UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005721
Receipt number R000006762
Scientific Title Evaluation of the Prospective Observation of erythropoietin-administration for the treatment of Acute Myocardial Infarction-II
Date of disclosure of the study information 2011/06/15
Last modified on 2015/06/09 08:23:20

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Basic information

Public title

Evaluation of the Prospective Observation of erythropoietin-administration for the treatment of Acute Myocardial Infarction-II

Acronym

EPO-AMI-II

Scientific Title

Evaluation of the Prospective Observation of erythropoietin-administration for the treatment of Acute Myocardial Infarction-II

Scientific Title:Acronym

EPO-AMI-II

Region

Japan


Condition

Condition

Acute Myocardial Infarction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether the administration of epoetin-beta (6000unit or 12000unit) to patients with AMI who are underwent successful PCI within 12 hours after onset is able to improve reperfusion injury in dose-dependent manner in randomized, placebo-controlled, double-blind trial, and to estimate appropriate dose for clinical use.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The improvement of left ventricular ejection fraction at the chronic phase (the mean of differences between LVEF value at 4-7 days and that at 6 months after administration)

Key secondary outcomes

[Efficacy]
1.Indexes of cardiac function 6 months after administration of epoetin-beta, which are calculated with cardiac scintigraphy. (LVEDV, LVESV, LVEDVI, LVESVI, regional wall motion score, %uptake at resting), and defect size (%Defect Size: SRS (Summed rest Score), SDS (Summed difference Score))
2.Survival ratio
3.Cardiac event ratio (Cardiac death, stroke, nonlethal myocardial infarction, admission due to worsening of heart failure, revasculization, onset of heart failure symptoms)
4.NT-ProBNP 6 months after administration.

[safety]
1.adverse events
2.laboratory test data
3.vital signs (blood pressure, pulse rate)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Epoetin-beta(12,000 unit) treatment group

Interventions/Control_2

Epoetin-beta (6,000 unit) treatment group

Interventions/Control_3

Placebo treatment group

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

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients with first-time myocardial infarction
2) Patients with ST-elevation acute myocardial infarction (AMI) who have successful reperfusion by PCI within 12 hours after the symptom onset.
3) Patients whose ejection fraction at enrollment is <50% on UCG or LVG.
4) Age: over 20 years old, under 80 years old
5) Patients who agreed with participation to the trial in writing.

Key exclusion criteria

1) Patients with significant stenotic lesions which require revascularization.
2) Patients who resulted in obviously impaired reperfusion.
3) Patients with Killip class III or IV, or cardiogenic shock at admission.
4) Patients with advanced renal or hepatic dysfunction (Cre more than 2mg/dl, or T-Bil more than 3mg/dl)
5) Patients with blood pressure more than 140/90mmHg after PCI.
6) Hematocrit more than 54% after PCI.
7) Patients who exhibit atrial fibrillation after PCI.
8) Patients who has been diagnosed with malignant hypertension.
9) Patients who has previously received treatment with rhEPO.
10) Patients who received a blood transfusion in the last three months.
11) Patients who is or has been diagnosed with cancer in the past 5 years.
12) Patients who are complicated with severe infection such as pneumonia or sepsis.
13) Patients who are contraindicated to aspirin or thienopyridine derivatives.
14)Women who is pregnant, breastfeeding, or has a possibility for pregnancy.
15) Patients whom researchers judged that they are not appropriate to participate this trial.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name (1) Yoshifusa Aizawa, (2) Issei Komuro, (3) Tetsuo Minamino

Organization

(1) TACHIKAWA Medical Center
(2) Tokyo University Graduate School of Medicine
(3)Osaka University Graduate School of Medicine

Division name

(1) Division of Cardiology, (2) Department of Cardiovascular Medicine, (3) Department of Cardiovascular Medicine

Zip code


Address

(1) 3-2-1 Kandacho, Nagaoka, Niigata, 940-8621, Japan, (2) 7-3-1 Hongo, Bunkyo, Tokyo, 113-8655, Japan, (3) 2-2 Yamadaoka, Suita, 565-0871, Japan

TEL

06-6879-3635

Email

epoami2office@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tetsuo Minamino

Organization

Cardioprotection Workshop

Division name

Research Office of EPO-AMI-II

Zip code


Address

2-2 Yamadaoka, Suita, Osaka, Japan

TEL

06-6879-3635

Homepage URL


Email

epoami2office@umin.ac.jp


Sponsor or person

Institute

Cardioprotection Workshop

Institute

Department

Personal name



Funding Source

Organization

The Japanese Circulation Society

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Minstry of Health, Labour and Welfare


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 06 Month 15 Day


Related information

URL releasing protocol

http://www.epoami2.com/

Publication of results

Unpublished


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

Enrolling by invitation

Date of protocol fixation

2011 Year 04 Month 18 Day

Date of IRB


Anticipated trial start date

2011 Year 09 Month 01 Day

Last follow-up date

2016 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 06 Month 04 Day

Last modified on

2015 Year 06 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006762


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name