Aortic DissectionNCT02774096
Cerebral and Spinal Protection of Xenon Post-conditioning in Patients Undergoing Aortic Dissection Repair
A study testing xenon in people with Aortic Dissection, run by Beijing Anzhen Hospital.
Trial summary
With more and more people developing hypertension and atherosclerosis, the morbidity rate of Acute Aortic Dissection(AAD) has been increasing. Emergency surgery is the main treatment for Acute Aortic Dissection. Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Aortic Dissection
- What is being tested?
- xenon
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- No sites listed yet
- Study dates
- Feb 2016to Sep 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Patients doing selective operation of Bentall and Sun's or partial aortic arch replacement
- Patients doing selective operation of the full chest and abdominal aorta replacement
Who cannot join
- Emergency patient
- Patients with severe mental and neurological dysfunction
- Patients with severe hearing and visual impairment
- Illiteracy or patients can't cooperate with doing the cognitive function score
- Patients with severe cardiac insufficiency
- critically ill or dying patients
- Patients refuse to sign the informed consent
About this study
With more and more people developing hypertension and atherosclerosis, the morbidity rate of Acute Aortic Dissection(AAD) has been increasing. Emergency surgery is the main treatment for Acute Aortic Dissection. However the secondary injury caused by reperfusion of spinal cord could lead to Catastrophic complications,such as paraplegia, hemiplegia or even death. So spinal protection is always the hot topic in clinical research.
Xenon is an ideal anesthetic gases with the following features,fast onset of action, stable hemodynamics, clean and non-toxic.The animal researches have showed the protective effects of xenon to alleviate the ischemia-reperfusion injury of the nervous system.Those clues suggest that Xenon may have the potential protection of spinal cord in patients undergoing aortic dissection repair.In order to clarify this hypothesis, the investigators designed this randomized, controlled clinic trial to evaluate the protection of Xenon against spinal cord ischemia-reperfusion injury and the potential mechanisms
- Conditions
- Aortic Dissection
- Being tested
- xenon
- Keywords
- Aortic dissection, Cerebral and Spinal Protection, Post-conditioning
- Medical subject headings
- Aortic Dissection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
xenonDrug
| Study group | Role | What they receive |
|---|---|---|
| Control group(Ascending aorta) | No intervention | undergo ascending aorta Dissection Repair and thoracoabdominal aortic Dissection Repair |
| Xenon Post-conditioning | Experimental | undergo ascending aorta Dissection Repair and thoracoabdominal aortic Dissection Repair Receives: Drug: xenon |
What is being measured
The primary outcome is the main question the study is designed to answer.
mini mental state examination
Measured: 18h before the surgery
NIHSS's score
Measured: the 1st day after the surgery
ASIA impairment scale(ASIA's score )
Measured: 18h before the surgery
males
Measured: 18h before the surgery
age
Measured: 18h before the surgery
height
Measured: 18h before the surgery
weight
Measured: 18h before the surgery
History of Smoking
Measured: 18h before the surgery
History of Hypertension
Measured: 18h before the surgery
History of Diabetes Mellitus
Measured: 18h before the surgery
New York Heart Association Heart function score
Measured: 18h before the surgery
duration of cardiopulmonary bypass (CPB)
Measured: 1h after the surgery
duration of Aortic cross-clamping
Measured: 1h after the surgery
duration of low flow in CPB
Measured: 1h after the surgery
duration of stopping the circulation
Measured: 1h after the surgery
the lowest nasopharyngeal temperature
Measured: 1h after the surgery
the lowest rectal temperature
Measured: 1h after the surgery
duration of surgery
Measured: 1h after the surgery
duration of recovering of consciousness from the end of the surgery
Measured: 3 days after the surgery
duration of extubation from the end of the surgery
Measured: 3 days after the surgery
duration in the ICU
Measured: 15 days after the surgery
days in hospital
Measured: 15 days after leaving hospital
pulmonary infection
Measured: 15 days after the surgery
plasma S100β
Measured: immediately after anesthesia induction
plasma neuron specific enolase,
Measured: immediately after anesthesia induction
plasma myelin basic protein(MBP)
Measured: immediately after anesthesia induction
plasma glial fibrillary acidic protein (GFAP)
Measured: immediately after anesthesia induction
Cerebrospinal fluid(CSF) S100β
Measured: immediately after anesthesia induction
CSF neuron specific enolase(NSE),
Measured: immediately after anesthesia induction
CSF MBP
Measured: immediately after anesthesia induction
CSF GFAP
Measured: immediately after anesthesia induction
CSF Tumor Necrosis Factor-α(TNF-α)
Measured: immediately after anesthesia induction
CSF interleukin-10 (IL-10)
Measured: immediately after anesthesia induction
CSF IL-6
Measured: immediately after anesthesia induction
CSF IL-2
Measured: immediately after anesthesia induction
somatosensory evoked potential(SEP)
Measured: immediately after anesthesia induction
