Myocardial Salvage and Contrast Dye Induced Nephropathy Reduction by N-Acetylcystein

NCT ID: NCT00463749

Last Updated: 2008-07-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

251 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-31

Study Completion Date

2008-06-30

Brief Summary

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Acetylcystein is a potent antioxidans which is able to prevent contrast dye induced nephropathy in stable patients undergoing additional hydration.

In primary percutaneous intervention for infarction hydration is not possible. Therefore Acetylcystein might prevent contrast dye induced nephropathy.

Furthermore, it might reduce infarct size as a result of its antioxidant properties.

Clinical trials are missing so far examining the effects of Acetylcystein on nephropathy and infarct size.

Detailed Description

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Conditions

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Myocardial Infarction

Keywords

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primary PCI nephropathy infarct size infarction ST-elevation myocardial infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

High-dose N-Acetylcystein during percutaneous coronary intervention and for 2 days post intervention 2 x/day

Group Type ACTIVE_COMPARATOR

Acetylcystein

Intervention Type DRUG

high-dose N-Acetylcystein during PCI and for 2/day for 2 days

2

Placebo (NaCl)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

NaCl as placebo

Interventions

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Acetylcystein

high-dose N-Acetylcystein during PCI and for 2/day for 2 days

Intervention Type DRUG

Placebo

NaCl as placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ST-elevation infarction (\<12 hours)
* Angina

Exclusion Criteria

* Prior fibrinolysis
* Dialysis
* Pregnancy
* Lactase-reduction
* Glucose-galactose malabsorption
* Known allergy to acetylcystein
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Leipzig

OTHER

Sponsor Role lead

Responsible Party

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University of Leipzig - Heart Center

Principal Investigators

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Holger Thiele, MD

Role: STUDY_CHAIR

Heart Center Leipzig - University Hospital

Locations

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University of Leipzig - Heart Center

Leipzig, , Germany

Site Status

Countries

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Germany

References

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de Waha S, Eitel I, Desch S, Fuernau G, Lurz P, Stiermaier T, Blazek S, Schuler G, Thiele H. Prognosis after ST-elevation myocardial infarction: a study on cardiac magnetic resonance imaging versus clinical routine. Trials. 2014 Jun 25;15:249. doi: 10.1186/1745-6215-15-249.

Reference Type DERIVED
PMID: 24962156 (View on PubMed)

Fuernau G, Zaehringer S, Eitel I, de Waha S, Droppa M, Desch S, Schuler G, Adams V, Thiele H. Osteoprotegerin in ST-elevation myocardial infarction: prognostic impact and association with markers of myocardial damage by magnetic resonance imaging. Int J Cardiol. 2013 Sep 1;167(5):2134-9. doi: 10.1016/j.ijcard.2012.05.101. Epub 2012 Jun 15.

Reference Type DERIVED
PMID: 22704876 (View on PubMed)

Fuernau G, Eitel I, Franke V, Hildebrandt L, Meissner J, de Waha S, Lurz P, Gutberlet M, Desch S, Schuler G, Thiele H. Myocardium at risk in ST-segment elevation myocardial infarction comparison of T2-weighted edema imaging with the MR-assessed endocardial surface area and validation against angiographic scoring. JACC Cardiovasc Imaging. 2011 Sep;4(9):967-76. doi: 10.1016/j.jcmg.2011.02.023.

Reference Type DERIVED
PMID: 21920334 (View on PubMed)

Droppa M, Desch S, Blase P, Eitel I, Fuernau G, Schuler G, Adams V, Thiele H. Impact of N-acetylcysteine on contrast-induced nephropathy defined by cystatin C in patients with ST-elevation myocardial infarction undergoing primary angioplasty. Clin Res Cardiol. 2011 Nov;100(11):1037-43. doi: 10.1007/s00392-011-0338-8. Epub 2011 Jun 28.

Reference Type DERIVED
PMID: 21710343 (View on PubMed)

Eitel I, Blase P, Adams V, Hildebrand L, Desch S, Schuler G, Thiele H. Growth-differentiation factor 15 as predictor of mortality in acute reperfused ST-elevation myocardial infarction: insights from cardiovascular magnetic resonance. Heart. 2011 Apr;97(8):632-40. doi: 10.1136/hrt.2010.219543. Epub 2011 Feb 22.

Reference Type DERIVED
PMID: 21345844 (View on PubMed)

Thiele H, Hildebrand L, Schirdewahn C, Eitel I, Adams V, Fuernau G, Erbs S, Linke A, Diederich KW, Nowak M, Desch S, Gutberlet M, Schuler G. Impact of high-dose N-acetylcysteine versus placebo on contrast-induced nephropathy and myocardial reperfusion injury in unselected patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. The LIPSIA-N-ACC (Prospective, Single-Blind, Placebo-Controlled, Randomized Leipzig Immediate PercutaneouS Coronary Intervention Acute Myocardial Infarction N-ACC) Trial. J Am Coll Cardiol. 2010 May 18;55(20):2201-9. doi: 10.1016/j.jacc.2009.08.091.

Reference Type DERIVED
PMID: 20466200 (View on PubMed)

Eitel I, Nowak M, Stehl C, Adams V, Fuernau G, Hildebrand L, Desch S, Schuler G, Thiele H. Endothelin-1 release in acute myocardial infarction as a predictor of long-term prognosis and no-reflow assessed by contrast-enhanced magnetic resonance imaging. Am Heart J. 2010 May;159(5):882-90. doi: 10.1016/j.ahj.2010.02.019.

Reference Type DERIVED
PMID: 20435200 (View on PubMed)

Other Identifiers

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1111/2006

Identifier Type: -

Identifier Source: org_study_id