Acetaminophen to Prevent Ischemic Oxidative Reperfusion Injury During Percutaneous Coronary Intervention for Acute Myocardial Infarction
Not Applicable
Withdrawn
- Conditions
- Acute Myocardial Infarction
- Interventions
- Drug: Placebo
- Registration Number
- NCT01120769
- Lead Sponsor
- Vanderbilt University
- Brief Summary
The purpose of this study is to test the hypothesis that acetaminophen will reduce lipid peroxidation and isoprostane formation during reperfusion after percutaneous revascularization for acute myocardial infarction.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- Patients presenting with STEMI
Exclusion Criteria
- Duration of symptoms > 12 hours
- Suspected LM or proximal LAD occlusion (based on EKG interpretation)
- Hemodynamic instability
- Acetaminophen use in prior 24 hours
- Use of dipyridamole, or Aggrenox, a formulation of aspirin and extended-release dipyridamole, within 48 hours
- Current use of the following medications: phenytoin, valproic acid, phenobarbital, topiramate, rifampin, carbamazepine, cyclophosphamide, ritonavir, efavirenz, St. John's Wort
- Chronic heavy alcohol use
- Chronic liver disease (other than non-alcoholic fatty liver infiltration)
- Severe valvular heart disease
- Stroke in the past 60 days
- Active major bleeding
- Major surgery in the past 30 days
- Ongoing treatment for active malignancy
- Life expectancy less than 12 months as determined by the patient's attending physician
- Pregnancy
- asthma or severe COPD
- active wheezing on presentation
- allergy or prior adverse reaction to adenosine
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Acetaminophen Acetaminophen - Placebo Placebo -
- Primary Outcome Measures
Name Time Method Plasma isoprostane level 60 minutes
- Secondary Outcome Measures
Name Time Method Index of microcirculatory resistance Average 20 minutes
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms does acetaminophen target to reduce ischemic oxidative reperfusion injury in acute myocardial infarction patients undergoing PCI?
How does acetaminophen compare to standard-of-care anti-oxidants in preventing reperfusion injury during percutaneous coronary intervention for STEMI?
Which biomarkers correlate with acetaminophen efficacy in mitigating lipid peroxidation and isoprostane formation post-PCI reperfusion?
What are the potential adverse events associated with high-dose acetaminophen administration during acute myocardial infarction reperfusion therapy?
Are there combination therapies involving acetaminophen and NAC that enhance protection against oxidative stress in acute coronary syndrome patients?
Trial Locations
- Locations (1)
Vanderbilt University Medical Center
🇺🇸Nashville, Tennessee, United States
Vanderbilt University Medical Center🇺🇸Nashville, Tennessee, United States