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Does N-Acetylcysteine (Parvolex®) prophylaxis reduce the incidence of renal impairment after onpump Coronary Artery Bypass Graft surgery? A prospective randomised controlled trial
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN71629284
Date ISRCTN assigned21/08/2007
Local reference number(s)07/Q1403/17
Public titleDoes N-Acetylcysteine (Parvolex®) prophylaxis reduce the incidence of renal impairment after onpump Coronary Artery Bypass Graft surgery? A prospective randomised controlled trial
Scientific title
AcronymN-Acetylcysteine prophylaxis for onpump CABG
Disease/condition/study domainRenal impairment
Study hypothesisProhylatic use of N-Acetylcysteine will decrease the incidence of renal failure in patients undergoing onpump Coronary Artery Bypass Graft (CABG) surgery.
Design/methodologyProspective randomised double blind controlled trial
Research ethics reviewApproved by South Manchester Research Ethics Committee (UK) on the 18th June 2007 (REC ref 07/Q1403/17).
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Patients undergoing elective coronoray artery bypass surgery (onpump) at Wythenshawe Hospital
2. Aged 21 - 80 years
Participants - exclusion criteria1. Urgent or emergency cases
2. History of hypersensitivity to N-Acetylcysteine
3. Patients already taking N-Acetylcysteine
4. Patients with renal failure
Patient information material
Anticipated start date01/08/2007
Anticipated end date31/07/2008
Status of trialOngoing
Target number of participants224 (112 in each group)
InterventionsFor both groups, there will be no change in routine anaesthetic/surgical or post operative management.

The intervention group will be administered 2 g N-Acetylcysteine on the night before surgery (oral), 2 g at induction of anaesthesia (intravenous [IV]) and 2 g IV on the morning of first post operative day. The control group will receive placebos at the same time as the intervention group.

Patients will be followed up until discharge.
Primary outcome measure(s)Creatinine clearance and serum creatinine levels on second and fifth post operative day and on discharge.
Secondary outcome measure(s)Length of Intensive Care Unit (ICU) stay.
Sources of fundingUniversity Hospital of South Manchester NHS Foundation Trust (UK)
Sponsor nameUniversity Hospital of South Manchester NHS Foundation Trust (UK)
Sponsor detailsDepartment of Research and Development
Wythenshawe Hospital
South Moore Road
Wythenshawe
Manchester
United Kingdom
M23 9LT
Sponsor telephone+44 (0)161 291 5775
Sponsor emailandrew.maines@manchester.ac.uk
Sponsor websitehttp://www.smuht.nwest.nhs.uk/
Contact nameDr Donna Greenhalgh
Contact detailsConsultant Anaesthetist
Wythenshawe Hospital
South Moore Road
Wythenshawe
Manchester
United Kingdom
M23 9LT
Contact telephone+44 (0)161 291 2525
Contact emaildonna.greenhalgh@btopenworld.com
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN71629284
Date last extracted from ISRCTN register17/04/2008
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