UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058254
Receipt number R000066589
Scientific Title Comparison of antegrade cardioplegia and retrograde cardioplegia in myocardial protection during isolated aortic valve replacement
Date of disclosure of the study information 2025/06/24
Last modified on 2025/06/23 12:09:53

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Basic information

Public title

Comparison of antegrade cardioplegia and retrograde cardioplegia in myocardial protection during isolated aortic valve replacement

Acronym

Comparison of myocardial protection during aortic valve replacement

Scientific Title

Comparison of antegrade cardioplegia and retrograde cardioplegia in myocardial protection during isolated aortic valve replacement

Scientific Title:Acronym

ACDRCD test

Region

Japan


Condition

Condition

Aortic valve stenosis and regurgitation

Classification by specialty

Surgery in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The efficacy of antegrade cardioplegia delivery (ACD) versus retrograde cardioplegia delivery (RCD) remains controversial. This study aimed to compare the efficacy of intermittent and isothermic ACD (IIACD) with continuous and hypothermic RCD (CHRCD) in patients undergoing isolated aortic valve replacement (AVR).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome was the peak creatine kinase-MB (CK-MB) level in peripheral blood within one week postoperatively.

Key secondary outcomes

Secondary outcomes were echocardiographic parameters such as ejection fraction (EF), wall motion, and degree of regurgitation at the mitral and tricuspid valves. Echocardiography was performed approximately one week after surgery.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients received IIACD during AVR between April 1, 2016, and December 31, 2021.
Patients received CHRCD during AVR between January 1, 2007, and March 31, 2015.

Key exclusion criteria

Excluding criteria was emergency cases, those involving concomitant valve surgeries, coronary artery bypass grafting, aortic repair, or the use of both antegrade and retrograde cardioplegia.

Target sample size

160


Research contact person

Name of lead principal investigator

1st name JUNJI
Middle name
Last name NAKAZAWA

Organization

Sapporo Medical University of Medicine

Division name

Department of Cardiovascular Surgery

Zip code

0608543

Address

South1, West16, Chuoku, Sapporo city, Hokkaido, Japan

TEL

0116112111

Email

bankara02@gmail.com


Public contact

Name of contact person

1st name JUNJI
Middle name
Last name NAKAZAWA

Organization

Sapporo Medical University of Medicine

Division name

Department of Cardiovascular Surgery

Zip code

0608543

Address

South1, West16, Chuoku, Sapporo city, Hokkaido, Japan

TEL

0116112111

Homepage URL


Email

bankara02@gmail.com


Sponsor or person

Institute

Sapporo Medical University of Medicine

Institute

Department

Personal name



Funding Source

Organization

Sapporo Medical University of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Sapporo Medical University Ethics Committee

Address

South1, West16, Chuoku, Sapporo city, Hokkaido, Japan

Tel

0116112111

Email

kouhou-byouin@sapmed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 06 Month 24 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

165

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 09 Month 01 Day

Date of IRB

2024 Year 01 Month 04 Day

Anticipated trial start date

2024 Year 01 Month 04 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2025 Year 06 Month 23 Day

Last modified on

2025 Year 06 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066589