Abciximab in Patients Undergoing Percutaneous Coronary Intervention for Cardiogenic Shock
NCT00420030 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2009-06-23
Summary
Outcome of patients with myocardial infarction complicated with cardiogenic shock is very poor. Although early mechanical revascularization has been demonstrated superior to conservative medical treatment, mortality range remains about 45-60%. Some medical registries have showed further therapeutic benefit by administration of glycoprotein (GP) IIb/IIIa inhibitors during PCI in patients with cardiogenic shock. However, there is no randomized study that supports this therapeutic strategy in these high risk patients.
Hypothesis:
GP IIb/IIIa inhibitors improve angiographic (TIMI-flow), echocardiographic (LV function) and clinical (combined end-point) outcomes in patients with myocardial infarction complicated with cardiogenic shock.
Study design:
Open "pseudorandomized" multicenter, phase IV clinical trial.
Anticipated findings:
The investigators anticipate to document better angiographic, echocardiographic and clinical outcome after upfront abciximab administration in comparison to standard periprocedural therapy in patients undergoing PCI for cardiogenic shock. This would be the first randomized clinical trial that could support this therapeutic strategy.
Conditions
- Shock, Cardiogenic
Interventions
- DRUG
-
Abciximab
Abciximab - IIb/IIIa GP inhibitor, dosage - bolus + continuous infusion
Sponsors & Collaborators
- collaborator INDUSTRY
-
Charles University, Czech Republic
lead OTHER
Principal Investigators
-
Petr Widimsky, Prof,MD,PhD · Charles University
-
Petr Tousek, MD,PhD · Charles University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-09-30
- Primary Completion
- 2009-06-30
- Completion
- 2009-06-30
Countries
- Czechia
Study Locations
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