NCT00769366

Brief Summary

Psychosocial factors play an important role in the pathophysiology of acute myocardial infarction (AMI), but it is not known if psychotherapy is beneficial after the contemporary treatment of AMI consisting of medical and interventional therapy. The investigators have designed a randomized, controlled study to assess the effects of short-term psychotherapy (STP) on the clinical outcomes of patients who have undergone an emergency percutaneous coronary intervention (PCI) post-AMI.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
101

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jun 2005

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

June 2, 2005

Completed
3.4 years until next milestone

First Submitted

Initial submission to the registry

October 7, 2008

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 9, 2008

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2011

Completed
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2016

Completed
Last Updated

May 2, 2017

Status Verified

April 1, 2017

Enrollment Period

6.4 years

First QC Date

October 7, 2008

Last Update Submit

April 28, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • The cumulative incidence of new cardiological events and the occurrence of new medical pathologies

    5 years

Secondary Outcomes (1)

  • Incidence of re-hospitalisations

    5 years

Study Arms (2)

Psychotherapy

EXPERIMENTAL

Psychotherapy and medical therapy

Behavioral: Psychotherapy

Control

ACTIVE COMPARATOR

Optimal medical therapy

Drug: Medical therapy

Interventions

PsychotherapyBEHAVIORAL

humanistic-existential psychotherapy conducted in individual and group meetings

Psychotherapy

Optimal medical therapy after Acute myocardial infarction

Control

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients admitted to San Filippo Neri Hospital for AMI and treated with primary or urgent PCI.
  • Primary PTCA is performed up to 12 hours after the beginning of chest pain in cases of STEMI, while patients with NSTEMI are enrolled if urgent PTCA is being performed within 48 hours of the onset of chest pain.
  • Only patients in whom complete revascularization is achieved are being enrolled in the study.

You may not qualify if:

  • Patients with psychiatric disorders or disability, cognitive impairment, or other life-threatening conditions are being excluded from the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

San filippo Neri Hospital

Rome, 00135, Italy

Location

Related Publications (2)

  • Pristipino C, Roncella A, Pasceri V, Speciale G. Short-TErm Psychotherapy IN Acute Myocardial Infarction (STEP-IN-AMI) Trial: Final Results. Am J Med. 2019 May;132(5):639-646.e5. doi: 10.1016/j.amjmed.2018.12.025. Epub 2019 Jan 17.

  • Roncella A, Pristipino C, Cianfrocca C, Scorza S, Pasceri V, Pelliccia F, Denollet J, Pedersen SS, Speciale G. One-year results of the randomized, controlled, short-term psychotherapy in acute myocardial infarction (STEP-IN-AMI) trial. Int J Cardiol. 2013 Dec 10;170(2):132-9. doi: 10.1016/j.ijcard.2013.08.094. Epub 2013 Sep 8.

MeSH Terms

Interventions

PsychotherapyNutrition Therapy

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and ActivitiesTherapeutics

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Head of Research and Training section, Interventional Cardiology Unit

Study Record Dates

First Submitted

October 7, 2008

First Posted

October 9, 2008

Study Start

June 2, 2005

Primary Completion

November 1, 2011

Study Completion

November 1, 2016

Last Updated

May 2, 2017

Record last verified: 2017-04

Locations