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WithdrawnNCT03682393MitralPOCSUpdated Apr 7, 2022

Post-operative Corticosteroid Treatment After Mitral Valve Surgery

A Phase 2/3 interventional study of Hydrocortisone and Placebos in Atrial Fibrillation, sponsored by Kuopio University Hospital. Withdrawn at 1 site in Finland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Kuopio University Hospital · Phase 2/3, Interventional, and Prevention

Why this study was withdrawn
the study never started
Phase
Phase 2/3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the study is to intestigate whether three days intravenous corticosteroid management prevent atrial fibrillations in adults after mitral valve surgery. Prospective double-blinded randmized international multicenter study.

Read the detailed description

Voluntary adult patients, who do not have persistent atrial fibrillation before mitral valve sugery will receive either intravenous corticosteroid or placebo on three postoperative days after mitral valve surgery. End points are atrial fibrillation onset or fullfilling the three days time limit. The study is double-blinded, randomized, prospective study and the aim is to recruite 240 patients. Patients are recruited from Oulu University Hospital, Finland, Kuopio University Hospital, Finland, Helsinki University Hospital, Finland, Turku University Hospital, Finland, Tampere Univerisity Hospital, Finland, Tartu University Hospital, Estonia, Tallinn Regionaalhaigla, Estonia and Liverpool Hospital, Sydney, Australia.

02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • postoperative
  • atrial fibrillation
  • post cardiac surgery
  • corticosteroid
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

Browse Atrial Fibrillation studies →

Lead sponsor

Kuopio University Hospital is the lead sponsor of 132 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • open mitral valve surgery
  • patients agrees to participate in the study
  • adult (minimum 18 years of age)

Exclusion criteria

Exclusion Criteria:

  • atrial fibrillation onset before first postoperative morning
  • prolonged intensive care unit stay (patient needs to stay in intensive care unit after first postoperative day)
  • patient is underaged, does not want to participate or can not make the decision by himself or herself because of ie memory disability
  • diabetes mellitus requiring insulin treatment and with recent hypo- or hyperglycemias which required hospital treatment
  • systemic mucous infections
  • known allergy or oversensitivity to hydrocortisone
  • Cushing syndrome
  • history of psychosis
  • history of ulcus or active ulcus
  • chronic atrial fibrillation or atrial flutter
  • corticosteroid or immunosuppressive treatment in use for any reason
  • active tuberculosis infection
  • severe renal impairment (serum creatinine 200 umol/l or over)
  • history of deep or superficial venous trombosis
  • Herpes simplex -ceratitis
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Hydrocortisone

    100mg 1x3 hydrocortison intravenously for three days after mitral valve surgery or until atrial fibrillation onset

    Drug: Hydrocortisone

  • Placebo comparator
    Placebos

    100mg 1x3 intravenous fysiologic saline for three days after mitral valve surgery or until atrial fibrillation onset

    Drug: Placebos

Interventions

  • DrugHydrocortisone

    100mg 1x3 hydrocortison intravenously for three days after mitral valve surgery or until atrial fibrillation onset

    Also known as: corticosteroid

  • DrugPlacebos

    100mg 1x3 intravenous fysiologic saline for three days after mitral valve surgery or until atrial fibrillation onset

    Also known as: placebo, saline

06

What researchers measure

Primary outcomes

  1. atrial fibrillation

    Atrial fibrillation onset in the timeframe of three postoperative days after mitral valve surgery.

    Time frame: three days after mitral valve surgery

07

Study locations

1 site
  • Kuopio University Hospital
    Kuopio, 70029, Finland
08

References and documents

Individual participant data

Plan to share: No — IPD are not to be shared with other researchers.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03682393
Lead sponsor
Kuopio University Hospital
Responsible party
Sponsor
First posted
Sep 24, 2018
Start date
Jan 1, 2020
Primary completion
Dec 31, 2022 (estimated)
Completion
Dec 31, 2022 (estimated)
Last update
Apr 7, 2022

Study contacts

Jari Halonen, MD, PhD
principal investigator · general surgery attending, clinical teacher

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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