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Acute Aortic SyndromeNCT04398992

Additive Anti-inflammatory Action for Aortopathy & Arteriopathy

An observational study of Acute Aortic Syndrome, run by Nanjing Medical University at 34 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Acute aortic syndrome (AAS) is a life-threatening condition. Inflammation plays a key role in the pathogenesis, development and progression of AAS, and is associated with significant mortality and morbidity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Aortic Syndrome
What is being tested?
observation
How many people
10,000 participants
Where
34 sitesChina
Study dates
1 Jan 2016to 31 Dec 2030
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Chinese patients suffering AAS

Who may be able to join

  • 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
Show all 10Show fewer
  • 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.

Who cannot join

None listed.

Trial locations and contacts

34 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Hai-yang LI, MD contact

ocean0203@163.com

34 sites in 1 country

China34 sites, 30 recruiting
  • Beijing Fuwai Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality

    Hongwei Guo, MD, ghwdr@sina.com

    Recruiting
  • Beijing Anzhen Hospital Capital Medical University

    Beijing

    Si-chong Qian, 13120130755, drqsc1990a@163.com

    Recruiting
  • Beijing Chaoyang Hospital

    Beijing

    Lu Han, MD

    Lu Han, MD, moer031@163.com

    Recruiting
  • the First Affiliated Hospital of Bengbu Medical College

    Bengbu

    Yi-yao Jiang, MD, jiangyiyao0309@sina.com

    Recruiting
  • Xiangya Hospital Central South University

    Changsha

    Completed
  • The Third Affiliated Hospital of Soochow University

    Changzhou, Jiangsu

    Chao ma, MD, machaomain@163.com

    Chao Ma, MD

    Recruiting
  • West China Hospital of Sichuan University

    Chengdu, Sichuan

    Hong-hua Yue, 13281130798, yuecqmu@163.com

    Recruiting
  • Chongqing Hospital of Jiangsu Provincial People's Hospital

    Chongqing, Chongqing Municipality

    Xiao-tong Qi, MD, xtqi01@njmu.edu.cn

    Recruiting
  • Guangdong Provincial People's Hospital

    Guangzhou, Guangdong

    Xiao-kang Luo, 02083882222, luoxkang@gmail.com

    Recruiting
  • The First Affiliated Hospital of Guangzhou Medical University

    Guangzhou

    Ying-yuan Zhang, MD, 13662378847@139.com

    Recruiting
  • the First Affiliated Hospital of Guilin Medical College

    Guilin

    Xing-xing Peng, MD, 317018918@qq.com

    Recruiting
  • Zhejiang Provincial People's Hospital

    Hangzhou, Zhejiang

    ZHIQIANG Dong, MD, namedzq@foxmail.com

    ZHIQIANG DONG, MD

    Recruiting
  • The Second Affiliated Hospital of Harbin Medical University

    Harbin, Heilongjiang

    Peng-cheng Tang, MD, 17581862412@163.com

    Peng-cheng Tang, MD

    Recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Xin Zhao, MD, 0531-82169114

    Xin Zhao, MD

    Recruiting
  • The First Affiliated Hospital of Kunming Medical University

    Kunming, Yunnan

    Xiang-feng Bai, 8715324888, 49976790@qq.com

    Recruiting
  • the Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 300088

    Zhi-hua Zeng, MD

    Zhi-hua Zeng, MD, 284569879@qq.com

    Recruiting
  • The First Affiliated Hospital of Nanjing Medical University

    Nanjing, 210029

    Hong Liu, MD, 188012181613, dr.hongliu@foxmail.com

    Recruiting
  • Nanjing First Hospital, Nanjing Medical University

    Nanjing

    Liang Hong, MD, hong3031@163.com

    Recruiting
  • The First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi

    Xiao-yan Feng, MD, fengxy0225@163.com

    Xiao-yan Xiao-yan, MD

    Recruiting
  • the Affiliated Hospital of Qingdao University

    Qingdao

    Completed
  • Shanghai DeltaHealth Hospital

    Shanghai, Shanghai Municipality

    Li-zhong Sun, MD, 17314457623, lzsuncmu@sina.com

    Li-zhong Sun, MD

    Recruiting
  • Shanghai East Hospital Tongji University

    Shanghai

    Completed
  • the First Affiliated Hospital of Shantou University Medical College

