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Active, not recruitingNCT05568160NOVACCUpdated Dec 22, 2025

Evaluation of the Superiority of VAsopressin Versus NOradrenaline in the Management of Patients at Risk of Kidney Failure Undergoing Cardiac Surgery With Extracorporeal Circulation

A Phase 3 interventional study of Vasopressin and Norepinephrine in Scheduled Cardiac Surgery With Extracorporeal Circulation and Vasoplegic Syndrome, sponsored by Centre Hospitalier Universitaire Dijon. Active, not recruiting at 1 site in France. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by Centre Hospitalier Universitaire Dijon · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 8 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 3
Study type
Interventional
Enrollment
840
Allocation
Randomized
Ages
70 Years and older
Sex
All
01

Study summary

This is a randomized, double blind, multicenter study following surgery with extracorporeal circulation to compare blood pressure optimization with vasopressin versus noradrenaline. It is planned to include 840 patients in order to have 420 patients with vasoplegic syndrome.

The primary objective of this study is to determine whether the use of vasopressin to maintain blood pressure following cardiac surgery decreases the number of patients with acute renal failure and/or death compared with the usual use of norepinephrine.

Participation in the study involves daily follow-up at D1, D2, and D7 of the onset of the syndrome and then follow-up at D30 and D90.

02

Conditions studied

  • Scheduled Cardiac Surgery With Extracorporeal Circulation
  • Vasoplegic Syndrome

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03

In context

Vasoplegia

48 studies on the registry are indexed under Vasoplegia; 19 are open to participants now.

This study's planned enrollment of 840 is above the median of 110 across 27 interventional studies indexed under Vasoplegia.

Browse Vasoplegia studies →

Lead sponsor

Centre Hospitalier Universitaire Dijon is the lead sponsor of 499 studies on the registry; 103 are open to participants now.

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

04

Who can participate

Ages eligible
70 Years and older
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

  • Patient who has given free, written and
  • Patient of legal age.
  • Negative pregnancy test for women of childbearing age
  • Patient requiring cardiac surgery:

    • Scheduled (> 24h)
    • With extracorporeal circulation (ECC)
    • Myocardial revascularization (coronary bypass), and/or surgical correction of valvulopathy (aortic, mitral, pulmonary, tricupsidian), and/or of the ascending aorta and/or removal of an intracardiac tumor, and/or closure of a PFO/ASD
  • Patient with at least 3 risk factors for acute kidney failure including:

    • age > 70 years, combined surgery (more than two procedures), common trunk lesion, preoperative anemia, chronic respiratory failure, obliterative arterial disease of the lower extremities, diabetes, glomerular filtration \< 60 ml min-1 m², \<40%, redux, intra-aortic counterpulsation balloon, expected duration of bypass surgery > 100 min, albuminuria

Exclusion criteria

Exclusion Criteria:

  • Patient not affiliated to national health insurance or not beneficiary of a social security system,
  • Patient subject to a measure of legal protection (curatorship, guardianship),
  • Pregnant, parturient or breastfeeding women,
  • Patients of legal age who are incapable or unable to express their consent,
  • Patients who have already been included in this study
  • Patients requiring emergency surgery (less than 24 hours)
  • Patient with chronic kidney failure on dialysis,
  • Patient with a cardiac transplant,
  • Patient on left-sided monoventricular assistance,
  • Patient on ECMO/ECLS,
  • Patient with acute circulatory failure in the immediate preoperative period (sepsis, hemorrhage),
  • Patients with known to the active ingredient (argipressin) or to one of the of REVERPLEG®.

Secondary exclusion criteria:

  • Patient not developing persistent arterial hypotension (vasoplegic syndrome), within 12 hours after completion of surgery, defined as persistent mean arterial pressure (MAP) \<65 mmHg despite correction of preload and inotropism, with a cardiac index >2.2 l min-1 m-2, and not responding to 30 mg cumulative of ephedrine in bolus
  • Patient with hemorrhagic shock perioperatively before receiving vasopressor therapy (treatment under study)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
840 participants (estimated)

Study arms

  • Experimental
    Intervention

    Drug: Vasopressin · Other: Collection of clinical data · Other: Quality of Life Questionnaire EQ-5D

  • Active comparator
    Control

    Drug: Norepinephrine · Other: Collection of clinical data · Other: Quality of Life Questionnaire EQ-5D

Interventions

  • The infusion is started at 5 ml hr-1, increased in increments of 1 ml hr-1 every 5 minutes to reach a maximum target rate of 30 ml hr-1

  • The infusion is started at 5 ml h-1, increased in increments of 1 ml h-1 every 5 minutes to a maximum target rate of 30 ml h-1

  • OtherCollection of clinical data

    At D1, D2, D7, D30 or D60 and D90

  • OtherQuality of Life Questionnaire EQ-5D

    At the anesthesia consultation, discharge from intensive care, D7, D30 and D90

06

What researchers measure

Primary outcomes

  1. Occurrence of a renal complication or death

    Time frame: From the onset of the vasoplegic syndrome until 7 days after

07

Study locations

1 site
08

References and documents

Publications

  • Guinot PG, Desebbe O, Besch G, Guerci P, Gaudard P, Lena D, Mertes PM, Abou-Arab O, Bouhemad B; NOVACC study group. Prospective randomized double-blind study to evaluate the superiority of Vasopressin versus Norepinephrine in the management of the patient at renal risk undergoing cardiac surgery with cardiopulmonary bypass (NOVACC trial). Am Heart J. 2024 Jun;272:86-95. doi: 10.1016/j.ahj.2024.03.008. Epub 2024 Mar 16. PubMed 38492626 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05568160
Responsible party
Sponsor
First posted
Oct 5, 2022
Start date
Jan 2, 2023
Primary completion
Mar 2026 (estimated)
Completion
Mar 2026 (estimated)
Last update
Dec 22, 2025

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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