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The Effects of Nitric Oxide for Inhalation During Left Ventricular Assists Device (LVAD) Implantation



The Effects of Nitric Oxide for Inhalation During Left Ventricular Assists Device (LVAD) Implantation

For Condition: Congestive Heart Failure
Status: Recruiting
Sponsor(s): INO Therapeutics ,
Synopsis: The purpose of this study is to assess the effects of nitric oxide for inhalation during left ventricular assist device (LVAD) implantation following cardiopulmonary bypass (CPB). This is to be assessed by the number of patients in each treatment group meeting failure criteria, as defined by two or more of the following: - Left ventricular flow rate index (LVFRI) <= 1.8 L/min/m2 - Administration of >= 1 ug/kg/min epinephrine or norepinephrine - Mean arterial pressure (MAP) <= 50 mmHg - Central venous pressure (CVP) >= 20 mmHg - Mixed venous oxygen saturation (SvO2) <= 55%
Details: Patients will receive 40 ppm of either nitric oxide for inhalation or placebo continuously starting at least 5 minutes prior to initiating the first attempt from CPB and continue until the patient is either extubated, has reached failure criteria, or has been treated with study gas for 24 hours following discontinuation of CPB, whichever come first. All patients will be monitored peri-operatively with a pulmonary arterial line, central venous line, and systemic arterial line. Baseline data collection by a designated clinical staff member will begin following induction of anesthesia and prior to skin incision. Following a successful wean from cardiopulmonary bypass and prior to exiting the operating room, data will be again collected upon admission to the ICU. Data will then be collected every 6 hours from the point study gas was started until extubation, or until 24 hours of study gas administration, in which case weaning from study gas will begin. Open label investigational nitric oxide for inhalation may be administered once a patient meets failure criteria or fails to wean two or more times from cardiopulmonary bypass.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion criteria: - Scheduled to undergo their first elective LVAD implantation. Exclusion criteria: - Had elective biventricular assist device (BiVAD) surgery. - Pregnant. - Received nitric oxide therapy or other investigational drug within the past 24 hours.
Total Enrollment: 100

Location and Contact Information:

Newark Beth Isreal Medical Center *Not yet recruiting*
Newark,  New Jersey,  07112
United States
Not yet recruiting Mark  Zucker

St. Paul University Hospital *Recruiting*
Dallas,  Texas,  75235
United States
Recruiting Dan  Meyer

Duke University Medical Center *Not yet recruiting*
Durham,  North Carolina,  27710
United States
Not yet recruiting Carmelo  Milano

Cleveland Clinic Foundation *Not yet recruiting*
Cleveland,  Ohio,  44195
United States
Not yet recruiting Jean-Pierre  Yared

Baylor University Medical Center *Recruiting*
Dallas,  Texas,  75226
United States
Recruiting Michael  Ramsay


Additional Information:
Study ID Numbers:
  INOT 41; 
Study Start Date: June 2003
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00060840

Other Congestive Heart Failure Studies:
1. MYOHEARTâ„¢ (Myogenesis Heart Efficiency and Regeneration Trial)

2. Oxypurinol compared with Placebo for Class III-IV NYHA Congestive Heart Failure

3. Safety and efficacy study of the vasopressin receptor antagonist conivaptan in patients with acute decompensated heart failure

4. DITPA, A Thyroid Hormone Analog to Treat Heart Failure

5. Multicenter, Randomized, Double-Blind, Placebo Controlled, Efficacy Study on the Effects of Tolvaptan on Left Ventricular Dilatation in Congestive Heart Failure Patients

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