Is Verapamil In TransRadial Interventions OmittabLe?

NCT ID: NCT01402427

Last Updated: 2014-06-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

591 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-08-31

Brief Summary

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Background Verapamil is traditionally applied prophylactically in transradial procedures to prevent radial artery spasm. However, verapamil may have side effects and is contraindicated in some clinical settings.

Methods: During an investigator-initiated, randomized, double-blind trial, we evaluate the need for preventive verapamil administration. After vascular access is established, patients receive either 5 mg verapamil (n=297) or placebo (n=294). We compare the rate of access site conversions as primary end point using a superiority margin of 5%. Occurrence of code breaks (composite of conversions and unplanned use of verapamil), overall verapamil use, procedural and fluoroscopic times, contrast volume, and subjective pain are investigated as secondary end points.

Detailed Description

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Conditions

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Coronary Disease Verapamil Toxicity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Verapamil

Group Type ACTIVE_COMPARATOR

Verapamil

Intervention Type DRUG

Intraarterial administration of 5 mg verapamil diluted with saline to 10 mL.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Intraarterial administration of 10 mL saline.

Interventions

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Verapamil

Intraarterial administration of 5 mg verapamil diluted with saline to 10 mL.

Intervention Type DRUG

Placebo

Intraarterial administration of 10 mL saline.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients undergoing transradial coronary angiography and/or percutaneous coronary intervention
* successful cannulation of the radial artery

Exclusion Criteria

* reduced left ventricular systolic function (LVEF\<35%)
* significant aortic stenosis
* bradycardia (\<50/min.)
* myocardial infarction complicated by cardiogenic shock and/or high grade AV block
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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State Health Center, Hungary

OTHER

Sponsor Role lead

Responsible Party

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Istvan Hizoh, MD, PhD

Senior Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Istvan Hizoh, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

State Health Center, Budapest, Hungary

Robert Gabor Kiss, MD, PhD

Role: STUDY_CHAIR

State Health Center, Budapest, Hungary

Locations

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State Health Center

Budapest, , Hungary

Site Status

Countries

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Hungary

References

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Hizoh I, Majoros Z, Major L, Gulyas Z, Szabo G, Kerecsen G, Korda A, Molnar F, Kiss RG. Need for prophylactic application of verapamil in transradial coronary procedures: a randomized trial. The VITRIOL (is Verapamil In TransRadial Interventions OmittabLe?) trial. J Am Heart Assoc. 2014 Apr 14;3(2):e000588. doi: 10.1161/JAHA.113.000588.

Reference Type RESULT
PMID: 24732918 (View on PubMed)

Other Identifiers

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SHCCARD-001

Identifier Type: -

Identifier Source: org_study_id

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