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Randomised trial of N-acetylcysteine in laparoscopic bariatric surgery
ISRCTN ISRCTN81349394
ClinicalTrials.gov identifier
Public title Randomised trial of N-acetylcysteine in laparoscopic bariatric surgery
Scientific title The effect of N-acetylcysteine on hepatocellular injury during laparoscopic bariatric surgery
Acronym N/A
Serial number at source N/A
Study hypothesis Administration of N-acetylcysteine before and during the period of liver retraction will prevent or decrease the degree of liver damage due to ischaemia-reperfusion injury during laparoscopic bariatric surgery.

As of 25/03/2009 this record was updated to include new trial dates; the initial trial dates were as follows:
Initial anticipated start date: 01/03/2008
Initial anticipated end date: 01/03/2010
Ethics approval 1. Approval granted from the King's College Hospital Research Ethics Committee on the 21st July 2008 (ref: 08/H0808/2)
2. Medicines and Healthcare products Regulatory Agency (MHRA) approval
Study design Single-centre randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Morbid obesity /non-alcoholic fatty liver disease
Participants - inclusion criteria 1. Male or Female
2. Aged 18 to 65
3. National Institute of Clinical Excellence criteria for morbid obesity surgery: BMI >40 or BMI >35 with obesity related complications
Participants - exclusion criteria 1. Pregnancy
2. History of chronic liver disease, including viral hepatitis, haemachromatosis, alcoholic liver disease or known alcohol intake >20g/day
3. Previous liver surgery, e.g., resection, orthotopic transplantation
4. Psychiatric illness, including anxiety, mood and eating disorders
5. Bleeding tendency or anticoagulant medications
6. Known allergies to N-acetylcysteine or related compounds
Anticipated start date 01/04/2009
Anticipated end date 31/03/2011
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 80
Interventions Treatment group: N-acetylcysteine 150 mg/kg lean body weight, intravenously as an infusion during surgery
Control group: No intervention
Primary outcome measure(s) The extent of hepatocellular damage and its clinical effect, measured at post-operative days 1, 2, 3 and at 6 weeks post surgery.
Secondary outcome measure(s) To elucidate the mechanisms of intraoperative hepatocellular damage and the effects (if any) of N-acetylcysteine.
Sources of funding King's College Hospital NHS Foundation Trust (UK)
Trial website
Publications
Contact name Mr  A G  Patel
  Address King's College Hospital
Denmark Hill
  City/town London
  Zip/Postcode SE59RS
  Country United Kingdom
Sponsor King's College Hospital NHS Foundation Trust (UK)
  Address Denmark Hill
  City/town London
  Zip/Postcode SE5 9RS
  Country United Kingdom
  Sponsor website: http://www.kch.nhs.uk
Date applied 20/12/2007
Last edited 25/03/2009
Date ISRCTN assigned 28/02/2008
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