Study Design Update of the Off-pump versus On-pump Coronary Artery Bypass Grafting in Frail Patients: FRAGILE Trial

  • Omar Asdrubal Vilca Mejia
  • , Fabiane Letícia de Freitas
  • , Bianca Meneghini
  • , Maurilio Onofre Deininger
  • , Rodrigo Segalote
  • , Felipe Consentino
  • , Mauricio Guerrieri
  • , Alexandre Ciappina Hueb
  • , Fernando Ribas
  • , Rodrigo Moreira Castro
  • , Luís Roberto Palma Dallan
  • , Pedro G.M.de Barros e Silva
  • , Renato D. Lopes
  • , Luiz Augusto Ferreira Lisboa
  • , John Puskas
  • , Fabio B. Jatene

Research output: Contribution to journalArticlepeer-review

Abstract

The Off-pump versus On-pump Coronary Artery Bypass Grafting in Frail Patients (FRAGILE Trial) is a multicenter, randomized controlled trial comparing off-pump and on-pump coronary artery bypass grafting in frail or pre-frail patients undergoing coronary artery bypass grafting. This manuscript presents an update to the FRAGILE Trial study design, detailing protocol modifications made in response to the time gap between the study’s conception and its actual implementation These changes were implemented early in the trial and were formally approved by the Ethics Committee, ensuring the scientific and ethical integrity of the study and reinforcing its relevance to address a gap in a vulnerable patient population.

Original languageEnglish
Article numbere20250199
JournalBrazilian Journal of Cardiovascular Surgery
Volume40
Issue number5
DOIs
StatePublished - 1 Sep 2025
Externally publishedYes

Keywords

  • Coronary Artery Bypass Grafts, CABG
  • Coronary Artery Disease
  • Frailty Syndrome
  • Outcomes

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