Rosuvastatin Pre-Treatment Influences the Risk of Coronary Intervention Study

NCT ID: NCT01378715

Last Updated: 2011-06-22

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-08-31

Brief Summary

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The aim of this study is to determine whether a pre-treatment with high-dose statin (one day prior and just before intervention, rosuvastatin 20mg/day) has a positive impact on the occurrence of periprocedural myocardial infarction during percutaneous coronary intervention (PCI).

Detailed Description

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The aim of this study is to attest whether a short-term treatment with high-dose statin (one day prior and before intervention, rosuvastatin 20mg/day) can have a positive impact over the occurrence of periprocedural myocardial infarction during percutaneous coronary intervention (PCI). Patients with stable or unstable (with negative troponin) angina pectoris receiving statins (or not, except rosuvastatin 40mg a day) therapy referred for coronary angiography and subsequently PCI will be enrolled and randomized (ratio 1:1) to pre-treatment with rosuvastatin (20mg 12 hours prior + 20mg immediately before PCI - Rosuvastatin group), or immediate PCI (control group). Serum concentration of troponin I will be measured prior to, 12 hours and 24 hours after PCI.

Power of study (200 vs 200 pts; p1 = 0.2; p2 = 0.33; alfa = 0.05, n1 = 200, n2 = 200; power 0.84).

The primary end-point will be the TnI concentration ≥ 1.5 times the ULN. The secondary end-point witl be the TnI concentration ≥ 3 times ULN.

The Cox regression model will be used to identify the predictors of primary end-points (age, diabetes, smoking, symptomatic peripheral artery disease, statin pre-treatment, level of total cholesterol, pre-treatment with clopidogrel, multi-vessel disease, unstable angina, hs-CRP, therapy with beta-blockers, treatment of complex coronary lesion).

The patient included shall fulfill all the criteria: 1) significant coronary artery stenosis or occlusion indicated for percutaneous coronary intervention and 2) signed informed consent.

The criteria excluding the inclusion in the study are: 1) positive troponin I (≥ 1 ULN), 2) previous inclusion in this study, 3) renal insufficiency, 4) chronic treatment with rosuvastatin 40mg or more, and 5) disagreement to be included in this study.

This study will be multicenter. The Motol University Hospital will participate as the project coordinator.

Conditions

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Coronary Artery Disease

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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Rosuvastatin

Patients with coronary artery disease referred for coronary angiography and subsequently PCI will be enrolled and randomized to pre-treatment with rosuvastatin (20mg 12 hours prior + 20mg immediately prior PCI).

Group Type ACTIVE_COMPARATOR

Rosuvastatin

Intervention Type DRUG

Patients with coronary artery disease referred for coronary angiography and subsequently PCI will be enrolled and randomized to pre-treatment with rosuvastatin (20mg 12 hours prior + 20mg immediately prior PCI).

Control

Patients with coronary artery disease referred for coronary angiography and subsequently PCI will be enrolled and randomized to no-pretreatment with rosuvastatin.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Rosuvastatin

Patients with coronary artery disease referred for coronary angiography and subsequently PCI will be enrolled and randomized to pre-treatment with rosuvastatin (20mg 12 hours prior + 20mg immediately prior PCI).

Intervention Type DRUG

Other Intervention Names

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Rosucard (Zentiva, Czech Republic)

Eligibility Criteria

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Inclusion Criteria

* significant coronary artery stenosis or occlusion indicated for percutaneous coronary intervention
* signed informed consent

Exclusion Criteria

* positive troponin I (≥ 1 ULN)
* previous inclusion in this study
* renal insufficiency (creatinine ≥ 200 umol/l)
* chronic treatment with rosuvastatin 40mg or more
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Motol

OTHER

Sponsor Role lead

Responsible Party

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2nd Medical School of Charles University and University Hospital Motol

Principal Investigators

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Josef Veselka, Prof., MD

Role: STUDY_CHAIR

Dpt. of Cardiology, 2nd Medical School of Charles Universty and University Hospital Motol

David Zemanek, MD

Role: STUDY_DIRECTOR

Dpt. of Cardiology, 2nd Medical School of Charles Universty and University Hospital Motol

Locations

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1st Medical Dept., Faculty of Medicine in Plzen, Charles University in Prague, University Hospital Plzen

Pilsen, , Czechia

Site Status RECRUITING

Dpt. of Cardiology, 2nd Medical School of Charles Universty and University Hospital Motol

Prague, , Czechia

Site Status RECRUITING

Dpt. of Cardiology, Hospital Podlesi

Třinec, , Czechia

Site Status RECRUITING

Eastern Slovakia Institute of Cardiovascular Diseases

Košice, , Slovakia

Site Status RECRUITING

Countries

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Czechia Slovakia

Central Contacts

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David Zemanek, MD

Role: CONTACT

+420608921566

Josef Veselka, Prof., MD

Role: CONTACT

+420224434901

Facility Contacts

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Martin Matějovič, Prof., MD

Role: primary

David Zemanek, MD

Role: primary

+420608921566

Alexandra Vodzinská, MD

Role: primary

+420558304404

Monica Jankajova, MD

Role: primary

+4210557891011

Other Identifiers

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EK-134/10

Identifier Type: -

Identifier Source: org_study_id

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