Clinical Trial of Nobori Versus Uncoated Stents In Acute Myocardial Infarction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Myocardial Infarction
- Sponsor
- Shigeru Saito
- Enrollment
- 1537
- Locations
- 50
- Primary Endpoint
- major adverse cardiac and cerebrovascular events (MACE)
- Status
- Terminated
- Last Updated
- 7 years ago
Overview
Brief Summary
Drug-eluting stents reduce rates of restenosis and reintervention, as compared with uncoated stents. Data are limited regarding the safety and efficacy of Nobori (Biolimus A9 Eluting Stent) in primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Accordingly, the investigators will compare the outcomes of primary PCI for AMI between patients receiving Nobori versus uncoated stents.
Investigators
Shigeru Saito
Director, Cardiology, Shonan Kamakura General Hospital
NAUSICA Investigators
Eligibility Criteria
Inclusion Criteria
- •age more than 20 years old
- •chest pain lasting more than 20 min
- •symptoms beginning within 12 hours before characterization
- •electrocardiogram showing ST-segment elevation or new appearance of left bundle branch block
- •increase in cardiac enzymes to more than 5-fold the normal laboratory values
- •infarct-related vessel are anatomically suitable for percutaneous revascularization
- •patients gave their signed, informed consent
Exclusion Criteria
- •previous stent implantation within 30 days
- •allergy to any of the followings : aspirin, heparin, clopidogrel, biolimus A9 or its derivatives, stainless steel 316L, PLA (Poly-Lactic Acid) Polymer or its derivatives, and contrast media
- •elective surgery scheduled within 6 months
- •renal insufficiency with creatinine level of more than 2.5 mg/dL
- •patients associated with bleeding and/or clotting disorders, and those refusing blood transfusion
- •history of massive gastrointestinal or urinary tract bleeding within 6 months
- •patients currently enrolled in other clinical trials
- •pregnancy
Outcomes
Primary Outcomes
major adverse cardiac and cerebrovascular events (MACE)
Time Frame: 1 year
MACE includes all-cause death, myocardial infarction, cerebrovascular events, and target lesion revascularization
Secondary Outcomes
- major adverse cardiac and cerebrovascular events (MACE)(1 week)
- target lesion revascularization(1 year)
- stent thrombosis(1 week and 1 year)