Additive Anti-inflammatory Action for Critically Ill Patients With Cardiovascular Surgery (Xuebijing) IV

Last updated: August 9, 2021
Sponsor: Nanjing Medical University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Coronary Artery Disease

Congenital Heart Disease

Hypercholesterolemia

Treatment

N/A

Clinical Study ID

NCT04993794
5A-Plan IV
  • Ages 18-80
  • All Genders

Study Summary

XueBiJing, a Chinese herbal derived therapeutic, has been approved to treat severe infections (sepsis) in critically ill patients (China Food and Drug Administration; Beijing, China, Number Z20040033). Cardiopulmonary bypass (CPB) will produce large amounts of inflammatory mediators and oxygen free radicals, which causes the lipid peroxidation damage and mononuclear cell migration, thus aggravating organ inflammation and damage. Therefore, exploring new methods to prevent and alleviate organ injury caused by CPB is an important topi in clinical practice. However, little knowledge is regarding the effect of Xuebijing injection on CPB-related organ injury. To answer these questions, the authors conducted this randomized trial to compare XueBiJing with placebo in critically ill patients with cardiovascular surgery.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients who received cardiovascular surgery fulfilled three or more of the followingcriteria:
  • Pao2/Fio2 ratio less than or equal to 250mm Hg,
  • Respiratory rate greater than or equal to 30 breaths/min,
  • Blood urea nitrogen greater than 20mg/dL,
  • WBC count < 4,000 cells/mm3 or >15 000 cells/mm3 not due to other causes,
  • Core temperature < 36°C or >38.5°C,
  • Receiving treatment with vasopressors at therapeutic doses after adequate fluidresuscitation,
  • radiographic findings of new pulmonary infiltrate(s).
  1. Agree to participate in the study and sign the informed consent.

Exclusion

Exclusion Criteria:

  1. Pregnant and lactating women.
  2. Allergic to Xuebijing and its ingredients, or have severe allergies.
  3. Mental illness with poor compliance.
  4. Severe primary disease (active pulmonary tuberculosis, asthma, cystic pulmonaryfibrosis, pulmonary sarcoidosis, pulmonary interstitial fibrosis, unresectable tumors,blood diseases, Alzheimer s disease, or HIV).
  5. Participation in other clinical trials in the previous 30 days.
  6. Patients who are unsuitable for participation or unable to participate in this trialaccording to the judgment of the investigators (existing risk of potential medicaldisputes, and severe heart failure limiting the amount of liquid intake).

Study Design

Total Participants: 200
Study Start date:
January 01, 2021
Estimated Completion Date:
December 31, 2022

Connect with a study center

  • The first affiliated hospital of nanjing medical university

    Nanjing, Jiangsu 210029
    China

    Active - Recruiting

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