DEDICA (Dose of HEparin During Coronary Angioplasty) Trial

NCT ID: NCT01694459

Last Updated: 2012-09-27

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

PHASE4

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-12-31

Brief Summary

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International guidelines support the use of a full-dose heparin (anticoagulants) during coronary intervention. However, a lower dose of heparin may be adequate, thanks to advances in angioplasty techniques and the widespread use of pretreatment with two antiplatelet agents.

Thus the investigators designed a study comparing safety and efficacy of standard dose heparin (100 UI/Kg) versus low-dose (50 UI/Kg) in patients undergoing coronary angioplasty who are on aspirin and clopidogrel at the time of the procedure.

Detailed Description

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* Patients undergoing coronary angioplasty will be randomised to standard vs. low-dose heparin. the study will include "all-comers" (patients with either stable angina or acute coronary syndromes); only patients with ST-elevation myocardial infarction will be excluded.
* An ACT (activated clotting time) will be performed after the initial bolus of heparin: for the standard dose group the target ACT will be \> 300 sec. (as recommended by guidelines) while for the low-dose the target ACT will be \> 180 sec.

Aim of the study is to show equivalence in ischemic events between the two doses of heparin, in order to confirm the safety of lower dose of heparin in contemporary coronary interventions.

Conditions

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Stable Angina Angina, Unstable Non-ST Elevation (NSTEMI) Myocardial Infarction

Keywords

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angioplasty heparin trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Standard dose heparin

Bolus of 100 UI/Kg of heparin. Activated clotting time (ACT) \> 300 sec. during the procedure

Group Type ACTIVE_COMPARATOR

Standard dose heparin

Intervention Type DRUG

Bolus of 100 UI/Kg of heparin at the beginning of coronary interventional procedure.

Low-dose heparin

Bolus of 50 UI/Kg heparin with a target ACT during the procedure of \>200 sec.

Group Type EXPERIMENTAL

Low-dose heparin

Intervention Type DRUG

Bolus of 50 UI/Kg of heparin at the beginning of coronary interventions

Interventions

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Low-dose heparin

Bolus of 50 UI/Kg of heparin at the beginning of coronary interventions

Intervention Type DRUG

Standard dose heparin

Bolus of 100 UI/Kg of heparin at the beginning of coronary interventional procedure.

Intervention Type DRUG

Other Intervention Names

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50 UI/Kg bolus heparin 100 Ui/Kg bolus heparin

Eligibility Criteria

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Inclusion Criteria

* Stable angina, unstable angina or Non-ST elevation myocardial infarction undergoing coronary angioplasty.
* Mandatory pretreatment with aspirin and clopidogrel

Exclusion Criteria

* ST elevation myocardial infarction
* Coronary interventions with rotational atherectomy
* Coronary interventions on chronic total occlusions (CTO)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Roma La Sapienza

OTHER

Sponsor Role collaborator

San Filippo Neri General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Vincenzo Pasceri

Attending Cardiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vincenzo Pasceri, MD

Role: STUDY_CHAIR

San Filippo Neri Hospital

Francesco Pelliccia, MD

Role: STUDY_DIRECTOR

University of Roma La Sapienza

Locations

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University of Rome La Sapienza

Rome, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Vincenzo Pasceri, MD

Role: CONTACT

Phone: +39063306

Email: [email protected]

Francesco Pelliccia, MD

Role: CONTACT

Phone: +393483392006

Email: [email protected]

Facility Contacts

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Francesco Pelliccia, MD

Role: primary

Other Identifiers

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596-2012-D

Identifier Type: -

Identifier Source: org_study_id