Measurement of Matrix Metalloproteinase Activation Post Myocardial Infarction
1 other identifier
observational
N/A
1 country
1
Brief Summary
This study is designed to look at the measurement and prediction of changes in the heart following a heart attack.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Jul 2008
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 15, 2007
CompletedFirst Posted
Study publicly available on registry
December 18, 2007
CompletedStudy Start
First participant enrolled
July 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2012
CompletedJune 23, 2016
June 1, 2016
3.1 years
December 15, 2007
June 22, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
To predict left ventricular remodeling after myocardial infarction using serum matrix metalloproteinase measurement with Tl201 SPECT/CT hybrid imaging and MRI.
1 day
Study Arms (3)
1
Left ventricular ejection fraction (LVEF) patients will be compared at two time-points, 2-5 days and 4 weeks after acute MI.
2
End-diastolic volume (LVEDV) patients will be compared at two time-points, 2-5 days and 4 weeks after acute MI.
3
End-systolic volume (LVESV) patients will be compared at two time-points, 2-5 days and 4 weeks after acute MI.
Eligibility Criteria
Patients will be recruited by a physician referral into the study. Patients will be referred to the study by the cardiologist in the cardiac catheterization lab at Yale New Haven Hospital. Patient recruitment will be limited to patients who are English speakers. Informed consent will be obtained by Dr. Albert Sinusas, MD.
You may qualify if:
- Diagnosis of acute myocardial infarction characterized by (1) greater than 30 minutes of chest pain; (2) ST elevation in 2 contiguous leads greater than 2mV; and (3) elevated serum markers greater than three times the normal value.
- Males or females 18 years of age or older.
- Adequate intravenous access in one arm.
- Willing to comply with the requirements of the protocol.
- Provided written informed consent to participate in the study.
You may not qualify if:
- History of significant co-morbidity requiring hospitalization separate from acute myocardial infarction (i.e. metastatic cancer).
- History of/current structural heart disease.
- Arrhythmia
- History of previous myocardial infarction
- History of coronary revascularization
- Cardiogenic shock
- Hypotension
- Renal failure (creatinine \>2mg/dl) or hyperkalemia (serum potassium \> 5.5mg/dl)
- History of allergic reaction to gadolinium
- Contraindication to undergo MR imaging (pacemaker, metallic implants, etc)
- History of claustrophobia
- Pregnant or breast-feeding, or (if pre-menopausal), not practicing acceptable method of birth control.
- History of any other conditions, which in the judgment of the investigator, are likely to hinder or confuse study conduct or to pose a safety concern to the patient.
- Resting HR \>110
- Chronic tetracycline or doxycycline use
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yale Universitylead
Study Sites (1)
Yale New Haven Hospital
New Haven, Connecticut, 06520, United States
Related Publications (26)
Lindsey ML. MMP induction and inhibition in myocardial infarction. Heart Fail Rev. 2004 Jan;9(1):7-19. doi: 10.1023/B:HREV.0000011390.44039.b7.
PMID: 14739764BACKGROUNDCohn JN, Ferrari R, Sharpe N. Cardiac remodeling--concepts and clinical implications: a consensus paper from an international forum on cardiac remodeling. Behalf of an International Forum on Cardiac Remodeling. J Am Coll Cardiol. 2000 Mar 1;35(3):569-82. doi: 10.1016/s0735-1097(99)00630-0.
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PMID: 12771000BACKGROUNDKai H, Ikeda H, Yasukawa H, Kai M, Seki Y, Kuwahara F, Ueno T, Sugi K, Imaizumi T. Peripheral blood levels of matrix metalloproteases-2 and -9 are elevated in patients with acute coronary syndromes. J Am Coll Cardiol. 1998 Aug;32(2):368-72. doi: 10.1016/s0735-1097(98)00250-2.
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PMID: 12505230BACKGROUNDSpinale FG. Matrix metalloproteinases: regulation and dysregulation in the failing heart. Circ Res. 2002 Mar 22;90(5):520-30. doi: 10.1161/01.res.0000013290.12884.a3.
PMID: 11909815BACKGROUNDMukherjee R, Brinsa TA, Dowdy KB, Scott AA, Baskin JM, Deschamps AM, Lowry AS, Escobar GP, Lucas DG, Yarbrough WM, Zile MR, Spinale FG. Myocardial infarct expansion and matrix metalloproteinase inhibition. Circulation. 2003 Feb 4;107(4):618-25. doi: 10.1161/01.cir.0000046449.36178.00.
PMID: 12566376BACKGROUNDDucharme A, Frantz S, Aikawa M, Rabkin E, Lindsey M, Rohde LE, Schoen FJ, Kelly RA, Werb Z, Libby P, Lee RT. Targeted deletion of matrix metalloproteinase-9 attenuates left ventricular enlargement and collagen accumulation after experimental myocardial infarction. J Clin Invest. 2000 Jul;106(1):55-62. doi: 10.1172/JCI8768.
