UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014562
Receipt number R000016756
Scientific Title Low-energy extracorporeal cardiac shock wave therapy in patients with acute myocardial infarction
Date of disclosure of the study information 2014/07/15
Last modified on 2020/03/07 22:57:35

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Basic information

Public title

Low-energy extracorporeal cardiac shock wave therapy in patients with acute myocardial infarction

Acronym

Shock wave therapy for AMI

Scientific Title

Low-energy extracorporeal cardiac shock wave therapy in patients with acute myocardial infarction

Scientific Title:Acronym

Shock wave therapy for AMI

Region

Japan


Condition

Condition

Acute myocardial infarction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To suppress left ventricular (LV) remodeling after acute myocardial infarction (AMI)

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

LV volume and LV ejection fraction at 6 months and 12 months after AMI

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Low-energy extracorporeal cardiac shock wave therapy (3 times in the first week. 30 or less spots around infarcted area, 200 shots/spot each time)

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

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) 20-79 year-old men, 20-74-year-old women.
2) Reperfusion therapy is succeeded with no distal emboli.
3) Therapy can be started within 72 hours after the onset of AMI.
4) The peak CK in serum is 4000 U/L or less.

Key exclusion criteria

1) Patients with cardiogenic shock or congestive heart failure (who require continuous infusion of cardiovascular agents such as inotropic agents or vasodilators).
2) Patients with severe arrhythmia requiring a cardioversion procedure after PCI.
3) Broad anterior AMI.
4) Patients whose target area cannot be observed with echocardiography.
5) Post-breast augmentation surgery with silicon pad.
6) Intracardiac thrombus.
7) Patients who have malignancy or who have undergone surgery because of malignancy within the past five years.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hiroaki
Middle name
Last name Shimokawa

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

980-5874

Address

1-1 Seiryomachi, Aoba-ku, Sendai 980-8574

TEL

022-717-7153

Email

cswt@cardio.med.tohoku.ac.jp


Public contact

Name of contact person

1st name Kenta
Middle name
Last name Ito

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

980-8574

Address

1-1 Seiryomachi, Aoba-ku, Sendai 980-8574

TEL

022-717-7153

Homepage URL

http://www.cardio.med.tohoku.ac.jp/shockwave/index.html

Email

cswt@cardio.med.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University

Institute

Department

Personal name



Funding Source

Organization

Japanese Ministry of Health, Labor, and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research, Innovation and Education Center, Tohoku University Hospital

Address

1-1 Seiryomachi, Aoba-ku, Sendai 980-8574

Tel

022-717-7122

Email

cswt@cardio.med.tohoku.ac.jp


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

2014 Year 07 Month 15 Day


Related information

URL releasing protocol

https://www.ncbi.nlm.nih.gov/pubmed/29068804

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/29068804

Number of participants that the trial has enrolled

17

Results

At 6 and 12 months after AMI, LV function as assessed by MRI showed no signs of deleterious LV remodeling. When we compared the SW-treated group with the historical AMI controls at 6 months after AMI, LV ejection fraction was significantly higher in the SW-treated group (N=7) than in the historical control group (N=25) by echocardiography. LV end-diastolic dimension also tended to be smaller in the SW than in the control group.

Results date posted

2020 Year 03 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Seventeen patients with AMI who successfully underwent primary PCI (peak-creatine kinase<4000U/l) were treated with the SW therapy.

Participant flow

Registered in one institute.

Adverse events

There were no procedure-related complications or adverse effects.

Outcome measures

LV function as assessed by MRI.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 11 Month 20 Day

Date of IRB

2007 Year 02 Month 05 Day

Anticipated trial start date

2007 Year 02 Month 18 Day

Last follow-up date

2016 Year 12 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

2014 Year 07 Month 15 Day

Last modified on

2020 Year 03 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016756


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name