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Trial registered on ANZCTR
Registration number
ACTRN12606000232538
Ethics application status
Approved
Date submitted
16/01/2006
Date registered
7/06/2006
Date last updated
9/11/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The early use of IV (Intra venous)verapamil and nitrates in Acute Myocardial Infarction (AMI)
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Scientific title
The early use of Intra Venous verapamil and nitrates and the effects on angiographic patency and infarct size in Acute Myocardial Infarction
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Universal Trial Number (UTN)
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Trial acronym
IVANA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute ST segment elevation myocardial infarction requiring urgent revascularisation (angioplasty or stent). The ST segment refers to that of QRST complex as represented on a 12 lead ECG(electrocardiogragh)
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Condition category
Condition code
Cardiovascular
1295
1295
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
IV verapamil 2 mg over 5 minutes or saline placebo and glyceryl trinitrate infusion 5mcg per minute( 8 mls per hour) and the patient has given informed consent.
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Intervention code [1]
840
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Treatment: Drugs
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Comparator / control treatment
Corresponding saline placebo is administered as soon as the decision for acute intervention(angioplasty or stent) has been made
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Angiographic TIMI-3 (term used to state that blood flow through coronary artery is back to normal) flow at time of angiograghy
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Assessment method [1]
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Timepoint [1]
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An Xray -angiogram-is taken of the coronary artery at the start of the procedure to see which arteies are blocked and need an angioplasty or stent and which ones are open and do not require treatment.
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Secondary outcome [1]
3116
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Angiographic patency and infarct size measured at time of angiography.(An Xray- angiogram- is taken of the coronary artery at the start of the procedure to see which arteies are blocked and need an angioplasty or stent and which ones are open and do not require treatment).
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Assessment method [1]
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Timepoint [1]
3116
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Eligibility
Key inclusion criteria
Acute ST segment elevation myocardial infarction(STEMI) with primary Percutaneous Coronary Intervention.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Contraindications to verapamil/glyceryl trinitrate.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Blinded,numbered and sealed treatment boxes allocated by number sequential randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted blocks
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation of Australia Grant in Aid
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Address [1]
1421
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Country [1]
1421
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Australia
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Primary sponsor type
Hospital
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Name
The Queen Elizabeth Hospital,Cardiology Unit
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Address
Adelaide SA
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
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Country [1]
1249
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2787
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The Queen Elizabethn Hospital,Cardiology Unit
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Ethics committee address [1]
2787
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AdelaideSA
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Ethics committee country [1]
2787
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Australia
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Date submitted for ethics approval [1]
2787
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Approval date [1]
2787
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24/02/2005
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Ethics approval number [1]
2787
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Ethics committee name [2]
2788
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The Lyell McEwin Health Service
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Ethics committee address [2]
2788
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Adelaide SA
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Ethics committee country [2]
2788
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Australia
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Date submitted for ethics approval [2]
2788
0
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Approval date [2]
2788
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06/10/2005
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Ethics approval number [2]
2788
0
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Ethics committee name [3]
2789
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Flinders Medical Centre
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Ethics committee address [3]
2789
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Adelaide
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Ethics committee country [3]
2789
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Australia
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Date submitted for ethics approval [3]
2789
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Approval date [3]
2789
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Ethics approval number [3]
2789
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Ethics committee name [4]
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Royal Adelaide Hospital
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Ethics committee address [4]
2790
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Adelaide
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Ethics committee country [4]
2790
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Australia
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Date submitted for ethics approval [4]
2790
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Approval date [4]
2790
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Ethics approval number [4]
2790
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Summary
Brief summary
To assess if the early use of verapamil and Glyceryl trinitrate improves TIMI 3 flow(term used to state that blood flow through coronary artery is back to normal)Only the study pharmacist was unblinded to treatment allocation. Study drug was sealed in a box and allocated a number in lots of 10. Study staff would allocate the sealed box to the patient by number sequence. All study personel and persons involved in the clinical management of the patient were also blinded to treatment allocation.Emergency unblinding was available if required.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
35225
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Email
35225
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Contact person for public queries
Name
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Dr John Beltrame
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Address
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The Queen Elizabeth Hospital
28 Woodville Rd
Woodville SA 5011
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Country
10029
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Australia
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Phone
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+61 8 82226000
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Fax
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+61 8 82227021
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr John Beltrame
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Address
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The Queen Elizabeth Hospital
28 Woodville Rd
Woodville SA 5011
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Country
957
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Australia
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Phone
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+61 8 82226000
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Fax
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+61 8 82227021
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Email
957
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Role of Coronary Vasoconstriction in Ischemic Heart Disease and Search for Novel Therapeutic Targets
2009
https://doi.org/10.1253/circj.cj-09-0033
N.B. These documents automatically identified may not have been verified by the study sponsor.
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