ThromboAblation in Acute Myocardial Infarction

NCT ID: NCT00650975

Last Updated: 2011-01-20

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

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2010-01-31

Brief Summary

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1. Assess whether excimer laser coronary atherectomy (ELCA) before direct infarct-related artery (IRA) stenting results in improved reperfusion success in patients presenting with acute ST wave elevation myocardial infarction (STEMI) and angiographically evident thrombus.
2. Validate an ELCA technique for the treatment of STEMI, at high-volume centers experienced in the treatment of acute myocardial infarction (AMI).

Detailed Description

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Conditions

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ST Elevation Acute Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ELCA

Laser Thromboablation

Group Type ACTIVE_COMPARATOR

Laser Thromboablation

Intervention Type DEVICE

Laser Thromboablation using the Spectranetics CVX-300® excimer laser system

PTCA

PTCA (Direct Stenting)

Group Type ACTIVE_COMPARATOR

PTCA (Direct Stenting)

Intervention Type DEVICE

Balloon predilatation or Direct Stenting using conventional techniques according to local standards and device specific instructions for use

Interventions

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Laser Thromboablation

Laser Thromboablation using the Spectranetics CVX-300® excimer laser system

Intervention Type DEVICE

PTCA (Direct Stenting)

Balloon predilatation or Direct Stenting using conventional techniques according to local standards and device specific instructions for use

Intervention Type DEVICE

Other Intervention Names

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PCI Direct Stenting

Eligibility Criteria

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Inclusion Criteria

* STEMI within 12 hours of symptom onset, with ≥ 2 mm ST segment elevation in two or more leads and minimum ≥ 3 mm ST segment elevation in one lead.


* IRA is a native coronary artery; and,
* Reference vessel diameter 2.5 - 4.0 mm; and,
* TIMI 0 or 1 flow with any TIMI thrombus grade; or,
* TIMI 2 or 3 flow with TIMI thrombus grade 3 or greater

Exclusion Criteria

* Patient unwilling or unable to give informed consent
* Previous MI in the distribution of the current IRA
* Previous CABG
* Contraindications to PCI

* allergy(s) to intended study medications
* contraindicated for stent implantation
* Active bleeding or coagulopathy
* Patient in cardiogenic shock (\<90mmHg SBP and/or requiring IABP or vasopressors)
* Known left ventricular ejection fraction (EF) \<30%
* Fibrinolytic administered before PCI
* Renal insufficiency (creatinine \>2.0mg/dl)
* Current vitamin K antagonist therapy or known INR \>1.5
* Known thrombocytopenia - platelets \<100,000 cell count
* Patient has Left Bundle Branch Block (LBBB) or pacemaker rhythm
* Known history of hemorrhagic stroke (CVA or TIA) \<2 years before screening
* Known or suspected pregnancy
* Current cancer disease
* Comorbidity where survival is anticipated to be \<1 year.
* No future patient cooperation expected
* Patient is participating in another clinical study
* Patient \<18 years of age
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spectranetics Corporation

INDUSTRY

Sponsor Role collaborator

KCRI

OTHER

Sponsor Role lead

Responsible Party

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Spectranetics Corporation

Principal Investigators

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Dariusz Dudek, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Haemodynamics and Angiocardiography Medical College Jagiellonian University University Hospital in Krakow

Locations

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Gornoslaskie Centrum Medyczne 3rd Dept of Cardiology

Katowice, , Poland

Site Status

Jagiellonian University College of Medicine, Institute of Cardiology John Paul II Hospital

Krakow, , Poland

Site Status

Department of Haemodynamics and Angiocardiography Medical College Jagiellonian University University Hospital in Krakow

Krakow, , Poland

Site Status

University Hospital No. 1 1st Dept. of Cardiology

Poznan, , Poland

Site Status

Institute of Cardiology Hemodynamics dept., Cardiac Catheterization Laboratory

Warsaw, , Poland

Site Status

Countries

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Poland

Other Identifiers

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D001747-01

Identifier Type: -

Identifier Source: org_study_id

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