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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00468247
Registration number
NCT00468247
Ethics application status
Date submitted
30/04/2007
Date registered
2/05/2007
Date last updated
25/04/2008
Titles & IDs
Public title
Registration Enabling Study of the Safety and Efficacy of the Use of the Navigator Circulatory Management System
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Scientific title
A Prospective,Open,Multicentre,RCT to Assess the Safety & Efficacy of Navigator v Conventional Care in Post-op Cardiac Surgery Patients Undergoing CABG &/or Heart Valve Repair/Replacement Utilising Heart Lung Perfusion Pump(The NAV-1 Study)
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Secondary ID [1]
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AP2006-01
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Universal Trial Number (UTN)
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Trial acronym
NAV-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Critical Illness
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Intensive Care
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Navigator
Other interventions - Conventional care
Active Comparator: 1 - Device , Navigator used for guiding haemodynamic care
Placebo Comparator: 2 - Conventional care
Treatment: Devices: Navigator
Navigator circulatory mgt system
Other interventions: Conventional care
Conventional haemodynamic care
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Average distance to central point of the target cardiovascular zone while connected to the device
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Assessment method [1]
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Timepoint [1]
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Time connected to Navigator device
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Secondary outcome [1]
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Percentage time in the target cardiovascular zone while connected to device
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Assessment method [1]
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Timepoint [1]
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Time connected to Navigator device
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Secondary outcome [2]
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Clinically significant AF while connected to device
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Assessment method [2]
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Timepoint [2]
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Time connected to Navigator device
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Secondary outcome [3]
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Multiple organ function (SOFA score)
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Assessment method [3]
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Timepoint [3]
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From connection to Navigator device to hospital discharge
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Secondary outcome [4]
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Device-related adverse events and device failures
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Assessment method [4]
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Timepoint [4]
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Time connected to Navigator device
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Eligibility
Key inclusion criteria
1. Male or female aged 18 years or older
2. Undergoing elective cardiac surgery where surgery involves the use of a heart-lung
perfusion pump
3. Will have an arterial line and Swan Ganz catheter in situ
4. Require invasive measurement of Cardiac Output (CO), Mean Arterial Pressure (MAP) and
Right Atrial Pressure (RAP)
5. Are able and willing to provide written informed consent to participate in the study
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Women who are lactating or pregnant
2. Require Extracorporeal Membrane Oxygenation
3. Present at baseline screening or immediately prior to randomisation in the ICU with
atrial fibrillation (irregular supraventricular rhythm, not due to ectopic complexes
with an absence of discrete P-waves lasting more than 10 minutes documented and
confirmed with an ECG)
4. Intra-operative surgical treatment for atrial fibrillation
5. Surgery for left atrial reduction
6. Patients with left ventricular assist devices
7. Patients with permanent pacemakers in situ
8. Deemed by the investigator to be uncooperative or unsuitable for inclusion into this
trial
9. Have a medical condition that in the opinion of the investigator would jeopardise the
patient's safety by participating in this trial
10. Current participation in another drug or device study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2008
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Sample size
Target
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Accrual to date
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Final
112
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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St Vincent's Public Hospital - Sydney
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Recruitment hospital [2]
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Royal North Shore Hospital - Sydney
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Recruitment hospital [3]
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Westmead Private Hospital - Sydney
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Recruitment hospital [4]
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Westmead Public Hospital - Sydney
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Recruitment hospital [5]
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St George Public Hospital - Sydney
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Recruitment hospital [6]
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Monash Medical Centre - Melbourne
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Recruitment hospital [7]
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The Alfred Hospital - Melbourne
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Recruitment postcode(s) [1]
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2010 - Sydney
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Recruitment postcode(s) [2]
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2065 - Sydney
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Recruitment postcode(s) [3]
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2145 - Sydney
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Recruitment postcode(s) [4]
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2217 - Sydney
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Recruitment postcode(s) [5]
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3168 - Melbourne
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Recruitment postcode(s) [6]
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3181 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Applied Physiology Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Commercial sector/Industry
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Name [1]
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Trident Clinical Research Pty Ltd
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
A multicentre, open, RCT to assess the safety and efficacy of the Navigator Guided
Circulatory Management System versus conventional care in post-operative cardiac surgery
patients. The purpose of the study is to demonstrate that the real time acquisition and
subsequent processing and display of data produced by the Navigator guided circulatory
management system provides the clinician with appropriate data and guidance to achieve and
maintain a prescribed target haemodynamic stability in the post operative patient when
compared to conventional care in an Intensive Care Unit setting.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00468247
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Trial related presentations / publications
Parkin WG. Volume state control - a new approach. Crit Care Resusc. 1999 Sep;1(3):311-21.
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Public notes
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Contacts
Principal investigator
Name
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Yugan Mudaliar, PhD
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Address
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Western Sydney Area Health Service
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00468247
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