Remote Ischemic Conditioning Using the autoRIC

NCT ID: NCT03318575

Last Updated: 2018-08-31

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

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-30

Study Completion Date

2019-04-30

Brief Summary

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The purpose of the study is to evaluate the hypothesis that patients receiving remote ischemic conditioning using the autoRIC device show statistically significant reduction in the prevalence of ischemia-reperfusion injury to the myocardium as compared to patients in the autoRIC Sham device arm (within 12-24 hours post non-emergent PCI with stent implantation).

Detailed Description

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This is a multi-center, randomized, controlled single-blind clinical trial to evaluate the safety and effectiveness of the autoRIC device to attenuate myocardial injury as measured by cardiac Troponin I (cTnI) levels in patients undergoing PCI with stent implantation.

Eligible patients that are scheduled for an elective PCI, or unscheduled/non-emergent PCI, or patients scheduled for a diagnostic catheterization procedure with orders of "treat as indicated" will be enrolled in the study. Patients will undergo remote ischemic conditioning with the autoRIC device or the control procedure with the autoRIC Sham device completed ≤ 1 hour prior to balloon or stent inflation. Subjects will have measurements of cTnI levels at baseline and 4-8 and 12-24 hours post completion of the PCI procedure. Adverse events will be recorded through study exit for all patients. Patients will be exited from the study after completion of their 30-day post-procedure telephone follow-up.

Conditions

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Ischemia-Reperfusion Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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autoRIC

The autoRIC device will be used on subjects randomized to the treatment group.

Group Type EXPERIMENTAL

autoRIC

Intervention Type DEVICE

Automated Remote Ischemic Conditioning

autoRIC Sham

The autoRIC Sham device will be used on subjects randomized to the control group.

Group Type SHAM_COMPARATOR

autoRIC Sham

Intervention Type DEVICE

Automated Remote Ischemic Conditioning Sham

Interventions

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autoRIC

Automated Remote Ischemic Conditioning

Intervention Type DEVICE

autoRIC Sham

Automated Remote Ischemic Conditioning Sham

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is ≥ 18 years of age
2. Subject is scheduled for elective PCI, or unscheduled but non-emergent PCI, or diagnostic catheterization with PCI if indicated. For non-elective cases, there must be at least two troponin levels within the upper limit of normal (ULN), at least 6 hours apart prior to the index procedure
3. Subject is willing and capable of providing written informed consent
4. If the subject is a woman of childbearing potential, she must have had a negative pregnancy test within 24 hours of the study procedure

Exclusion Criteria

1. Subject requires emergency PCI (i.e., PCI for evolving or ongoing STEMI/NSTEMI)
2. Subject has an elevated troponin level (cTnI or T) \> ULN at baseline, based on lab results obtained from the treating institution
3. Subject is scheduled to undergo PCI with the use of Propofol
4. Subject has a recent history of drug treatment with potassium channel activators (e.g., Nicorandil) or potassium channel blockers (e.g., sulfonylureas) during the last 7 days prior to baseline
5. Subject had STEMI during the last 4 weeks prior to baseline. (Note: NSTEMI in the last 4 weeks prior to baseline is allowed if the baseline troponin is ≤ ULN.)
6. Underwent a CABG in the last 4 weeks prior to baseline
7. Had a PCI within the last 7 days prior to baseline
8. Subject has a life expectancy \< 6 months
9. Subject has NYHA Class IV or decompensated heart failure
10. Subject has peripheral vascular disease requiring intervention during the index hospitalization or within 4 weeks post-procedure
11. Subject has either serum creatinine \>2 times the age-appropriate upper limit of normal, a glomerular filtration rate (GFR) of \< 30 mL/min/1.73m2 or requires dialysis
12. Subject has systolic blood pressure \> 200 mmHg
13. Subject is currently being treated with systemic oral or I.V. steroids
14. Subject has a known bleeding disorder or known abnormality of blood flow to the limb to be treated
15. Subject has peripheral nerve injury, abnormal nerve supply, peripheral neuropathy or pre-existing traumatic injury to the limb to be treated
16. Subject is scheduled for a PCI procedure to treat a known Chronic Total Occlusion (CTO) lesion
17. Subject is currently participating in or is planning to participate in another investigational drug or device trial, prior to the 30-day follow-up visit. (Note: Observational studies or post-approval studies/ registries, are allowed.)
18. Planned (staged) post-index procedure intervention within 30 days (i.e., PCI of non-target lesions in any vessel or CABG). (Note: Planned revascularization (PCI or bypass) of a non-target lesion \>30 days following the index procedure is allowed.)
19. Any cardiac surgical procedure planned within 30 days post-enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CellAegis US, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roxana Mehran, MD

Role: PRINCIPAL_INVESTIGATOR

Cardiovascular Medicine Associates

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Danbury Hospital

Danbury, Connecticut, United States

Site Status RECRUITING

University of Florida Health Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Iowa Heart Center

Des Moines, Iowa, United States

Site Status RECRUITING

Henry Ford Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Henry Ford West Bloomfield Hospital

West Bloomfield, Michigan, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Southside Hospital

Bay Shore, New York, United States

Site Status RECRUITING

North Shore University Hospital

Manhasset, New York, United States

Site Status RECRUITING

Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Lenox Hill Hospital

New York, New York, United States

Site Status RECRUITING

Staten Island University Hospital

Staten Island, New York, United States

Site Status RECRUITING

Novant Health Heart and Vascular Institute

Charlotte, North Carolina, United States

Site Status RECRUITING

NC Heart and Vascular Research

Raleigh, North Carolina, United States

Site Status RECRUITING

William Osler Health System

Brampton, Ontario, Canada

Site Status RECRUITING

St. Michael's Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

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United States Canada

Central Contacts

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Vera Belaoussoff

Role: CONTACT

647-722-9601 ext. 105

Brad Solberg

Role: CONTACT

408-400-0856

Facility Contacts

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Patrick Frazier, RN

Role: primary

205-934-5774

Monica Tawadros, MPH

Role: primary

203-739-7134

Emily Green, BSN, RN

Role: primary

904-244-2794

Kassandra Seitz, BSN, RN

Role: primary

515-235-5114

Margaret Fox, RN, BSN

Role: primary

313-916-1879

Mishel Tabaku

Role: primary

248-325-0737

Lisa Lacy, RCIS

Role: primary

816-932-7528

Barbara Shannon, RN, BSN

Role: primary

631-968-3016

Ruby Garzon, RN, MSN

Role: primary

516-562-4168

Nicole Saint Vrestil, BA

Role: primary

212-241-9687

Priscilla Chu, BA

Role: primary

212-434-3362

Richie Dima, MD

Role: primary

718-226-1489

Pailing Richards, RN, BSN

Role: primary

704-264-1400

James R Pierre-Louis, MD, CRS

Role: primary

919-784-7695

James Kemp, BS

Role: primary

905-494-2120 ext. 58666

Ivana Kandic, MSc.

Role: primary

416-864-6060 ext. 6120

Other Identifiers

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CS-000002 2013-SHIELD

Identifier Type: -

Identifier Source: org_study_id

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