- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00970827
Remote Ischemic Postconditioning During Percutaneous Coronary Interventions (RIP-PCI)
Remote Ischemic Postconditioning During Percutaneous Coronary Interventions.
Angioplasty is a commonly performed procedure for treating blockage of the blood vessels in the heart. Although this procedure is usually successful, it is often accompanied by a small degree of damage to the heart (i.e., small heart attack).
The purpose of this study is to find out if inflating a blood pressure cuff on the arm or the leg at the time of angioplasty for several minutes has a beneficial effect.
Patients will be assigned to one of three treatment groups: inflating blood pressure cuff on the arm, inflating blood pressure cuff on the leg and a control group.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
Ontario
-
London, Ontario, Canada, N6A5A5
- London Health Sceinces Centre
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Patients scheduled for PCI
Exclusion Criteria:
- Acute myocardial infarction
- Myocardial infarction or coronary bypass surgery during the last 4 weeks before PCI
- Use of Glyburide
- Heart failure (NYHA III/IV)
- Chronic inflammatory disease
- Severe renal impairment
- Significant peripheral vascular disease
- Unsuitable for use of an embolic protection device for PCI to SVG
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Aktiv komparator: 1
Leg postconditioning
|
Three 5- minute cycles of blood pressure cuff inflation according to the assigned group.
The cuff is inflated to 200 mm Hg (and at least 20 mmHg above the systolic blood pressure) for 5 minutes followed by a 5-minute deflation (reperfusion).
|
Aktiv komparator: 2
Arm postconditioning
|
Three 5- minute cycles of blood pressure cuff inflation according to the assigned group.
The cuff is inflated to 200 mm Hg (and at least 20 mmHg above the systolic blood pressure) for 5 minutes followed by a 5-minute deflation (reperfusion).
|
Placebo komparator: 3
Control group
|
Three 5- minute cycles of blood pressure cuff inflation according to the assigned group.
The cuff is inflated to 200 mm Hg (and at least 20 mmHg above the systolic blood pressure) for 5 minutes followed by a 5-minute deflation (reperfusion).
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
---|---|
Myocardial injury after PCI.
Tidsramme: 24 hours
|
24 hours
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
---|---|
To study the effects of different degrees of remote ischemic postconditioning on myocardial necrosis and inflammation following PCI.
Tidsramme: 24 hours
|
24 hours
|
Platelet function
Tidsramme: 24 hours
|
24 hours
|
Cardiac events
Tidsramme: One year
|
One year
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Shahar Lavi, MD, Lawson Health Research Institute
Publikationer og nyttige links
Generelle publikationer
- Lavi S, Abu-Romeh N, Wall S, Alemayehu M, Lavi R. Long-term outcome following remote ischemic postconditioning during percutaneous coronary interventions-the RIP-PCI trial long-term follow-up. Clin Cardiol. 2017 May;40(5):268-274. doi: 10.1002/clc.22668. Epub 2017 Jan 11.
- Lavi S, D'Alfonso S, Diamantouros P, Camuglia A, Garg P, Teefy P, Jablonsky G, Sridhar K, Lavi R. Remote ischemic postconditioning during percutaneous coronary interventions: remote ischemic postconditioning-percutaneous coronary intervention randomized trial. Circ Cardiovasc Interv. 2014 Apr;7(2):225-32. doi: 10.1161/CIRCINTERVENTIONS.113.000948. Epub 2014 Apr 1.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- R-09-015
- 15664 (Anden identifikator: REB)
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