| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Renal function after cardiac surgery |
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| E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 13.1 |
| E.1.2 | Level | HLGT |
| E.1.2 | Classification code | 10011082 |
| E.1.2 | Term | Coronary artery disorders |
| E.1.2 | System Organ Class | 10007541 - Cardiac disorders |
|
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To study the efficacy of erythropoietin zeta with brand name Retracrit® given preoperatively in Coronary Artery Bypass Grafting (CABG) patients to attenuate further decrease in renal dysfunction after open heart surgery and it’s safety. Different biological markers for kidney function will be measured postoperatively. |
|
| E.2.2 | Secondary objectives of the trial |
Secondary objectives will be regarding to the study drugs potential effect on brain and heart. These will be evaluated by specific biomarkers.
Incidence and nature of AE during the study and the 30 days follow up.
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|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
Patients planed for Coronary Artery Bypass Grafting (CABG).
Inclusion criteria: Non-emergent CABG, eGFR-CyC< 60 ml/min and
written consent to participate
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| E.4 | Principal exclusion criteria |
Exclusion criteria: Uncontrolled hypertension, pregnancy or fertile woman (less than 50 years old), Epo treatment within 4 weeks, eGFR-CyC<15 or dialysis, known malignancy and Off-pump surgery
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| E.5 End points |
| E.5.1 | Primary end point(s) |
Primary endpoint: Plasma CyC change from day -1 to day 3.
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| E.5.2 | Secondary end point(s) |
Secondary endpoints: Plasma NGAL, plasma CyC, urinary CyC, eGFR-CyC, plasma creatinine concentration, MDRD eGFR, s-urea, CKMB, Tn I, and S-100 at day 1. During day 2-4, plasma CyC, CyC eGFR, s-creatinine, MDRD eGFR, s-urea and safety aspects as AE and SAE.
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | Yes |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 2 |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
| |
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | |
| E.8.9.1 | In the Member State concerned months | 5 |
| E.8.9.1 | In the Member State concerned days | |