- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02126202
Coronary Angioplasty in Octogenarians With Emergent Coronary Syndromes (80+)
Coronary Angioplasty in Octogenarians With Emergent Coronary Syndromes: The Octogenarians Study
A multicenter, randomized clinical trial in elderly patients (over 80 years old) with unstable angina pectoris or Non-ST elevation myocardial infarction (NSTEMI).
A total of 200 patients will be randomized to medical treatment (100 patients) or coronary angiography with revascularization if feasible (100 patients). Information regarding prior history, frailty, clinical presentation, in-hospital events, complications, angina, quality of life and mortality will be collected. Follow up time is 1 year.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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-
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Gothenburg, Sverige, 41345
- Rekruttering
- Department of Cardiology, Sahlgrenska University Hospital
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Kontakt:
- Berglind Libungan, MD
- Telefonnummer: +46313421000
- E-mail: berglind.libungan@vgregion.se
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- >80 years of age
Acute coronary syndrome with ischemic symptoms (mainly chest pain) lasting over 10 minutes during the last 72 hours.
AND at least one of the following:
- ST-segment depression on ECG > 1mm
- Elevated cardiac troponins
- Written informed consent before randomization
Exclusion criteria:
- Percutaneous coronary intervention (PCI) within 30 days prior to randomization
- Suspected ongoing active internal bleeding
- ST segment elevation of >1mm in two contiguous leads on ECG
- Enrollment in another study that has not completed the follow up phase.
- Known allergy to aspirin or clopidogrel
- Severe dementia
- Expected limited 1 year survival due to other disease(s)
- Unwillingness to participate in the trial or expected problems with compliance
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Conservative therapy
Optimized medical therapy
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Eksperimentel: Invasive therapy
Coronary angiography and revascularization if feasible
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Coronary angiography and revascularization with PCI or CABG (coronary artery bypass grafting) if feasible
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Number of participants with major adverse cardiac and cerebral events (the composite of death, myocardial infarction, urgent revascularisation, recurrent hospitalization due to cardiac reason and stroke).
Tidsramme: 1 year
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1 year
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Number of participants with major bleeding
Tidsramme: 1 month
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1 month
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Number of participants with major adverse cardiac or cerebral event
Tidsramme: 1 month
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1 month
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Number of participants with minor bleeding
Tidsramme: 1 month
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1 month
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Number of participants with composite of cardiac death or myocardial infarction
Tidsramme: 1 year
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1 year
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Change from baseline of participants level of quality of life measured with the SF-36 questionnaire at 12 months
Tidsramme: 1 year
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1 year
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Change from baseline of participants level of angina pectoris at 12 months
Tidsramme: 12 months
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12 months
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Number of participants dead (all cause mortality)
Tidsramme: 1 year
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1 year
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Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Per A Albertsson, PhD, Sahlgrenska University Hospital, Sweden
Publikationer og nyttige links
Generelle publikationer
- Hirlekar G, Libungan B, Karlsson T, Back M, Herlitz J, Albertsson P. Percutaneous coronary intervention in the very elderly with NSTE-ACS: the randomized 80+ study. Scand Cardiovasc J. 2020 Oct;54(5):315-321. doi: 10.1080/14017431.2020.1781243. Epub 2020 Jun 26.
- Libungan B, Hirlekar G, Albertsson P. Coronary angioplasty in octogenarians with emergent coronary syndromes: study protocol for a randomized controlled trial. Trials. 2014 Sep 4;15:349. doi: 10.1186/1745-6215-15-349.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
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
- 80+
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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