About this trial
The MODIFY CSX study is a prospective, randomized, placebo-controlled trial conducted in heart centers in Germany and Italy.
A total of 550 high-risk cardiac surgery patients will receive either 0.20 g fish oil/kg body weight (BW) + standard of care versus same volume of placebo (NaCl) + standard of care.
Eligibility criteria
Qualifiers
Written informed consent prior to study participation
Adult patients (≥ 18 years)
Patients scheduled to undergo elective cardiac surgery with the use of CPB, who are defined as high risk based on having (i) one of the following surgical procedures: valvular heart surgery only, CABG, combined valve and CABG, multiple valve surgeries, combined cardiac procedures, aortic surgical procedures (aortic arch and/or descending aorta; aortic valve+ascending aorta) and (ii) at least one of the following additional risk factors: (a) a high perioperative risk profile, defined as predicted operative mortality of ≥8% (EuroSCORE II), (b) age ≥70, (c) Clinical Frailty Score 4 or more, (d) urgent surgery (defined as to be performed within 24-48 hours after admission), (e) left ventricular ejection fraction <35%
Disqualifiers
Known hypersensitivity to fish oil/fish products or egg protein
Pregnancy or lactation period
Previous history of chronic atrial fibrillation, atrial flutter and/or atrial tachyarrhythmia
Inability or unwillingness of individual to give written informed consent
Trial design
Treatments tested in this trial
- Fish Oil
- Intravenous 0.9% Sodium Chloride
Treatment groups
Sponsors and collaborators
GCP-Service International West GmbH
Lead sponsor
University Hospital, Bonn
Collaborator
University Hospital Muenster
Collaborator
University Hospital Goettingen
Collaborator
Charite University, Berlin, Germany
Collaborator
Wuerzburg University Hospital
Collaborator
Johannes Gutenberg University Mainz
Collaborator
University Hospital Augsburg
Collaborator
Universitätsklinikum Hamburg-Eppendorf
Collaborator
University Medical Center Rostock
Collaborator
University Hospital Schleswig-Holstein
Collaborator
Robert Bosch-Krankenhaus Stuttgart
Collaborator