- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02054000
Intracoronary Tirofiban on No-Reflow Phenomena
Effectiveness of Intracoronary Tirofiban on No-Reflow Phenomena in Patients With ST-Elevated Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The no-reflow phenomenon is one of the most common causes of adverse cardiovascular events in patients with ST-elevated myocardial infarction (STEMI). Re-canalization of infarct related arterial (IRA) flow related to better ventricular performance and lower mortality rate in patients with STEMI. In addition, no-reflow phenomena may limit the benefits of re-canalization of the IRA.
In recent years, many mechanical or pharmacological treatment strategies including adjunctive administration of glycoprotein IIb/IIIa inhibitors (GPI) have been proposed in patients with STEMI. Although current guidelines recommend that small molecule GPI should be administered as an upstream bolus followed by a continuous infusion in patients with STEMI, changes in clinical practice may obviate the need for GPI dosage or routes in current practice. Previous studies have shown that intravenous and intracoronary administration of GPI improve the prognosis and significantly reduce mortality in patients with STEMI. Recently, the Ongoing Tirofiban in Myocardial infarction Evaluation-2 (ON-TIME 2) trial found that the use of tirofiban started during the pre-hospital phase as upstream therapy for primary percutaneous coronary intervention (PCI) and continued for up to 18 hours infusion after the procedure showed an improvement in the markers of reperfusion. Additionally, a reduction was demonstrated in the death in recurrent myocardial infarction in urgent target vessel revascularization and thrombotic bailout. However, in the current literature there are insufficient data regarding the role of intracoronary administration of GPI inhibitors in patients with STEMI who developed the no-reflow phenomenon. The goal of this study was to evaluate the acute effect of intracoronary administration of tirofiban on no-reflow phenomenon in patients with STEMI and occurrence of no-reflow phenomenon undergoing primary PCI.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Kayseri, Turkey, 38039
- Erciyes University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with ST-elevated myocardial infarction who developed no-reflow phenomena
Exclusion Criteria:
- Treatment with thrombolytic drugs in the previous 24 hours
- Known malignancy
- Pain to balloon time >6 hours
- Uncontrolled hypertension (>180/110 mmHg)
- Bleeding diathesis
- Thrombocytopenia
- End-stage liver disease
- Cardiogenic shock
- Renal failure
- Life expectancy of less than 1 year
- Contraindication for the use of tirofiban.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Tirofiban group
If thrombolysis in myocardial infarction flow <3 in spite of performed treatments, patients were considered as no-reflow and randomized to tirofiban or placebo group.
Intracoronary tirofiban (25 µgr/kg) was administered via the guiding catheter to the infarct related artery
|
Intracoronary administering of Tirofiban
Other Names:
|
Placebo Comparator: Placebo group
If thrombolysis in myocardial infarction flow <3 in spite of performed treatments, patients were considered as no-reflow and randomized to tirofiban or placebo group.
Intracoronary serum physiologic as placebo was administered via the guiding catheter to the infarct related artery
|
Intracoronary serum physiologic
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
in-hospital mortality
Time Frame: up to 8 days
|
up to 8 days
|
Non-fatal myocardial infarction
Time Frame: up to 8 days
|
up to 8 days
|
in-stent thrombosis
Time Frame: up to 8 days
|
up to 8 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Makpek-2
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.
Clinical Trials on No-Reflow Phenomenon
-
Hull University Teaching Hospitals NHS TrustCompletedSTEMI | No Reflow PhenomenonUnited Kingdom
-
Assiut UniversityNot yet recruiting
-
Ain Shams UniversityNot yet recruitingNo-Reflow Phenomenon
-
Universität Duisburg-EssenUnknownCoronary Heart Disease | Coronary Arteriosclerosis | No Reflow PhenomenonGermany
-
Instituto Nacional de Cardiologia Ignacio ChavezNot yet recruitingSTEMI | No-Reflow Phenomenon
-
Assiut UniversityRecruiting
-
First Hospital of China Medical UniversityAstraZenecaUnknownMyocardial Infarction | No-Reflow PhenomenonChina
-
Privolzhsky Research Medical UniversityCompletedMyocardial Infarction | No-Reflow PhenomenonRussian Federation
-
RenJi HospitalCompletedST Segment Elevation Myocardial Infarction | Coronary Slow Flow PhenomenonChina
-
National Institute of Cardiovascular Diseases,...CompletedAcute Coronary Syndrome | No-Reflow Phenomenon | NormotensivePakistan
Clinical Trials on Tirofiban
-
Beijing Tiantan HospitalNot yet recruitingTIA | Ischemic Stroke, Acute | Symptomatic Intracranial Artery StenosisChina
-
MedicureSCRI Development Innovations, LLCCompletedMyocardial Infarction | Unstable Angina | Acute Coronary SyndromesUnited States
-
The First Hospital of Jilin UniversityNot yet recruitingAcute Ischemic Stroke
-
Hospices Civils de LyonCompletedAcute Myocardial InfarctionFrance
-
Beijing Anzhen HospitalUnknown
-
Kosuyolu Heart HospitalThe Society of Cardiac Health ProtectionCompletedAcute Myocardial Infarction
-
University of IowaWithdrawnIschemic Stroke | Acute Ischemic StrokeUnited States
-
Shanghai East HospitalJinan Central Hospital; Ningbo No. 1 Hospital; Shanghai 6th People's Hospital; Shanghai... and other collaboratorsCompletedIschemic StrokeChina
-
Second Hospital of Jilin UniversityUnknownCoronary Artery DiseaseChina
-
Hospital AvicenneTerminated