MgCedVD: Magnesium and Platelet Function Testing
Study Details
Study Description
Brief Summary
Magnesium has built up the reputation of a 'natural calcium antagonist'. However, the exact effect of magnesium on coagulation and more specifically on platelet function is still disputed. An important discrepancy between in vivo and in vitro studies exists. Magnesium has thus been reported to antagonize platelets in some studies, and to stimulate platelets in other studies. Current evidence seems to point in the direction of a general antagonization of aggregation and coagulation.
Intravenous magnesium is often administered in pre-eclampsia as seizure prophylaxis. Therapeutic regimens usually consist of an intravenously administered loading dose (2-3 grams) and a maintenance infusion, targeting a plasma level of 2-3 mmol/L. Therapeutic drug monitoring is needed, as magnesium toxicity is an important concern.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Control Female Over 18 years of age American Society of Anesthesiologists physical fitness scale 1 Not pregnant |
Other: Collect a study-specific blood sample of healthy subjects
One heparin tube (4ml) and one hirudin tube (4ml) blood sample will be collected through standard venipuncture. After applying a tourniquet with moderate pressure around the arm of the patient's choice, skin will be disinfected over a suitable vein in the elbow or fore-arm. A hirudin and a heparin tube will be filled with venous blood through a single puncture with a 22 Ga needle (manufacturer, location). After release of the tourniquet, bleeding will be stopped by applying local pressure for 5 minutes with a sterile gauze.
Other Names:
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Case Female Pregnant with possible pre-eclampsia Over 18 years of age American Society of Anesthesiologists physical fitness scale 1 |
Other: Collect a study-specific blood sample of healthy subjects
One heparin tube (4ml) and one hirudin tube (4ml) blood sample will be collected through standard venipuncture. After applying a tourniquet with moderate pressure around the arm of the patient's choice, skin will be disinfected over a suitable vein in the elbow or fore-arm. A hirudin and a heparin tube will be filled with venous blood through a single puncture with a 22 Ga needle (manufacturer, location). After release of the tourniquet, bleeding will be stopped by applying local pressure for 5 minutes with a sterile gauze.
Other Names:
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Outcome Measures
Primary Outcome Measures
- PAC-t-UB test results [4 months]
The main endpoint of this study is the Platelet Activation Test in Unprocessed Blood (PAC-t-UB).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Signed Informed consent
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Over 18 years of age (and younger or equal to 50 years of age) and able to provide legally binding consent
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American Society of Anesthesiologists physical fitness scale 1 (non smoker, no or minimal alcohol use, ..)
Exclusion Criteria:
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Chronic disease
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Chronic medical therapy (other than oral contraception)
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Pregnancy
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ASA 2 or higher
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Known coagulation or aggregation disorders
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Use of COX-inhibitors in the last 10 days
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Contra-indications for venipuncture
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Ziekenhuis Oost-Limburg | Genk | Belgium | 3600 |
Sponsors and Collaborators
- Ziekenhuis Oost-Limburg
- Maastricht University
Investigators
- Principal Investigator: Dieter Mesotten, MD, Ziekenhuis Oost-Limburg
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CTU2017140