Remote Ischaemic Postconditioning in the Clinical Setting of NSTEACS and Urgent PCI
A Study Investigating the Cardioprotective Benefits of Remote Ischaemic Postconditioning in Patients Presenting With Non ST Elevation Acute Coronary Syndromes Undergoing In-hospital Percutaneous Coronary Intervention
1 other identifier
interventional
626
0 countries
N/A
Brief Summary
This study investigates the cardioprotective effect of remote ischaemic pre-/postconditioning in patients presenting with a NSTEMI/Unstable angina undergoing PCI.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2008
Longer than P75 for not_applicable
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
Study Start
First participant enrolled
June 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 8, 2017
CompletedFirst Posted
Study publicly available on registry
October 31, 2018
CompletedResults Posted
Study results publicly available
December 1, 2020
CompletedDecember 1, 2020
May 1, 2017
6.5 years
May 8, 2017
November 4, 2020
November 4, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Peri-Procedural Myocardial Injury
Peri-Procedural Myocardial Injury will be assessed by the number of patients with peak troponin-T\>3x 99th percentile upper reference limit
24 hours post PCI
Study Arms (2)
Remote Conditioning group
ACTIVE COMPARATORPatients will receive a standard remote ischaemia preconditioning protocol comprising a blood pressure cuff placed on arm and inflated to 200mmHg for 5 minutes and then deflated for 5 minutes, a cycle repeated three times, prior to the PCI procedure.
Control Group
PLACEBO COMPARATORPatients will receive a standard sham remote ischaemia preconditioning protocol with an un-inflated cuff be placed on the arm in this group of patients for 30 minutes. This is the sham intervention for this group.
Interventions
A Blood pressure cuff will be placed on the arm and inflated to 200mm hg for 5 minutes, and then deflated for 5 minutes, a cycle repeated 3 times.
An un-inflated blood pressure cuff will be placed on the arm for 20 minutes.
Eligibility Criteria
You may qualify if:
- Patients admitted with NSTEMI/ Unstable angina undergoing percutaneous intervention
You may not qualify if:
- Known renal failure
- Known liver disease
- Peripheral vascular disease involving upper limbs
- Inability to consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- University College London Hospitalscollaborator
- Surrey and Sussex Healthcare NHS Trustcollaborator
Results Point of Contact
- Title
- Prof Derek Hausenloy
- Organization
- University College London
Study Officials
- STUDY DIRECTOR
Derek M Yellon, PhD, FACC
University College, London
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 8, 2017
First Posted
October 31, 2018
Study Start
June 1, 2008
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
December 1, 2020
Results First Posted
December 1, 2020
Record last verified: 2017-05