    Shantou

    Ying Wu, MD, 13531150081@163.com

    Recruiting
  • Suqian Hospital of of Nanjing Medical University

    Suqian, Jiangsu

    Xiang Liu, MD, liuxiang@njmu.edu.cn

    Recruiting
  • Shanxi Cardiovascular Hospital

    Taiyuan, Shanxi

    Yi-fan Li, MD, liyifanjuven@outlook.com

    Recruiting
  • Teda International Cardiovascular Hospital

    Tianjin

    Yu-qi Wang, MD, wyq530.ok@163.com

    Recruiting
  • Tianjin Chest Hospital

    Tianjin

    JUN-QUAN CHEN, MD, 644765651@qq.com

    Recruiting
  • The Seventh Affiliated Hospital of Xinjiang Medical University

    Ürümqi, Xinjiang

    Xu-ran Lu, 09914609084, luxuran8@live.com

    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang

    ZHIWEI LI

    ZHIWEI LI, MA

    Recruiting
  • Xiamen Cardiovascular Hospital

    Xiamen

    Completed
  • QianXiNan People's Hospital

    Xingyi, Guizhou

    Yong Yao, MD

    Shu-wen Wang, MD

    Recruiting
  • Dongtai People's Hospital

    Yancheng, Jiangsu

    Sheng-rong Lin, MD

    Shengrong Lin, MD

    Recruiting
  • Subei People's Hospital of Jiangsu Province

    Yangzhou, Jiangsu, 225001

    Cheng-bin Tang, MD, 051487373012

    Cheng-bin Tang, MD

    Recruiting
  • The Friendship Hospital of Yili Kazak Autonomous Prefecture

    Yining, Xinjiang

    Xiang-xiang Zheng, MD, 8613851799076, 67322914@qq.com

    Recruiting

Other trials in China

About this study

Official title: Chinese Registry of Additive Anti-inflammatory Action for Aortopathy & Arteriopathy (5A) Protocol: Rationale, Design and Methodology

Acute aortic syndrome (AAS) is a life-threatening condition. Inflammation plays a key role in the pathogenesis, development and progression of AAS, and is associated with significant mortality and morbidity. Understanding the inflammatory responses and inflammation resolutions is essential for an appropriate management of AAS.

Twenty Chinese cardiovascular centers have collaborated to create a multicenter observational registry (named Chinese registry of Additive Anti-inflammatory Action for Aortopathy \& Arteriopathy [5A]), with consecutive enrollment of adult patients who underwent surgery for AAS that was started on Jan 1, 2016 and will be ended on December 31, 2040. Specially, the impact of inflammation and anti-inflammatory strategies on the early and late adverse events are investigated. Primary outcomes are severe systemic inflammatory response syndrome (SIRS), multiple organ dysfunction syndrome (MODS), Sequential Organ Failure Assessment (SOFA) scores at 7 days following this current surgery. Secondary outcomes are SISR, 30-day mortality, operative mortality, hospital mortality, new-onset stroke, acute kidney injury, surgical site infection, reoperation for bleeding, blood transfusion and length of stay in the intensive care unit.

Read the detailed description

Aortopathy represent a major clinical challenge and are regarded as one of the leading causes of mortality among cardiovascular disorders. However, the pathological mechanisms underlying aortopathy are still far from being well understood, which makes treating this life-threatening challenging. It is increasingly clear that inflammation plays a key role in the development and progression of acute aortic syndrome (AAS) independent of cholesterol and other traditional risk factors, and characterizes both systemic and local condition.

Currently, surgery is considered the best treatment option for patients with AAS. In addition to systemic inflammatory responses triggered by AAS itself, however, procedural factors including surgical trauma, anesthesia, cardiopulmonary bypass, hypothermia, circulatory arrest, and blood transfusion as well as mechanical ventilation initiated a cascade of inflammation, which further exacerbates "inflammatory storm", and is associated with significant postoperative mortality and morbidity. Along with surgical evolutions, scientists have made new discoveries and achievements in the underlying mechanism and understanding of inflammation of AAS, which greatly encourage us to optimize treatment for these patients. Going beyond traditional surgery, anti-inflammatory action is crucially important to target the residual cardiovascular risk by specific anti-inflammatory interventions as a crucially adjunct therapeutic strategy to improve the well-being of patient.

A better understanding of the interaction between patient's inflammatory responses and anti-inflammatory strategies which may limit the residual cardiovascular risk is essential for the development of novel preventive, diagnostic, and therapeutic approaches, providing a critical pathophysiological insight into the role of inflammation in risk assessment and anti-inflammatory targeting. The epidemiological observation that biomarkers of inflammation are associated with clinical cardiovascular risk supports the theory that targeted anti-inflammatory treatment appears to be a promising strategy in reducing residual cardiovascular risk on the background of traditional surgical repair as well as basic therapy. Previous researches have shown that ulinastatin used in cardiac surgery may be effective in prevention of cardiovascular events through an anti-inflammatory effect. This residual inflammatory risk has increasingly become a viable therapeutic targeting on the background of validated surgical repair as well as basic medical therapy for AAS.