PMID: 10880048BACKGROUNDCreemers EE, Davis JN, Parkhurst AM, Leenders P, Dowdy KB, Hapke E, Hauet AM, Escobar PG, Cleutjens JP, Smits JF, Daemen MJ, Zile MR, Spinale FG. Deficiency of TIMP-1 exacerbates LV remodeling after myocardial infarction in mice. Am J Physiol Heart Circ Physiol. 2003 Jan;284(1):H364-71. doi: 10.1152/ajpheart.00511.2002. Epub 2002 Sep 26.
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PMID: 16126817BACKGROUNDSu H, Spinale FG, Dobrucki LW, Song J, Hua J, Sweterlitsch S, Dione DP, Cavaliere P, Chow C, Bourke BN, Hu XY, Azure M, Yalamanchili P, Liu R, Cheesman EH, Robinson S, Edwards DS, Sinusas AJ. Noninvasive targeted imaging of matrix metalloproteinase activation in a murine model of postinfarction remodeling. Circulation. 2005 Nov 15;112(20):3157-67. doi: 10.1161/CIRCULATIONAHA.105.583021. Epub 2005 Nov 7.
PMID: 16275862BACKGROUNDHigo S, Uematsu M, Yamagishi M, Ishibashi-Ueda H, Awata M, Morozumi T, Ohara T, Nanto S, Nagata S. Elevation of plasma matrix metalloproteinase-9 in the culprit coronary artery in patients with acute myocardial infarction: clinical evidence from distal protection. Circ J. 2005 Oct;69(10):1180-5. doi: 10.1253/circj.69.1180.
PMID: 16195613BACKGROUNDHojo Y, Ikeda U, Katsuki Ta, Mizuno O, Fujikawa H, Shimada K. Matrix metalloproteinase expression in the coronary circulation induced by coronary angioplasty. Atherosclerosis. 2002 Mar;161(1):185-92. doi: 10.1016/s0021-9150(01)00615-3.
PMID: 11882331BACKGROUNDHojo Y, Ikeda U, Ueno S, Arakawa H, Shimada K. Expression of matrix metalloproteinases in patients with acute myocardial infarction. Jpn Circ J. 2001 Feb;65(2):71-5. doi: 10.1253/jcj.65.71.
PMID: 11216828BACKGROUNDSundstrom J, Evans JC, Benjamin EJ, Levy D, Larson MG, Sawyer DB, Siwik DA, Colucci WS, Sutherland P, Wilson PW, Vasan RS. Relations of plasma matrix metalloproteinase-9 to clinical cardiovascular risk factors and echocardiographic left ventricular measures: the Framingham Heart Study. Circulation. 2004 Jun 15;109(23):2850-6. doi: 10.1161/01.CIR.0000129318.79570.84. Epub 2004 Jun 1.
PMID: 15173025BACKGROUNDSundstrom J, Evans JC, Benjamin EJ, Levy D, Larson MG, Sawyer DB, Siwik DA, Colucci WS, Wilson PW, Vasan RS. Relations of plasma total TIMP-1 levels to cardiovascular risk factors and echocardiographic measures: the Framingham heart study. Eur Heart J. 2004 Sep;25(17):1509-16. doi: 10.1016/j.ehj.2004.05.029.
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PMID: 12824721BACKGROUNDWebb CS, Bonnema DD, Ahmed SH, Leonardi AH, McClure CD, Clark LL, Stroud RE, Corn WC, Finklea L, Zile MR, Spinale FG. Specific temporal profile of matrix metalloproteinase release occurs in patients after myocardial infarction: relation to left ventricular remodeling. Circulation. 2006 Sep 5;114(10):1020-7. doi: 10.1161/CIRCULATIONAHA.105.600353. Epub 2006 Aug 21.
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PMID: 15713695BACKGROUNDBucciarelli-Ducci C, Wu E, Lee DC, Holly TA, Klocke FJ, Bonow RO. Contrast-enhanced cardiac magnetic resonance in the evaluation of myocardial infarction and myocardial viability in patients with ischemic heart disease. Curr Probl Cardiol. 2006 Feb;31(2):128-68. doi: 10.1016/j.cpcardiol.2005.10.002. No abstract available.
PMID: 16413381BACKGROUNDSoejima H, Ogawa H, Sakamoto T, Miyamoto S, Kajiwara I, Kojima S, Hokamaki J, Sugiyama S, Yoshimura M, Suefuji H, Miyao Y, Fujimoto K, Miyagi H, Kishikawa H. Increased serum matrix metalloproteinase-1 concentration predicts advanced left ventricular remodeling in patients with acute myocardial infarction. Circ J. 2003 Apr;67(4):301-4. doi: 10.1253/circj.67.301.
PMID: 12655159BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Albert J Sinusas, MD
Yale University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 15, 2007
First Posted
December 18, 2007
Study Start
July 1, 2008
Primary Completion
August 1, 2011
Study Completion
August 1, 2012
Last Updated
June 23, 2016
Record last verified: 2016-06