About this trial
The MODIFY CSX study is a prospective, randomized, placebo-controlled trial conducted in heart centers in Germany and Italy.
A total of 550 high-risk cardiac surgery patients will receive either 0.20 g fish oil/kg body weight (BW) + standard of care versus same volume of placebo (NaCl) + standard of care.
Eligibility criteria
Qualifiers
Written informed consent prior to study participation
Adult patients (≥ 18 years)
Patients scheduled to undergo elective cardiac surgery with the use of CPB, who are defined as high risk based on having (i) one of the following surgical procedures: valvular heart surgery only, CABG, combined valve and CABG, multiple valve surgeries, combined cardiac procedures, aortic surgical procedures (aortic arch and/or descending aorta; aortic valve+ascending aorta) and (ii) at least one of the following additional risk factors: (a) a high perioperative risk profile, defined as predicted operative mortality of ≥8% (EuroSCORE II), (b) age ≥70, (c) Clinical Frailty Score 4 or more, (d) urgent surgery (defined as to be performed within 24-48 hours after admission), (e) left ventricular ejection fraction <35%
Disqualifiers
Known hypersensitivity to fish oil/fish products or egg protein
Pregnancy or lactation period
Previous history of chronic atrial fibrillation, atrial flutter and/or atrial tachyarrhythmia
Inability or unwillingness of individual to give written informed consent
Trial design
Treatments tested in this trial
- Fish Oil
- Intravenous 0.9% Sodium Chloride
Treatment groups
Sponsors and collaborators
GCP-Service International West GmbH
Lead sponsor
University Hospital, Bonn
Collaborator
University Hospital Muenster
Collaborator
University Hospital Goettingen
Collaborator
University Hospital Schleswig-Holstein
Collaborator
Charite University, Berlin, Germany
Collaborator
Wuerzburg University Hospital
Collaborator
Johannes Gutenberg University Mainz
Collaborator
University Hospital Augsburg
Collaborator
Universitätsklinikum Hamburg-Eppendorf
Collaborator
University Medical Center Rostock
Collaborator
Robert Bosch Medical Center
Collaborator