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Trial · NCT02314780

The Effects of Intravenous Heme Arginate on Heme Oxygenase-1 Expression (HO-1) and Oxidative Stress in the Human Heart

NCT02314780, Phase 2, Completed, Martin Andreas, M.D.; results first posted 2021-02-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. The Effects of Intravenous Heme Arginate on Heme Oxygenase-1 Expression (HO-1) and Oxidative Stress in the Human Heart. Trials, record NCT02314780. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02314780

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
The Effects of Intravenous Heme Arginate on Heme Oxygenase-1 Expression (HO-1) and Oxidative Stress in the Human Heart
NCT number
NCT02314780
Status
Completed
Phases
Phase 2
Enrollment
31 participants, actual
Lead sponsor
Martin Andreas, M.D.
Conditions
Myocardial Ischemia
Interventions
Heme arginate 3mg/kg, Heme arginate 1mg/kg, Placebo
First posted
2014-12-11
Last updated
2021-02-15
Other registries' IDs
eudract:2013-000887-27
Results first posted
2021-02-15
Limitations and caveats
Biopsy samples were small and protein concentration could not be measured in every sample. The sample size calculation was based on previous results but is small for a 3-arm randomized controlled trial. Additional surgical procedures might impact the postoperative course of cardiac enzymes and obscure a potential effect in this small group. This study was powered to identify protein expression in the heart but not to evaluate potential therapeutic effects.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryHeme Oxygenase-1 (HO-1) Messenger Ribonucleic Acid (mRNA) Levels (Atrial Tissue)intraoperativeThe right atrial appendage was clamped and cut for cannulation before cardiopulmonary bypass. The tissue samples were snap-frozen in the operating theater after sampling.
PrimaryMyocardial HO-1 mRNA Levels (Ventricular Tissue Before Aortic Cross-clamping)intraoperativeA small biopsy was taken from the right ventricular free wall directly before aortic cross-clamping. The tissue samples were snap-frozen in the operating theater after sampling.
PrimaryMyocardial HO-1 mRNA Levels (Ventricular Tissue After Aortic Cross-clamping)intraoperative
A small biopsy was taken from the right ventricular free wall after aortic clamp release before weaning from cardiopulmonary bypass. The tissue samples were snap-frozen in the operating theater after sampling.
PrimaryMyocardial HO-1 Protein Concentrations (Atrial Tissue)intraoperative
The right atrial appendage was clamped and cut for cannulation before cardiopulmonary bypass.The tissue samples were snap-frozen. Western blot analysis was performed. The amount of HO-1 protein (quantified as pixels under the curve) was evaluated.
PrimaryMyocardial HO-1 Protein Concentrations (Ventricular Tissue Before Aortic Cross-clamping)intraoperative
A small biopsy was taken from the right ventricular free wall directly before aortic cross-clamping. The tissue samples were snap-frozen. Western blot analysis was performed. The amount of HO-1 protein (quantified as pixels under the curve) was evaluated.
PrimaryMyocardial HO-1 Protein Concentrations (Ventricular Tissue After Aortic Cross-clamping)intraoperative
A small biopsy was taken from the right ventricular free wall after aortic clamp release before weaning from cardiopulmonary bypass. The tissue samples were snap-frozen in the operating theater after sampling. Western blot analysis was performed. The amount of HO-1 protein (quantified as pixels under the curve) was evaluated.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYHeme Oxygenase-1 (HO-1) Messenger Ribonucleic Acid (mRNA) Levels (Atrial Tissue)intraoperativearbitrary unitsMEAN
PRIMARYMyocardial HO-1 mRNA Levels (Ventricular Tissue Before Aortic Cross-clamping)intraoperativearbitrary unitsMEAN
PRIMARYMyocardial HO-1 mRNA Levels (Ventricular Tissue After Aortic Cross-clamping)intraoperativearbitrary unitsMEAN
PRIMARYMyocardial HO-1 Protein Concentrations (Atrial Tissue)intraoperativepixels under the curveMEAN
PRIMARYMyocardial HO-1 Protein Concentrations (Ventricular Tissue Before Aortic Cross-clamping)intraoperativepixels under the curveMEAN
PRIMARYMyocardial HO-1 Protein Concentrations (Ventricular Tissue After Aortic Cross-clamping)intraoperativepixels under the curveMEAN

