Clinical Trial in Patients Who Have Suffered a Heart Attack and Who Have Undergone Catheterization Treated With Levosimendan
NCT03699215 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 184
Last updated 2021-02-11
Summary
The disease under study is acute coronary syndrome with ST segment elevation, defined as patients presenting chest pain of anginal characteristics of more than 20 minutes of duration, with changes in the electrocardiogram consisting of ST segment elevation of 1 mm in two contiguous limb leads or 2 mm in two contiguous leads precordial. In a review carried out on patients treated in the investigator center with SCACEST, invetsigators found that, in a cohort of 250 patients, 85% of them presented alterations Segments of left ventricular contractility at 4 months after the acute episode. To verify that the Levosimendan administration reduces that percentage, at least 65%, investigators require to include in the study 83 patients in the experimental group and 83 in the control group, for a power of 80% and a confidence level of 95%. Assuming 10% of lost patients, it is required to include in the study 92 patients in the experimental group and 92 patients in the group control .
Conditions
- ST Elevation Myocardial Infarction
Interventions
- DRUG
-
Levosimendan
Upon arrival of the patient in the Coronary Unit, he will receive, in a randomized and double-blind manner, the 24-hour infusion of Levosimendan, without a loading dose, at a dose of 0.1 μg / kg / min or placebo. If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min. The dose of Levosimendan infusion can be reduced to 0.05 μg / kg / min in case of clinical intolerance or systolic hypotension \<90 mmHg.
- DRUG
-
Placebos
continuous perfusion of 0.1 micrograms / kg / min for 24h. If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min.
Sponsors & Collaborators
-
Hospital Universitario de Canarias
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-11-17
- Primary Completion
- 2020-04-30
- Completion
- 2021-12-30
Countries
- Spain
Study Locations
More Related Trials
-
Impact of Ischemic Post-conditioning
NCT04068116 ·Status: UNKNOWN ·Phase: NA
-
Which Therapy for Acute Heart Attacks? (The WEST Study)
NCT00121446 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Clinical Efficacy and SAfety of Intravenous Infusion of Nicorandil During Primary Percutaneous Coronary Intervention
NCT04665648 ·Status: COMPLETED ·Phase: PHASE4
-
A Study of Low-dose Intracoronary Thrombolytic Therapy in STEMI (Heart Attack) Patients.
NCT03998319 ·Status: RECRUITING ·Phase: PHASE3
-
Effect of Nicorandil for the Patients of Acute ST Segment Elevation Myocardial Infarction
NCT02435797 ·Status: UNKNOWN ·Phase: PHASE4
-
Arterial Access for Coronary Intervention in Myocardial Infarction
NCT00356044 ·Status: COMPLETED ·Phase: PHASE4
-
TREatment With Beta-blockers After myOcardial Infarction withOut Reduced Ejection fracTion"
NCT03596385 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy Study of TRO40303 for Reduction of Reperfusion Injury in Patients Undergoing Percutaneous Coronary Intervention for Acute Myocardial Infarction
NCT01374321 ·Status: COMPLETED ·Phase: PHASE2
-
Intracoronary Stenting and Antithrombotic Regimen: Lesion Platelet Adhesion as Selective Target of Endovenous Revacept
NCT03312855 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Safety and Efficacy of MEDI6012 in Acute ST Elevation Myocardial Infarction
NCT03578809 ·Status: COMPLETED ·Phase: PHASE2
-
Prasugrel vs. Ticagrelor on Myocardial Injury in STEMI
NCT03435133 ·Status: COMPLETED ·Phase: NA
-
Early Mineralocorticoid Receptor Antagonist Treatment to Reduce Myocardial Infarct Size
NCT01882179 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy Study of Erythropoietin After Revascularization in Myocardial Infarction (REVIVAL-3)
NCT00390832 ·Status: COMPLETED ·Phase: PHASE3
-
Impact of Different Treatment in Multivessel Non ST Elevation Myocardial Infarction (NSTEMI) Patients: One Stage Versus Multistaged Percutaneous Coronary Intervention (PCI)
NCT01478984 ·Status: UNKNOWN ·Phase: PHASE3
-
Phase 2 Study to Evaluate the Efficacy, Safety and PK of Intravenous Single Injection LC28-0126 Immediately Before PCI in STEMI Patients
NCT02070471 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Remote Ischemic Conditioning in Heart Attack Patients
NCT02197117 ·Status: COMPLETED ·Phase: NA
-
Reducing Micro Vascular Dysfunction in Acute Myocardial Infarction by Ticagrelor
NCT02422888 ·Status: UNKNOWN ·Phase: PHASE4
-
Efficacy Study on Early Versus Late Abciximab Administration During Primary Coronary Angioplasty
NCT00354406 ·Status: COMPLETED ·Phase: PHASE4
-
Myocardial Protection With Adenosine During Primary Percutaneous Coronary Intervention in Pts With STEMI
NCT00781404 ·Status: COMPLETED ·Phase: PHASE3
-
RadIal Versus Femoral InvEstigation in ST Elevation Acute Coronary Syndrome
NCT01420614 ·Status: UNKNOWN ·Phase: NA
-
Bioresorbable Vascular Scaffold in Patients With Myocardial Infarction
NCT02151929 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Pressure-controlled Intermittent Coronary Sinus Occlusion (PiCSO) Therapy on miRNAs Expression and Absolute Microvascular Resistance by Continuous Thermodilution in ST-segment Elevation Myocardial Infarction (STEMI) Patients: PiCSO-STEMI TRIAL
NCT05644925 ·Status: WITHDRAWN ·Phase: NA
-
Intracoronary Provocative Test With Acetylcholine in Patients With INOCA and MINOCA
NCT05714319 ·Status: RECRUITING
-
Dual Antiplatelet Therapy For Shock Patients With Acute Myocardial Infarction
NCT03551964 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison Between Thrombolysis and Primary Percutaneous Coronary Intervention (PCI) to Treat ST-Segment Elevation Myocardial Infarction
NCT00806403 ·Status: COMPLETED ·Phase: PHASE4