Different Regimen of Aprotinine(Trasylol) Administration in Patients Receiving Antiplatelet Therapy With Clopidogrel (Plavix)

This study has been completed.
Sponsor:
Information provided by:
Oslo University Hospital
ClinicalTrials.gov Identifier:
NCT00257751
First received: November 22, 2005
Last updated: July 3, 2011
Last verified: March 2009

November 22, 2005
July 3, 2011
March 2004
November 2007   (final data collection date for primary outcome measure)
  • Perioperative bleeding
  • Blood transfusions
  • Reoperation
Same as current
Complete list of historical versions of study NCT00257751 on ClinicalTrials.gov Archive Site
Difference in costs related to low/high dose [ Designated as safety issue: No ]
Costs
Not Provided
Not Provided
 
Different Regimen of Aprotinine(Trasylol) Administration in Patients Receiving Antiplatelet Therapy With Clopidogrel (Plavix)
Different Regimen of Aprotinine(Trasylol) Administration in Patients Receiving

Clopidogrel (Plavix), a platelet ADP receptor antagonist, has become the standard of care to prevent thrombosis in interventional cardiology and is increasingly being used in unstable angina and NSTEMI. An increasing number of patients are referred to emergent or urgent CABG, and several studies, as well as our own experience, have shown that preoperative administration of irreversible platelets inhibitors increase the risk of bleeding complications following CABG.

Aprotinine (Trasylol) is a potent antifibrinolytic agent known to reduce bleeding after cardiac surgery. The most commeon practice is to give Trasylol in high doses immediately before surgery, during the operation, and during the first postoperative hours. However, it has also been shown that there is a hemostatic effect of the drug when given in a lower dose postoperatively, but this remains unclear.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Coronary Artery Disease
Procedure: Aprotinine
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
400
November 2007
November 2007   (final data collection date for primary outcome measure)

All coronary bypass operations in patients receiving Plavix within the last 7 days

Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00257751
APROT04, APROT04
No
Eivind Øvrum, MD, PhD, Oslo Heart Center, Rikshospitalet HF
Oslo University Hospital
Not Provided
Principal Investigator: Eivind Øvrum, MD, PhD Oslo University Hospital
Oslo University Hospital
March 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP