Cangrelor in Acute Myocardial Infarction: Effectiveness and Outcomes Registry

Active, not recruiting

• Conditions: Myocardial Infarction

• Registration Number: NCT04076813
• Lead Sponsor: Chiesi USA, Inc.

Brief Summary

The purpose of this registry is to address optimal platelet inhibition during the early management of MI patients prior to coronary angiography or CABG.

Detailed Description

The CAMEO registry is a multicenter observational registry that will collect information on 4,000 patients with NSTEMI or STEMI treated with cangrelor or an oral P2Y12 inhibitor into the registry.

Phase 1: Each site will abstract data from the medical record for the first 50 patients meeting the inclusion and exclusion criteria treated at the hospital within 4 months prior to study initiation or during the study period.

Phase 2: After Phase 1, all cangrelor-treated patients meeting the inclusion and exclusion criteria treated at the hospital no later than 1 month from the discharge date will be entered into the registry, and we will begin sampling non-cangrelor patients in a 2:1 cangrelor: non-cangrelor ratio.

Study Timeline

• Study First Submitted: 2019-08-30
• Study First Submitted QC: 2019-08-30
• Study First Posted: 2019-09-03
• Study Start: 2019-10-16
• Status Verified: 2024-12
• Last Update Submitted: 2025-02-14
• Last Update Posted: 2025-02-18
• Primary Completion: 2025-06-30
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 4000

Inclusion Criteria

For the first 50 patients at each participating site, consecutive patients are entered in the registry if they are ≥ 18 years of age, underwent coronary angiography for a STEMI or NSTEMI, and received cangrelor at any time during the hospitalization or an oral P2Y12 inhibitor during his/her first 48 hours of the hospitalization for MI.

Phase 2 Inclusion Criteria:

Subsequent patients are eligible to be entered in the registry if they are ≥ 18 years of age and underwent coronary angiography for a STEMI or NSTEMI and meet at least 1 of the following criteria:

1. The patient was hospitalized for STEMI and met one of the following inclusion criteria:

   • The patient received cangrelor at any time during his/her hospitalization for MI.
   • The patient received an oral P2Y12 inhibitor during his/her first 48 hours of hospitalization AND either of the following:
   • The patient received a P2Y12 inhibitor and an opiate/opioid within 24 hours prior to or during primary PCI for STEMI presentation.

   OR

   • The patient underwent coronary angiography followed by CABG during the index MI admission and received any P2Y12 inhibitor within 7 days prior to CABG.

2. The patient was hospitalized for NSTEMI and met one of the following inclusion criteria:

   • The patient received cangrelor during his/her hospitalization for MI.
   • The patient received an oral P2Y12 inhibitor during his/her first 48 hours of hospitalization AND either of the following:
   • The patient underwent coronary angiography followed by CABG during the index MI admission and received any P2Y12 inhibitor within 7 days prior to CABG. OR
   • Any 2 of the following criteria without prior PCI or CABG: age> 60 years, male sex, diabetes, EF <40% prior heart failure

Exclusion Criteria

If the patient does not meet the inclusion criteria for either Phase.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The number of Antiplatelet medications used during hospitalization	The time frame is hospitalization through discharge, approximately 3 days	Antiplatelet use, including switching and discontinuation will be measured by medical record report. The medical record report will include medication start and stop dates and times.
Number of bleeding events during hospitalization as measured by medical record report	The time frame is hospitalization, up to 7 days post discharge	Bleeding event entered from the medical record report.

Trial Locations

Locations (11)

The Regents of the University of California on behalf of its San Diego campus; 🇺🇸 La Jolla, California, United States

Christiana Care Health Services, Inc.; 🇺🇸 Newark, Delaware, United States

University of Florida; 🇺🇸 Gainesville, Florida, United States

Kootenai Hospital District dba Kootenai Health; 🇺🇸 Coeur d'Alene, Idaho, United States

MedStar Health Research Institute, Inc.; 🇺🇸 Hyattsville, Maryland, United States

The Brigham and Women's Hospital, Inc.; 🇺🇸 Boston, Massachusetts, United States

Henry Ford Health System; 🇺🇸 Detroit, Michigan, United States

Washington University; 🇺🇸 St. Louis, Missouri, United States

The Trustees of Columbia University in the City of New York; 🇺🇸 New York, New York, United States

Duke University; 🇺🇸 Durham, North Carolina, United States

Vanderbilt University Medical Center; 🇺🇸 Nashville, Tennessee, United States