Bivalirudin in Patients With Acute Myocardial Infarction (AMI) Undergoing Primary PCI

February 8, 2006 updated by: The Medicines Company

A Study Evaluating the Safety and Efficacy of Bivalirudin in the Management of Patients With ST-Segment Elevation Acute Myocardial Infarction Undergoing Primary PCI (BIAMI)

The purpose of this study is to demonstrate the benefit of bivalirudin in combination with clopidogrel with provisional GPIIb/IIIa inhibitor use, in reducing the bleeding complications associated with early invasive management of patients presenting with an ST Elevation Myocardial Infarction (STEMI) and undergoing primary PCI, while providing similar rates of ischemic events when compared to published results of relevant trials.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment

300

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Illinois
      • Blue Island, Illinois, United States, 60406
        • The Heart Care Research Foundation

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Patients >18 years of age.

  2. Symptoms of STEMI for at least 30 min within previous 12 hours AND

    • ST-segment elevation in at least 2 contiguous leads or new Left Branch Bundle Block (LBBB), OR existing LBBB with positive troponin
    • Residual high grade stenosis and associated abnormalities in regional wall motion.
  3. Planned primary PCI in native coronary vessel.

Exclusion Criteria:

  1. Confirmed pregnancy
  2. Fibrinolytic therapy - Any alteplase, reteplase, tenectoplase, or streptokinase within the last 24 hours
  3. Culprit lesion within SVG or bypass conduit
  4. Dependency on renal dialysis
  5. Administration of LMWH within 8 hours prior to PCI
  6. Administration of abciximab within 7 days prior to PCI
  7. Administration of eptifibatide or tirofiban within 12 hours prior to PCI
  8. Warfarin MUST BE discontinued prior to procedure, and the INR must be ⎕1.5, or the PT<15,
  9. Heparin. If heparin is administered in the ER as long as it is discontinued at least 30 minutes prior to procedure, OR ACT <250, a patient may be enrolled. No clotting measurements are required if patient received heparin ⎕30 minutes prior to the initiation of bivalirudin.
  10. Allergy to heparin or bivalirudin, or known sensitivity to any component of the products
  11. Allergy to aspirin, clopidogrel, or abciximab
  12. Contraindication to abciximab
  13. Angiomax within 24 hours prior to study drug administration
  14. Neurosurgery with three months
  15. Severe hypertension not adequately controlled by antihypertensive therapy at the time of study entry (BP >180/110 mm Hg)
  16. Cardiogenic shock (SBP <80 for >30 min or a need for intravenous pressors)
  17. Stroke within three months
  18. Any hemorrhagic diathesis
  19. Life expectancy <1 year
  20. Participation in another clinical trial

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Reduction in bleeding complications

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The Medicines Company

Investigators

  • Principal Investigator: John F Stella, DO, Health Care Centers of Illinois

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

April 1, 2004

Study Completion

December 1, 2005

Study Registration Dates

First Submitted

October 4, 2004

First Submitted That Met QC Criteria

October 6, 2004

First Posted (Estimate)

October 7, 2004

Study Record Updates

Last Update Posted (Estimate)

February 9, 2006

Last Update Submitted That Met QC Criteria

February 8, 2006

Last Verified

February 1, 2006

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TMC-BIV-04-01

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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