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.
研究概览
地位
研究类型
注册 (预期的)
阶段
- 第四阶段
联系人和位置
学习地点
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Gothenburg、瑞典、41345
- 招聘中
- Department of Cardiology, Sahlgrenska University Hospital
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接触:
- Berglind Libungan, MD
- 电话号码:+46313421000
- 邮箱:berglind.libungan@vgregion.se
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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无干预:Conservative therapy
Optimized medical therapy
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实验性的: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
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
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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).
大体时间:1 year
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1 year
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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Number of participants with major bleeding
大体时间:1 month
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1 month
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Number of participants with major adverse cardiac or cerebral event
大体时间:1 month
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1 month
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Number of participants with minor bleeding
大体时间:1 month
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1 month
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Number of participants with composite of cardiac death or myocardial infarction
大体时间: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
大体时间:1 year
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1 year
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Change from baseline of participants level of angina pectoris at 12 months
大体时间:12 months
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12 months
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Number of participants dead (all cause mortality)
大体时间:1 year
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1 year
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合作者和调查者
调查人员
- 首席研究员:Per A Albertsson, PhD、Sahlgrenska University Hospital, Sweden
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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