NCT05511831

Brief Summary

The purpose of this study was to evaluate the efficacy and safety of ketotifen (MC stabilizer) on the basis of standard treatment after primary PCI in STEMI patients. The ketotifen group and the control group were the ketotifen group and the control group. The control group continued to receive STEMI standard treatment. The ketotifen group received ketotifen for 3 months on the basis of standard treatment within 24 hours after primary PCI, and was followed up for 1 year. Infarct size, as well as differences in echocardiography, markers of two-dimensional speckle tracking, inflammatory factors and MC markers, and major adverse cardiovascular events.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Sep 2022

Typical duration for phase_4

Status
unknown

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

August 19, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 23, 2022

Completed
9 days until next milestone

Study Start

First participant enrolled

September 1, 2022

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

August 23, 2022

Status Verified

August 1, 2022

Enrollment Period

1.3 years

First QC Date

August 19, 2022

Last Update Submit

August 22, 2022

Conditions

Keywords

ketotifenSTEMImast cellprognosis

Outcome Measures

Primary Outcomes (1)

  • Myocardial infarct size

    Myocardial infarct size was assessed by cardiac MRI

    3 months after myocardial infarction

Secondary Outcomes (5)

  • left ventricular systolic function

    24 hours, 1 month, 3 months, and 12 months after myocardial infarction

  • Left ventricular ultrasound strain

    24 hours, 1 month, 3 months, and 12 months after myocardial infarction

  • inflammatory factors and MC markers

    24 hours, 1 month, 3 months, and 12 months after myocardial infarction

  • major adverse cardiovascular events

    12 months

  • Drug-Related Adverse Reactions

    12 months

Study Arms (2)

ketotifen

EXPERIMENTAL

Ketotifen was added to the standard treatment within 24 hours after the completion of primary PCI for 3 months, taking 1 mg each time, 1-2 times a day according to the patient's tolerance.

Drug: Ketotifen Fumarate

Control group

SHAM COMPARATOR

Standard treatment according to guidelines

Drug: standard treatment

Interventions

Ketotifen treatment for 3 months, 1 mg each time, 1-2 times a day according to the patient's tolerance

Also known as: Ketotifen
ketotifen

Standard treatment methods will be determined according to the Guidelines for the Diagnosis and Treatment of Acute ST-segment Elevation Myocardial Infarction (2019) \[19\], including primary PCI, dual antiplatelet, anticoagulation, ACEI/ARB/ARNI, β-receptor blockade drugs, statins, etc.

Also known as: standard
Control group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ages above 18 and below 80, gender is not limited;
  • Meet the diagnostic criteria for STEMI (diagnostic criteria: ischemic chest pain lasting ≥30 min; ST segment elevation in two or more adjacent leads on the ECG or new left bundle branch block; with or without elevation of myocardial markers) , have completed primary PCI, and received standard treatment according to the Chinese "Guidelines for the Diagnosis and Treatment of Acute ST-segment Elevation Myocardial Infarction (2019)", including dual antiplatelet, anticoagulation, beta receptor Blockers, statins, etc.
  • No contraindications to ketotifen;
  • Agree and cooperate with participating in this research.

You may not qualify if:

  • Severe heart failure, such as Killip grade III-IV or LVEF \<35%;
  • Coronary artery bypass grafting within the past 3 years or planned;
  • The patient is using or planning to use long-term oral or intravenous glucocorticoids (inhaled and topical hormones are allowed);
  • Patients with severe liver and kidney disease;
  • Patients with a history of cancer or lymphoproliferative diseases in the past 3 years;
  • Implanted metal in the body or claustrophobia cannot accept cardiac MRI;
  • Pregnancy or breastfeeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

ST Elevation Myocardial Infarction

Interventions

Ketotifen

Condition Hierarchy (Ancestors)

Myocardial InfarctionMyocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Ming Cui, Doctor

    Peking University Third Hospital

    STUDY DIRECTOR

Central Study Contacts

Ming Cui, Doctor

CONTACT

Penguin Xie, master

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 19, 2022

First Posted

August 23, 2022

Study Start

September 1, 2022

Primary Completion

December 31, 2023

Study Completion

December 31, 2024

Last Updated

August 23, 2022

Record last verified: 2022-08

Data Sharing

IPD Sharing
Will not share