Myocardial Infarction With ST-Elevation
NCT00638638 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 292
Last updated 2009-09-17
Summary
Mechanical recanalization of the culprit artery in acute myocardial infarction using stents provides in 2003, TIMI 3 flow restoration in more than 90% of patients. However, the prognosis of this condition remains poor, to a large degree because of microcirculatory dysfunction that is observed, in near than 20 to 40 % of patients, during or following primary percutaneous intervention. The lack of ST-segment elevation resolution after angioplasty with stenting is a marker of microcirculatory dysfunction and is associated with a poor prognosis. Routine administration with primary stenting of the platelet glycoprotein IIb/IIIa inhibitor Abciximab in acute myocardial infarction is still a matter of debate with conflicting results emerging from two major clinical studies ADMIRAL and CADILLAC. However, evidences are in favour of a benefit of this treatment especially when administrated early (in a pre-hospital manner) before percutaneous coronary intervention.Our primary purpose is to investigate the benefit of an early (i.e. pre-hospital) vs. a conventional (i.e. per-angiography) administration of Abciximab on ST-segment elevation regression at one hour after primary percutaneous angioplasty.
Conditions
Interventions
- DRUG
-
Abciximab
* Abciximab: 0.25 mg/Kg bolus * Abciximab placebo bolus * Abciximab infusion 10 µg/Kg/min
- DRUG
-
Abciximab placebo
* Abciximab placebo Bolus * Abciximab: 0.25 mg/Kg bolus * Abciximab infusion 10 µg/Kg/min
Sponsors & Collaborators
- collaborator INDUSTRY
-
University Hospital, Strasbourg, France
lead OTHER
Principal Investigators
-
Patrick OHLMANN, MD, PhD · Hôpitaux Universitaires de Strasbourg
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-01-31
- Primary Completion
- 2009-08-31
- Completion
- 2010-01-31
Countries
- France
Study Locations
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