Status:

COMPLETED

Conservative Versus Liberal Red Cell Transfusion in Myocardial Infarction Trial: The CRIT Pilot

Lead Sponsor:

Medstar Health Research Institute

Collaborating Sponsors:

US Department of Veterans Affairs

Conditions:

Myocardial Infarction

Anemia

Eligibility:

All Genders

21+ years

Phase:

PHASE4

Brief Summary

The purpose of this trial is to determine whether a conservative or a liberal blood transfusion strategy is better for patients with a heart attack and a low blood count.

Detailed Description

The current standard of care for patients with heart attacks is to transfuse red blood cells when the hematocrit (red blood cell count) drops below 30 percent. However, there is little scientific basi...

Eligibility Criteria

Inclusion

  • All of the following must be present:
  • Acute myocardial infarction with presentation within 72 hours of randomization (acute myocardial infarction is defined as ischemic-type chest discomfort lasting at least 30 minutes associated with creatinine kinase MB (CKMB) or troponin \>upper limit of normal \[ULN\])
  • Admission to CCU
  • Hematocrit .30 or less
  • Written, informed consent

Exclusion

  • Inability or unwillingness to receive red cell transfusions
  • Active bleeding (overt blood loss accompanied by a decrease in hematocrit of at least 5% in the preceding 12 hours)
  • Receipt of red cell transfusion within 7 days of randomization
  • Prior severe transfusion reaction
  • Pregnancy
  • Imminent death
  • Decision to provide limited care
  • Age \<21
  • Participation in another clinical trial in which blood transfusion is a requirement or a component of a primary or secondary endpoint
  • Previous participation in the CRIT Pilot

Key Trial Info

Start Date :

April 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2011

Estimated Enrollment :

45 Patients enrolled

Trial Details

Trial ID

NCT00126334

Start Date

April 1 2003

End Date

January 1 2011

Last Update

July 21 2011

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Washington Hospital Center

Washington D.C., District of Columbia, United States, 20010

2

Washington VA Medical Center

Washington D.C., District of Columbia, United States, 20010

3

Durham VA Medical Center

Durham, North Carolina, United States