MEP
Measured: immediately after anesthesia induction
Mini mental state ex amination
Measured: the 7th day after the surgery
NIHSS's score
Measured: the 2nd day after the surgery
NIHSS's score
Measured: the 3rd day after the surgery
ASIA's score
Measured: the 1st day after the surgery
ASIA's score
Measured: the 2nd day after the surgery
ASIA's score
Measured: the 3rd day after the surgery
plasma S100β
Measured: immediately the end of surgery
plasma S100β
Measured: the 1st day after the surgery
plasma S100β
Measured: the 3rd day after the surgery
plasma S100β
Measured: the 7th day after the surgery
plasma neuron specific enolase,
Measured: immediately the end of surgery
plasma neuron specific enolase,
Measured: the 1st day after the surgery
plasma neuron specific enolase,
Measured: the 3rd day after the surgery
plasma neuron specific enolase,
Measured: the 7th day after the surgery
plasma MBP
Measured: immediately the end of surgery
plasma MBP
Measured: the 1st day after the surgery
plasma MBP
Measured: the 3rd day after the surgery
plasma MBP
Measured: the 7th day after the surgery
plasma GFAP
Measured: immediately the end of surgery
plasma GFAP
Measured: the 1st day after the surgery
plasma GFAP
Measured: the 3rd day after the surgery
plasma GFAP
Measured: the 7th day after the surgery
CSF S100β
Measured: immediately the end of surgery
CSF S100β
Measured: the 1st day after the surgery
CSF S100β
Measured: the 2nd day after the surgery
CSF S100β
Measured: the 3rd day after the surgery
CSF neuron specific enolase,
Measured: immediately the end of surgery
CSF neuron specific enolase,
Measured: the 1st day after the surgery
CSF neuron specific enolase,
Measured: the 2nd day after the surgery
CSF neuron specific enolase,
Measured: the 3rd day after the surgery
CSF MBP
Measured: immediately the end of surgery
CSF MBP
Measured: the 1st day after the surgery
CSF MBP
Measured: the 2nd day after the surgery
CSF MBP
Measured: the 3rd day after the surgery
CSF GFAP
Measured: immediately the end of surgery
CSF GFAP
Measured: the 1st day after the surgery
CSF GFAP
Measured: the 2nd day after the surgery
CSF GFAP
Measured: the 3rd day after the surgery
CSF TNF-α
Measured: immediately the end of surgery
CSF TNF-α
Measured: the 1st day after the surgery
CSF TNF-α
Measured: the 2nd day after the surgery
CSF TNF-α
Measured: the 3rd day after the surgery
CSF IL-10
Measured: immediately the end of surgery
CSF IL-10
Measured: the 1st day after surgery
CSF IL-10
Measured: the 2nd day after surgery
CSF IL-10
Measured: the 3rd day after surgery
CSF IL-6
Measured: immediately the end of surgery
CSF IL-6
Measured: the 1st day after surgery
CSF IL-6
Measured: the 2nd day after surgery
CSF IL-6
Measured: the 3rd day after surgery
CSF IL-2
Measured: immediately the end of surgery
CSF IL-2
Measured: the 1st day after surgery
CSF IL-2
Measured: the 2nd day after surgery
CSF IL-2
Measured: the 3rd day after surgery
SEP
Measured: immediately after blocking the aorta
SEP
Measured: immediately after opening the aorta
SEP
Measured: immediately the end of the surgery
SEP
Measured: the 4th hour after back to ICU
MEP
Measured: immediately after blocking the aorta
MEP
Measured: immediately after opening the aorta
MEP
Measured: immediately the end of the surgery
MEP
Measured: the 4th hour after back to ICU
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2016 (estimated)
- Study startFeb 2016
- Primary completionJul 2018 (estimated)
- Study completionSep 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Aortic DissectionStudies of the same condition, open and under way.
- More trials run by Beijing Anzhen HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 120 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Beijing Anzhen Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, WeiPing Cheng, Beijing Anzhen Hospital
- Investigators
- WeiPing Cheng, master, Principal investigator, Chief Physician,Professor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02774096
- Sponsor's protocol ID
- WCheng 2014-8-24
- Status last verified
- May 2016
- First submitted
- 25 Apr 2016
- Last updated
- 17 May 2016
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 17 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cerebral and Spinal Protection of Xenon Post-conditioning in Patients Undergoing Aortic Dissection Repair
- ClinicalTrials.gov ID
- NCT02774096
- Acronym / sponsor ID
- WCheng 2014-8-24
- Conditions
- Aortic Dissection
- Keywords
- Aortic dissection, Cerebral and Spinal Protection, Post-conditioning
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 120 participants (estimated)
- Lead sponsor
- Beijing Anzhen HospitalUniversity, hospital or other
- Study start
- Feb 2016
- Primary completion
- Jul 2018 (estimated)
- Study completion
- Sep 2018 (estimated)
- First posted
- 17 May 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
With more and more people developing hypertension and atherosclerosis, the morbidity rate of Acute Aortic Dissection(AAD) has been increasing. Emergency surgery is the main treatment for Acute Aortic Dissection. However the secondary injury caused by reperfusion of spinal cord could lead to Catastrophic complications,such as paraplegia, hemiplegia or even death. So spinal protection is always the hot topic in clinical research.
