Field Implementation of the autoRIC Device in STEMI

NCT ID: NCT03265067

Last Updated: 2019-10-02

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

NA

Total Enrollment

1622 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-04

Study Completion Date

2019-07-26

Brief Summary

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This is a "before and after" observational study of a therapeutic strategy to treat patients with confirmed ST-segment myocardial infarction (STEMI) with remote ischemic conditioning (RIC) before undergoing primary percutaneous coronary intervention (PCI). RIC is the purposeful application of brief, intermittent cycles of limb occlusion by inflation/deflation of a pneumatic cuff. The autoRIC device is an automatic RIC delivery device (the autoRICĀ® Device; CellAegis Devices Inc, Toronto, ON) that has received clearance from Health Canada for this use under the direction of a health care professional. Paramedics in the Peel and Halton regional emergency services and the Emergency department (ED) staff of Brampton Civic Hospital and Mississauga Hospital will treat patients experiencing STEMI with autoRIC, and study data will be collected from existing patient records.

The 'before' group will include up to 900 patients who were treated before autoRIC implementation in the services and hospitals. These patients would have had a STEMI and undergone PCI, but did not receive the autoRIC device. The 'after' group will include up to 900 eligible patients who have had RIC treatment with the autoRIC device at the two participating sites following implementation in the services and hospitals.

The primary analyses will compare the short-term and long-term outcomes of eligible patients who have received completed primary PCI for STEMI in the time period before the implementation and following the implementation of this RIC strategy. In addition, a health economic analysis will be conducted to determine the cost-effectiveness of the therapeutic strategy to treat STEMI patients with RIC prior to PCI.

Detailed Description

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Conditions

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ST Elevation Myocardial Infarction

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Before and after phase study
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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'Before' group

Patients who underwent primary PCI for STEMI prior to implementation of the RIC protol. These patients were not treated with the autoRIC device prior to PCI.

Group Type NO_INTERVENTION

No interventions assigned to this group

'After' group

Patients who underwent primary PCI for STEMI after implementation of the RIC protocol. These patients were treated with the autoRIC device prior to PCI.

Group Type EXPERIMENTAL

autoRIC

Intervention Type DEVICE

Application of the autoRIC device

Interventions

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autoRIC

Application of the autoRIC device

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 18 years of age and older;
* patients diagnosed with STEMI in the prehospital environment by responding paramedics from Peel Regional Paramedic Services or Halton Emergency Medical Service and transported to the PCI laboratory of Brampton Civic Hospital or Trillium Health Partners;
* walk-in patients diagnosed with STEMI in the ED of either of these two facilities.

Exclusion Criteria

* left-bundle branch block;
* Lymphedema on either arm
* PICC Line on either arm
* AV fistula or no palpable pulse on either arm;
* patient has a known bleeding disorder or known abnormality of blood flow to the left arm;
* patient has peripheral nerve injury, abnormal nerve supply, peripheral neuropathy or pre- existing traumatic injury to the limb to be treated (left-arm).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sunnybrook Health Sciences Centre

OTHER

Sponsor Role collaborator

Trillium Health Centre

OTHER

Sponsor Role collaborator

Peel Regional Paramedic Service

UNKNOWN

Sponsor Role collaborator

Halton Region Paramedic Services

OTHER

Sponsor Role collaborator

CellAegis US, Inc.

INDUSTRY

Sponsor Role collaborator

William Osler Health System

OTHER

Sponsor Role lead

Responsible Party

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Dr. Sheldon Cheskes

Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Brampton Civic Hospital

Brampton, Ontario, Canada

Site Status

The Mississauga Hospital

Mississauga, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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16-0008

Identifier Type: -

Identifier Source: org_study_id

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