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Phase 3 Completed N=865 Randomized Quadruple-blind Prevention

Glutamate for Metabolic Intervention in Coronary Surgery

Source: ClinicalTrials.gov NCT00489827 ↗
Enrolled (actual)
865
Serious AEs
13.1%
Results posted
Jun 2019
Primary outcomePrimary: Number of Participants With Perioperative Myocardial Infarction, Postoperative Heart Failure or Postoperative Mortality — 31; 25 Participants
◆ Published Evidence
Established
46citations · ~4 / year
EuroSCORE II and N-terminal pro-B-type natriuretic peptide for risk evaluation: an observational longitudinal study in patients undergoing coronary artery bypass graft surgery.
British journal of anaesthesia · 2014 · Open access · Likely link

Summary

The main purpose of this study is to determine whether intravenous glutamate infusion given in association with surgery for unstable coronary artery disease can protect the heart from myocardial injury, postoperative heart failure and death.

Linked Publications (5)

  • EuroSCORE II and N-terminal pro-B-type natriuretic peptide for risk evaluation: an observational longitudinal study in patients undergoing coronary artery bypass graft surgery.
    British journal of anaesthesia · 2014 · 46 citations · Open access · Likely link
  • Association of Glutamate Infusion With Risk of Acute Kidney Injury After Coronary Artery Bypass Surgery: A Pooled Analysis of 2 Randomized Clinical Trials.
    JAMA network open · 2024 · 14 citations · Open access · Likely link
  • Utility of NT-proBNP as an objective marker of postoperative heart failure after coronary artery bypass surgery: a prospective observational study.
    Perioperative medicine (London, England) · 2021 · 11 citations · Open access · Likely link
  • The impact of glutamate infusion on postoperative NT-proBNP in patients undergoing coronary artery bypass surgery: a randomized study.
    Journal of translational medicine · 2020 · 11 citations · Open access · Likely link
  • Post hoc analysis of the glutamics-trial: intravenous glutamate infusion and use of inotropic drugs after cabg.
    BMC anesthesiology · 2016 · 9 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Perioperative Myocardial Infarction, Postoperative Heart Failure or Postoperative Mortality
31; 25
SECONDARY
Degree of Perioperative Myocardial Injury
14; 14; 0.27; 0.24
SECONDARY
Postoperative Hemodynamic State
72.0; 72.2; 65.0; 64.9
SECONDARY
Postoperative Hemodynamic State in Patients With Severely Reduced Left Ventricular Ejection Fraction (LVEF<0.40)
1; 5
SECONDARY
Postoperative Renal Function
106; 106
SECONDARY
Number of Participants With Postoperative Stroke < 24 Hours
4; 6
SECONDARY
ICU Stay
21; 21
SECONDARY
Atrial Fibrillation
147; 152
SECONDARY
Severe Circulatory Failure in CCS Class IV Patients
3; 16
SECONDARY
10-year Survival
301; 301
SECONDARY
Postoperative Mortality
4; 5

Eligibility Criteria

Inclusion Criteria

  • surgery for unstable coronary artery disease (unstable angina, non-STEMI)
  • accepted for surgery 125 kg
  • food allergy known to have caused flush, rash or asthma
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00489827) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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