Study of Sivelestat Sodium in OPCABG

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAffiliated Hospital of Nantong University

About this trial

The goal of this clinical trial is to learn if drug Sivelestat Sodium works to improve the prognosis of off-pump coronary artery bypass grafting (OPCABG) in adults. It will also learn about the safety of drug Sivelestat Sodium. The main questions it aims to answer are:

* Does drug Sivelestat Sodium have a protective effect on myocardial injury after OPCABG? * Does Sivelestat Sodium exert a protective effect on myocardial inflammatory stress after OPCABG? Researchers will compare drug Sivelestat Sodium to a placebo (a look-alike substance that contains no drug) to see if drug Sivelestat Sodium works to protect myocardium following OPCABG.

Participants will:

* Accept drug Sivelestat Sodium injection or a placebo 2 h after OPCABG for 72 h. * Undergo a series of blood tests and echocardiography examinations after the OPCABG.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Undergoing elective OPCABG (≥2 bridged vessels). LVEF≥35%, no severe liver or kidney function abnormalities (ALT/AST≤3 times the upper limit, eGFR≥60 mL/min). Sign the informed consent form.

Disqualifiers

Emergency operation, combined valve surgery or aortic surgery. Usage of immunosuppressants or potent anti-inflammatory drugs within 30 days before the operation.

Active infections, autoimmune diseases, and allergy history.

Preoperative liver and kidney dysfunction

Severe cardiopulmonary insufficiency before the operation.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sivelestat Sodium injection 2 h after OPCABG for 72 h

    Drug

    Sivelestat Sodium injection 2 h after OPCABG for 72 h

  • Saline (0.9% NaCl)

    Drug

    Saline (0.9% NaCl) instead of Sivelestat

Treatment groups

62 Participants
are divided into 2 treatment groups
Group A: Sivelestat SodiumExperimental treatment 1 intervention
Group B: Routine therapyPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Myocardial injury

Sivelestat Sodium exerts a protective effect on myocardial injury after OPCABG

Time frame
Day 3 after OPCABG

Secondary outcomes

1

Myocardial inflammatory stress

Sivelestat Sodium exerts a protective effect on myocardial inflammatory stress after OPCABG

Time frame
Day 3 after OPCABG

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.