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NCT03088345: VAMP

Early Use of Vasopressin in Post-Fontan Management

Completed Phase 2, PHASE3 Results posted Last updated 7 July 2020
What this trial tests

Phase 2, PHASE3 trial testing Vasopressin, Arginine in Circulatory Perfusion Disorder in 20 participants. Completed in 28 January 2019.

Timeline
6 March 2017
Primary endpoint
1 November 2018
28 January 2019

Quick facts

Lead sponsorMedical College of Wisconsin
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment20
Start date6 March 2017
Primary completion1 November 2018
Estimated completion28 January 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Medical College of Wisconsin

Who can join

Adults 3 Weeks to 18, any sex, with Circulatory Perfusion Disorder or Congenital Heart Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Hemodynamics as Characterized by Vasoactive Inotrope Score (VIS) Primary · 48 hours post-operative

The vasoactive inotrope score (VIS) is a linear sum of vasoactive and inotrope durg infusion doses. It is usually reported as dimensionless but is sometimes reported as normalized to dopamine mcg/kg/min equivalents. The score starts at 0 and has no defined upper limit, with a commonly observed range 0-50. It is used as a measure of the intensity of hemodynamic support, with higher scores indicating more vasoactive drug support for patients. The relationship of VIS to other patient outcomes is not consistent. It will be calculated hourly for all subjects and compared between groups over the ent

GroupValue95% CI
Vasopressin, Arginine11± 1.6
Placebo11.3± 1.9
Hemodynamics as Characterized by Mean Arterial Pressure Primary · 24 hours post-operative

Organ perfusion pressure measured as Mean Arterial Pressure (MAP). It will be measured hourly for 24 postoperative hours for all subjects and compared between the two study groups over the whole time of observation as the main between-group effect in panel regression.

GroupValue95% CI
Vasopressin, Arginine67± 1.3
Placebo66± 1.1
Hemodynamics as Characterized by Transpulmonary Pressure Gradient Primary · 24 hours post-operative

The transpulmonary pressure gradient (TPG), defined as the difference between mean pulmonary arterial pressure (Ppa) and left/common atrial (common atrial) pressure (Pla) will be measured hourly for 24 postoperative hours for all subjects and compared between the two study groups over the whole time of observation as the main between-group effect in panel regression.

GroupValue95% CI
Vasopressin, Arginine6.4± 0.5
Placebo8.3± 0.5
Renal Dysfunction as Characterized by Change in Cystatin Level Secondary · from baseline pre-cardiopulmonary bypass to 24 hours post-operative

Cystatin levels will be measured at baseline (immediately before cardiopulmonary bypass) 24 hours postoperative. The change (postoperative minus baseline) in cystatin level will be compared between groups.

GroupValue95% CI
Vasopressin, Arginine0.095-0.086 – 0.277
Placebo0.017-0.160 – 0.194
Liver Dysfunction as Characterized by Transaminase Levels Secondary · 48 hours post-operative

Transaminase levels (alanine and aspartate, measured in IU/L ) will be tracked for all patients and changes will be compared between study groups.

GroupValue95% CI
Vasopressin, Arginine715± 653
Placebo522± 397
Resource Utilization Measured by Length of Stay (LOS) Secondary · from time of operation until hospital discharge

Length of stay (LOS) measured in postoperative hours compared between groups

GroupValue95% CI
Vasopressin, Arginine180± 72
Placebo203± 72

Sponsor's own description

This is an investigator initiated, prospective, single-center, double-blinded, randomized, placebo-controlled trial of post-operative low dose vasopressin infusions as an early treatment of low systemic perfusion in pediatric patients following Fontan palliation.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The molecular mechanisms of cardiac development and related diseases.
    Li Y, Du J, Deng S, Liu B, et al · · 2024 · cited 53× · PMID 39715759 · DOI 10.1038/s41392-024-02069-8
  2. Safety and Efficacy of Vasopressin After Fontan Completion: A Randomized Pilot Study.
    Bigelow AM, Ghanayem NS, Thompson NE, Scott JP, et al · · 2019 · cited 12× · PMID 31400337 · DOI 10.1016/j.athoracsur.2019.06.053

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Other trials of Vasopressin, Arginine

Trials testing the same drug.

Other Medical College of Wisconsin trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03088345.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing