- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT01015287
Prasugreelin vertailu PCI:ssä tai ei-ST-korkeuden aiheuttaman sydäninfarktin diagnoosihetkellä (ACCOAST)
Prasugreelin vertailu perkutaanisen sepelvaltimon intervention (PCI) aikana tai esihoitona diagnoosin yhteydessä potilailla, joilla on sydäninfarkti, jolla ei ole ST-korkeutta (NSTEMI): ACCOAST-tutkimus
Tutkimuksen yleiskatsaus
Yksityiskohtainen kuvaus
Tämä koe koostuu kahdesta kädestä. Yksi käsivarsi on ei-esikäsittelyvarsi. Tämän ryhmän osallistujat saavat lumelääkettä välittömästi NSTEMI-diagnoosin jälkeen ja ennen diagnostista sepelvaltimon angiografiaa. 60 mg prasugreelin kyllästysannos annetaan välittömästi sepelvaltimon angiografian jälkeen, kun siirrytään PCI:hen. Tämän jälkeen osallistujat saavat päivittäisiä prasugreelin ylläpitoannoksia päivään 30 asti. Osallistujat, jotka ovat vähintään 75-vuotiaita tai joiden paino on alle 60 kilogrammaa (kg), saavat 5 mg:n suun kautta vuorokaudessa. Kaikki muut saavat 10 mg:n päivittäisen oraalisen ylläpitoannoksen 30 päivän ajan.
Toinen haara on esihoitoa edeltävä haara, jossa osallistujat saavat jaetun kyllästysannoksen, jossa 30 mg prasugreelia annetaan välittömästi NSTEMI-diagnoosin jälkeen ja ennen diagnostista sepelvaltimon angiografiaa. Loput kyllästysannoksesta (30 mg) annetaan, kun osallistujat jatkavat PCI:tä. Tämän jälkeen osallistujat saavat päivittäisiä prasugreelin ylläpitoannoksia päivään 30 asti. Osallistujat, jotka ovat vähintään 75-vuotiaita tai joiden paino on alle 60 kg, saavat 5 mg:n suun kautta vuorokaudessa. Kaikki muut saavat 10 mg:n päivittäisen oraalisen ylläpitoannoksen 30 päivän ajan.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
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Amsterdam, Alankomaat, 1081 HV
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Eindhoven, Alankomaat, 5623 EJ
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Leeuwarden, Alankomaat, 8934 AD
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Nieuwegein, Alankomaat, 3435 CM
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Nijmegen, Alankomaat, 6500 HB
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Tiel, Alankomaat, 4002 WP
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Zwolle, Alankomaat, 8025 AB
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Bonheiden, Belgia, 2820
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Brugge, Belgia, 8000
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Charleroi, Belgia, 6000
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Genk, Belgia, 3600
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Leuven, Belgia, 3000
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Yvoir, Belgia, 5530
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Beer Yaakov, Israel, 70300
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Haifa, Israel, 34362
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Jerusalem, Israel, 91120
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Kfar Saba, Israel, 44281
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Nahariya, Israel, 22100
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Tel-Aviv, Israel, 64239
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Tiberias, Israel, 15208
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Arezzo, Italia, 52100
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Chieti, Italia, 66013
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Grosseto, Italia, 58100
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Legnano, Italia, 20025
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Lucca, Italia
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Massa, Italia, 54100
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Monza, Italia, 20900
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Napoli, Italia, 80100
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Pavia, Italia, 27100
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Perugia, Italia, 06156
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Pisa, Italia, 56100
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Prato, Italia, 50047
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Reggio Emilia, Italia, 42100
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Rome, Italia, 00100
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Torino, Italia, 10100
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Udine, Italia, 33100
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Venezia, Italia, 30035
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Braunau Am Inn, Itävalta, 5280
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Graz, Itävalta, 8020
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Linz, Itävalta, 4020
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Vienna, Itävalta, A1090
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Alberta
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Calgary, Alberta, Kanada, T2N 2T9
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British Columbia
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Vancouver, British Columbia, Kanada, Vancouver
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Ontario
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Toronto, Ontario, Kanada, M5B 1W8
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Quebec
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Montreal, Quebec, Kanada, H4J 1C5
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Sainte-Foy, Quebec, Kanada, G1V 4G5
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Saskatchewan
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Saskatoon, Saskatchewan, Kanada, S7N 0W8
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Liepaja, Latvia, 3414
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Riga, Latvia, 1038
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Kaunas, Liettua, LT-50009
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Klaipedos, Liettua, 92288
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Vilnius, Liettua, LT-08661
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Braga, Portugali, 4710-243
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Carnaxide, Portugali, 2794-006
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Faro, Portugali, 8000-386
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Leiria, Portugali, 2410-197
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Belchatow, Puola, 97-400
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Chrzanow, Puola, 32-500
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Grodzisk Mazowiecki, Puola, 05-825
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Katowice, Puola, 40-635
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Klodzko, Puola, 57-300
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Krakow, Puola, 31-501
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Lodz, Puola, 91-347
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Lublin, Puola, 20-954
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Mielec, Puola, 39-300
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Naleczow, Puola, 24-140
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Nowy Sacz, Puola, 33-300
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Nowy Targ, Puola, 34-400
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Nysa, Puola, 48-300
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Ostrowiec Swietokrzyski, Puola, 27-400
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Oswiecim, Puola, 32-600
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Polanica-Zdroj, Puola, 57-320
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Pulawy, Puola, 24-100
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Radom, Puola, 26-617
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Sanok, Puola, 38-500
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Stalowa Wola, Puola, 37-450
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Starogard Gdanski, Puola, 82-200
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Tarnow, Puola, 33-100
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Warsaw, Puola, 04-628
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Wejherowo, Puola, 84-200
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Wroclaw, Puola, 53-114
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Bastia, Ranska, 20600
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Bron, Ranska, 69500
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Caluire Et Cuire, Ranska, 69300
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Cannes Cedex, Ranska, 06401
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Chateauroux, Ranska, 36019
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Corbeil Essonnes, Ranska, 91106
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Lagny Sur Marne, Ranska, 77405
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Le Coudray, Ranska, 28630
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Lille, Ranska, 59037
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Lyon, Ranska, 69317
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Marseille, Ranska, 13015
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Metz, Ranska, 57085
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Metz Tessy, Ranska, 74370
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Montauban, Ranska, 82017
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Montreuil, Ranska, 93105
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Nimes, Ranska, 30029
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Paris, Ranska, 75743
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Pau Cedex, Ranska, 64046
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Pierre Benite, Ranska, 69495
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Rennes, Ranska, 35033
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Toulouse, Ranska, 31076
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Valence, Ranska, 26953
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Vannes, Ranska, 56017
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Vienne, Ranska, 38209
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Villeurbanne, Ranska, 69100
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Bucharest, Romania, 050098
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Targu Mures, Romania, 540136
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Goteborg, Ruotsi, 413 45
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Bad Nauheim, Saksa, 61231
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Bad Segeberg, Saksa, 23795
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Bochum, Saksa, 44791
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Bonn, Saksa, 53105
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Coburg, Saksa, 96450
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Dachau, Saksa, 85221
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Eutin, Saksa, 23701
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Frankfurt, Saksa, 60596
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Halle, Saksa, 06120
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Hamburg, Saksa, 20099
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Hannover, Saksa, 30625
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Heidelberg, Saksa, D-69120
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Jena, Saksa, 07740
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Kassel, Saksa, 34125
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Leipzig, Saksa, 04289
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Ludwigshafen, Saksa, 67063
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Mainz, Saksa, 55101
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Munich, Saksa, 80336
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Rastatt, Saksa, 76437
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Rostock, Saksa, 18057
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Villingen-Schwenningen, Saksa, 78050
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Banska Bystrica, Slovakia, 97401
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Kosice, Slovakia, 04011
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Nitra, Slovakia, 94901
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Turku, Suomi, 20521
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Adana, Turkki, 1330
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Ankara, Turkki, 06520
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Antalya, Turkki, 07070
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Fatih, Turkki, 34300
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Isparta, Turkki, 32100
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Istanbul, Turkki, 34303
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Kayseri, Turkki, 38039
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Kocaeli, Turkki, 41900
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Sisli, Turkki, 34381
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Brno, Tšekin tasavalta, 625 00
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Hradec Kralove, Tšekin tasavalta, 500 05
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Olomouc, Tšekin tasavalta, 775 20
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Plzen, Tšekin tasavalta, 30460
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Prague, Tšekin tasavalta, 169 02
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Usti Nad Labem, Tšekin tasavalta, 40113
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Balatonfured, Unkari, 8230
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Budapest, Unkari, 1096
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Pecs, Unkari, 7624
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Zalaegerszeg, Unkari, 8900
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Sisällyttämiskriteerit:
- sinulla on akuutti koronaarioireyhtymä, joka koostuu ei-ST-segmentin noususta ja kohonneesta troponiinista
- Suunniteltu sepelvaltimon angiografiaan/PCI:ään vähintään 2 ja vähemmän kuin 24 tuntia suunnitellun satunnaistamisen jälkeen, mutta enintään 48 tuntia satunnaistamisen jälkeen
- On oltava kelvollinen hoitoon prasugreelilla, aspiriinilla (ASA) ja glykoproteiini IIb/IIIa -reseptorin (GPIIb/IIIa) estäjillä vastaavien etikettien mukaisesti
- Saattaa olla klopidogreelin ylläpitoannoksella 75 mg, ja hänen on kyettävä siirtymään prasugreeliin
- Sinun on oltava kirjoilla sydämen katetrointilaboratoriossa tai sairaalassa/ambulanssissa, joka on sidoksissa sydämen katetrointilaboratoriosairaalaan
Poissulkemiskriteerit:
- ST-segmentin noususta johtuva sydäninfarkti (STEMI) sisääntulon tai satunnaistamisen yhteydessä
- Onko sinulla kardiogeeninen shokki
- Sinulla on tulenkestäviä kammiorytmihäiriöitä
- New York Heart Associationin (NYHA) luokan IV kongestiivinen sydämen vajaatoiminta (CHF)
- Heillä on ollut sydänpysähdys viikon sisällä tutkimukseen osallistumisesta tai satunnaistamisesta
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: Ei esikäsittelyä
Plasebo oraalinen kyllästysannos annetaan diagnoosin yhteydessä ja 60 milligramman (mg) oraalinen kyllästysannos prasugreelia PCI:n yhteydessä ja sen jälkeen 5 mg tai 10 mg prasugreelia suun kautta päivittäinen ylläpitoannos 30 päivän ajan.
|
Annostetaan suun kautta
Muut nimet:
Annetaan kerran suun kautta
|
|
Kokeellinen: Jaettu latausannos
30 mg:n oraalinen kyllästysannos prasugreelia annetaan diagnoosin yhteydessä ja 30 mg:n oraalinen prasugreeliannos PCI:n yhteydessä ja sen jälkeen 5 mg tai 10 mg prasugreelia suun kautta vuorokaudessa 30 päivän ajan.
|
Annostetaan suun kautta
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Niiden osallistujien prosenttiosuus, jotka kuolivat sydän- ja verisuonisairauksista (CV), sydäninfarkti (MI), aivohalvaus, kiireellinen revaskularisaatio (UR) tai glykoproteiini (GP) IIb/IIIa-inhibiittori
Aikaikkuna: Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
|
Osallistujien prosenttiosuus on CV-kuoleman, sydäninfarktin, aivohalvauksen, UR- tai GPIIb/IIIa-estäjän pelastuksen kokeneiden osallistujien kokonaismäärä jaettuna hoitoryhmän osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
|
Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Niiden osallistujien prosenttiosuus, joilla on yleiskuolema, sydäninfarkti (MI), aivohalvaus tai kaikkien sepelvaltimon ohitussiirre (CABG) ja ei-CABG-trombolyysi sydäninfarktissa (TIMI) suuri verenvuoto
Aikaikkuna: Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
|
Osallistujien prosenttiosuus on niiden osallistujien kokonaismäärä, jotka kokevat yleiskuoleman, sydäninfarktin, aivohalvauksen tai CABG:n ja ei-CABG TIMI:n suuren verenvuodon jaettuna hoitohaarassa olevien osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
|
Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
|
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Niiden osallistujien prosenttiosuus, joilla on sydän- ja verisuonitautikuolema (CV), sydäninfarkti (MI) tai aivohalvaus 30 päivän kuluttua ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
|
Osallistujien prosenttiosuus on CV-kuoleman, sydäninfarktin tai aivohalvauksen kokeneiden osallistujien kokonaismäärä jaettuna hoitoryhmän osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
|
Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
|
|
Niiden osallistujien prosenttiosuus, joilla on sydän- ja verisuoniperäinen kuolema tai sydäninfarkti (MI) 30 päivän kuluessa ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
|
Osallistujien prosenttiosuus on CV-kuoleman tai sydäninfarktin kokeneiden osallistujien kokonaismäärä jaettuna hoitoryhmän osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
|
Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Prosenttiosuus osallistujista, joilla on sydän- ja verisuonisairauksien (CV) kuolema, sydäninfarkti (MI) tai kiireellinen revaskularisaatio (UR) 30 päivän kuluessa ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
|
Osallistujien prosenttiosuus on CV-kuoleman, sydäninfarktin tai UR:n kokeneiden osallistujien kokonaismäärä jaettuna hoitoryhmän osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
|
Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Niiden osallistujien prosenttiosuus, joilla on sydän- ja verisuonisairauksien (CV) kuolleisuus 30 päivän kuluessa ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Osallistujien prosenttiosuus on CV-kuoleman kokeneiden osallistujien kokonaismäärä jaettuna hoitoryhmän osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
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Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Prosenttiosuus osallistujista, joilla on selvä tai todennäköinen stenttitromboosi (ST) Academic Research Consortium (ARC) -kriteerien mukaan 30 päivää ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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ST:n määrittämiseen käytettiin ARC-kriteerejä.
Varma ST on angiografinen tai patologinen vahvistus osittaisesta tai täydellisestä tromboottisesta tukkeutumisesta peristenttialueella ja vähintään yksi seuraavista lisäkriteereistä: akuutit iskeemiset oireet; iskeemiset elektrokardiogrammin muutokset; kohonneet sydämen biomarkkerit.
Todennäköinen ST on mikä tahansa selittämätön kuolema 30 päivän sisällä stentin istuttamisesta; mikä tahansa sydäninfarkti, joka liittyy dokumentoituun akuuttiin iskemiaan implantoidun stentin alueella ilman angiografiaa ST:n vahvistusta ja ilman muuta ilmeistä syytä.
Osallistujien prosenttiosuus on niiden osallistujien kokonaismäärä, joilla on selvä tai todennäköinen stenttitromboosi, jaettuna hoitohaarassa olevien osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
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Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Niiden osallistujien prosenttiosuus, joilla on kaikki syyt kuolleet, sydäninfarkti (MI), aivohalvaus tai kaikkien sepelvaltimon ohitussiirre (CABG) ja ei-CABG-trombolyysi sydäninfarktissa (TIMI) vakava verenvuoto 30 päivän kuluessa ensimmäisestä latausannoksesta (LD)
Aikaikkuna: Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Osallistujien prosenttiosuus on niiden osallistujien kokonaismäärä, jotka kokevat yleiskuoleman, sydäninfarktin, aivohalvauksen tai CABG:n ja ei-CABG TIMI:n suuren verenvuodon jaettuna hoitohaarassa olevien osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
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Ensimmäinen LD 30 päivää ensimmäisen LD:n jälkeen
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Muutos standardoidussa troponiinissa lähtötasosta perkutaaniseen sepelvaltimon interventioon (PCI)
Aikaikkuna: Lähtötilanne, ennen PCI:tä (ei yli 48 tuntia satunnaistamisen jälkeen)
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Standardoitu troponiini määritellään suhteeksi mitattu troponiiniarvo jaettuna normaalin ylärajalla (ULN).
Pienimmän neliösumman (LS) keskiarvot saatiin Analysis of Covariance (ANCOVA) -mallista, jossa hoito oli kiinteä vaikutus ja perustason standardoitu troponiini kovariaattina.
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Lähtötilanne, ennen PCI:tä (ei yli 48 tuntia satunnaistamisen jälkeen)
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Prosenttiosuus osallistujista, joilla oli sydäninfarktin (TIMI) suuri verenvuoto (CABG) tai ei-CABG-trombolyysi
Aikaikkuna: Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
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Osallistujien prosenttiosuus on CABG- tai ei-CABG TIMI -vakava verenvuoto kokeneiden osallistujien kokonaismäärä jaettuna hoitohaarassa olevien osallistujien lukumäärällä kerrottuna 100:lla.
Päätepistetapahtumat ratkaisi kliininen päätepistekomitea.
