Status:

COMPLETED

Cyclosporine and Prognosis in Acute Myocardial Infarction (MI) Patients

Lead Sponsor:

Hospices Civils de Lyon

Conditions:

ST Elevation Acute Myocardial Infarction

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Infarct size is a major determinant of prognosis after Acute Myocardial Infarction (AMI). The investigators recently reported that cyclosporine A, when administered immediately prior to percutaneous c...

Eligibility Criteria

Inclusion

  • Eligibility criteria (for screening before hospital admission):
  • All (male and female) patients, aged over 18, without any legal protection measure,
  • Having a health coverage,
  • Presenting within 12 hours of the onset of chest pain,
  • Who have ST segment elevation ≥0.2 mV in two contiguous leads,
  • For whom the clinical decision was made to treat with percutaneous coronary intervention (PCI).
  • And (further inclusion criteria to be confirmed by the admission coronary-angiography):
  • The culprit coronary artery has to be the LAD
  • The LAD artery has to be occluded (TIMI flow grade 0-1) at the time of admission coronary angiography.
  • Preliminary oral informed consent followed by signed informed consent as soon as possible.
  • Patients undergoing either primary PCI or rescue PCI are eligible for the study. Patients with previous AMI, PCI or coronary artery bypass surgery (CABG) are eligible for the study.

Exclusion

  • Patients with loss of consciousness or confused
  • Patients with cardiogenic shock
  • Patients with the left circumflex or the right coronary artery (RCA) as the culprit artery, or with evidence of coronary collaterals to the risk region
  • Patients with an opened (TIMI \> 1) LAD coronary artery at admission on initial (admission) coronary angiography
  • Patients with 5.2. known hypersensitivity to cyclosporine 5.3. known hypersensitivity to egg, peanut or Soya-bean proteins 5.4. known renal insufficiency (either known creatinin clearance \< 30 ml/min/1.73m² or current medical care for severe renal insufficiency) 5.5. known liver insufficiency 5.6. uncontrolled (treated or untreated) hypertension (\> 180/110 mmHg)
  • Patients treated with any compound containing Hypericum perforatum (St.-John's-worth) or Stiripentol or Aliskiren or Bosentan or Rosuvastatine
  • Female patients currently pregnant or women of childbearing age who were not using contraception (oral diagnosis).
  • Patients with any disorder associated with immunological dysfunction more recently than 6 months prior to presentation 8.2. cancer, lymphoma 8.3. known positive serology for HIV, or hepatitis

Key Trial Info

Start Date :

April 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2015

Estimated Enrollment :

970 Patients enrolled

Trial Details

Trial ID

NCT01502774

Start Date

April 1 2011

End Date

February 1 2015

Last Update

September 4 2025

Active Locations (45)

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Page 1 of 12 (45 locations)

1

Algemeen Ziekenhuis Sint-Jan Brugge

Bruges, Belgium, 8000

2

Chu Charleroi

Charleroi, Belgium, 6000

3

Hôpital universitaire d'Anvers (UZA)

Edegem, Belgium, 2650

4

CHU Mont-Godinne

Yvoir, Belgium, 5530