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Randomized, double-blind, triple-dummy trial to compare the efficacy of otamixaban with Unfractionated Heparin + eptifibatide, in patients with Unstable angina/Non ST segment Elevation Myocardial infarction scheduled to undergo an early invasive strategy - TAO

Conditions
Acute coronary syndrome
MedDRA version: 9.1Level: LLTClassification code 10051592
Registration Number
EUCTR2009-016568-36-IT
Lead Sponsor
sanofi-aventis recherche & de`veloppement
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
10930
Inclusion Criteria

Pazienti con sindrome coronarica acuta senza sopraslivellamento del tratto ST, che presentino sintomi di ischemia cardiaca: I 01. Dolore toracico o equivalente comparso a riposo, con una durata > 10 minuti nelle 24 ore precedenti la randomizzazione E I 02. uno dei seguenti criteri I02A Nuovo sottoslivellamento del tratto ST > 0,1 mV (> 1 mm), oppure un sopraslivellamento transitorio (< 30 minuti) del tratto ST > 0,1 mV (> 1 mm) in almeno due derivazioni contigue del tracciato elettrocardiografico, OPPURE I02B Aumento degli enzimi cardiaci nelle 24 ore precedenti la randomizzazione: troponina T, troponina I oppure CK-MB al di sopra dei limiti superiori di normalita`. E I 03. Angiografia coronarica programmata seguita, se necessario, da procedura di rivascolarizzazione (PCI) da effettuarsi appena possibile (dopo almeno due ore di trattamento con il farmaco in studio) ed entro le 36 ore (al piu` tardi al giorno 3, se clinicamente giustificato). E I 04. consenso informato scritto firmato dal paziente
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
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Cardiovascular E 06. Revascularization procedure already performed for the qualifying event. E 07. Acute ST-segment elevation MI Related to prior or concomitant treatments E 08. Patient having received curative dose of anticoagulant treatment (including UFH, LMWH, or bivalirudin) for more than 24 hours prior to randomization. E 09. Inability to discontinue current anticoagulation in order to transition to Investigational Products according to the specified transition timing E 10. Patients who can not be treated by aspirin and clopidogrel (or any other oral antiplatelet agent) according to their local labeling Exclusion criteria related to the active comparator and/or mandatory background therapies Related to eptifibatide E 11. Patient who cannot be treated with eptifibatide according to the national labeling (when available).In countries where eptifibatide is not approved the reference label to be considered will be either the European labeling or the US labeling. Related to unfractionated heparin E 12. Patient who cannot be treated with unfractionated heparin according to the national labeling Related to otamixaban E 13. Allergy to otamixaban

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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