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Methylene Blue vs Cyanokit for Intraoperative Vasoplegic Syndrome in Liver Transplant Patients

Plain-language guide to NCT04054999: phase 4 randomized trial of Methylene blue (non-peptide stack partner) and Cyanocobalamin (Vitamin B12), 19 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT04054999
Phase
phase 4
Status
completed
Start
2019-11-30
Completion (planned or actual)
2023-02-27
Participants
19 (actual)
Design
randomized, open label (everyone knows who gets what), treatment
Conditions studied
Vasoplegic Syndrome; Liver Transplant; Complications
Results posted
yes

What This Study Did, in Plain Language

What Was Tested

In this phase 4 trial, researchers set out to test Methylene blue (non-peptide stack partner) and Cyanocobalamin (Vitamin B12).

It had two arms (groups): Cyanokit (experimental) and Methylene Blue (active comparator).

The registry classes the interventions as drug.

Who Took Part

Enrollment: 19 actual participants took part.

It was open to people of any sex aged from 18 years with no upper age limit.

Healthy volunteers were not accepted; participants needed the condition being studied.

Examples of who could join: Patients scheduled to undergo liver transplantation. SVR lower than 500 dynes-sec/cm-5 intraoperatively (this criterion must be met after consent intraoperatively).

The full record lists 3 inclusion and 0 exclusion criteria.

How the Study Was Run

The set-up was randomized, parallel-group and open-label.

The participants were allocated by chance, so the Methylene blue (non-peptide stack partner) group and the comparison group should start out alike.

Groups ran in parallel: each of the participants stayed in one arm throughout.

Being open-label, the Methylene blue (non-peptide stack partner) study did not mask who received what.

It started in 2019-11-30 with completion listed for 2023-02-27.

It ran at 1 site in United States.

Its stated primary purpose is treatment.

What Was Measured

The main thing measured (primary outcome): Systemic Vascular Resistance (SVR) (time frame: 15, 30, 60, 90 and 120 minutes after initiation of treatment). Systolic Blood Pressure (time frame: 15, 30, 60, 90 and 120 minutes after initiation of treatment). Diastolic Blood Pressure (time frame: 15, 30, 60, 90 and 120 minutes after initiation of treatment).

It also tracked 3 secondary outcomes, for example Post-operative Intensive Care Unit (ICU) Length of Stay, Hospital Length of Stay and Post-operative Complications.

What This Means in Plain Language

Put simply, this is a phase 4, randomized trial of Methylene blue (non-peptide stack partner) and Cyanocobalamin (Vitamin B12) in 19 people.

Its size is small, so on its own it can only give an early look.

The trial is marked completed; results are posted on the registry, and this page does not restate them.

More context: the Methylene blue (non-peptide stack partner) compound page and the Cyanocobalamin (Vitamin B12) compound page, all human trials.

Our Notes on the Compounds

Methylene blue (non-peptide stack partner): Described as an electron cycler, not just a dye.

Cyanocobalamin (Vitamin B12): A synthetic form of vitamin B12 (cobalamin), an essential nutrient for DNA synthesis, red blood cell formation and neurological function.

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.