Xenon is an ideal anesthetic gases with the following features,fast onset of action, stable hemodynamics, clean and non-toxic.The animal researches have showed the protective effects of xenon to alleviate the ischemia-reperfusion injury of the nervous system.Those clues suggest that Xenon may have the potential protection of spinal cord in patients undergoing aortic dissection repair.In order to clarify this hypothesis, the investigators designed this randomized, controlled clinic trial to evaluate the protection of Xenon against spinal cord ischemia-reperfusion injury and the potential mechanisms
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control group(Ascending aorta) | No intervention | –undergo ascending aorta Dissection Repair and thoracoabdominal aortic Dissection Repair |
| Xenon Post-conditioning | Experimental | Drug: xenonundergo ascending aorta Dissection Repair and thoracoabdominal aortic Dissection Repair |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Patients doing selective operation of Bentall and Sun's or partial aortic arch replacement
- Patients doing selective operation of the full chest and abdominal aorta replacement
Key exclusion criteria (7 listed)
- Emergency patient
- Patients with severe mental and neurological dysfunction
- Patients with severe hearing and visual impairment
- Illiteracy or patients can't cooperate with doing the cognitive function score
- Patients with severe cardiac insufficiency
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| xenon | Drug | Xenon Post-conditioning |
Primary outcome
mini mental state examination
Time frame: 18h before the surgery
NIHSS's score
Time frame: the 1st day after the surgery
ASIA impairment scale(ASIA's score )
Time frame: 18h before the surgery
males
Time frame: 18h before the surgery
age
Time frame: 18h before the surgery
height
Time frame: 18h before the surgery
weight
Time frame: 18h before the surgery
History of Smoking
Time frame: 18h before the surgery
History of Hypertension
Time frame: 18h before the surgery
History of Diabetes Mellitus
Time frame: 18h before the surgery
New York Heart Association Heart function score
Time frame: 18h before the surgery
duration of cardiopulmonary bypass (CPB)
Time frame: 1h after the surgery
duration of Aortic cross-clamping
Time frame: 1h after the surgery
duration of low flow in CPB
Time frame: 1h after the surgery
duration of stopping the circulation
Time frame: 1h after the surgery
the lowest nasopharyngeal temperature
Time frame: 1h after the surgery
the lowest rectal temperature
Time frame: 1h after the surgery
duration of surgery
Time frame: 1h after the surgery
duration of recovering of consciousness from the end of the surgery
Time frame: 3 days after the surgery
duration of extubation from the end of the surgery
Time frame: 3 days after the surgery
duration in the ICU
Time frame: 15 days after the surgery
days in hospital
Time frame: 15 days after leaving hospital
pulmonary infection
Time frame: 15 days after the surgery
plasma S100β
Time frame: immediately after anesthesia induction
plasma neuron specific enolase,
Time frame: immediately after anesthesia induction
plasma myelin basic protein(MBP)
Time frame: immediately after anesthesia induction
plasma glial fibrillary acidic protein (GFAP)
Time frame: immediately after anesthesia induction
Cerebrospinal fluid(CSF) S100β
Time frame: immediately after anesthesia induction
CSF neuron specific enolase(NSE),
Time frame: immediately after anesthesia induction
CSF MBP
Time frame: immediately after anesthesia induction
CSF GFAP
Time frame: immediately after anesthesia induction
CSF Tumor Necrosis Factor-α(TNF-α)
Time frame: immediately after anesthesia induction
CSF interleukin-10 (IL-10)
Time frame: immediately after anesthesia induction
CSF IL-6
Time frame: immediately after anesthesia induction
CSF IL-2
Time frame: immediately after anesthesia induction
somatosensory evoked potential(SEP)
Time frame: immediately after anesthesia induction
MEP
Time frame: immediately after anesthesia induction
Mini mental state ex amination
Time frame: the 7th day after the surgery
NIHSS's score
Time frame: the 2nd day after the surgery
NIHSS's score
Time frame: the 3rd day after the surgery
ASIA's score
Time frame: the 1st day after the surgery
ASIA's score
Time frame: the 2nd day after the surgery
ASIA's score
Time frame: the 3rd day after the surgery
plasma S100β
Time frame: immediately the end of surgery
plasma S100β
Time frame: the 1st day after the surgery
plasma S100β
