NCT00168792

Brief Summary

To show whether addition of thrombolytic treatment by a single bolus injection of tenecteplase prior to early standard PCI (percutaneous coronary intervention) will improve the clinical outcome in patients with large acute myocardial infarcts as compared to primary PCI alone.

Trial Health

53
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,671

participants targeted

Target at P75+ for phase_4

Geographic Reach
18 countries

176 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2003

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

September 9, 2005

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 15, 2005

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2006

Completed
Last Updated

October 29, 2013

Status Verified

October 1, 2013

Enrollment Period

2.7 years

First QC Date

September 9, 2005

Last Update Submit

October 28, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • Death or cardiogenic shock or congestive heart failure within 90 days

    90 days

Secondary Outcomes (14)

  • Death or cardiogenic shock or congestive heart failure within 30 days

    30 days

  • Cardiogenic shock or congestive heart failure within 90 days

    90 days

  • Death

    90 days

  • Cardiogenic shock

    90 days

  • Reinfarction

    90 days

  • +9 more secondary outcomes

Interventions

PCIPROCEDURE

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients giving informed consent
  • Patients with a large acute myocardial infarction randomised within 6 hours of symptom onset
  • Patients scheduled to undergo primary PCI
  • Patients reaching the cath lab not before 60 min and not later than 3 hours after randomisation
  • (Otherwise the patients fulfill the usual selection criteria for thrombolytic treatment and PCI)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (176)

Boehringer Ingelheim Investigational Site

Little Rock, Arkansas, United States

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Boehringer Ingelheim Investigational Site

Fort Lauderdale, Florida, United States

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Boehringer Ingelheim Investigational Site

St. Petersburg, Florida, United States

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Boehringer Ingelheim Investigational Site

Tampa, Florida, United States

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Boehringer Ingelheim Investigational Site

Macan, Georgia, United States

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Boehringer Ingelheim Investigational Site

Detroit, Michigan, United States

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Boehringer Ingelheim Investigational Site

Omaha, Nebraska, United States

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Boehringer Ingelheim Investigational Site

Providence, Rhode Island, United States

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Boehringer Ingelheim Investigational Site

Feldkirch, Austria

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Boehringer Ingelheim Investigational Site

Sankt Pölten, Austria

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Boehringer Ingelheim Investigational Site

Vienna, Austria

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Boehringer Ingelheim Investigational Site

Wiener Neustadt, Austria

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Boehringer Ingelheim Investigational Site

Aalst, Belgium

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Boehringer Ingelheim Investigational Site

Anderlecht, Belgium

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Boehringer Ingelheim Investigational Site

Angleur, Belgium

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Boehringer Ingelheim Investigational Site

Antwerp, Belgium

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Boehringer Ingelheim Investigational Site

Bonheiden, Belgium

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Boehringer Ingelheim Investigational Site

Bouge, Belgium

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Boehringer Ingelheim Investigational Site

Bruges, Belgium

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Boehringer Ingelheim Investigational Site

Brussels, Belgium

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Boehringer Ingelheim Investigational Site

Charleroi, Belgium

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Boehringer Ingelheim Investigational Site

Genk, Belgium

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Boehringer Ingelheim Investigational Site

Ghent, Belgium

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Boehringer Ingelheim Investigational Site

Gilly, Belgium

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Boehringer Ingelheim Investigational Site

Huy, Belgium

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Boehringer Ingelheim Investigational Site

La Louvière, Belgium

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Boehringer Ingelheim Investigational Site

Leuven, Belgium

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Boehringer Ingelheim Investigational Site

Liège, Belgium

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Boehringer Ingelheim Investigational Site

Namur, Belgium

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Boehringer Ingelheim Investigational Site

Roeselare, Belgium

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Boehringer Ingelheim Investigational Site

Blumenau - SC, Brazil

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Boehringer Ingelheim Investigational Site

Curitiba - PR, Brazil

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Boehringer Ingelheim Investigational Site

Marília - SP, Brazil

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Boehringer Ingelheim Investigational Site

Passo Fundo - RS, Brazil

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Boehringer Ingelheim Investigational Site

Porto Alegre - RS, Brazil

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Boehringer Ingelheim Investigational Site

