NCT01878669

Brief Summary

The aim of this study is to evaluate the effects of N-acetyl cysteine on periprocedural myocardial infarction and major cardiac and cerebral events in patients undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
390

participants targeted

Target at P50-P75 for phase_3 coronary-artery-disease

Timeline
7mo left

Started Jan 2013

Longer than P75 for phase_3 coronary-artery-disease

Geographic Reach
1 country

1 active site

Status
active not recruiting

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 Progress96%
Jan 2013Dec 2026

Study Start

First participant enrolled

January 1, 2013

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 26, 2013

Completed
3 months until next milestone

First Posted

Study publicly available on registry

June 17, 2013

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2017

Completed
9.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Expected
Last Updated

May 20, 2025

Status Verified

May 1, 2025

Enrollment Period

4.7 years

First QC Date

March 26, 2013

Last Update Submit

May 17, 2025

Conditions

Keywords

n-acetyl cysteinepercutaneous coronary intervention

Outcome Measures

Primary Outcomes (1)

  • periprocedural myocardial infarction

    postprocedural 3-6 h

Secondary Outcomes (2)

  • NAC side effects (Asthma exacerbation, pruritus, dyspnea)

    during hospitalization at 48 hours

  • major cardiac and cerebral events

    1 year follow-up

Study Arms (2)

saline

PLACEBO COMPARATOR

30 mg/kg/15 min intravenous bolus preprocedural and 50 mg/kg/8 h intravenous infusion during and after the procedure

Drug: Saline

n-acetyl cysteine

EXPERIMENTAL

30 mg/kg/15 min intravenous bolus preprocedural and 50 mg/kg/8 h intravenous infusion during and after the procedure

Drug: N-acetyl cysteine

Interventions

n-acetyl cysteine
SalineDRUG
saline

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients \> 18 years old undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy (Mehran Score ≥ 5)

You may not qualify if:

  • Primary percutaneous coronary intervention
  • Low risk for contrast induced nephropathy (Mehran Score \< 5)
  • Use of nephrotoxic agents (NSAIDs, aminoglycosides,recent contrast injection...)
  • Infection
  • Pregnancy, Lactation
  • Renal failure requiring dialysis
  • Hepatic failure
  • History allergy for NAC
  • History of Asthma
  • Chronic nitrate usage
  • Malignancy
  • Use of corticosteroids
  • Leukocytosis,Thrombocytosis,Anemia
  • Blood pressure of \>180/100mmHg despite anti-hypertensive therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Suleyman Demirel University

Isparta, Mediterranean Region, 32260, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

AcetylcysteineSodium Chloride

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

CysteineAmino Acids, SulfurSulfur CompoundsOrganic ChemicalsAmino AcidsAmino Acids, Peptides, and ProteinsChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Professor

Study Record Dates

First Submitted

March 26, 2013

First Posted

June 17, 2013

Study Start

January 1, 2013

Primary Completion

September 1, 2017

Study Completion (Estimated)

December 1, 2026

Last Updated

May 20, 2025

Record last verified: 2025-05

Locations