A Study of Abciximab and Reteplase When Administered Prior to Catherization After a Myocardial Infarction (Finesse)

NCT ID: NCT00046228

Last Updated: 2014-07-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2461 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-08-31

Study Completion Date

2008-01-31

Brief Summary

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The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention.

Detailed Description

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The purpose of this medical research study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention. This medical research study will also help determine if the combination of abciximab and reduced dose reteplase will decrease the risk of death, and reduce complications of a heart attack at 90 days compared to abciximab alone which is a standard treatment.

Patients will receive either abciximab and reteplease or abciximab alone. Safety evaluations will be performed at specified intervals throughout the study and will consist of laboratory tests, vital signs (such as blood pressure), physical examinations and the occurrence and severity of adverse events as well as other study specific procedures. Patients will receive either abciximab and reteplease or abciximab and placebo into a vein in their arm for up to 12 hours.

Conditions

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Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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001

Abciximab; reteplase; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Group Type EXPERIMENTAL

abciximab placebo; reteplase placebo, abciximab, abciximab

Intervention Type DRUG

placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Abciximab; reteplase; abciximab placebo; abciximab

Intervention Type DRUG

0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

002

abciximab; reteplase placebo; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Group Type EXPERIMENTAL

Abciximab; reteplase; abciximab placebo; abciximab

Intervention Type DRUG

0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

abciximab; reteplase placebo; abciximab placebo; abciximab

Intervention Type DRUG

0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

003

abciximab placebo; reteplase placebo, abciximab, abciximab placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Group Type EXPERIMENTAL

abciximab; reteplase placebo; abciximab placebo; abciximab

Intervention Type DRUG

0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

abciximab placebo; reteplase placebo, abciximab, abciximab

Intervention Type DRUG

placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

Interventions

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abciximab placebo; reteplase placebo, abciximab, abciximab

placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Intervention Type DRUG

Abciximab; reteplase; abciximab placebo; abciximab

0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Intervention Type DRUG

abciximab; reteplase placebo; abciximab placebo; abciximab

0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

Intervention Type DRUG

abciximab placebo; reteplase placebo, abciximab, abciximab

placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

Intervention Type DRUG

abciximab; reteplase placebo; abciximab placebo; abciximab

0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

Intervention Type DRUG

Abciximab; reteplase; abciximab placebo; abciximab

0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who have prolonged, continuous (lasting at least 20 minutes) signs and symptoms of A heart attack not eliminated with nitrates and onset within 6 hours of randomization,and confirmation by Electrocardiogram

Exclusion Criteria

* Low risk clinical presentation
* patients who will not be undergoing a catherization within 4 hours of the qualifying Electrocardiogram
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Centocor, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Centocor, Inc. Clinical Trial

Role: STUDY_DIRECTOR

Centocor, Inc.

Locations

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Phoenix, Arizona, United States

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Covina, California, United States

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Modesto, California, United States

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Newark, Delaware, United States

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Washington D.C., District of Columbia, United States

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Clearwater, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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St. Petersburg, Florida, United States

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Tallahassee, Florida, United States

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Weston, Florida, United States

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Harvey, Illinois, United States

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Rock Island, Illinois, United States

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Lexington, Kentucky, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Lewiston, Maine, United States

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Worcester, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Pontiac, Michigan, United States

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St Louis, Missouri, United States

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Brooklyn, New York, United States

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Flushing, New York, United States

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Mineola, New York, United States

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New York, New York, United States

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Raleigh, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Akron, Ohio, United States

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Cleveland, Ohio, United States

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Dayton, Ohio, United States

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Westlake, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Hershey, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Sayre, Pennsylvania, United States

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Sellersville, Pennsylvania, United States

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Upland, Pennsylvania, United States

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Wormleysburg, Pennsylvania, United States

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York, Pennsylvania, United States

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Pawtucket, Rhode Island, United States

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Providence, Rhode Island, United States

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Spartanburg, South Carolina, United States

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Bristol, Tennessee, United States

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Kingsport, Tennessee, United States

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Amarillo, Texas, United States

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Galveston, Texas, United States

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Houston, Texas, United States

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Lubbock, Texas, United States

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Bremerton, Washington, United States

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Marshfield, Wisconsin, United States

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Waukesha, Wisconsin, United States

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Adrogué, , Argentina

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Buenos Aires, , Argentina

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Corrientes, , Argentina

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Merlo, , Argentina

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Rosario, , Argentina

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San Martín, , Argentina

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Bruck an der Mur, , Austria

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Deutschlandsberg, , Austria

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Antwerp, , Belgium

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Bonheiden, , Belgium

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Eeklo, , Belgium

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Ghent, , Belgium

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Herentals, , Belgium

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Mechelen, , Belgium

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Reet, , Belgium

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Turnhout, , Belgium

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Waregem, , Belgium

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Westmalle, , Belgium

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Dimitrovgrad, , Bulgaria

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Haskovo, , Bulgaria

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Plovdiv, , Bulgaria

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Sofia, , Bulgaria

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Edmonton, Alberta, Canada

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Montreal, Quebec, Canada

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Repentigny, Quebec, Canada

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Benesov U Prahy, , Czechia

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Bílovec, , Czechia

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Boskovice, , Czechia

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Brno, , Czechia

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Bruntál, , Czechia

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Čáslav, , Czechia

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České Budějovice, , Czechia

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Český Krumlov, , Czechia

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Havíøov 1, , Czechia

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Hodonín, , Czechia

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Hradec Králové, , Czechia

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Hranice, , Czechia

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Jeseník, , Czechia

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Jičín, , Czechia

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Jihlava, , Czechia

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Karniva-Ray N/A, , Czechia

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Kyjov, , Czechia

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Most, , Czechia

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Nový Jičín, , Czechia

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Odry, , Czechia

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Olomouc, , Czechia

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Ostrava, , Czechia

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Písek, , Czechia

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Poruba, , Czechia

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Prague, , Czechia

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Praha 10 N/A, , Czechia

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Prostějov, , Czechia

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Přerov, , Czechia

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Strakonice, , Czechia

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Svitavy, , Czechia

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Šumperk, , Czechia

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Tábor, , Czechia

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Teplice, , Czechia

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Trutnov, , Czechia

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Tøebíè 1, , Czechia

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Tøinec 1, , Czechia

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Ústí nad Labem, , Czechia

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Ústí nad Orlicí, , Czechia

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Valašské Meziříčí, , Czechia

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Vyškov, , Czechia

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Znojmo, , Czechia

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Esbjerg, , Denmark

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Frederikshavn, , Denmark

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Hjÿrring N/A, , Denmark

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Horsens, , Denmark

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Kÿbenhavn Nv N/A, , Denmark

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Kÿbenhavn Sud N/A, , Denmark

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Kÿbenhavn Ÿ, , Denmark

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Odense, , Denmark

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Randers, , Denmark

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Silkeborg, , Denmark

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Viborg, , Denmark

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Ÿlborg, , Denmark

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Ÿrhus N, , Denmark

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Besançon, , France

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Colmar, , France

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Metz, , France

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Nancy, , France

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Nancy Cedex N/A, , France

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Nîmes, , France

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Paris, , France

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Vandœuvre-lès-Nancy, , France

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Aachen, , Germany

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Bad Nauheim, , Germany

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Bad Segeberg, , Germany

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Bremen, , Germany

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Dresden, , Germany

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Eschweiler, , Germany

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Friedberg, , Germany

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Fulda, , Germany

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Hamburg, , Germany

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Kaltenkirchen, , Germany

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Magdeburg, , Germany

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Mannheim, , Germany

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Meißen, , Germany

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München, , Germany

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Münster, , Germany

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Pfaffenhofen, , Germany

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Radebeul, , Germany

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Schönebeck, , Germany

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Jerusalem, , Israel

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Ramat Gan, , Israel

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Leeuwarden, , Netherlands

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Będzin, , Poland

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Bielsko-Biala, , Poland

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Bolesławiec, , Poland

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Brzeg, , Poland

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Częstochowa, , Poland

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Gdansk, , Poland

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Gdynia Poland, , Poland

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Gliwice, , Poland

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Gmina Końskie, , Poland

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Gorlice, , Poland

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Grójec, , Poland

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Jastrzębie Zdrój, , Poland

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Katowice, , Poland

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Konin, , Poland

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Kościerzyna, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Nowy Dwor M, , Poland

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Nysa, , Poland

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Opole, , Poland

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Piotrkow Trybunalski, , Poland

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Poznan, , Poland

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Radomsko, , Poland

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Ruda Śląska, , Poland

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Skierniewice, , Poland

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Swidnica, , Poland

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Tychy, , Poland

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Ustroń, , Poland

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Warsaw, , Poland

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Warszawa Poland, , Poland

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Wroclaw, , Poland

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Zabrze, , Poland

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Żyrardów, , Poland

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Iași, , Romania

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Târgu Mureş, , Romania

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Arcadia Pretoria N/A, , South Africa

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Cape Town Western Province, , South Africa

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Roodepoort Central Gauteng, , South Africa

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Alicante, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Santander, , Spain

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Santiago de Compostela, , Spain

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Gothenburg, , Sweden

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Basel, , Switzerland

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Bruderholz, , Switzerland

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Liestal, , Switzerland

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Antrim, , United Kingdom

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Belfast, , United Kingdom

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Brighton, , United Kingdom

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Chichester, , United Kingdom

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Durham, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Middlesbrough, , United Kingdom

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Plymouth, , United Kingdom

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Portadown, , United Kingdom

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Saint Leonards-on-Sea, , United Kingdom

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Southampton, , United Kingdom

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Stockton-on-Tees, , United Kingdom

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Worthing, , United Kingdom

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Countries

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United States Argentina Austria Belgium Bulgaria Canada Czechia Denmark France Germany Israel Netherlands Poland Romania South Africa Spain Sweden Switzerland United Kingdom

References

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Ellis SG, Armstrong P, Betriu A, Brodie B, Herrmann H, Montalescot G, Neumann FJ, Smith JJ, Topol E; Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events Investigators. Facilitated percutaneous coronary intervention versus primary percutaneous coronary intervention: design and rationale of the Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events (FINESSE) trial. Am Heart J. 2004 Apr;147(4):E16. doi: 10.1016/j.ahj.2003.07.025.

Reference Type RESULT
PMID: 15077099 (View on PubMed)

Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Janssens L, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Kosmider M, Katz O, Neunteufl T, Jorgova J, Dorobantu M, Grinfeld L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008 May 22;358(21):2205-17. doi: 10.1056/NEJMoa0706816.

Reference Type RESULT
PMID: 18499565 (View on PubMed)

Montalescot G, Ellis SG, de Belder MA, Janssens L, Katz O, Pluta W, Ecollan P, Tendera M, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Armstrong P, Brodie BR, Herrmann HC, Neumann FJ, Effron MB, Lu J, Barnathan ES, Topol EJ; Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events Investigators. Enoxaparin in primary and facilitated percutaneous coronary intervention A formal prospective nonrandomized substudy of the FINESSE trial (Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events). JACC Cardiovasc Interv. 2010 Feb;3(2):203-12. doi: 10.1016/j.jcin.2009.11.012.

Reference Type DERIVED
PMID: 20170878 (View on PubMed)

Herrmann HC, Lu J, Brodie BR, Armstrong PW, Montalescot G, Betriu A, Neuman FJ, Effron MB, Barnathan ES, Topol EJ, Ellis SG; FINESSE Investigators. Benefit of facilitated percutaneous coronary intervention in high-risk ST-segment elevation myocardial infarction patients presenting to nonpercutaneous coronary intervention hospitals. JACC Cardiovasc Interv. 2009 Oct;2(10):917-24. doi: 10.1016/j.jcin.2009.06.018.

Reference Type DERIVED
PMID: 19850249 (View on PubMed)

Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Hamankiewicz M, Pluta W, Oldroyd K, Ecollan P, Janssens L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. 1-year survival in a randomized trial of facilitated reperfusion: results from the FINESSE (Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events) trial. JACC Cardiovasc Interv. 2009 Oct;2(10):909-16. doi: 10.1016/j.jcin.2009.07.009.

Reference Type DERIVED
PMID: 19850248 (View on PubMed)

Related Links

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http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=15&filename=CR005410_CSR.pdf

A Study of Abciximab and Reteplase When Administered Prior to Catheterization After a Myocardial Infarction - Finesse

Other Identifiers

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FINESSE

Identifier Type: -

Identifier Source: secondary_id

CR005410

Identifier Type: -

Identifier Source: secondary_id

CR005410

Identifier Type: -

Identifier Source: org_study_id

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