac Valve Replacement, run by Pfizer at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multi-center, randomized study of sitaxsentan administered intravenously to subjects who are undergoing elective CABG, cardiac valve replacement, or combined CABG and cardiac valve replacement procedures that require CPB. Read more about this study

Who is it for?
Ages 48 to 82 years
What is being tested?
sitaxsentan (Thelin)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
3 sitesUnited States
Study dates
10 Aug 2006to 31 Mar 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 48 to 82 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has been identified for coronary artery bypass grafting (CABG), aortic and/or mitral valve replacement, or combined CABG and cardiac valve replacement procedures that require cardiopulmonary bypass (CPB).

Who cannot join

  • Requires an emergent or "emergency" CABG and/or cardiac valve replacement.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • The Chattanooga Heart Institute

    Chattanooga, Tennessee, 37404

  • University of Pennsylvania,

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: SELECTIVE ENDOTHELIN TYPE A RECEPTOR INHIBITION IN CARDIAC SURGERY SUBJECTS WITH PRE-EXISTING CARDIOVASCULAR RISK FACTORS: A DOSE CONFIRMATION STUDY

This is a multi-center, randomized study of sitaxsentan administered intravenously to subjects who are undergoing elective CABG, cardiac valve replacement, or combined CABG and cardiac valve replacement procedures that require CPB.

Being tested
sitaxsentan (Thelin), Placebo
Keywords
multi-center, placebo-controlled, randomized study of sitaxsentan administered to subjects post-cross-clamp release and 12 hours post-CPB

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • sitaxsentan (Thelin)Drug

    Also called sitaxsentan, Thelin

    sitaxsentan (1.0 mg/kg) will begin immediately following cross-clamp release and 12 hours post-CPB.

  • sitaxsentan (Thelin)Drug

    Also called sitaxsentan, Thelin

    Sitaxsentan (2.0 mg/kg) will begin immediately following cross-clamp release and 12 hours post-CPB.

  • PlaceboDrug

    Placebo will begin immediately following cross-clamp release and 12 hours post-CPB.

Study groups in NCT00838383
Study groupRoleWhat they receive
sitaxsentan (1.0 mg/kg)ExperimentalNot described
Receives: Drug: sitaxsentan (Thelin)
sitaxsentan (2.0 mg/kg)ExperimentalNot described
Receives: Drug: sitaxsentan (Thelin)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 0.5 Hour Post-separation From Cardiopulmonary Bypass (CPB)

    PVR in participants was derived from mean pulmonary artery pressure (PAP) (millimeter of mercury [mmHg]), pulmonary capillary wedge pressure (PCWP [mmHg]) and cardiac output (CO [litres per minute]). It was calculated using the following formula: ([mean PAP-PCWP] divided by CO)*80, where CO= stroke volume (SV)*heart rate (HR). Post-separation from CPB was the time immediately following cross-clamp release in CPB. Percent change in PVR at 0.5 hour post-separation from CPB in participants were summarized and reported.

    Measured: 0 hour, 0.5 hour post-separation from CPB

  2. Percent Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 6 Hour Post-separation From Cardiopulmonary Bypass (CPB)

    PVR in participants was derived from mean PAP (mmHg), PCWP (mmHg) and CO (litres per minute). It was calculated using the following formula: ([mean PAP-PCWP] divided by CO)*80, where CO= SV * HR. Percent change in PVR at 6 hour in participants were summarized and reported.

    Measured: 0 hour, 6 hour post-separation from CPB

  3. Percent Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 12 Hour Post-separation From Cardiopulmonary Bypass (CPB)

    PVR in participants was derived from mean PAP (mmHg), PCWP (mmHg) and CO (litres per minute). It was calculated using the following formula: ([mean PAP-PCWP] divided by CO)*80, where CO= SV * HR. Percent change in PVR at 12 hour in participants were summarized and reported.

    Measured: 0 hour, 12 hour post-separation from CPB

  4. Percent Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 24 Hour Post-separation From Cardiopulmonary Bypass (CPB)

    PVR in participants was derived from mean PAP (mmHg), PCWP (mmHg) and CO (litres per minute). It was calculated using the following formula: ([mean PAP-PCWP] divided by CO)*80, where CO= SV * HR. Percent change in PVR at 24 hour in participants were summarized and reported.

    Measured: 0 hour, 24 hour post-separation from CPB

  5. Mortality: Number of Participants Died During Surgery and Initial Hospitalization

    Number of participants who died during surgery or during initial hospitalization are reported here.

