Shortened Aggrastat® Versus Integrilin in Percutaneous Coronary Intervention

NCT ID: NCT01522417

Last Updated: 2021-05-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

535 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2019-03-31

Brief Summary

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The purpose this study is to assess whether a tirofiban regimen of a high-dose bolus plus a shortened infusion duration compared to label-dosing eptifibatide in patients undergoing percutaneous coronary intervention (PCI) is associated with a non-inferior composite rate of death, PCI-related myocardial infarction, urgent target vessel revascularization or in-hospital major bleeding within 48 hours following PCI or hospital discharge, whichever comes first.

Detailed Description

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Conditions

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Myocardial Infarction Acute Coronary Syndromes Unstable Angina

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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Short Tirofiban (Aggrastat)

Tirofiban (Aggrastat) will be dosed as a 25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion during a PCI plus 1 to 2 hours post-PCI.

Patients will receive tirofiban (Aggrastat) on a background of dual oral anti-platelet agents and unfractionated heparin (50 U/kg and repeat dosing per protocol guidelines).

Group Type EXPERIMENTAL

Short Tirofiban

Intervention Type DRUG

25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion during a PCI plus 1 to 2 hours post-PCI.

Eptifibatide (Integrilin)

Eptifibatide (Integrilin) will be dosed as a 180 mcg/kg bolus followed by a 2.0 mcg/kg/min infusion for 12 to 18 hours, with a second 180 mcg/kg bolus 10 min after the first.

Patients will receive eptifibatide (Integrilin) on a background of dual oral anti-platelet agents and unfractionated heparin (50 U/kg and repeat dosing per protocol guidelines).

Group Type ACTIVE_COMPARATOR

Eptifibatide

Intervention Type DRUG

180 mcg/kg bolus followed by a 2.0 mcg/kg/min infusion for 12 to 18 hours, with a second 180 mcg/kg bolus 10 min after the first.

Long Tirofiban (Aggrastat)

Tirofiban (Aggrastat) will be dosed as a 25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion for 12 to 18 hours post PCI.

Patients will receive tirofiban (Aggrastat) on a background of dual oral anti-platelet agents and unfractionated heparin (50 U/kg and repeat dosing per protocol guidelines).

Group Type EXPERIMENTAL

Long Tirofiban

Intervention Type DRUG

25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion for 12 to 18 hours post-PCI.

Interventions

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Short Tirofiban

25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion during a PCI plus 1 to 2 hours post-PCI.

Intervention Type DRUG

Eptifibatide

180 mcg/kg bolus followed by a 2.0 mcg/kg/min infusion for 12 to 18 hours, with a second 180 mcg/kg bolus 10 min after the first.

Intervention Type DRUG

Long Tirofiban

25 mcg/kg i.v. bolus followed by a 0.15 mcg/kg/min i.v. infusion for 12 to 18 hours post-PCI.

Intervention Type DRUG

Other Intervention Names

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Aggrastat Integrilin Aggrastat

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years of age
* Scheduled to undergo PCI with an FDA, approved or cleared device (stent or procedures such as balloon angioplasty, rotoblation, AngioSculpt, laser atherectomy,etc.) in one or more native coronary target lesions
* Written informed consent

Exclusion Criteria

* Primary PCI for STEMI as index procedure
* Prior STEMI within 48 hours before randomization
* Prior PCI within 30 days before randomization
* Planned staged PCI within the subsequent 24 hours after index PCI
* Use of abciximab within 7 days before randomization
* Use of tirofiban or eptifibatide within 12 hours before randomization
* Use of low-molecular weight heparin within 12 hours before randomization
* Use of bivalirudin within 12 hours before randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SCRI Development Innovations, LLC

OTHER

Sponsor Role collaborator

Medicure

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steven V Manoukian, MD

Role: PRINCIPAL_INVESTIGATOR

SCRI Development Innovations, LLC

Locations

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Osceola Regional Medical Center

Kissimmee, Florida, United States

Site Status

Northside Hospital

St. Petersburg, Florida, United States

Site Status

Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

North Georgia Heart Center

Gainesville, Georgia, United States

Site Status

Redmond Regional Medical Center

Rome, Georgia, United States

Site Status

Archbold Medical Center

Thomasville, Georgia, United States

Site Status

Lenox Hill Hospital

New York, New York, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Doylestown Hospital

Doylestown, Pennsylvania, United States

Site Status

Penn Presbyterian Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Centennial Heart

Nashville, Tennessee, United States

Site Status

Chippenham Hospital

Richmond, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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Medicure 11002

Identifier Type: -

Identifier Source: org_study_id

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