Although aortic dissection registries have been established during the last years, such as the International Registry of Acute Aortic Dissection (IRAD), the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD) Registry, German Registry for Acute Aortic Dissection type A (GERAADA), the Society of Thoracic Surgeon (STS) database , and European Registry of Type A Aortic Dissection (ERTAAD), there are currently no dedicated registry to prospective collections and characteristics of inflammatory responses, anti-inflammatory strategies, and clinical outcomes especially for AAS patients. We have established a multicenter research collaboration (named "Chinese Registry of Additive Anti-inflammatory Action for Aortopathy \& Arteriopathy [5A]") and planned a prospectively observational study to understand the patient's inflammatory responses, characterize the potential anti-inflammatory strategies, and evaluate clinical outcome and prognosis of AAS patients at 15 years in a large study of Chinese population.

Being tested
observation
Keywords
Acute Aortic Syndrome
Medical subject headings
Acute Aortic Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • observationOther

    Data were collected by a designed form. Statistic software was used to analyze clinical data.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Operative mortality

    Operative mortality was defined as any death, regardless of cause, occurring whether within 30 days after surgery in or out of the hospital or after 30 days during the same hospitalization subsequent to the operation.

    Measured: 30 days after treatment

  2. Severe systemic inflammatory response syndrome (SIRS)

    SIRS was defined as the presence of at least 2 of the 4 age-specific criteria: temperature, heart rate, respiratory rate, and leukocyte count, one of which must be abnormal temperature or leukocyte count. severe SIRS was defined as meeting all 4 aforementioned criteria, measured immediately following surgery through postoperative day 7.

    Measured: 7 days after treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2020
  2. Study start1 Jan 2016
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04398992
Sponsor's protocol ID
5A-Plan
Status last verified
Feb 2026
First submitted
19 May 2020
Last updated
9 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Liu H, Li HY, Li YL, Wu Y, Gu JX, Diao YF, Shao YF, Sun LZ, Qian SC, Zhang HJ; 5A Investigators. Operative Mortality After Type A Aortic Dissection Surgery: Differences Based on Sex and Age. JACC Adv. 2024 Mar 14;3(4):100909. doi: 10.1016/j.jacadv.2024.100909. eCollection 2024 Apr.

    PubMed 38939657
  • Liu H, Diao YF, Shao YF, Qian SC, Zeng ZH, Fan GL, Ma LY, Zhang HJ; on the behalf of the Additive Anti-inflammatory Action for Aortopathy & Arteriopathy (5A) Investigators. Prognostic implication of residual inflammatory trajectories in acute type I aortic dissection: dual-center prospective cohort study. Int J Surg. 2024 Jun 1;110(6):3346-3356. doi: 10.1097/JS9.0000000000001245.

    PubMed 38445499
  • Liu H, Qian SC, Li HY, Shao YF, Zhang HJ; China Additive Anti-inflammatory Action for Aortopathy, Arteriopathy (5A) Investigators. Chinese Additive Anti-inflammatory Action for Aortopathy & Arteriopathy (5A) Registry protocol: rationale, design and methodology. BMC Cardiovasc Disord. 2024 Feb 21;24(1):120. doi: 10.1186/s12872-024-03760-y.

    PubMed 38383323
  • Liu H, Sun BQ, Qian SC, Sun MY, Shao YF, Ding Y, Li H, Zhang HJ. Contemporary use and outcome of Cabrol shunt in type A aortic dissection surgery: insight from China 5A study. Open Heart. 2023 Dec 9;10(2):e002465. doi: 10.1136/openhrt-2023-002465.

    PubMed 38070883
  • Zhao HL, Tang ZW, Diao YF, Xu XF, Qian SC, Li HY, Shao YF, Zhao S, Liu H; on the behalf of the Additive Anti-inflammatory Action for Aortopathy, Arteriopathy (5A) Investigators. Inflammatory profiles define phenotypes with clinical relevance in acute type A aortic dissection. J Cardiovasc Transl Res. 2023 Dec;16(6):1383-1391. doi: 10.1007/s12265-023-10436-z. Epub 2023 Sep 15.

    PubMed 37713048

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Aortic Syndrome, run by Nanjing Medical University at 34 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 9 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hong Liu, MD (02568303100, DR.HONGLIU@FOXMAIL.COM), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Operative mortality (time frame: 30 days after treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04398992, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Feb 2026.

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