    Measured: During surgery, initial hospitalization period (up to 29 days for 1 mg/kg group, up to 44 days for 2 mg/kg dose group, up to 19 days for placebo group)

  6. Number of Participants With Myocardial Infarction, Cerebrovascular Event, Hemodynamic Collapse and Re-operation

    Number of participants with following incidents: myocardial infarction (Q and non-Q wave); stroke or cerebrovascular event (acute ischemia, hemorrhagic stroke or infarction, or a transient ischemia attack); hemodynamic collapse (requiring ventricular assistance devices) and re-operation (participants who returned to the operating room) during the initial hospitalization were reported.

    Measured: Initial hospitalization period (up to 44 days)

Secondary outcomes (16)
  1. Number of Participants With Inotropic Requirements During the 24 Hours Postoperative Period

    Participants were considered for inotropic requirements/therapy in case of either severe right ventricular failure or high pulmonary artery pressure, or if cardiac output was not maintained with epinephrine.

    Measured: Immediately after cross-clamp removal up to 24 hours post-separation from CPB

  2. Change From 0 Hour in Cardiac Output (CO) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    CO was calculated by multiplying stroke volume (SV) with heart rate (HR). It was used to evaluate the hemodynamic profile of each participant.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  3. Change From 0 Hour in Central Venous Pressure (CVP) at 0.5, 6, 12, and 24 Hours Post-separation From Cardiopulmonary Bypass (CPB)

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  4. Change From 0 Hour in Hematocrit at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    The hematocrit is percentage of the volume of whole blood that is made up of red blood cells (RBCs).

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  5. Change From 0 Hour in Heart Rate at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    Heart rate was assessed as one of the hemodynamic profile assessments at the specified time points.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  6. Change From 0 Hour in Mean Pulmonary Artery Pressure (MPAP) at 0.5, 6, 12, and 24 Hours Post-separation From Cardiopulmonary Bypass (CPB)

    mPAP was measured using a pressure transducer positioned at the mid-axillary line with the participant in the supine position. It was used to evaluate the hemodynamic profile of each participant.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  7. Change From 0 Hour in Pulmonary Capillary Wedge Pressure (PCWP) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    PCWP was measured by pulmonary artery catheterization and provided an indirect measure of left atrial pressure. It was used to evaluate the hemodynamic profile of each participant.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  8. Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    PVR in participants was derived from mean PAP (mmHg), PCWP (mmHg) and CO (litres per minute). It was calculated using the following formula: ([mean PAP-PCWP] divided by CO)*80, where CO= SV * HR.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  9. Change From 0 Hour in Venous Oxygen Saturation (SV02/02) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    Venous oxygen saturation is the percentage of oxygen bound to hemoglobin in blood returning to the right side of the heart. It reflects the amount of oxygen "left over" after the tissues consumption.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  10. Change From 0 Hour in Systemic Vascular Resistance (SVR) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    SVR was calculated using formula: ([mean systemic arterial pressure - mean right atrial pressure] divided by CO)*80, where CO= SV * HR.

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  11. Change From 0 Hour in Mean Systemic Blood Pressure (MSBP) at 0.5, 6, 12, and 24 Hours Post-Separation From Cardiopulmonary Bypass (CPB)

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  12. Change From 0 Hour in Urine Output at 0.5, 6, 12, and 24 Hours Post-separation From Cardiopulmonary Bypass (CPB)

    Measured: 0, 0.5, 6, 12, 24 hours post-separation from CPB

  13. Number of Participants With Unanticipated Perioperative and Postoperative Blood Requirements

    Number of participants with unanticipated perioperative (occurring at or around the time of the surgery) and postoperative (period following the surgery) blood requirements were recorded on case report forms, summarized and reported in this outcome measure.

    Measured: 0 to 24 hours post-separation from CPB

  14. Duration of Assisted Ventilation

    Assisted Ventilation time was the time (in hours) between intubation and extubation.

    Measured: 0 hour up to 24 hours post-separation from CPB

  15. Duration of Intensive Care Unit (ICU) Stay

    Measured: 0 hour post-separation from CPB up to 44 days

  16. Duration of Initial Postoperative Hospitalization

    The duration of initial postoperative hospitalization had been reported.

    Measured: 0 hour post-separation from CPB up to 44 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2009 (estimated)
  2. Study start10 Aug 2006
  3. Primary completion31 Mar 2008
  4. Study completion31 Mar 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00838383
Sponsor's protocol ID
B1321004
Other IDs
B1321004, FCAD02-CARDIAC SURGERY
Acronym
FCAD02
Status last verified
Aug 2022
First submitted
5 Feb 2009
Last updated
8 Sep 2022
Data monitoring committee
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing sitaxsentan (Thelin) in people with Cardiac Surgery Subjects and Subjects Undergoing CABG and/or Cardiac Valve Replacement, run by Pfizer at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Sep 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From 0 Hour in Pulmonary Vascular Resistance (PVR) at 0.5 Hour Post-separation From Cardiopulmonary Bypass (CPB) (time frame: 0 hour, 0.5 hour post-separation from CPB). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Sep 2022.

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