São Paulo - SP, Brazil

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Boehringer Ingelheim Investigational Site

Victoria, British Columbia, Canada

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Boehringer Ingelheim Investigational Site

Greater Sudbury, Ontario, Canada

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Boehringer Ingelheim Investigational Site

Saint-Foy, Ontario, Canada

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Boehringer Ingelheim Investigational Site

Montreal, Quebec, Canada

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Boehringer Ingelheim Investigational Site

Regina, Saskatchewan, Canada

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Boehringer Ingelheim Investigational Site

Saskatoon, Saskatchewan, Canada

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Boehringer Ingelheim Investigational Site

Pardubice, Czechia

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Boehringer Ingelheim Investigational Site

Prague, Czechia

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Boehringer Ingelheim Investigational Site

Prague 4-Krc, Czechia

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Boehringer Ingelheim Investigational Site

Aulnay-sous-Bois, France

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Boehringer Ingelheim Investigational Site

Brest, France

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Boehringer Ingelheim Investigational Site

Caen, France

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Boehringer Ingelheim Investigational Site

Châteauroux, France

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Boehringer Ingelheim Investigational Site

Clermont-Ferrand, France

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Boehringer Ingelheim Investigational Site

Colmar, France

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Boehringer Ingelheim Investigational Site

Créteil, France

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Boehringer Ingelheim Investigational Site

Lille, France

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Boehringer Ingelheim Investigational Site

Lorient, France

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Boehringer Ingelheim Investigational Site

Lyon, France

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Boehringer Ingelheim Investigational Site

Marseille, France

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Boehringer Ingelheim Investigational Site

Massy, France

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Boehringer Ingelheim Investigational Site

Metz, France

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Boehringer Ingelheim Investigational Site

Montfermeil, France

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Boehringer Ingelheim Investigational Site

Montpellier, France

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Boehringer Ingelheim Investigational Site

Nice, France

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Boehringer Ingelheim Investigational Site

Nîmes, France

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Boehringer Ingelheim Investigational Site

Paris, France

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Boehringer Ingelheim Investigational Site

Perpignan, France

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Boehringer Ingelheim Investigational Site

Pontoise, France

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Boehringer Ingelheim Investigational Site

Saint-Etienne, France

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Boehringer Ingelheim Investigational Site

Strasbourg, France

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Boehringer Ingelheim Investigational Site

Bad Friedrichshall, Germany

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Boehringer Ingelheim Investigational Site

Bad Kreuznach, Germany

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Boehringer Ingelheim Investigational Site

Bassum, Germany

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Boehringer Ingelheim Investigational Site

Bautzen, Germany

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Boehringer Ingelheim Investigational Site

Berlin, Germany

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Boehringer Ingelheim Investigational Site

Bingen, Germany

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Boehringer Ingelheim Investigational Site

Bonn, Germany

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Boehringer Ingelheim Investigational Site

Boppard, Germany

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Boehringer Ingelheim Investigational Site

Böblingen, Germany

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Boehringer Ingelheim Investigational Site

Bremen, Germany

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Boehringer Ingelheim Investigational Site

Cologne, Germany

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Boehringer Ingelheim Investigational Site

Dresden, Germany

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Boehringer Ingelheim Investigational Site

Fürstenfeldbruck, Germany

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Boehringer Ingelheim Investigational Site

Gransee, Germany

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Boehringer Ingelheim Investigational Site

Hamelin, Germany

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Boehringer Ingelheim Investigational Site

Heidelberg, Germany

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Boehringer Ingelheim Investigational Site

Jena, Germany

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Boehringer Ingelheim Investigational Site

Kassel, Germany

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Boehringer Ingelheim Investigational Site

Kiel, Germany

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Boehringer Ingelheim Investigational Site

Koblenz, Germany

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Boehringer Ingelheim Investigational Site

Korbach, Germany

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Boehringer Ingelheim Investigational Site

Leipzig, Germany

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Boehringer Ingelheim Investigational Site

Lichtenberg, Germany

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Boehringer Ingelheim Investigational Site

Ludwigsburg, Germany

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Boehringer Ingelheim Investigational Site

Mannheim, Germany

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Boehringer Ingelheim Investigational Site

Minden, Germany

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Boehringer Ingelheim Investigational Site

Möckmühl, Germany

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Boehringer Ingelheim Investigational Site

Mönchengladbach, Germany

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Boehringer Ingelheim Investigational Site

München, Germany

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Boehringer Ingelheim Investigational Site

Offenbach, Germany

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Boehringer Ingelheim Investigational Site

Öhringen, Germany

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Boehringer Ingelheim Investigational Site

Paderborn, Germany

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Boehringer Ingelheim Investigational Site

Ravensburg, Germany

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Boehringer Ingelheim Investigational Site

Rüdesheim am Rhein, Germany

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Boehringer Ingelheim Investigational Site

Schwalmstadt, Germany

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Boehringer Ingelheim Investigational Site

Sömmerda, Germany

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Boehringer Ingelheim Investigational Site

Wiesbaden, Germany

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Boehringer Ingelheim Investigational Site

Athens, Greece

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Boehringer Ingelheim Investigational Site

Heraklion, Greece

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Boehringer Ingelheim Investigational Site

Ioannina, Greece

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Boehringer Ingelheim Investigational Site

Nea Efkarpia/ Thessaloniki, Greece

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Boehringer Ingelheim Investigational Site

Nikaea, Piraeus, Greece

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Boehringer Ingelheim Investigational Site

Rio, Patra, Greece

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Boehringer Ingelheim Investigational Site

Thessaloniki, Greece

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Boehringer Ingelheim Investigational Site

Balatonfüred, Hungary

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Boehringer Ingelheim Investigational Site

Budapest, Hungary

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Boehringer Ingelheim Investigational Site

Debrecen, Hungary

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Boehringer Ingelheim Investigational Site

Pécs, Hungary

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Boehringer Ingelheim Investigational Site

Galway, Ireland

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Boehringer Ingelheim Investigational Site

Alessandria, Italy

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Boehringer Ingelheim Investigational Site

Bassano del Grappa, Italy

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Boehringer Ingelheim Investigational Site

Caserta, Italy

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Boehringer Ingelheim Investigational Site

Catania, Italy

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Boehringer Ingelheim Investigational Site

Cremona, Italy

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Boehringer Ingelheim Investigational Site

Florence, Italy

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Boehringer Ingelheim Investigational Site

Genova, Italy

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Boehringer Ingelheim Investigational Site

Lecce, Italy

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Boehringer Ingelheim Investigational Site

Lecco, Italy

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Boehringer Ingelheim Investigational Site

Loreto Mare (NA), Italy

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Boehringer Ingelheim Investigational Site

Mantova, Italy

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Boehringer Ingelheim Investigational Site

Massa, Italy

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Boehringer Ingelheim Investigational Site

Messina, Italy

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Boehringer Ingelheim Investigational Site

Mirano (VE), Italy

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Boehringer Ingelheim Investigational Site

Monza, Italy

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Boehringer Ingelheim Investigational Site

Novara, Italy

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Boehringer Ingelheim Investigational Site

Padua, Italy

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Boehringer Ingelheim Investigational Site

Palermo, Italy

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Boehringer Ingelheim Investigational Site

Pesaro, Italy

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Boehringer Ingelheim Investigational Site

Potenza, Italy

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Boehringer Ingelheim Investigational Site

Ravenna, Italy

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Boehringer Ingelheim Investigational Site

Rho (mi), Italy

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Boehringer Ingelheim Investigational Site

Roma, Italy

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Boehringer Ingelheim Investigational Site

Salerno, Italy

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Boehringer Ingelheim Investigational Site

San Donato Milanese, Italy

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Boehringer Ingelheim Investigational Site

Sassari, Italy

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Boehringer Ingelheim Investigational Site

Torino, Italy

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Boehringer Ingelheim Investigational Site

Udine, Italy

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Boehringer Ingelheim Investigational Site

Varese, Italy

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Boehringer Ingelheim Investigational Site

Zingonia (bg), Italy

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Boehringer Ingelheim Investigational Site

Col. Doctores, Mexico

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Boehringer Ingelheim Investigational Site

Col. Granada, Mexico

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Boehringer Ingelheim Investigational Site

Col. Magdalena de Las Salinas, Mexico

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Boehringer Ingelheim Investigational Site

