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Efficacy and Safety of a Half-dose Bolus of r-SAK Prior to Primary PCI in ST-elevation Myocardial Infarction

Study acronym: OPTIMA-6
StatusRecruiting
PhasePhase 4
Started2023-04-08
View on ClinicalTrials.gov ↗

Amendment history

2024-10-24
minor
Study Status, Contacts/Locations, References v6
Primary completion date2025-01-01→2026-12-31
Completion date2026-01-01→2027-12-31
Study sites15→61
2023-07-20
minor
Study Status, Outcome Measures, Contacts/Locations v5
Study sites13→15
Secondary endpointsdetails revised at 2 of 12 entries
2023-05-05
notable
Not Yet Recruiting→Recruiting Study Status, Oversight, Arms and Interventions, Outcome Measures, Eligibility, Contacts/Locations v4
Trial statusNot Yet Recruiting→Recruiting
Primary completion date2024-09-01→2025-01-01
Completion date2025-10-01→2026-01-01
Start dateestimated 2023-03-10→confirmed 2023-04-08
Study sites12→13
Eligibility criteria+32 characters
[...] andomization ≤12 hours Primary PCI expected to be performed within≥30 minutes, and ≤120 minutes Exclusion Criteria: Cardiogenic shock Active bleeding or known at high risk of bleeding (including grade Ⅲ or Ⅳ retinopath [...] e or TIA in the past 6 months History of hemorrhagic stroke Platelet count <100×10^9/L or hemoglobin <100 g/L Known intracranial aneurysm Severe trauma, surgery or head i [...] month Suspected aortic dissection or infective endocarditis Recent puncturePuncture with difficult hemostasis by compression within 1 month (e.g., visceral biopsy, compartment puncture) Currently tak [...] icoagulants P [...]
Secondary endpointsdetails revised at 3 of 12 entries
2023-02-18
minor
Study Status, Outcome Measures v3
Start date2023-02-25→2023-03-10
Secondary endpoints11 to 12 entries
LVEF assessed by echocardiogram
2023-02-09
minor
Study Identification, Study Status, Study Description, Conditions, Study Design, Arms and Interventions, Outcome Measures, Eligibility, Contacts/Locations v2
Primary completion date2025-09-01→2024-09-01
Completion date2026-01-01→2025-10-01
Start date2023-01-01→2023-02-25
Enrollment target2000→2260
Study sites1→12
InterventionsNormal saline (Drug), Recombinant staphylokinase (Drug)→Placebo (Drug), Recombinant staphylokinase (Drug)
Eligibility criteria-366 characters
Inclusion Criteria: Age 18~-75 years old, weight ≥45 45kg,kg Diagnosed genderas isSTEMI not(meeting limited.the following two conditions simultaneously) DiagnosisIschemic ofchest acutepain lasts ≥ 30 minutes ECG indicates that ST-segment elevation myocardial infarction (both of thetwo following): (A) Ischemic chest pain lastingor more thancontiguous 30precordial minutes; (B) Electrocardiogram indicates ST-segment elevationleads ≥ 0.1mV1 in 2 or more limb leadsmV, or ST-segment elevation ≥of 0.2mV in 2two or more adjacentcontiguous chestprecordial leads ≥ 0.2 mV Time from onset of persistent is [...] [...]
Secondary endpoints8 to 11 entries
TotalEach rateof the following cardiac and cerebrovascular events NT-proBNP CMR indexes LVEF assessed by echocardiogram The percentage of TIMI grade 3 + TIMI grade 2 of blood flow in coronary angiography after 60 minutes of use of study medication Rate of TIMI grade 3 of blood flow in coronary angiography after 60 minutes of use of study medication Total rate of TIMI grade 3 + TIMI grade 2 of blood flow in first coronary angiography within 1 hour of the use of study medicati [...] grade 2 and 3 prior to PCI The percentage of TIMI flow grade 3 prior to PCI The percentage of TIMI flow grade 2 and 3 af [...] [...]
Primary endpoints2 to 1 entries
Efficacy end point: major adverse cardiovascular events Safety end point: bleeding eventsMACE
Study description-91 characters
[...] racardiac pressure, and eventually progress to heart failure (HF), which seriously affects the prognosis of patients. The FAS [...] for early reperfusion treatment. In addition, the thrombus loadburden in the coronary artery increases with the prolongation of i [...] implantation in the coronary artery with excessive thrombus loadburden is prone to slow blood flow or no reflow, resulting in the [...] nes suggest that if the estimated transit time is more than 2120 hoursminutes, thrombolytic therapy should be performed before transport; If the estimated transfer time is less than 2120 hoursminutes, it can be dire [...] [...]
Study title+20 characters
Efficacy and Safety of ana EarlyHalf-dose PhaseBolus Single-bolusof r-SAK forPrior Acuteto Primary PCI in ST-elevation Myocardial Infarction
2022-07-11
minor
Study Status, Outcome Measures, Eligibility v1
Primary completion date2024-09-01→2025-09-01
Completion date2024-12-01→2026-01-01
Start date2022-09-01→2023-01-01
Eligibility criteria+38 characters
[...] : (A) Ischemic chest pain lasting more than 30 minutes; (B) ECGElectrocardiogram indicates ST-segment elevation ≥ 0.1mV in 2 or more limb le [...] and renal impairment, including ALT, AST > 3 x ULN and eGFR<1530 mL/min/1.73m^2 (calculated based on CKD-EPI equation). Know [...] past 3 months. Having a history of myocardial infarction or CABGcoronary artery bypass graft. Having taken antiplatelet drugs after pain onset, such as [...]
Secondary endpoints4 to 8 entries
MACETotal occurredrate of TIMI grade 3 + TIMI grade 2 of blood flow in first coronary angiography within 1 month,hour of the use of study medication Total rate of TIMI grade 3 months,of 6blood months,flow 9in monthsfirst andcoronary 12 months Bleeding events occurredangiography within 1 monthhour of the use of study medication Rate of slow-flow, no-reflow, TIMI grade 3 months+ TIMI grade 2 and TIMI grade 3 after primary PCI Non-major bleeding events in 30 days after the use of study medication (BARC I, 6II) Major months,bleeding 9events months andin 12 months after the use of study medication [...]
2022-06-06
minor
Original filing
As an effective treatment for acute ST-segment elevation myocardial infarction (STEMI), early reperfusion may reduce the infarct size and improve the prognosis of patients. However, it remains uncertain whether adjunctive thrombolytic therapy administered immediately prior to primary percutaneous coronary intervention (PCI) improves outcomes in patients undergoing the procedure within 120 minutes. In this investigator-initiated, prospective, multi-center, randomized, double-blind, placebo-controlled trial, subjects meeting the inclusion/exclusion criteria should be randomly assigned 1:1 to the trial group (r-SAK) or the control group (placebo). The risk of major adverse cardiovascular events within 90 days will be observed.
Trial Details
NCT Number NCT05410925
Lead Sponsor The First Affiliated Hospital with Nanjing Medical University
Conditions ST Elevation Myocardial Infarction
Enrollment 2,260 participants
Start Date 2023-04-08
Primary Completion 2026-12-31 (estimated)
Study Completion 2027-12-31 (estimated)
Updated on ClinicalTrials.gov 2024-10-28