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Myocardial Salvage and Contrast Dye Induced Nephropathy Reduction by N-Acetylcystein

Phase 3
Completed
Conditions
Myocardial Infarction
Interventions
Drug: Placebo
Drug: Acetylcystein
Registration Number
NCT00463749
Lead Sponsor
University of Leipzig
Brief Summary

Acetylcystein is a potent antioxidans which is able to prevent contrast dye induced nephropathy in stable patients undergoing additional hydration.

In primary percutaneous intervention for infarction hydration is not possible. Therefore Acetylcystein might prevent contrast dye induced nephropathy.

Furthermore, it might reduce infarct size as a result of its antioxidant properties.

Clinical trials are missing so far examining the effects of Acetylcystein on nephropathy and infarct size.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
251
Inclusion Criteria
  • ST-elevation infarction (<12 hours)
  • Angina
Exclusion Criteria
  • Prior fibrinolysis
  • Dialysis
  • Pregnancy
  • Lactase-reduction
  • Glucose-galactose malabsorption
  • Known allergy to acetylcystein

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2PlaceboPlacebo (NaCl)
1AcetylcysteinHigh-dose N-Acetylcystein during percutaneous coronary intervention and for 2 days post intervention 2 x/day
Primary Outcome Measures
NameTimeMethod
prevention of nephropathy3 days
Myocardial salvage measured by magnetic resonance imaging4 days
Secondary Outcome Measures
NameTimeMethod
ST-segment resolution90 min
TIMI flowminutes
composite clinical endpoint (death, reinfarction, congestive heart failure)30 days
need for dialysis4 days
oxidative stress72 hours
microvascular obstruction measured by magnetic resonance4 days
infarct size measured by magnetic resonance4 days

Trial Locations

Locations (1)

University of Leipzig - Heart Center

🇩🇪

Leipzig, Germany

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