CClinicalTrials.gg
CompletedNCT01755338Updated Jun 1, 2017

Effect of Steroids on Cerebral Inflammation and Neuronal Damage After Surgical Aortic Valve Replacement

An interventional study of Methylprednisolone and Placebo in Aortic Stenosis, sponsored by Sahlgrenska University Hospital. Completed at 1 site in Sweden. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2017-06-01.

Sponsored by Sahlgrenska University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to investigate if methylprednisolone is effective in reducing the cerebral inflammatory response after open heart surgery with cardiopulmonary bypass.

Read the detailed description

In a previous study we found that patients undergoing aortic valve surgery had elevated cerebrospinal inflammatory markers. In this study we aim to investigate if this inflammatory response can be reduced after treatment with steroids.

30 patients will be randomized to intraoperative treatment with either placebo or methylprednisolone 15mg/kg. CSF and blood will be collected the day before and the day after surgery, analyzed for markers of inflammation (IL-6, IL-8), neuronal damage (S-100) and blood brain barrier function (alb).

02

Conditions studied

  • Aortic Stenosis

Keywords

  • cerebrospinal fluid
  • inflammatory markers
  • heart surgery
  • neuronal damage
  • blood brain barrier
03

In context

Aortic Valve Stenosis

985 studies on the registry are indexed under Aortic Valve Stenosis; 283 are open to participants now.

This study's enrollment of 30 is below the median of 120 across 525 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Lead sponsor

Sahlgrenska University Hospital is the lead sponsor of 259 studies on the registry; 68 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • elective aortic surgery +/- coronary artery bypass grafting (CABG)

Exclusion criteria

Exclusion Criteria:

  • coagulopathy
  • preoperative neurologic deficit
  • uncontrolled hypertension
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Methylprednisolone

    Methylprednisolone i.v. 15mg/kg x 1 intraoperative Aortic Valve Replacement

    Drug: Methylprednisolone

  • Placebo comparator
    Placebo (NaCl)

    Placebo i.v., x1, intraoperative Aortic Valve Replacement

    Drug: Placebo

Interventions

  • DrugMethylprednisolone

    Methylprednisolone 15mg/kg

    Also known as: Solu-Medrol

  • DrugPlacebo

    Placebo

    Also known as: Sodium Chloride

06

What researchers measure

Primary outcomes

  1. Changes in cerebrospinal fluid (CSF) levels of IL-6, IL-8, S100B, alb

    Time frame: 24h after surgery

Secondary outcomes

  1. Postoperative/intraoperative insulin demand

    Time frame: 24h after surgery

07

Study locations

1 site
  • Sahlgrenska University Hospital
    Göteborg, VGR 41345, Sweden
08

References and documents

Publications

  • Danielson M, Reinsfelt B, Westerlind A, Zetterberg H, Blennow K, Ricksten SE. Effects of methylprednisolone on blood-brain barrier and cerebral inflammation in cardiac surgery-a randomized trial. J Neuroinflammation. 2018 Sep 27;15(1):283. doi: 10.1186/s12974-018-1318-y. PubMed 30261896 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01755338
Lead sponsor
Sahlgrenska University Hospital
Responsible party
Mattias Danielson (MD, Sahlgrenska University Hospital) — Principal investigator
First posted
Dec 24, 2012
Start date
Dec 2012
Primary completion
Feb 2017
Completion
Feb 2017
Last update
Jun 1, 2017

Study contacts

Sven-Erik Ricksten, Professor
study chair · Sahlgrenska University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion