Trial Outcomes & Findings for Early Versus Delayed Timing of Intervention in Patients With Acute Coronary Syndromes (NCT NCT00552513)

NCT ID: NCT00552513

Last Updated: 2022-04-21

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

3031 participants

Primary outcome timeframe

180 days

Results posted on

2022-04-21

Participant Flow

Participant milestones

Participant milestones
Measure
Early
Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) as soon as possible (within 24 hours of randomisation).
Delayed
Delayed intervention: Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) any time after 36 hours after randomisation.
Overall Study
STARTED
1593
1438
Overall Study
COMPLETED
1588
1437
Overall Study
NOT COMPLETED
5
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Early
Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) as soon as possible (within 24 hours of randomisation).
Delayed
Delayed intervention: Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) any time after 36 hours after randomisation.
Overall Study
Lost to Follow-up
5
1

Baseline Characteristics

Early Versus Delayed Timing of Intervention in Patients With Acute Coronary Syndromes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early
n=1593 Participants
Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) as soon as possible (within 24 hours of randomisation).
Delayed
n=1438 Participants
Delayed intervention: Coronary angiography and intervention (either percutaneous coronary intervention \[PCI\] or coronary artery bypass graft \[CABG\] surgery) any time after 36 hours after randomisation.
Total
n=3031 Participants
Total of all reporting groups
Age, Customized
Age
65.1 years
STANDARD_DEVIATION 0 • n=5 Participants
65.8 years
STANDARD_DEVIATION 0 • n=7 Participants
65.5 years
STANDARD_DEVIATION 0 • n=5 Participants
Sex: Female, Male
Female
554 Participants
n=5 Participants
498 Participants
n=7 Participants
1052 Participants
n=5 Participants
Sex: Female, Male
Male
1039 Participants
n=5 Participants
940 Participants
n=7 Participants
1979 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 180 days

Population: All patients were included in the final intention-to-treat analysis. Event rates in the two groups were estimated with the use of the Kaplan-Meier method. The hazard ratio and two-sided 95% confidence intervals were calculated with the use of a Cox proportional-hazards model.

Outcome measures

Outcome measures
Measure
Early Intervention
n=1593 Participants
Coronary angiography to be performed as rapidly as possible and within 24 hours after randomization
Delayed Intervention
n=1438 Participants
Coronary angiography to be performed after a minimum delay of 36 hours after randomization
Composite of Death, Myocardial (re-) Infarction, or Stroke
153 participants
Interval 0.68 to 1.06
163 participants
Interval 0.68 to 1.06

SECONDARY outcome

Timeframe: 180 days

Outcome measures

Outcome measures
Measure
Early Intervention
n=1593 Participants
Coronary angiography to be performed as rapidly as possible and within 24 hours after randomization
Delayed Intervention
n=1438 Participants
Coronary angiography to be performed after a minimum delay of 36 hours after randomization
First Occurrence of Any Component of the Composite of Death, MI, or Refractory Ischemia
151 participants
186 participants

SECONDARY outcome

Timeframe: 180 days

Outcome measures

Outcome measures
Measure
Early Intervention
n=1593 Participants
Coronary angiography to be performed as rapidly as possible and within 24 hours after randomization
Delayed Intervention
n=1438 Participants
Coronary angiography to be performed after a minimum delay of 36 hours after randomization
Composite of Death, MI, Stroke, Refractory Ischemia or Repeat Revascularization at 180 Days
264 Eparticipants
280 Eparticipants

SECONDARY outcome

Timeframe: 180 days

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 180 days

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Hospital discharge

Outcome measures

Outcome data not reported

Adverse Events

Early

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Delayed

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

TIMACS Project Office

Population Health Research Institute

Phone: 19055244322

Results disclosure agreements

  • Principal investigator is a sponsor employee PHRI agreements may vary with individual investigators, but will not prohibit any investigator from publishing. PHRI supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER