NCT06562582

Brief Summary

The objective of this trial is to examine the effect of immediate versus late administration of beta blockers, angiotensin converting enzyme inhibitors (ACEI), and sodium/glucose cotransporter 2 (SGLT2) inhibitors on echocardiographic parameters and biomarkers in subjects with ST-elevation myocardial infarction (STEMI)

Trial Health

77
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for phase_4

Timeline
20mo left

Started Jan 2025

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
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 Progress45%
Jan 2025Dec 2027

First Submitted

Initial submission to the registry

August 16, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 20, 2024

Completed
5 months until next milestone

Study Start

First participant enrolled

January 6, 2025

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

June 27, 2025

Status Verified

August 1, 2024

Enrollment Period

3 years

First QC Date

August 16, 2024

Last Update Submit

June 24, 2025

Conditions

Keywords

ST infarctionPCIBisoprololRamiprilDapagliflozinGlobal longitudinal strain (GLS, %)

Outcome Measures

Primary Outcomes (1)

  • Measurement of Global longitudinal strain (GLS, %)

    GLS adjusted for baseline.

    day 7±24 hours

Secondary Outcomes (4)

  • Measurement of Left ventricular ejection fraction (LVEF)

    day 7±24 hours

  • Measurement of NT-proBNP (N-terminal pro b-type natriuretic peptide )

    day 7±24 hours

  • Concentration of cardiac troponin-T

    Day 30

  • Concentration of cardiac troponin-I

    Day 30

Other Outcomes (1)

  • Measurement of Infarct size

    Day 30

Study Arms (6)

Bisoprolol

ACTIVE COMPARATOR

Bisoprolol within 24 hours of PCI

Drug: Bisoprolol Oral Tablet

No Bisoprolol

NO INTERVENTION

no beta blocker until day 7±12 hours

Ramipril

ACTIVE COMPARATOR

Ramipril within 24 hours of PCI

Drug: Ramipril Oral Product

No Ramipril

NO INTERVENTION

no ramipril until day 7±12 hours after PCI

Dapagliflozin

ACTIVE COMPARATOR

Dapagliflozin within 24 hours versus

Drug: Dapagliflozin Oral Product

No Dapagliflozin

NO INTERVENTION

no dapagliflozin treatment until day 7±12 hours after PCI

Interventions

Timing of drug intervention after PCI

Also known as: Betablocker
Bisoprolol

Timing of drug intervention after PCI

Also known as: ACE inhibitor
Ramipril

Timing of drug intervention after PCI

Also known as: SGLT2 inhibitor
Dapagliflozin

Eligibility Criteria

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

You may qualify if:

  • Patients with STEMI who undergo primary PCI within 6 hours of symptom onset (Excluding prodromal symptoms)
  • Informed consent

You may not qualify if:

  • Killip class ≥ 3
  • Chronic kidney disease with GFR \< 25 ml/min/1.73 m2
  • Pre-existing non-reversible cardiac dysfunction or heart failure
  • Current treatment with any beta blocker, RAAS inhibitor or SGLT2 inhibitor
  • Absolute or relative contraindication to any one of the study drugs that confers a risk of patient safety if the patient participates in the trial and adheres to the protocol-specified recommendations, per the assessment of the treating physician
  • Life expectancy less than one year
  • Pregnancy or women of childbearing potential who is not sterilized or is not using a medically accepted form of contraception

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sahlgrenska University Hospital

Gothenburg, 41345, Sweden

RECRUITING

MeSH Terms

Conditions

Myocardial Infarction

Interventions

BisoprololAngiotensin-Converting Enzyme InhibitorsSodium-Glucose Transporter 2 Inhibitors

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

PhenoxypropanolaminesPropanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsPropanolsAminesProtease InhibitorsEnzyme InhibitorsMolecular Mechanisms of Pharmacological ActionPharmacologic ActionsChemical Actions and UsesHypoglycemic AgentsPhysiological Effects of Drugs

Central Study Contacts

Björn Redfors, Professor

CONTACT

Margareta Scharin Täng, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Model Details: This prospective, 2x2x2 factorial, randomized, controlled,
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 16, 2024

First Posted

August 20, 2024

Study Start

January 6, 2025

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

June 27, 2025

Record last verified: 2024-08

Locations