BIOmarker driven intensification of cardiovascular RISK factor management in patients with high risk for recurrent cardiovascular EVENTs
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 1,758
- 试验地点
- 29
- 主要终点
- Time to first event of a composite of cardiovascular outcomes encompassing - Cardiovascular death - Non-fatal myocardial infarction -Non-fatal stroke - Hospitalisation for urgent coronary revascularisation - Hospitalisation for heart failure
研究概览
简要总结
The primary objective of the randomized controlled trial is to evaluate the efficacy (in terms of a composite effect) of intensified residual risk management versus standard guideline treatment.
入排标准
- 年龄范围
- 18 years 至 65+ years(65+ Years, 18-64 Years)
- 接受健康志愿者
- 否
入选标准
- •Individuals > 18 years of age
- •Written consent of the participant after being informed
- •Percutaneous coronary intervention (PCI) procedure for acute myocardial infarction (inclusion window: 48 hours to 14 days after PCI)
- •BIO-RISK-EVENT score parameters available
排除标准
- •Previous myocardial infarction (prior to the current event leading to enrolment)
- •Known drug or alcohol abuse or psychiatric disorder that, in the opinion of the investigator prevents participation from following the protocol
- •Haemodynamic instability as defined by intravenous administration of catecholamines, calcium sensitisers or phosphodiesterase inhibitors
- •New York Heart Failure (NYHA) Functional Classification Class IV heart failure at baseline
- •Participation in another clinical trial that may affect the results of this study
- •Type 1 diabetes mellitus
- •eGFR <45 mL/min/1.73 m2
- •Liver cirrhosis Childs B or C or other known liver disease preventing the study candidate to participate according to the judgment of the investigator
- •Women who are pregnant or breast-feeding
- •Women of child-bearing potential
- •Treatment with ciclosporin and strong CYP3A3 inhibitors
- •Current treatment with an SGLT2 inhibitor
- •Have family (first-degree-relative) or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2
- •Have had a transplanted organ or awaiting an organ transplant
- •Men whose partners are capable of becoming pregnant may only participate in the clinical study if they commit to using a reliable method of contraception throughout the study duration and for at least 6 months after the end of the trial medication
- •Current treatment with colchicine
- •Current treatment with icosapent ethyl
- •Known allergy to any of the medications being used for intensified treatment or their constituents, or to medications with a similar chemical structure
- •Active known malignancies within the last year, except intraepithelial neoplasm of the prostate, gastrointestinal tract and basal cell carcinoma
- •Known history of retinopathy and/or macular oedema
- •Acute inflammatory disease (e.g. pneumonia, urinary tract infection, etc.)
- •Chronic inflammatory disease (e.g. inflammatory bowel disease, rheumatoid arthritis, etc.)
结局指标
主要结局
Time to first event of a composite of cardiovascular outcomes encompassing - Cardiovascular death - Non-fatal myocardial infarction -Non-fatal stroke - Hospitalisation for urgent coronary revascularisation - Hospitalisation for heart failure
Time to first event of a composite of cardiovascular outcomes encompassing - Cardiovascular death - Non-fatal myocardial infarction -Non-fatal stroke - Hospitalisation for urgent coronary revascularisation - Hospitalisation for heart failure
次要结局
- Time to first event for cardiovascular death
- Time to all-cause mortality
- Time to first event for non-fatal myocardial infarction
- Time to first event for non-fatal stroke
- Time to first event for hospitalisation for urgent coronary revascularisation
- Time to first event for hospitalisation for heart failure
- Time to first event of a composite of cardiovascular outcomes encompassing -Cardiovascular death -Non-fatal myocardial infarction -Non-fatal stroke
- Time to first event of a composite of cardiovascular outcomes encompassing -Cardiovascular death -Hospitalisation for heart failure
- Time to first event for any urgent revascularisation procedure of a -Coronary artery -Carotid artery -Peripheral artery
- Time to first event for major adverse limb events
研究者
Prof. Harald Sourij
Scientific
Medical University Of Graz
