Comparison Between Iso-Osmolar and Ipo-Osmolar Contrast Agents in Patients With Acute Myocardial Infarction (AMI) Undergoing Primary Percutaneous Coronary Intervention (PCI)

NCT ID: NCT00827788

Last Updated: 2010-11-16

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

PHASE4

Total Enrollment

432 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Brief Summary

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The purpose of this study is to determine the incidence of contrast induced nephropathy and myocardial tissue reperfusion following iso-osmolar iodixanol or ipo-osmolar iopromide administration in patients with acute myocardial infarction undergoing primary PCI.

Detailed Description

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This is a multicentric randomized comparison between iso-osmolar and ipo-osmolar contrast agents in patients treated with primary PCI with the evaluation of contrast-induced nephropathy incidence and myocardial tissue reperfusion. The study was designed as a non-inferiority trial.

Conditions

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Contrast Induced Nephropathy Acute Myocardial Infarction

Keywords

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contrast media angiography percutaneous coronary intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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iodixanol

Iso-osmolar contrast medium (Iodixanol) will be administered during PCI

Group Type ACTIVE_COMPARATOR

Iodixanol

Intervention Type DRUG

Iso-osmolar contrast medium (Iodixanol) will be administered during PCI

iopromide

Low-osmolar contrast medium (Iopromide) will be administered during PCI

Group Type ACTIVE_COMPARATOR

Iopromide

Intervention Type DRUG

Low-osmolar contrast medium (Iopromide) will be administered during PCI

Interventions

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Iodixanol

Iso-osmolar contrast medium (Iodixanol) will be administered during PCI

Intervention Type DRUG

Iopromide

Low-osmolar contrast medium (Iopromide) will be administered during PCI

Intervention Type DRUG

Other Intervention Names

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Visipaque® Ultravist®

Eligibility Criteria

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Inclusion Criteria

* Men or women aged ≥ 18
* Patients with ST-elevation Myocardial Infarction presenting within 12 hours after the onset of symptoms (18 hours in case of cardiogenic shock), who are scheduled to undergo primary PCI
* Patients who have signed and dated the written informed consent form

Exclusion Criteria

* Patients in pregnancy or lactation
* Long-term dialysis
* Administration of any investigational drug within the previous 30 days
* Intra-arterial or intravenous administration of iodinated contrast medium from 7 days before to 72 hours after the administration of study drug
* Intake of any nephrotoxic medications 24 hours before or after the administration of study drug
* Contraindications to the study drug or the cardiac catheterization procedure
* Previous participation in this study
* As the discretion of the investigator, the patient has any conditions not appropriate to the usage of iodinated contrast agent or not appropriate to undergo cardiac catheterization procedure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale Le Scotte

OTHER

Sponsor Role collaborator

Ospedale della Misericordia - Grosseto

UNKNOWN

Sponsor Role collaborator

Ospedale San Donato

OTHER

Sponsor Role lead

Responsible Party

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Ospedale SanDonato

Principal Investigators

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Leonardo Bolognese, MD, FESC

Role: PRINCIPAL_INVESTIGATOR

Ospedale SanDonato

Locations

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Cardiovascular Department, Ospedale S.Donato

Arezzo, AR, Italy

Site Status

Countries

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Italy

References

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Bolognese L, Falsini G, Grotti S, Limbruno U, Liistro F, Carrera A, Angioli P, Picchi A, Ducci K, Pierli C. The contrast media and nephrotoxicity following coronary revascularization by primary angioplasty for acute myocardial infarction study: design and rationale of the CONTRAST-AMI study. J Cardiovasc Med (Hagerstown). 2010 Mar;11(3):199-206. doi: 10.2459/JCM.0b013e32833186a4.

Reference Type DERIVED
PMID: 19829124 (View on PubMed)

Other Identifiers

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EUDRACT 2008-008491-13

Identifier Type: -

Identifier Source: secondary_id

Arezzo001

Identifier Type: -

Identifier Source: org_study_id