Col. Sección XVI, Deleg., Mexico

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Boehringer Ingelheim Investigational Site

Col. Valle Verde, Mexico

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Boehringer Ingelheim Investigational Site

Mèxico, D.F., Mexico

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Boehringer Ingelheim Investigational Site

Bergen, Norway

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Boehringer Ingelheim Investigational Site

Oslo, Norway

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Boehringer Ingelheim Investigational Site

Katowice, Poland

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Boehringer Ingelheim Investigational Site

Katowice-Ochojec, Poland

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Boehringer Ingelheim Investigational Site

Krakow, Poland

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Boehringer Ingelheim Investigational Site

Lodz, Poland

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Boehringer Ingelheim Investigational Site

Lublin, Poland

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Boehringer Ingelheim Investigational Site

Opole, Poland

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Boehringer Ingelheim Investigational Site

Poznan, Poland

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Boehringer Ingelheim Investigational Site

Warsaw, Poland

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Boehringer Ingelheim Investigational Site

Wroclaw, Poland

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Boehringer Ingelheim Investigational Site

Zabrze, Poland

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Boehringer Ingelheim Investigational Site

Almada, Portugal

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Boehringer Ingelheim Investigational Site

Amadora, Portugal

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Boehringer Ingelheim Investigational Site

Carnaxide, Portugal

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Boehringer Ingelheim Investigational Site

Coimbra, Portugal

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Boehringer Ingelheim Investigational Site

Lisbon, Portugal

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Boehringer Ingelheim Investigational Site

Porto, Portugal

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Boehringer Ingelheim Investigational Site

Vila Nova de Gaia, Portugal

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Boehringer Ingelheim Investigational Site

Bangkok, Thailand

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Boehringer Ingelheim Investigational Site

Chiang Mai, Thailand

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Boehringer Ingelheim Investigational Site

Ankara, Turkey (Türkiye)

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Boehringer Ingelheim Investigational Site

Istanbul, Turkey (Türkiye)

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Boehringer Ingelheim Investigational Site

Izmir, Turkey (Türkiye)

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Related Publications (3)

  • Assessment of the Safety and Efficacy of a New Treatment Strategy with Percutaneous Coronary Intervention (ASSENT-4 PCI) investigators. Primary versus tenecteplase-facilitated percutaneous coronary intervention in patients with ST-segment elevation acute myocardial infarction (ASSENT-4 PCI): randomised trial. Lancet. 2006 Feb 18;367(9510):569-78. doi: 10.1016/S0140-6736(06)68147-6.

  • Zalewski J, Bogaerts K, Desmet W, Sinnaeve P, Berger P, Grines C, Danays T, Armstrong P, Van de Werf F. Intraluminal thrombus in facilitated versus primary percutaneous coronary intervention: an angiographic substudy of the ASSENT-4 PCI (Assessment of the Safety and Efficacy of a New Treatment Strategy with Percutaneous Coronary Intervention) trial. J Am Coll Cardiol. 2011 May 10;57(19):1867-73. doi: 10.1016/j.jacc.2010.10.061.

  • Jarai R, Huber K, Bogaerts K, Sinnaeve PR, Ezekowitz J, Ross AM, Zeymer U, Armstrong PW, Van de Werf FJ; ASSENT-4 PCI investigators. Prediction of cardiogenic shock using plasma B-type natriuretic peptide and the N-terminal fragment of its pro-hormone [corrected] concentrations in ST elevation myocardial infarction: an analysis from the ASSENT-4 Percutaneous Coronary Intervention Trial. Crit Care Med. 2010 Sep;38(9):1793-801. doi: 10.1097/CCM.0b013e3181eaaf2a.

MeSH Terms

Conditions

Myocardial Infarction

Interventions

Tenecteplase

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

Tissue Plasminogen ActivatorSerine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesPlasminogen ActivatorsBlood Coagulation FactorsBlood ProteinsProteinsAmino Acids, Peptides, and Proteins

Study Officials

  • Boehringer Ingelheim Study Coordinator

    Boehringer Ingelheim

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

September 9, 2005

First Posted

September 15, 2005

Study Start

November 1, 2003

Primary Completion

July 1, 2006

Last Updated

October 29, 2013

Record last verified: 2013-10

Locations