Clinical Study Investigating the Effect of Sodium Nitroprusside Infusion on Thyroidal Function

Whether use of SNP during cardiac surgery has any effect on thyroid function has not yet been investigated in humans. The aim of this study was to investigate the effects of SNP administration during the rewarming period of cardiac operations on circulating levels of thyroid hormones...

Date First Received: March 7, 2008

Last Updated: March 7, 2008

Verified by: Kavaklıdere Umut Hospital, March 2008

Clinical Trial Phase: Phase 4 | Start Date: February 2008

Overall Status: Recruiting

Estimated Enrollment: 106

Brief Summary

Official Title: “Does Sodium Nitroprusside Infusion Affect Thyroidal Function in Patients Undergoing Coronary Artery Bypass Grafting, a Prospective Randomized Clinical Trial.”

Condition Keyword(s):

Whether use of SNP during cardiac surgery has any effect on thyroid function has not yet been investigated in humans. The aim of this study was to investigate the effects of SNP administration during the rewarming period of cardiac operations on circulating levels of thyroid hormones.

Study Type: Interventional

Study Design: Screening, Randomized, Single Blind (Investigator), Parallel Assignment, Efficacy Study

Study Primary Completion Date: February 2008

Intervention(s) in this Clinical Trial

  • Drug: sodium nitroprusside
    • sodium nitroprusside infusion at 1 microgram/kg/min dose during rewarming period of cardiac operations
  • Drug: placebo
    • placebo

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • arm1: sodium nitroprusside group
  • Placebo Comparator: 2
    • arm2: control group,saline infused instead of sodium nitroprusside

Outcome Measures for this Clinical Trial

Primary Measures

  • free T3
    • Time Frame: on admission, prior to operation, at the beginning of CPB, following CPB, at first, third and fifth postoperative days
      Safety Issue?: No

Secondary Measures

  • total T3
    • Time Frame: on admission, prior to operation, at the beginning of CPB, following CPB, on the first, third and fifth postoperative days
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

Patients without history of:

  • thyroidal disease
  • hypertension
  • pulmonary disease
  • peripheral vascular disease
  • stroke
  • recent myocardial infarction within the week prior to operation
  • unstable angina pectoris
  • liver or kidney dysfunction
  • morbid obesity
  • cachexia
  • sulfonylurea intake

Exclusion Criteria:

  • Patients who needed positive inotropic pharmacologic support during or after the operation
  • Patients who developed atrial fibrillation in the post operative period requiring amiodarone therapy
  • In addition, patients receiving any medication known to interfere with any step of thyroid hormone metabolism such as
  • amiodarone
  • propranolol
  • furosemide
  • non-steroidal anti-inflammatory agents
  • steroids
  • estrogens
  • antacids
  • diphenylhydantoin
  • spironolactone

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 30 Years

Maximum Age for this Clinical Trial: 85 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Kavaklıdere Umut Hospital

Overall Clinical Trial Officials and Contacts

alp aslan, md Study Director kavaklıdere Umut Hastanesi, Turkey  

Overall Contact: alp aslan, md 0905425179917 alpslan@yahoo.com

Additional Information

Information obtained from ClinicalTrials.gov on July 02, 2009

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00636584

Study ID Number: 2008-0048

ClinicalTrials.gov Identifier: NCT00636584

Health Authority: Turkey: Ministry of Health

home page of kavaklidere umut hospital

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