Pitavastatin Pre-Treatment Study in Patient With Elective PCI for Stable Angina Pectoris (PIPA)
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Purpose
Patients who is scheduled elective PCI are randomized to pitavastatin 4mg daily or without pitavastatin for 5 -7days before the procedure. Creatine kinase-MB, troponin I, and myoglobin levels are measured at baseline and at 8 and 24 hours after the procedure(1st evaluation). After PCI, pitavastatin will be administered for additional 4 weeks(2nd evaluation).
| Condition | Intervention | Phase |
|---|---|---|
|
Percutaneous Coronary Intervention |
Drug: Pitavastatin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Randomized, Open Label, Comparative Study to Evaluate Effect of Pitavastatin for Reduction of Myocardial Damage in Patient Are Scheduled Elective PCI for Stable Angina Pectoris |
- Proportion of patients whose CK-MB > 2 times above UNL [ Time Frame: First evaulation time (before PCI) ] [ Designated as safety issue: No ]
- Proportion of patients who show any increase of CK-MB, troponin I, and myoglobin above UNL [ Time Frame: First evaluation time ] [ Designated as safety issue: No ]
- Mean peak values of CK-MB, troponin I and myoglobin after intervention [ Time Frame: After PCI (<24hrs) ] [ Designated as safety issue: No ]
- Change of hs-CRP, wall motion score [ Time Frame: Second evaluation time ] [ Designated as safety issue: No ]
- Occurence of all major adverse cardiac events [ Time Frame: Second evaluation time ] [ Designated as safety issue: No ]
| Enrollment: | 0 |
| Study Start Date: | August 2008 |
| Study Completion Date: | July 2010 |
| Primary Completion Date: | May 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Pitavastatin Group |
Drug: Pitavastatin
4mg daily for 5-7 days before Percutaneous Coronary Intervention(PCI) and 4mg daily for 28 days after PCI
|
| Usual Care Group |
Drug: Pitavastatin
4mg daily for 28 days after PCI
|
Detailed Description:
Procedural ischemic myocardial injury remains the most frequent complication after coronary angioplasty. Recently it was reported that pretreatment with atorvastatin reduce the myocardial damage compared to placebo. Thus, we will evaluate the difference of pretreatment of pitavastatin compared to standard therapy on the reduction of myocardial damage in patient who is scheduled elective PCI for stable angina pectoris.
Eligibility| Ages Eligible for Study: | 45 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with LDL ≥ 100mg/dL
- Patients who are scheduled an elective PCI for stable angina
Exclusion Criteria:
- Acute myocardial infarction (<3 months)
- Unstable angina
- Previous treatment with statins (<6 months)
- Increase in CK-MB above upper normal limit
- Increase in liver enzymes (AST/ALT) above 2 times of upper normal limit
- Increase in serum creatinine above 2 times of upper normal limit
- Left ventricular ejection fraction <30%
- Previous treatment with glycoprotein Ⅱb/Ⅲa receptor inhibitor (<4 weeks)
Contacts and Locations| Korea, Republic of | |
| Catholic University of Korea Kangnam St. Mary's Hospital | |
| Seoul, Korea, Republic of | |
| Principal Investigator: | Ki Bae Seung, Ph.D | Professor, Catholic University of Korea Kangnam St. Mary's Hospital located |
More Information
No publications provided
| Responsible Party: | JW Pharmaceutical |
| ClinicalTrials.gov Identifier: | NCT00786734 History of Changes |
| Other Study ID Numbers: | CWP-PTV-705 |
| Study First Received: | November 5, 2008 |
| Last Updated: | March 28, 2012 |
| Health Authority: | Korea: Food and Drug Administration |
Keywords provided by JW Pharmaceutical:
|
pitavastatin PCI stable angina |
Additional relevant MeSH terms:
|
Angina Pectoris Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Chest Pain Pain Signs and Symptoms Pitavastatin |
Hydroxymethylglutaryl-CoA Reductase Inhibitors Anticholesteremic Agents Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Enzyme Inhibitors Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013