Clinical Study of Cardiomyopeptidin on Postoperative Ischemia-reperfusion Injury in Patients With Primary PCI
A Randomized, Single-blind, Controlled Clinical Trial of Cardiomyopeptidin Intervention in Patients With Acute ST-segment Elevation Myocardial Infarction Undergoing Direct PCI After Ischemia-reperfusion Injury
1 other identifier
interventional
160
0 countries
N/A
Brief Summary
In this study, advanced techniques of myocardial nuclear magnetic perfusion scanning were used to quantitatively assess infarct size after acute myocardial infarction, saved viable myocardium, and microcirculatory obstruction area. Objectively and quantitatively evaluate early use of cardiomyopeptidin for direct PCI of ST-segment elevation myocardial infarction. After the improvement of microcirculation and increase the intervention effect of viable myocardium.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jun 2019
Shorter than P25 for phase_4
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
April 18, 2019
CompletedFirst Posted
Study publicly available on registry
May 22, 2019
CompletedStudy Start
First participant enrolled
June 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2020
CompletedMay 22, 2019
April 1, 2019
6 months
April 18, 2019
May 19, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Myocardial infarct size
Nuclear magnetic imaging focused on the assessment of myocardial infarct size(%);
7±3 days after surgery
Secondary Outcomes (9)
Delay enhancement
7±3 days after surgery
ECG ST-T changes
"hour6", "hour12","hour24"after myocardial infarction
Heart function classification
"day6", "week4","week12","week24"after surgery
CK(ng/ml)
"hour6", "hour12","hour24" and 7±3 days after myocardial infarction
CK-MB(ng/ml)
"hour6", "hour12","hour24" and 7±3 days after myocardial infarction
- +4 more secondary outcomes
Study Arms (2)
Myocardin test group
EXPERIMENTALPatients in cardiomyopeptidin group are given the injection of cardiomyopeptidinl before primary percutaneous coronary intervention (PCI) and intravenous infusion of cardiomyopeptidin was performed 3 days after primary PCI.
Blank test group
NO INTERVENTIONPatients in blank test group aren't given the injection of cardiomyopeptidinl before primary percutaneous coronary intervention (PCI) .
Interventions
The main component of cardiomyopeptidin is the peptide active substance extracted from the ventricular myocytes of healthy young pigs.
Eligibility Criteria
You may qualify if:
- \) Sign the informed consent form;
- \) Age ≥ 18 and ≤ 80 years old, gender is not limited;
- \) Defining the diagnosis of acute myocardial infarction, with indications for direct coronary intervention;
- \) Ischemic chest pain lasts for more than 30 minutes and adjacent ST or 2 leads of more than 2 or more leads (limb lead ≥ 0.1 mV, chest lead ≥ 0.2 mV) with or without elevated myocardial enzyme levels ;
- \) The course of disease is ≤12 hours or accompanied by cardiogenic shock or heart failure (onset \>12h).
You may not qualify if:
- (1) Cardiogenic shock, Killip III-IV grade, papillary muscle rupture, interventricular septal perforation, ventricular ventricular fibrillation and electrical cardioversion, and III degree AVB implantation of temporary pacemaker before PCI;
- (2) LVEF ≤ 30%;
- (3) Previous history of PCI and CABG history;
- (4) acute and chronic infectious diseases (severe pneumonia, etc.);
- (5) Recent history of hemorrhagic stroke (within six months);
- (6) Combining liver and kidney dysfunction caused by various reasons;
- (7) History of valvular heart disease;
- (8) Congenital heart disease and pulmonary hypertension;
- (9) History of various types of cardiomyopathy;
- (10) bleeding and other thrombotic diseases;
- (11) severe anemia, thrombocytopenia and other blood system diseases;
- (12) Patients with malignant tumors, autoimmune diseases, and various causes of glucocorticoids and immunosuppressive agents;
- (13) Patients with a history of drug allergy, allergic diseases or allergies, or patients who are allergic to any of the ingredients in this product;
- (14) Patients with severe mental or neurological diseases;
- (15) pregnant women, lactating women, and subjects with a pregnancy plan during the trial;
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Yundai Chen
cardiology
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 18, 2019
First Posted
May 22, 2019
Study Start
June 1, 2019
Primary Completion
November 30, 2019
Study Completion
January 31, 2020
Last Updated
May 22, 2019
Record last verified: 2019-04