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Ensimmäinen latausannos (LD) 7 päivää ensimmäisen LD:n jälkeen
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Muut tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Yhteenveto kaikista syistä tapahtuvasta kuolemasta
Aikaikkuna: Satunnaistaminen 30 päivän ajan
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Clinical Endpoint Committee (CEC) arvioi kaikki kuolemat mahdollisesta sukulaisuudesta riippumatta, ja ne on raportoitu tässä taulukossa.
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Satunnaistaminen 30 päivän ajan
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Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Silvain J, Rakowski T, Lattuca B, Liu Z, Bolognese L, Goldstein P, Hamm C, Tanguay JF, Ten Berg J, Widimsky P, Miller D, Portal JJ, Collet JP, Vicaut E, Montalescot G, Dudek D; ACCOAST Investigators. Interval From Initiation of Prasugrel to Coronary Angiography in Patients With Non-ST-Segment Elevation Myocardial Infarction. J Am Coll Cardiol. 2019 Mar 5;73(8):906-914. doi: 10.1016/j.jacc.2018.11.055.
- Porto I, Bolognese L, Dudek D, Goldstein P, Hamm C, Tanguay JF, Ten Berg J, Widimsky P, Le Gall N, Zagar AJ, LeNarz LA, Miller D, Montalescot G; ACCOAST Investigators. Impact of Access Site on Bleeding and Ischemic Events in Patients With Non-ST-Segment Elevation Myocardial Infarction Treated With Prasugrel: The ACCOAST Access Substudy. JACC Cardiovasc Interv. 2016 May 9;9(9):897-907. doi: 10.1016/j.jcin.2016.01.041.
- Dudek D, Dziewierz A, Widimsky P, Bolognese L, Goldstein P, Hamm C, Tanguay JF, LeNarz L, Miller DL, Brown E, Ten Berg J, Montalescot G; ACCOAST Investigators. Impact of prasugrel pretreatment and timing of coronary artery bypass grafting on clinical outcomes of patients with non-ST-segment elevation myocardial infarction: From the A Comparison of Prasugrel at PCI or Time of Diagnosis of Non-ST-Elevation Myocardial Infarction (ACCOAST) study. Am Heart J. 2015 Nov;170(5):1025-1032.e2. doi: 10.1016/j.ahj.2015.07.017. Epub 2015 Jul 26.
- Widimsky P, Motovska Z, Bolognese L, Dudek D, Hamm C, Tanguay JF, Ten Berg J, Brown E, LeNarz L, Miller DL, Montalescot G; ACCOAST Investigators. Predictors of bleeding in patients with acute coronary syndromes treated with prasugrel. Heart. 2015 Aug;101(15):1219-24. doi: 10.1136/heartjnl-2015-307686. Epub 2015 Jun 9.
- Montalescot G, Collet JP, Ecollan P, Bolognese L, Ten Berg J, Dudek D, Hamm C, Widimsky P, Tanguay JF, Goldstein P, Brown E, Miller DL, LeNarz L, Vicaut E; ACCOAST Investigators. Effect of prasugrel pre-treatment strategy in patients undergoing percutaneous coronary intervention for NSTEMI: the ACCOAST-PCI study. J Am Coll Cardiol. 2014 Dec 23;64(24):2563-2571. doi: 10.1016/j.jacc.2014.08.053.
- Montalescot G, Bolognese L, Dudek D, Goldstein P, Hamm C, Tanguay JF, ten Berg JM, Miller DL, Costigan TM, Goedicke J, Silvain J, Angioli P, Legutko J, Niethammer M, Motovska Z, Jakubowski JA, Cayla G, Visconti LO, Vicaut E, Widimsky P; ACCOAST Investigators. Pretreatment with prasugrel in non-ST-segment elevation acute coronary syndromes. N Engl J Med. 2013 Sep 12;369(11):999-1010. doi: 10.1056/NEJMoa1308075. Epub 2013 Sep 1.
- Montalescot G, Bolognese L, Dudek D, Goldstein P, Hamm C, Tanguay JF, ten Berg J, Widimsky P, Luo J, Miller DL, Goedicke J. A comparison of prasugrel at the time of percutaneous coronary intervention or as pretreatment at the time of diagnosis in patients with non-ST-segment elevation myocardial infarction: design and rationale for the ACCOAST study. Am Heart J. 2011 Apr;161(4):650-656.e1. doi: 10.1016/j.ahj.2010.10.017. Epub 2011 Feb 25.
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- H7T-MC-TADF (Muu tunniste: Eli Lilly and Company)
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