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Effect of Remote Ischaemic Conditioning on Clinical Outcomes in STEMI Patients Undergoing PPCI (CONDI2/ERIC-PPCI)

Not Applicable
Completed
Conditions
STEMI
Myocardial Reperfusion Injury
Interventions
Device: Control
Device: Remote ischemic conditioning
Registration Number
NCT02342522
Lead Sponsor
University College, London
Brief Summary

The purpose of this study is to determine whether remote ischemic conditioning can reduce cardiac death and hospitalization for heart failure at 12 months in patients presenting with a ST-elevation myocardial infarction and treated by percutaneous coronary intervention.

Detailed Description

The CONDI2/ERIC-PPCI trial is a randomised controlled clinical trial investigating whether remote ischemic conditioning (RIC) can reduce cardiac death and hospitalization for heart failure at 12 months in 5400 patients presenting with a ST-elevation myocardial infarction (STEMI) and treated by percutaneous coronary intervention (PPCI).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
5413
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sham controlControlSham AutoRIC device will be placed on the upper arm and a sham RIC protocol will be delivered prior to PPCI.
Remote ischemic conditioningRemote ischemic conditioningAutoRIC device will be placed on the upper arm and an active RIC protocol will be delivered (4x5 min cycles of inflation to 200mmHg and deflation) prior to PPCI.
Primary Outcome Measures
NameTimeMethod
Rates of cardiac death and hospitalization for heart failure (HHF) at 1 year.One year
Secondary Outcome Measures
NameTimeMethod
Rates of cardiac death and HHF at 30 days.30 days
Rates of all-cause death, repeat coronary revascularisation, reinfarction, stroke at 30 days and 12 months.12 months
TIMI flow post-PPCI.1 week
Quality of life at 6-8 weeks and 12 months (EuroQol EQ-5D-5L).One year
Biomarkers substudy: Enzymatic infarct size - 48 hour area-under-the-curve (AUC) cardiac biomarkers1 week
CMR substudy: Cardiac MRI in first week and at 6 months6 months

Trial Locations

Locations (35)

Hospital Universitario Central de Asturias

🇪🇸

Oviedo, Asturias, Spain

Clinical Centre of Serbia

🇷🇸

Belgrade, Serbia

Aalborg University Hospital

🇩🇰

Aalborg, Denmark

William Harvey Hospital

🇬🇧

Ashford, United Kingdom

Basildon University Hospital

🇬🇧

Basildon, United Kingdom

Bristol Royal Infirmary

🇬🇧

Bristol, United Kingdom

Royal Bournemouth Hospital

🇬🇧

Bournemouth, United Kingdom

Birmingham Heartlands Hospital

🇬🇧

Birmingham, United Kingdom

Papworth Hospital

🇬🇧

Cambridge, United Kingdom

Leeds General Infirmary

🇬🇧

Leeds, United Kingdom

Coventry University Hospital

🇬🇧

Coventry, United Kingdom

Cumberland Infirmary

🇬🇧

Carlisle, United Kingdom

Kettering General Hospital

🇬🇧

Kettering, United Kingdom

Hammersmith Hospital

🇬🇧

London, United Kingdom

St Bartholomew's Hospital

🇬🇧

London, United Kingdom

Kings College London Hospital

🇬🇧

London, United Kingdom

St Thomas Hospital

🇬🇧

London, United Kingdom

Manchester Royal Infirmary

🇬🇧

Manchester, United Kingdom

John Radcliffe Hospital

🇬🇧

Oxford, United Kingdom

Norfolk and Norwich University Hospital

🇬🇧

Norwich, United Kingdom

Queen Alexandra Hospital

🇬🇧

Portsmouth, United Kingdom

Lister Hospital

🇬🇧

Stevenage, United Kingdom

Northern General Hospital

🇬🇧

Sheffield, United Kingdom

Royal Stoke University Hospital

🇬🇧

Stoke-on-Trent, United Kingdom

New Cross Hospital

🇬🇧

Wolverhampton, United Kingdom

Prehospital Emergency Medical Service, North Denmark Region

🇩🇰

Aalborg, Denmark

Prehospital Emergency Medical Service, Central Denmark Region

🇩🇰

Aarhus, Denmark

Prehospital Emergency Medical Service, Region Zealand

🇩🇰

Ballerup, Denmark

Rigshospitalet

🇩🇰

København, Denmark

Odense University Hospital

🇩🇰

Odense, Denmark

Prehospital Emergency Medical Service , South Denmark Region

🇩🇰

Vejle, Denmark

Royal Sussex County Hospital

🇬🇧

Brighton, Sussex, United Kingdom

The Royal Free Hospital

🇬🇧

London, United Kingdom

Blackpool Victoria Hospital

🇬🇧

Blackpool, United Kingdom

Lincoln County Hospital

🇬🇧

Lincoln, United Kingdom

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