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Trial registered on ANZCTR
Registration number
ACTRN12622000552785
Ethics application status
Approved
Date submitted
24/09/2020
Date registered
8/04/2022
Date last updated
8/04/2022
Date data sharing statement initially provided
8/04/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Multiple Arterial Revascularization versus Single in a patients with coronary artery disease
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Scientific title
Evaluation of using multiple or single arterial coronary bypass grafts on major adverse cardiac events in patients with coronary artery disease
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Secondary ID [1]
302391
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none
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Universal Trial Number (UTN)
none
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Trial acronym
MARS
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Linked study record
none
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Health condition
Health condition(s) or problem(s) studied:
Coronary artery bypass grafting patency
319178
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Coronary heart disease
325795
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Condition category
Condition code
Surgery
317148
317148
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0
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Surgical techniques
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Cardiovascular
323132
323132
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A randomized study comparing two groups of patients undergoing coronary artery bypass grafting (CABG) at our institute. Patient first group underwent multiarterial coronary bypass surgery (left and right mammary arteries, radial artery).
Materials: Two hundred patients listed for CABG
Procedures: All CABGs were performed through a median sternotomy during cardiopulmonary bypass. Full heparinization was given. It anticipated to take an additional 20 minutes for multiarterial coronary bypass surgery
Who: heart surgeon with 10 years experience
Mode of delivery: face to face
Number of times: twice / week to the surgeon performing the CABG procedure
All participants will be followed for up to 12 years after the initial surgery.
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Intervention code [1]
318671
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Treatment: Surgery
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Comparator / control treatment
Conventional coronary artery bypass grafting: left internal mammary artery on left arterial descended, great saphenous vein on other coronary arteries. Anticipated duration of the 'conventional' coronary artery bypass grafting procedure is up to 180 minutes
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Control group
Active
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Outcomes
Primary outcome [1]
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Major adverse cardiac events (MACE) (which are death from any cause, myocardial infarction [MI], or unplanned revascularization for ischemia). This outcome is assessed by data-linkage to medical records.
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Assessment method [1]
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Timepoint [1]
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Death from any cause, myocardial infarction [MI], or unplanned revascularization for ischemia are assessed for 30 days post-surgery.
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Primary outcome [2]
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Coronary flow reserve on Single photon emission computed tomography (SPECT)
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Assessment method [2]
325221
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Timepoint [2]
325221
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Assessed once at 30 days post-surgery
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Secondary outcome [1]
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Major adverse cardiac events(MACE) (which are death from any cause, myocardial infarction [MI], or unplanned revascularization for ischemia). This outcome is assessed by data-linkage to medical records.
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Assessment method [1]
387244
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Timepoint [1]
387244
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at 1 and 5 year after operation
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Eligibility
Key inclusion criteria
coronary artery disease
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Minimum age
40
Years
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Maximum age
70
Years
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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
Concomitant surgery (valve surgery, aorta surgery)
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
24/09/2020
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Date of last participant enrolment
Anticipated
27/03/2026
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Actual
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Date of last data collection
Anticipated
30/11/2038
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Actual
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Sample size
Target
300
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Accrual to date
68
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Final
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Recruitment outside Australia
Country [1]
23013
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Russian Federation
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State/province [1]
23013
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Tomsk
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
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Address [1]
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Russia, Tomsk city, Cooperative street 5,postcode 634009
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Country [1]
306815
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Russian Federation
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Primary sponsor type
Government body
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Name
Ministry of Science and Higher Education
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Address
Russia , Moscow, Bryusov per., 21, 125009
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Country
Russian Federation
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Secondary sponsor category [1]
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None
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Name [1]
307375
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Address [1]
307375
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Country [1]
307375
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306979
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Ethics committee of Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
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Ethics committee address [1]
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Russia, Tomsk city, Cooperative street 5,postcode 634009
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Ethics committee country [1]
306979
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Russian Federation
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Date submitted for ethics approval [1]
306979
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Approval date [1]
306979
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23/09/2020
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Ethics approval number [1]
306979
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Summary
Brief summary
Multiple arterial grafts during CABG increase postoperative survival as compared to a single arterial graft, especially in the long-term period. The study purpose is demonstrate that use of 2 or more arterial grafts for elective primary surgical revascularization in patients with multivessel disease is associated with a reduction in mortality, stroke, heart attack, and repeat revascularization.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Zatolokin Vasily Viktorovich
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Address
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Tomsk National Research Medical Center, Cardiovascular Surgery Department.
Russia, Tomsk, Kievskaya street 111A.
Postcode: 634012
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Country
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Russian Federation
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Phone
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+79138490545
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Zatolokin Vasily Viktorovich
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Address
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Tomsk National Research Medical Center, Cardiovascular Surgery Department.
Russia, Tomsk, Kievskaya street 111A.
Postcode: 634012
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Country
105635
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Russian Federation
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Phone
105635
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+79138490545
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Fax
105635
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Email
105635
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[email protected]
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Contact person for scientific queries
Name
105636
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Zatolokin Vasily Viktorovich
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Address
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Tomsk National Research Medical Center, Cardiovascular Surgery Department.
Russia, Tomsk, Kievskaya street 111A.
Postcode: 634012
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Country
105636
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Russian Federation
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Phone
105636
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+79138490545
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Fax
105636
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Email
105636
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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