Time frame: the 3rd day after the surgery
plasma S100β
Time frame: the 7th day after the surgery
plasma neuron specific enolase,
Time frame: immediately the end of surgery
plasma neuron specific enolase,
Time frame: the 1st day after the surgery
plasma neuron specific enolase,
Time frame: the 3rd day after the surgery
plasma neuron specific enolase,
Time frame: the 7th day after the surgery
plasma MBP
Time frame: immediately the end of surgery
plasma MBP
Time frame: the 1st day after the surgery
plasma MBP
Time frame: the 3rd day after the surgery
plasma MBP
Time frame: the 7th day after the surgery
plasma GFAP
Time frame: immediately the end of surgery
plasma GFAP
Time frame: the 1st day after the surgery
plasma GFAP
Time frame: the 3rd day after the surgery
plasma GFAP
Time frame: the 7th day after the surgery
CSF S100β
Time frame: immediately the end of surgery
CSF S100β
Time frame: the 1st day after the surgery
CSF S100β
Time frame: the 2nd day after the surgery
CSF S100β
Time frame: the 3rd day after the surgery
CSF neuron specific enolase,
Time frame: immediately the end of surgery
CSF neuron specific enolase,
Time frame: the 1st day after the surgery
CSF neuron specific enolase,
Time frame: the 2nd day after the surgery
CSF neuron specific enolase,
Time frame: the 3rd day after the surgery
CSF MBP
Time frame: immediately the end of surgery
CSF MBP
Time frame: the 1st day after the surgery
CSF MBP
Time frame: the 2nd day after the surgery
CSF MBP
Time frame: the 3rd day after the surgery
CSF GFAP
Time frame: immediately the end of surgery
CSF GFAP
Time frame: the 1st day after the surgery
CSF GFAP
Time frame: the 2nd day after the surgery
CSF GFAP
Time frame: the 3rd day after the surgery
CSF TNF-α
Time frame: immediately the end of surgery
CSF TNF-α
Time frame: the 1st day after the surgery
CSF TNF-α
Time frame: the 2nd day after the surgery
CSF TNF-α
Time frame: the 3rd day after the surgery
CSF IL-10
Time frame: immediately the end of surgery
CSF IL-10
Time frame: the 1st day after surgery
CSF IL-10
Time frame: the 2nd day after surgery
CSF IL-10
Time frame: the 3rd day after surgery
CSF IL-6
Time frame: immediately the end of surgery
CSF IL-6
Time frame: the 1st day after surgery
CSF IL-6
Time frame: the 2nd day after surgery
CSF IL-6
Time frame: the 3rd day after surgery
CSF IL-2
Time frame: immediately the end of surgery
CSF IL-2
Time frame: the 1st day after surgery
CSF IL-2
Time frame: the 2nd day after surgery
CSF IL-2
Time frame: the 3rd day after surgery
SEP
Time frame: immediately after blocking the aorta
SEP
Time frame: immediately after opening the aorta
SEP
Time frame: immediately the end of the surgery
SEP
Time frame: the 4th hour after back to ICU
MEP
Time frame: immediately after blocking the aorta
MEP
Time frame: immediately after opening the aorta
MEP
Time frame: immediately the end of the surgery
MEP
Time frame: the 4th hour after back to ICU
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 May 2016.
- Individual participant dataSharing planned: Undecided
Related trials for Aortic Dissection
Not yet recruitingPhase 2
D2 Gastrectomy With or Without Para-Aortic Lymph Node Dissection After Chemoimmunotherapy for Gastric Cancer
Gastric Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma
Not yet recruitingObservational study
Clinical Health Outcomes Evaluation of Terumo Aortic Hybrid Devices
Aortic Aneurysm and Dissection
Recruiting
GORE® TAG® Thoracic Branch Endoprosthesis Zone 0/1 Post-Approval Study
Aortic Arch Dissection, Aortic Arch Aneurysm
RecruitingObservational study
Metabolic Phenotyping in vEDS
Vascular Ehlers-Danlos Syndrome, Vascular Ehlers Danlos Syndrome
Not yet recruitingObservational study
Real-World Data Collection of GORE Devices Used In the Endovascular Treatment of Aortic Aneurysms Which Incorporate Visceral Arteries.
Complex Aortic Aneurysms, Thoracoabdominal Aneurysm
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
WeiPing Cheng, master principal investigator
Chief Physician,Professor
Questions about this trial
What is this clinical trial studying?
A study testing xenon in people with Aortic Dissection, run by Beijing Anzhen Hospital.
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 2 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 17 May 2016. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
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?
mini mental state examination (time frame: 18h before the surgery). The study lists 99 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 17 May 2016.