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Trial registered on ANZCTR
Registration number
ACTRN12615000019505
Ethics application status
Approved
Date submitted
7/11/2014
Date registered
15/01/2015
Date last updated
15/01/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of High Loading Dose of Atorvastatin in ST Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention on Microvascular Perfusion Measured by Index of Microvascular Resistance
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Scientific title
Effect of High Loading Dose of Atorvastatin in ST Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention on Microvascular Perfusion Measured by Index of Microvascular Resistance
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Secondary ID [1]
285751
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'None'
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Universal Trial Number (UTN)
U1111-1163-5214
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
ST Elevation Myocardial Infarction
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Myocardial Obstruction after Primary PCI
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Condition category
Condition code
Cardiovascular
293692
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
High loading dose of atorvastatin (80 mg) before primary PCI. Atorvastatin was given in oral tablet formulation immediately after patients was diagnosed as STEMI in emergency department and planned to do primary PCI
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Intervention code [1]
290531
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Treatment: Drugs
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Comparator / control treatment
Placebo that contain saccharum lactis powder packed in capsule.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Myocardial perfusion measured by index of microcirculatory resistance. Index of microcirculatory resistance measured using a pressure-temperature sensor-tipped wire. It needs maximal hyperemic state that induced by adenosine infusion 140 ug/kg/minutes
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Assessment method [1]
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Timepoint [1]
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Immediateley after primary PCI was done (balloning and stenting of the culprit lesion)
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Secondary outcome [1]
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'None'
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Assessment method [1]
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Timepoint [1]
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'None'
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Eligibility
Key inclusion criteria
ST elevation minimal 0.1 mV in 2 concomittant ECG lead or new or presumably new LBBB
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Minimum age
18
Years
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Maximum age
80
Years
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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
Cardiogenic shock, respiratory distress, arrythmia, pregnancy
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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)
numbered container
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomization by randomization table
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
'none'
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
sample size was calculated by formula: mean of 2 independent groups. We used alpha 95%, Zalpha 1.96 and beta 80%, Zbeta 0.84. S1=9, S2=25.2, (X1-X2) = 11.8. After calculation based on formula and above data, minimal sample are 32 samples in each group
statistical analysis: continuous data and categorical data. Bivariate analysis was done by student t test or Mann Whitney for continuous data. Categorical data was analysed by Chi square test or Fischer test
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2014
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Actual
15/01/2014
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Date of last participant enrolment
Anticipated
31/12/2014
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Actual
15/12/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
64
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6449
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Indonesia
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State/province [1]
6449
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Jakarta
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Suci Indriani
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Address [1]
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Flamboyan 39, Kota Bambu Utara, Palmerah, Jakarta
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Country [1]
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Indonesia
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Primary sponsor type
Individual
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Name
Suci Indriani
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Address
Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country
Indonesia
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Secondary sponsor category [1]
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Individual
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Name [1]
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dr. Doni Firman, SpJP
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Address [1]
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Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country [1]
289061
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Indonesia
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Secondary sponsor category [2]
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Individual
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Name [2]
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dr. Anwar Santoso, SpJP
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Address [2]
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Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country [2]
289168
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Indonesia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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National Cardiovascular Center, Harapan Kita, Jakarta
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Ethics committee address [1]
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jl. S. Parman Kav 87, Jakarta. PO.BOX 11420
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Ethics committee country [1]
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Indonesia
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Date submitted for ethics approval [1]
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01/12/2013
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Approval date [1]
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13/12/2013
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Ethics approval number [1]
291910
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Summary
Brief summary
Background: Statin (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors), given before percutaneous coronary intervention (PCI) was proven to reduce Major Cardiovascular Events (MCE) in patient with stable angina as well as acute coronary syndromes through its pleiotropic effect. Nevertheless, the debate regarding statin administration before primary PCI (PPCI) in STEMI patients is still on the rise. The aim of this study is to establish therapeutic effect of high dose atorvastatin (80 mg) and placebo before primary PCI on microvascular perfusion in STEMI patient using index of microcirculatory resistance (IMR). IMR are specific and quantitative assessment of coronary microvascular dysfunction, reliable on-site predictors of short-term myocardial viability and left ventricle functional recovery of patients undergoing primary PCI for STEMI Methods: This study is a double blind randomized controlled trial. A high loading dose of atorvastatin (80 mg) or placebo was administered before PPCI. Samples were taken from the population of STEMI patients which underwent PPCI and meet inclusion and exclusion criteria. The primary end point of this study is IMR. After successful primary percutaneous coronary intervention, IMR was measured using a pressure-temperature sensor-tipped coronary guidewire.
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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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Dr Suci Indriani
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Address
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Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country
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Indonesia
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Phone
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+62-85214739364
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Suci Indriani
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Address
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Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country
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Indonesia
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Phone
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+62-85214739364
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Fax
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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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Doni Firman, MD
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Address
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Departement Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia. Jl. S. Parman Kav 87, Slipi. Jakarta. Postcode 11420
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Country
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Indonesia
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Phone
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+6281510369939
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Fax
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Email
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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
Embase
The Potential Use of the Index of Microcirculatory Resistance to Guide Stratification of Patients for Adjunctive Therapy in Acute Myocardial Infarction.
2019
https://dx.doi.org/10.1016/j.jcin.2019.01.246
N.B. These documents automatically identified may not have been verified by the study sponsor.
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