Status:

COMPLETED

Prevention of Gastrointestinal Bleeding in Patients With Severe Ischemic Heart Disease

Lead Sponsor:

Ruttonjee Hospital

Conditions:

Acute Coronary Syndrome

Acute Myocardial Infarction

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Aspirin and clopidogrel +/- heparin or thrombolytic co-therapy is well established and effective treatment for unstable cardiac patients. However, the major complication was gastrointestinal bleeding ...

Eligibility Criteria

Inclusion

  • patients admitted for acute coronary syndrome or acute myocardial infarction requiring active treatment with aspirin clopidogrel and (enoxaparin or thrombolytics.)

Exclusion

  • known active peptic ulcer disease or gastrointestinal within 8 wk
  • known iron deficiency anemia with Hb \< 10 gm/dl
  • mechanical ventilation
  • active cancer, liver cirrhosis, end-stage renal failure
  • life expectancy \< 1 yr
  • known allergic to aspirin, clopidogrel, enoxaparin famotidine or esomeprazole
  • pregnancy, lactation, child-bearing potential in the absence of contraception,
  • co-prescription of NSAID, corticosteroid, or warfarin
  • non-oral feeding or impaired GI absorption e.g. vomiting
  • already on proton pump inhibitor for \> 1 day or another clinical trial drug for ulcer disease

Key Trial Info

Start Date :

July 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2011

Estimated Enrollment :

500 Patients enrolled

Trial Details

Trial ID

NCT00683111

Start Date

July 1 2008

End Date

December 1 2011

Last Update

June 6 2012

Active Locations (1)

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1

Ruttonjee Hospital

Hong Kong, China