UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002798
Receipt number R000003303
Scientific Title Myocardial perfusion scintigraphy in acute myocardial infarction patients treated with successful percutaneous coronary intervention
Date of disclosure of the study information 2009/11/25
Last modified on 2017/01/06 09:27:31

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Basic information

Public title

Myocardial perfusion scintigraphy in acute myocardial infarction patients treated with successful percutaneous coronary intervention

Acronym

Myocardial perfusion scintigraphy in acute myocardial infarction patients treated with successful percutaneous coronary intervention

Scientific Title

Myocardial perfusion scintigraphy in acute myocardial infarction patients treated with successful percutaneous coronary intervention

Scientific Title:Acronym

Myocardial perfusion scintigraphy in acute myocardial infarction patients treated with successful percutaneous coronary intervention

Region

Japan


Condition

Condition

Acute Myocardial Infarction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether a washout rate (WR) obtained from myocardial scintigrams predicts severity of myocardial infarction and prognosis after percutaneous coronary intervention (PCI). The effect of cardiac rehabilitation on WR was also assessed.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1.Hematological evaluation
Creatinine kinase (CK), CK-myoglobin binding (CK-MB), brain natriuretic peptide (BNP), creatinine (Cr)
2.Myocardial planner images
Planner images obtained in the early and delayed phase after tracer injection
3.Myocardial single photon emission computed tomography (SPECT)
Short-axis SPECT images at rest
4.Gated SPECT
Left ventricular (LV) end systolic and diastolic volumes, LV ejection fraction, LV diastolic function

Key secondary outcomes

1.Planner images in the lower
extremities (using 99mTc-MIBI)
Images in the upper and lower thighs obtained at the early phase after tracer injection
2.Cardiopulmonary exercise testing
Systolic and diastolic blood pressures at rest, at warming up, during exercise, at peak exercise and cooling down, pulse, a respiratory rates (RR), minute ventilation (VE), oxygen uptake (VO2), a carbon dioxide production rate (VCO2), the relation between ventilation and VO2 (VE/ VO2), the relation between ventilation and VCO2 (VE/VCO2), anaerobic threshold (AT), peak VO2, VE/VCO2 slope, VO2/WR, end-tidal oxygen tension pressure (PETO2), end-tidal carbon dioxide pressure (PETCO2)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with acute myocardial infarction confirmed by coronary angiography and those who were successfully treated with PCI in the acute phase were enrolled.

Key exclusion criteria

Patients who had acute coronary syndrome within the last half year, those with severe hepatic and/or renal impairment, those with inappropriate arrhythmia, such as premature ventricular contraction (PVC) and atrial fibrillation, for electrocardiography-gated SPECT data collection, and small heart patients.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshihiro. J. Akashi

Organization

St.Marianna Uneversity School of Medicine

Division name

Division of cardiology,Department of Internal Medicine

Zip code


Address

2-16-1 sugao , miyamae-ku , kawasaki city , kanagawa , Japan

TEL

044-977-8111

Email

nmmfy630@yahoo.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kohei Ashikaga

Organization

St.Marianna Uneversity School of Medicine

Division name

Division of cardiology,Department of Internal Medicine

Zip code


Address

2-16-1,sugao, miyamae-ku, kawasaki-city, kanagawa prefecture

TEL

044-977-8111

Homepage URL


Email

k2ashikaga@marianna-u.ac.jp


Sponsor or person

Institute

Division of cardiology,Department of Internal Medicine. St.Marianna Uneversity School of Medicine

Institute

Department

Personal name



Funding Source

Organization

St.Marianna Uneversity School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

1604

Org. issuing International ID_1

St.Marianna Uneversity School of Medicine

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

聖マリアンナ医科大学病院


Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 25 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 07 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2015 Year 03 Month 31 Day


Other

Other related information

Evaluation:
Nowadays, serum CK, CK-MB, and serum troponin are used to predict severity and prognosis in patients with acute myocardial infarction. BNP is also known as a reliable indicator of heart failure; however, BNP is not an independent prognostic indicator for severity of acute myocardial infarction. BNP levels correspond to severity of injuring in infarct area and LV diastolic function; BNP together with LVEF is useful to predict prognosis after the onset of acute myocardial infarction. Meanwhile, WR, which is obtained at the early and delayed phase after 99mTc-MIBI injection, correlates with severity of heart failure and impaired myocardium. It has been reported that WR obtained from 123I-BMIPP scintigrams has the similar results. Accordingly, WR obtained from 99mTc-MIBI scintigrams may become a predictor of severity and prognosis after treatment in acute myocardial infarction patients.

* A prospective study
* A random sample


Management information

Registered date

2009 Year 11 Month 25 Day

Last modified on

2017 Year 01 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003303


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name