Results by group18

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Heme Oxygenase-1 (HO-1) Messenger Ribonucleic Acid (mRNA) Levels (Atrial Tissue)Heme Arginate (High Dose)392.7Standard Deviation 195.7arbitrary units
Heme Oxygenase-1 (HO-1) Messenger Ribonucleic Acid (mRNA) Levels (Atrial Tissue)Heme Arginate (Low Dose)229.8Standard Deviation 173.1arbitrary units
Heme Oxygenase-1 (HO-1) Messenger Ribonucleic Acid (mRNA) Levels (Atrial Tissue)Placebo10.8Standard Deviation 8.8arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue Before Aortic Cross-clamping)Heme Arginate (High Dose)203.6Standard Deviation 148.7arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue Before Aortic Cross-clamping)Heme Arginate (Low Dose)88.6Standard Deviation 49.1arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue Before Aortic Cross-clamping)Placebo7.9Standard Deviation 5.0arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue After Aortic Cross-clamping)Heme Arginate (High Dose)219.4Standard Deviation 162.8arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue After Aortic Cross-clamping)Heme Arginate (Low Dose)108.1Standard Deviation 73.2arbitrary units
Myocardial HO-1 mRNA Levels (Ventricular Tissue After Aortic Cross-clamping)Placebo8.3Standard Deviation 5.4arbitrary units
Myocardial HO-1 Protein Concentrations (Atrial Tissue)Heme Arginate (High Dose)29022Standard Deviation 8583pixels under the curve

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDHeme Arginate (High Dose)9
Overall StudySTARTEDHeme Arginate (Low Dose)10
Overall StudySTARTEDPlacebo8
Overall StudyCOMPLETEDHeme Arginate (High Dose)9
Overall StudyCOMPLETEDHeme Arginate (Low Dose)7
Overall StudyCOMPLETEDPlacebo8
Overall StudyNOT COMPLETEDHeme Arginate (High Dose)0
Overall StudyNOT COMPLETEDHeme Arginate (Low Dose)3
Overall StudyNOT COMPLETEDPlacebo0

Adverse events24

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherProcedural pneumothoraxInjury, poisoning and procedural complicationsHeme Arginate (High Dose)090
otherProcedural pneumothoraxInjury, poisoning and procedural complicationsHeme Arginate (Low Dose)1101
otherProcedural pneumothoraxInjury, poisoning and procedural complicationsPlacebo080
otherBlood culture positiveInvestigationsHeme Arginate (High Dose)090
otherBlood culture positiveInvestigationsHeme Arginate (Low Dose)0100
otherBlood culture positiveInvestigationsPlacebo181
otherAtrial fibrillationCardiac disordersHeme Arginate (High Dose)191
otherAtrial fibrillationCardiac disordersHeme Arginate (Low Dose)3103
otherAtrial fibrillationCardiac disordersPlacebo383
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersHeme Arginate (High Dose)090

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityHeme Arginate (High Dose)09
Total, all-cause mortalityHeme Arginate (Low Dose)010
Total, all-cause mortalityPlacebo08
Total, other adverse eventsHeme Arginate (High Dose)19
Total, other adverse eventsHeme Arginate (Low Dose)510
Total, other adverse eventsPlacebo48
Total, serious adverse eventsHeme Arginate (High Dose)29
Total, serious adverse eventsHeme Arginate (Low Dose)010
Total, serious adverse eventsPlacebo18

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
30354231DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02314780

GET https://conductscience.org/api/trials/v1/NCT02314780/events?page=2