Status:

COMPLETED

Anakinra to Prevent Adverse Post-infarction Remodeling (2)

Lead Sponsor:

Virginia Commonwealth University

Collaborating Sponsors:

American Heart Association

Conditions:

Acute Myocardial Infarction

Heart Failure

Eligibility:

All Genders

18-110 years

Phase:

PHASE2

Brief Summary

Acute myocardial infarction (AMI) remains a major cause of morbidity and mortality. Many patients die early during the course, and those who survive are at risk for dying late from adverse cardiac rem...

Detailed Description

Acute myocardial infarction (AMI) remains a major cause of morbidity and mortality. Many patients die early during the course, and those who survive are at risk for dying late from adverse cardiac rem...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Patients with STEMI will be asked to enroll according to the following inclusion criteria:
  • age \> 18 years,
  • acute (\<12 h) onset of chest pain associated with ST segment elevation (\>2 mm) in 2 or more anatomically contiguous leads at ECG,
  • and successful primary percutaneous coronary intervention.
  • Exclusion criteria:
  • inability to give informed consent,
  • late presentation (\>12 h),
  • unsuccessful revascularization procedure,
  • hemodynamic instability including hypotension,
  • prior Q-wave AMI,
  • end-stage congestive heart failure (American Heart Association \[AHA\]/American College of Cardiology \[ACC\] class C-D, New York Heart Association IV), severe left ventricular dysfunction (EF\<20%),
  • severe valvular heart disease,
  • pregnancy, dye allergy or contraindications to cardiac angiography and/or magnetic resonance imaging, coagulopathy (INR\>1.5 or platelet count\<50000/mm3),
  • recent (\<14 days) use of anti-inflammatory drugs (not including NSAIDs),
  • chronic inflammatory disease (including but not limited to rheumatoid arthritis, systemic lupus erythematosus), and malignancy or any comorbidity limiting survival or conditions predicting inability to complete the study.

Exclusion

    Key Trial Info

    Start Date :

    July 1 2010

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2012

    Estimated Enrollment :

    30 Patients enrolled

    Trial Details

    Trial ID

    NCT01175018

    Start Date

    July 1 2010

    End Date

    December 1 2012

    Last Update

    May 23 2016

    Active Locations (1)

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    1

    Virginia Commonwealth University

    Richmond, Virginia, United States, 23298