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NCT04900779

Evaluation of Glycocalyx in Major Abdominal and Thoracic Surgery

Status unknown Last updated 25 May 2021
What this trial tests

trial in Major Elective Abdominal and Thoracic Surgery in 117 participants. Status unknown.

Timeline
2 February 2021
Primary endpoint
1 December 2021
31 May 2022

Quick facts

Lead sponsorHospital Universitari Vall d'Hebron Research Institute
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment117
Start date2 February 2021
Primary completion1 December 2021
Estimated completion31 May 2022
Sites1 location across Spain

Conditions studied

Sponsor

Hospital Universitari Vall d'Hebron Research Institute

Who can join

18 and older, any sex, with Major Elective Abdominal and Thoracic Surgery. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: The glycocalyx is a fundamental component of the endothelial barrier and alterations at this level have been shown to exacerbate the inflammatory response in the microcirculation. Its degradation in the surgical patient, has been tested in interventions that involve regional or general ischemia, for example in cardiac surgery, major vascular surgery or transplantation. On interventions that do not involve ischemic events the literature is limited, such is the case of those patients undergoing major abdominal and thoracic surgery. Objective: Assess whether there is a glycocalyx degradation in major elective abdominal and thoracic surgery, measured as an increase in plasma syndecane-1 levels during the first 24 hours of postoperative care. Methodology: Prospective observational study in patients undergoing major elective thoracic and abdominal surgery at the University Hospital Vall d´Hebrón. Measurement of the syndecane-1 plasma levels are going to be done during the first 24 hours after the intervention. It is intended to evaluate whether its elevation is related to anesthetic perioperative factors, and if it has an impact con morbildity and mortality in the following 6 months after the procedure.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Early plasma syndecan-1 dynamics and their prognostic value in major thoracic and abdominal surgery: a prospective observational study.
    Laurens LM, Alonso M, Perurena J, de Miguel M, et al · · 2026 · PMID 41484899 · DOI 10.1186/s13741-025-00642-5

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