Intensive Statin Treatment for STEMI Patients Undergoing Primary PCI
Recruitment status was Not yet recruiting
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Purpose
This is a retrospective, randomized, parallel, open-labeled, controlled study to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
STEMI |
Drug: atorvastatin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effect of Intensive Statin Treatment on 90-day Prognosis of STEMI Patients Undergoing Emergency Primary PCI Compared With Usual Care |
- The combined endpoint of 90-day all cause morality, cardiac death, recurrent MI, recurrent symptomatic myocardiac ischemia, target vessel revascularization [ Time Frame: 2009 Dec- 2011 Mar ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 500 |
| Study Start Date: | December 2009 |
| Estimated Study Completion Date: | June 2011 |
| Estimated Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: usual care |
Drug: atorvastatin
No loading dose of statin after enrollment, emergency PCI, atorvastatin 20mg/d and other usual medication after PCI
Other Name: Lipitor
|
| Experimental: intensive statin treatment |
Drug: atorvastatin
80mg atorvastatin immediately after enrollment, emergency PCI,atorvastatin 40mg/d and other usual medication after PCI
Other Name: Lipitor
|
Detailed Description:
ARMYDA-ACS, ARMYDA-RECAPTURE and NAPLES II demonstrated that in patients with ASP and NSTE ACS undergoing early PCI, loading dose of atorvastatin before early PCI led to a reduction of prei-PCI MI, recurrent CV events and mortality. While, theses studies included patients with non-ST-segment elevation ACS, requiring PCI; these results cannot be extrapolated directly to patients with ST-segment elevation MI, and these trials included patients sent to an early and selective PCI, but not those undergoing emergency revascularization;
This study is designed to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.
Eligibility| Ages Eligible for Study: | 20 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 20-75 years old
- myocardiac ischemia symptom of index event appeared less than 12 hours before enrollment.
- ECG showed elevated ST segment in 3 or more contiguous leads
- diagnosed with acute STEMI
- eligible for primary PCI, and primary PCI is scheduled within 2 hours after enrollment
Exclusion Criteria:
- allergic or experienced serious adverse reaction to HMG-CoA reductase
- pregnancy, lactation, or child bearing potential women without any effective contraception
- accompanied with malignant disease
- active hepatic disease or hepatic dysfunction
Contacts and Locations| Contact: Xinchun Yang, Prof. | +86 10 85231937 | yangxc@medmail.com.cn |
| China, Chaoyang | |
| Chaoyang Hospital | Not yet recruiting |
| Beijing, Chaoyang, China, 100020 | |
| Contact: Yanying Shen, Dr. 85201000 | |
| Principal Investigator: Xinchun Yang, Prof. | |
| Principal Investigator: | Xinchun Yang, Prof. | Beijing Chaoyang Hospital, China |
More Information
No publications provided
| Responsible Party: | Prof. Yang Xinchun, Beijing Chaoyang Hospital |
| ClinicalTrials.gov Identifier: | NCT01033058 History of Changes |
| Other Study ID Numbers: | CHN2009CV005 |
| Study First Received: | December 15, 2009 |
| Last Updated: | December 23, 2009 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Beijing Chao Yang Hospital:
|
STEMI atorvastatin PCI |
Additional relevant MeSH terms:
|
Atorvastatin 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 22, 2013