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WithdrawnNCT00530361Updated Sep 20, 2016

An Efficacy and Safety Study for Nesiritide in Heart Failure Patients With Reduced Kidney Function Undergoing Coronary Artery Bypass Graft Surgery Requiring Cardiopulmonary Bypass (CPB Pump or Heart Lung Machine)

A Phase 3 interventional study of Nesiritide in Coronary Artery Bypass Surgery, Coronary Heart Disease and Coronary Artery Bypass Grafting, sponsored by Scios, Inc.. Withdrawn. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2016-09-20.

Sponsored by Scios, Inc. (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

Why this study was withdrawn
Study was withdrawn prior to patient dosing based on a business decision.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
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Study summary

The purpose of this study is to assess whether nesiritide compared to placebo when given with standard of care therapies, helps preserve kidney function in heart failure (HF) patients undergoing heart bypass graft surgery that requires the use of a cardiopulmonary bypass machine (CPB pump or heart-lung machine).

Read the detailed description

In coronary heart disease (CHD), the coronary arteries become clogged with calcium and fatty deposits. The deposits, called plaques, narrow the arteries that carry blood to the heart muscle and could cause ischemic heart disease (too little blood and oxygen reaching the heart muscle). Coronary Artery Bypass Graft (CABG) surgery is a treatment option for ischemic heart disease. CABG surgery is surgery to create new routes for blood to flow around narrowed and blocked arteries so that the heart muscle will receive needed oxygen and nutrients. Acute kidney injury is a serious risk of CABG surgery while on CPB pump (heart-lung machine), which could result from ischemia during and following surgery. This study is a double-blind (neither the patient or the doctor knows whether the patient is assigned to receive study drug or placebo), randomized (assigned to treatment by chance), placebo-controlled (study drug results compared to placebo results) study to determine the effectiveness of nesiritide compared to placebo when given to HF patients undergoing CABG surgery requiring the use of a CPB pump . The study drug (nesiritide) or placebo dose being studied is 0.010 mcg/kg/min via continuous IV infusion. The study hypothesis is that compared to placebo, nesiritide will reduce kidney ischemia, preserve glomerular filtration rate (GFR),which measures the rate at which the kidneys filter blood, and the need for dialysis or occurrence of death in HF patients who have undergone heart bypass surgery requiring the use of a cardiopulmonary bypass machine. Safety will be assessed through the collection of adverse events, clinical laboratory tests, vital signs, physical examinations and electrocardiograms at various time points throughout the study. The patients assigned to the nesiritide group will receive a continuous I.V. infusion at 0.010 mcg/kg/min of nesiritide for at least 48 hours and could be extended to up to 96 hours. The patients assigned to the placebo group will receive matching placebo.

02

Conditions studied

  • Coronary Artery Bypass Surgery
  • Coronary Heart Disease
  • Coronary Artery Bypass Grafting
  • Cardiopulmonary Bypass
  • Ischemic Heart Disease
  • Heart Failure, Congestive

Keywords

  • Myocardial Ischemia
  • Kidney failure
  • CABG
  • Cardiopulmonary bypass (CPB) pump
  • Coronary Artery Bypass Surgery
  • Heart surgery
  • Nesiritide
  • Coronary Heart Disease
03

In context

Coronary Disease

2,867 studies on the registry are indexed under Coronary Disease; 309 are open to participants now.

Browse Coronary Disease studies →

Lead sponsor

Scios, Inc. is the lead sponsor of 22 studies on the registry; none are open to participants now.

First submitted after Scios, Inc. became part of Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with history of congestive heart failure
  • Documentation of left ventricular ejection fraction (LVEF)\<= 40% within 90 days before surgery
  • Pre-existing renal insufficiency with a glomerular filtration rate of \<= 60 mL/min/1.73 m2 measured within 24 hours before surgery
  • Scheduled to undergo coronary artery bypass graft (CABG) surgery with or without mitral valve replacement or repair on Cardiopulmonary Bypass machine.

Exclusion criteria

Exclusion Criteria:

  • History of cardiac disease or conditions in which cardiac output is dependent on venous return or Pulmonary disease (COPD), asthma, or other conditions that have required inpatient medical or surgical treatment within 60 days before surgery
  • Documented systemic bacterial/fungal/viral infection within 72 hours before surgery
  • Known acute renal failure or ongoing chronic dialysis at baseline
  • Any of the following: mean pulmonary artery pressure \<= 15 mmHg, central venous pressure \< 6 mmHg, or systolic blood pressure \< 90 mmHg before surgery
  • Planned aortic valve repair or replacement
  • Pregnant, suspected to be pregnant, or breast feeding
  • Received an experimental drug or used an experimental medical device within 30 days before the planned start of study drug
  • Known allergic reaction or sensitively to nesiritide or excipients
  • Received commercial nesiritide within 48 hours before the planned start of study drug or was previously randomized in the NAPA-CS study.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
0 participants (actual)

Interventions

06

What researchers measure

Primary outcomes

  1. The composite of a 25% decrease in postoperative glomerular filtration rate, occurrence of postoperative dialysis, and all-cause mortality through Day 30; The composite of occurrence of postoperative dialysis and all-cause mortality through Day 90.

Secondary outcomes

  1. The occurrence of new-onset postoperative atrial fibrillation through 96 hours after randomization. The composite of re-intubation for respiratory failure and all-cause mortality through 30 days.

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 20, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00530361
Lead sponsor
Scios, Inc.
First posted
Sep 17, 2007
Completion
Sep 2009 (estimated)
Last update
Sep 20, 2016

Study contacts

Scios, Inc. Clinical Trial
study director · Scios, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jul 2011. You cannot join it, but the record below documents what was studied.

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