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临床试验/ACTRN12616000535471
ACTRN12616000535471已完成3 期

Effect of long term pravastatin treatment on mortality due to coronary heart disease in patients who have suffered a recent acute myocardial infarction or have a diagnosis of unstable angina pectoris.

HMRC Clinical Trials Centre, The University of Sydney0 个研究点目标入组 9,000 人开始时间: 2016年4月27日最近更新:

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
9,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Prevention
盲法
Blinded (masking used)

入排标准

年龄范围
31 Years 至 75 Years(—)
性别
All

入选标准

  • 1. ENTRY DIAGNOSIS:
  • A.Patients who have suffered an acute myocardial infarction in the period three months to three years prior to screening, where acute myocardial infarction satisfies the following criteria:
  • 1)Discharge diagnosis of acute myocardial infarction in hospital records, OR
  • 2)Any 2 of the following 3:
  • a.History of typical ischaemic pain lasting for at least 15 minutes and unresponsive to sublingual nitrates
  • b.Elevation of CK enzymes to more than twice the upper limit of normal
  • c.Development of new Q-Waves and/or evolutionary ST-T wave changes lasting at least one day.
  • B.Patients who have been discharged from hospital with a diagnosis of unstable angina pectoris three months to three years prior to assessment, where unstable angina pectoris is defined as definite ischaemic pain increasing in frequency and duration, and/or angina occurring at rest.
  • 2. SERUM CHOLESTEROL:
  • Total cholesterol between 4.0 and 7.0 mmol/L, measured by the Central Lipid Laboratory in the 4 weeks prior to randomisation

排除标准

  • 1. Patients who are unlikely to be available for the duration of follow-up:
  • i)patients with life threatening illnesses other than coronary artery disease, who are not expected to survive for six years (such as organ transplants), or
  • ii)those who are unreliable including those with known drug or alcohol related problems.
  • 2. Any cardiac surgery, angioplasty, major surgery or major illness within the past three months.
  • 3. Severely compromised cardiac function (whether due to ischaemic heart disease or not), manifest by either:
  • i)New York Heart Association (NYHA) Class III or IV congestive heart failure (at the time of assessment).
  • ii)Left ventricular ejection fraction less than 25% (if measured).
  • 4. History of cerebrovascular disease, including completed stroke or transient ischaemic attack within three months.
  • 5. Significant renal or hepatic disease (such as serum creatinine > 160 micromol/L, serum albumin <3.0 g/dl; bilirubin >30 micromol/L, serum ALT or AST >1.5x the upper limit of normal).
  • 6. Any uncontrolled endocrine disease (particularly if likely to require hospitalisation); chronic pancreatitis; dysproteinaemia; porphyria; systemic lupus erythematosus.
  • 7. Treatment with :
  • (a) other lipid-lowering agents;
  • (b) cyclosporin;
  • (c) other investigational drugs.
  • 8. Known hypersensitivity to HMG-CoA reductase inhibitors or serious adverse reactions from prior administration of HMG-CoA reductase inhibitors.
  • 9. Significant gastrointestinal disease or surgery which might interfere with drug absorption.
  • 10. Women of child-bearing potential (ie pre-menopausal, unless surgically sterilised) and lactating women.
  • 11. Fasting triglyceride (as measured by the Central Lipid Laboratory) of greater than 5mmol/L

研究者

发起方
HMRC Clinical Trials Centre, The University of Sydney

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