Adding anti-inflammatory treatment for acute aortic conditions
Official title: Chinese Registry of Additive Anti-inflammatory Action for Aortopathy & Arteriopathy (5A) Protocol: Rationale, Design and Methodology
Run by Nanjing Medical University · NCT04398992 · Data updated 2026-11-12
This registry will follow adults having surgery for acute aortic syndrome to see if inflammation and anti-inflammatory approaches affect recovery and complications.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 10000 (estimated) |
| Sponsor | Nanjing Medical University Academic / other |
| Locations | 34 sites (Beijing, Beijing Municipality and 33 other locations) |
| Status | Recruiting |
| Started | January 1, 2016 |
| Main results expected | December 31, 2030 |
| Study ends | December 31, 2030 |
| Registry record updated | February 9, 2026 |
| Trial ID | NCT04398992 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older who have acute aortic syndrome (aortic dissection, penetrating aortic ulcer, or intramural hematoma) with symptom onset within 14 days and who undergo medical, open, endovascular, or hybrid repair and consent to follow-up.
✕Probably not a fit
Patients with traumatic or iatrogenic acute aortic syndrome, symptom onset more than 14 days before surgery, or those who decline participation are unlikely to benefit from this registry's findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
A multicenter observational registry across Chinese cardiovascular centers is enrolling consecutive adults who underwent surgery for acute aortic syndrome from January 1, 2016 through December 31, 2040. The project collects clinical data, procedural details, inflammatory markers, and information on medical, open, endovascular, or hybrid treatments. Primary early outcomes include severe SIRS, multiple organ dysfunction syndrome (MODS), and SOFA scores at 7 days, with additional long-term adverse event tracking. By comparing inflammatory responses and anti-inflammatory strategies across patients, the registry aims to clarify how inflammation influences short- and long-term outcomes after AAS surgery.
Why it matters
Potential benefit: If successful, this work could identify anti-inflammatory strategies that reduce postoperative inflammation, lower complications, and improve survival after surgery for acute aortic syndrome.
How similar studies have gone: Prior research supports a key role for inflammation in AAS and small studies hint that anti-inflammatory approaches may help, but a large multicenter registry focused on these questions is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria * Aged 18 years or older. * Patients with diagnosis of AAS, including aortic dissection, penetrating aortic ulcer or intramural hematoma. * Symptoms started within 14 days from surgery. * Patients received medical therapy, open surgical, endovascular, or hybrid repair. * Any other major cardiac surgical procedure concomitant with surgery for AAS, such as coronary artery bypass grafting or carotid artery replacement; * The patient or guardian agrees to participate in this study. Exclusion criteria * Patients aged \< 18 years. * Onset of symptoms \> 14 days from surgery. * AAS secondary to traumatic or iatrogenic injury. * Patients who declined participation in registration and follow-up investigation.
Where it's running
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Beijing Fuwai Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China Recruiting -
Chongqing Hospital of Jiangsu Provincial People's Hospital
Chongqing, Chongqing Municipality, China Recruiting -
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
QianXiNan People's Hospital
Xingyi, Guizhou, China Recruiting -
The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China Recruiting
Show 28 more locations
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The Third Affiliated Hospital of Soochow University
Changzhou, Jiangsu, China Recruiting -
Suqian Hospital of of Nanjing Medical University
Suqian, Jiangsu, China Recruiting -
Dongtai People's Hospital
Yancheng, Jiangsu, China Recruiting -
Subei People's Hospital of Jiangsu Province
Yangzhou, Jiangsu, China Recruiting -
the Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China Recruiting -
Qilu Hospital of Shandong University
Jinan, Shandong, China Recruiting -
Shanghai DeltaHealth Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Shanxi Cardiovascular Hospital
Taiyuan, Shanxi, China Recruiting -
West China Hospital of Sichuan University
Chengdu, Sichuan, China Recruiting -
The Seventh Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, China Recruiting -
The Friendship Hospital of Yili Kazak Autonomous Prefecture
Yining, Xinjiang, China Recruiting -
The First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, China Recruiting -
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, China Recruiting -
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China Recruiting -
Beijing Anzhen Hospital Capital Medical University
Beijing, China Recruiting -
Beijing Chaoyang Hospital
Beijing, China Recruiting -
the First Affiliated Hospital of Bengbu Medical College
Bengbu, China Recruiting -
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, China Recruiting -
the First Affiliated Hospital of Guilin Medical College
Guilin, China Recruiting -
The First Affiliated Hospital of Nanjing Medical University
Nanjing, China Recruiting -
Nanjing First Hospital, Nanjing Medical University
Nanjing, China Recruiting -
the First Affiliated Hospital of Shantou University Medical College
Shantou, China Recruiting -
Teda International Cardiovascular Hospital
Tianjin, China Recruiting -
Tianjin Chest Hospital
Tianjin, China Recruiting -
Xiangya Hospital Central South University
Changsha, China Completed -
the Affiliated Hospital of Qingdao University
Qingdao, China Completed -
Shanghai East Hospital Tongji University
Shanghai, China Completed -
Xiamen Cardiovascular Hospital
Xiamen, China Completed
Study contacts
- Principal investigator: Hong Liu — Nanjing Medical University
- Study coordinator: Hong Liu, MD
- Email: DR.HONGLIU@FOXMAIL.COM
- Phone: 02568303100
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using ADD-RS and D-dimer to rule out acute aortic syndrome in the ED
In the emergency department, doctors test whether ADD-RS and a D-dimer result can safely rule out acute aortic syndrome in adults suspected of AAS.
-
Evaluating a new stent graft for treating acute aortic syndrome
This study is testing a new type of stent graft to see if it is safe and effective for people with acute aortic syndrome who don't have enough support for traditional treatment.
-
Using statins to protect heart health after aortic surgery
This study tests if the cholesterol-lowering drug rosuvastatin can help people recover better and protect their heart health after surgery for serious aortic problems.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.