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临床试验/EUCTR2017-001502-15-AT
EUCTR2017-001502-15-AT进行中(未招募)1 期

Effects of the PCSK9 Antibody AliroCuMab on Coronary Atherosclerosis in PatieNts with Acute Myocardial Infarction. A Serial, Multivessel, Intravascular Ultrasound, Near-Infrared Spectroscopy And Optical Coherence Tomography Imaging Study - PACMAN-AMI

Insel Gruppe AG - Inselspital, Universitätsklinik für Kardiologie0 个研究点目标入组 220 人开始时间: 2017年11月10日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
220

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Acute myocardial infarction: acute ST-segment elevation myocardial infarction (STEMI) with pain onset within =24h, or non-ST segment elevation myocardial infarction (NSTEMI), with at least one coronary segment (culprit lesion) requiring PCI;
  • LDL-C =70 mg/dL (=1.8 mmol/L) assessed prior to, or during PCI in patients who have been receiving any stable statin regimen within = 4 weeks prior to enrollment; OR LDL-C =125 mg/dL (=3.2 mmol/L) in patients who are statin-naïve or have not been on stable statin regimen
  • for = 4 weeks prior to enrollment;
  • At least two major native coronary arteries (target vessels) each meeting the following criteria for intracoronary imaging immediately following the qualifying PCI procedure;
  • Hemodynamic stability allowing the repetitive administration of nitroglycerine;
  • Ability to understand the requirements of the study and to provide informed consent;
  • Willingness to undergo follow-up intracoronary imaging
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 140
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 80

排除标准

  • Left-main disease, defined as =50% reduction in lumen diameter of the left main coronary artery by angiographic visual estimation;
  • Three-vessel disease;
  • History of coronary artery bypass surgery;
  • TIMI flow <2 of the infarct-related artery after PCI;
  • Unstable clinical status (hemodynamic or electrical instability);
  • Significant coronary calcification or tortuosity deemed to preclude IVUS, NIRS and OCT evaluation;
  • Uncontrolled cardiac arrhythmia;
  • Severe renal dysfunction;
  • Active liver disease or hepatic dysfunction;
  • Known intolerance to rosuvastatin OR known statin intolerance ;
  • Known allergy to contrast medium, heparin, aspirin, ticagrelor or prasugrel;
  • Known sensitivity to any substances to be administered, including known statin intolerance
  • Patients who previously received alirocumab or other PCSK9 inhibitor;
  • Patient who received cholesterol ester transfer protein inhibitors in the
  • past 12 months prior to screening; Treatment with systemic steroids or
  • systemic cyclosporine in the past 3 months;
  • Known active infection or major hematologic, metabolic, or endocrine
  • dysfunction;
  • Planned surgery within 12 months;
  • Patients who will not be available for study-required visits;
  • Current enrollment in another investigational device or drug study;
  • History of cancer within the past 5 years, except for adequately treated
  • basal cell skin cancer, squamous cell skin cancer, or in situ cervical
  • Estimated life expectancy less than 1 year;
  • Female of childbearing potential (age <50 years and last menstruation
  • within the last 12 months), who did not undergo tubal ligation,
  • ovariectomy or hysterectomy.

研究者

发起方
Insel Gruppe AG - Inselspital, Universitätsklinik für Kardiologie

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