Status:

TERMINATED

Effects of Atorvastatin on Myonecrosis

Lead Sponsor:

Beth Israel Deaconess Medical Center

Collaborating Sponsors:

Pfizer

Conditions:

Coronary Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This study is designed as a prospective, randomized, placebo-controlled, double-blind analysis of atorvastatin 80 mg versus placebo administered on average 4 hours prior to percutaneous coronary inter...

Detailed Description

STUDY OBJECTIVES: 1. The primary endpoint of the study is to evaluate the effects of a single high dose of atorvastatin versus placebo on peri-procedural myonecrosis, as measured by troponin T (TnT),...

Eligibility Criteria

Inclusion

  • Patients must be aged 18 or over.
  • Patients must provide written informed consent.
  • Patients are presenting with unstable angina (defined as new onset chest pain, accelerating chest pain, chest pain at rest and ST-segment depression on the electrocardiogram \[EKG\])
  • Patients undergoing successful coronary stent implantation of the (presumed) culprit lesion (defined as \< 50% residual stenosis).

Exclusion

  • Any patient who is unable to give written informed consent.
  • Any condition which, in the investigator's opinion, would interfere with optimal participation in the study or produce a significant risk to the patient.
  • Patients presenting with an ST-elevation myocardial infarction (MI).
  • Patients with elevated troponin, CK, or CK-MB (above the upper limit of normal).
  • Patients already on high-dose statin therapy (defined as any statin equivalent to atorvastatin ≥ 40 mg).
  • Patients who took any statin agent within 24 hours of presentation to the cardiac catheterization laboratory.
  • Patients with active hepatic disease or myositis, in whom statin therapy is contraindicated.
  • Patients with hypersensitivity to atorvastatin.
  • Patients with procedural complications, including unsuccessful percutaneous transluminal coronary angioplasty (PTCA)/stenting, major side-branch occlusion, flow-limiting dissections at the completion of the procedure, emergent coronary artery bypass surgery, peri-procedural thrombus formation with distal embolization, stent thrombosis within the first 24 hours, repeat emergent PCI within 24 hours, and death within 24 hours.
  • Cardiogenic shock.

Key Trial Info

Start Date :

May 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2009

Estimated Enrollment :

97 Patients enrolled

Trial Details

Trial ID

NCT00344019

Start Date

May 1 2006

End Date

January 1 2009

Last Update

January 2 2018

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

Effects of Atorvastatin on Myonecrosis | DecenTrialz