Counterpulsation Reduces Infarct Size Pre-PCI for AMI (CRISP-AMI)
A Multi-center, Randomized, Controlled Study of Mechanical Left Ventricular Unloading With Counterpulsation to Reduce Infarct Size Pre-PCI for Acute Myocardial Infarction - CRISP AMI
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Bedford Park, Australia, 5042
- Flinders Medical Centre
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Hasselt, Belgium, 3500
- Virga Jesse
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Alsace
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Massy Cedex, Alsace, France, 91349
- Institut Hospitalier Jacques Cartier
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Dresden, Germany, 1307
- Klinik fur Innere Medizin und Kardiologie
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Freiburg, Germany
- University of Freiburg
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Leipzig, Germany, D-04289
- Herzzentrum Leipzig GmbH
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Bangalore, India, 560052
- Bhagwan Mahaveer Jain Heart Centre
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Bangalore, India
- Apollo Hospitals
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Delhi, India, 122 001
- Medanta - The Medicity
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Hyderabad, India, 50034
- Care hospital
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Jalandhar, India, 144 008
- Tagore Hospital and Heart Care Centre
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New Delhi, India, 110060
- Sir Gangaram Hospital
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New Delhi, India, 110044
- Indraprastha Apollo Hospital
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West Bengal, India
- Apollo Gleneagles Hospital
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, India, 500020
- Gurunanak CARE Hospital
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Gujrat
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Vadodara, Gujrat, India, 390 007
- Baroda Heart Institute and Research Centre
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Karnataka
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Bangalore, Karnataka, India, 560034
- Saint John's Medical College and Hospital
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Dublin, Ireland, 7
- Mater Misericordiae University Hospital
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Firenze, Italy, 50141
- Azienda Ospedaliero Universitaria Cargeei
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Eindhoven, Netherlands, 2
- Catharina Hospital
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Dorset, United Kingdom, BH7 7DW
- Royal Bournemouth Hospital
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Edinburgh, United Kingdom, EH8 9RS
- Royal Infirmary of Edinburgh
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Leeds, United Kingdom, LS9 7TF
- Leeds General Infirmary
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London, United Kingdom, SE1 7EH
- St. Thomas Hospital
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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California
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Los Angeles, California, United States, 90033
- University of Southern California
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Washington Hospital Center
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Florida
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Weston, Florida, United States, 33331
- Cleveland Clinic Florida
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts Medical Center
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Boston, Massachusetts, United States, 02135
- Caritas St. Elizabeth's Medical Center
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Minnesota
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Duluth, Minnesota, United States, 55805
- Essentia Institute of Rural Health (St Mary's)
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Nebraska
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Omaha, Nebraska, United States, 68198
- University of Nebraska Medical Center
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New Jersey
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Newark, New Jersey, United States, 07112
- Newark Beth Israel Hospital
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Newark, New Jersey, United States, 07103
- University of Medicine and Dentistry of New Jersey
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New York
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Rochester, New York, United States, 14627
- University of Rochester Medical Center-Strong Memorial Hospital
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North Carolina
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Durham, North Carolina, United States, 27705
- Duke University Medical Center
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Pennsylvania
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Lancaster, Pennsylvania, United States, 17603
- Lancaster General Hospital
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Philadelphia, Pennsylvania, United States, 19140
- Temple University Hospital
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Pittsburgh, Pennsylvania, United States, 15212
- Allegheny General Hospital
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Texas
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Houston, Texas, United States, 77030
- University of Texas Health Science Center at Houston
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Able to understand and sign an ICF
- ≥ 18 and ≤ 90 years of age
- General good health, in the opinion of the investigator
- ST elevation of 2mm in 2 contiguous anterior leads or ≥ 4mm total in anterior leads
- Scheduled for PCI < 6 hours from onset of symptoms of MI
Exclusion Criteria:
- Known contraindication to MRI
- Prior thrombolytic therapy during the index event
- Known history of MI
- Known severe aortic insufficiency
- Known aortic aneurysm
- Known severe calcific aorta-iliac disease or peripheral vascular disease
- Experiencing cardiac shock
- Known end-stage renal disease
- Weight >400 lbs. or height <4 ft.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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No Intervention: Control arm of study
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IABC pre-reperfusion PCI
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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To determine whether IABC before mechanical reperfusion decreases myocardial infarct (MI) size.
Time Frame: 3-5 days
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3-5 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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To determine the effect of IABC before mechanical reperfusion on post PCI cardiovascular function and major adverse cardiac events (MACE) (ie, death, reinfarction, and CHF) at 30 days and 6 months.
Time Frame: 30 days and 6 months post randomization
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30 days and 6 months post randomization
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Magnus Ohman, MD, Duke University
Publications and helpful links
General Publications
- Patel MR, Smalling RW, Thiele H, Barnhart HX, Zhou Y, Chandra P, Chew D, Cohen M, French J, Perera D, Ohman EM. Intra-aortic balloon counterpulsation and infarct size in patients with acute anterior myocardial infarction without shock: the CRISP AMI randomized trial. JAMA. 2011 Sep 28;306(12):1329-37. doi: 10.1001/jama.2011.1280. Epub 2011 Aug 29.
- Patel MR, Thiele H, Smalling RW, Chandra P, Zhou Y, Cohen M, Perera D, Ohman EM. A multicenter, randomized, controlled study of mechanical left ventricular unloading with counterpulsation to reduce infarct size prepercutaneous coronary intervention for acute myocardial infarction: rationale and design of the Counterpulsation Reduces Infarct Size Acute Myocardial Infarction trial. Am Heart J. 2011 Jul;162(1):47-55.e1. doi: 10.1016/j.ahj.2011.03.037.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- P00001
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