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Omega-3 Fatty Acids in Elderly Patients With Acute Myocardial Infarction (OMEMI)

Primary Purpose

Myocardial Infarction, Heart Failure, Myocardial Revascularization

Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Pikasol
Corn oil
Sponsored by
Oslo University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Myocardial Infarction focused on measuring Fatty Acids, Omega-3, Aged, Myocardial Infarction

Eligibility Criteria

70 Years - 82 Years (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with acute myocardial infarction discharged from hospital alive

Exclusion Criteria:

  • Being part of another randomized trial
  • Documented intolerance for omega-3 fatty acids
  • Additional disease state that is thought to be incompatible with compliance to the study drugs
  • Additional disease state thought to reduce survival for the follow-up time of 2 years

Sites / Locations

  • Asker and Bærum Hospital
  • Akershus university hospital HF
  • Oslo University Hospital(Ullevaal)
  • Stavanger University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Pikasol

Corn oil

Arm Description

Pikasol®, 3 capsules (1.8 g EPA+DHA)/day

3x capsules of corn oil pr day

Outcomes

Primary Outcome Measures

Combined total mortality, first event of non-fatal myocardial infarction, stroke, revascularization or hospital admission for new or worsened heart failure.

Secondary Outcome Measures

Occurence of new onset atrial fibrillation

Full Information

First Posted
April 16, 2013
Last Updated
August 18, 2020
Sponsor
Oslo University Hospital
Collaborators
University Hospital, Akershus, Asker & Baerum Hospital, Helse Stavanger HF
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1. Study Identification

Unique Protocol Identification Number
NCT01841944
Brief Title
Omega-3 Fatty Acids in Elderly Patients With Acute Myocardial Infarction
Acronym
OMEMI
Official Title
Giving Omega-3 Fatty Acids to Elderly Patients Diagnosed With Acute Myocardial Infarction to Investigate the Effect on Cardiovascular Morbidity and Mortality
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
November 2012 (Actual)
Primary Completion Date
June 26, 2020 (Actual)
Study Completion Date
June 26, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Oslo University Hospital
Collaborators
University Hospital, Akershus, Asker & Baerum Hospital, Helse Stavanger HF

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of the present study is to investigate the possible effects of supplementation with 1.8 g/day of n-3 polyunsaturated fatty acids on cardiovascular morbidity and mortality during a follow-up period of 2 years in an elderly population after having experienced an acute myocardial infarction. The hypothesis is that this supplementation on top of modern therapy will reduce the combined cardiovascular end-point of death, non-fatal myocardial infarction, stroke, revascularizations or hospitalization for new or worsened heart failure with at least 30%.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myocardial Infarction, Heart Failure, Myocardial Revascularization, Atrial Fibrillation
Keywords
Fatty Acids, Omega-3, Aged, Myocardial Infarction

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
1027 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pikasol
Arm Type
Active Comparator
Arm Description
Pikasol®, 3 capsules (1.8 g EPA+DHA)/day
Arm Title
Corn oil
Arm Type
Placebo Comparator
Arm Description
3x capsules of corn oil pr day
Intervention Type
Drug
Intervention Name(s)
Pikasol
Other Intervention Name(s)
omega-3, polyunsaturated fatty acids
Intervention Description
Pikasol®, 3 capsules (1.8 g EPA+DHA)/day
Intervention Type
Other
Intervention Name(s)
Corn oil
Intervention Description
Corn oil (56% linoleic acid, 32% oleic acid, 10% palmitic acid), unchanged and according to the manufacturer
Primary Outcome Measure Information:
Title
Combined total mortality, first event of non-fatal myocardial infarction, stroke, revascularization or hospital admission for new or worsened heart failure.
Time Frame
24months
Secondary Outcome Measure Information:
Title
Occurence of new onset atrial fibrillation
Time Frame
24months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
70 Years
Maximum Age & Unit of Time
82 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with acute myocardial infarction discharged from hospital alive Exclusion Criteria: Being part of another randomized trial Documented intolerance for omega-3 fatty acids Additional disease state that is thought to be incompatible with compliance to the study drugs Additional disease state thought to reduce survival for the follow-up time of 2 years
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Harald Arnesen, MD Phd
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Svein Solheim, MD phd
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Ingebjørg Seljeflot, Phd
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Kristian Laake, MD
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Peder Myhre, MD
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Are A Kalstad, MD
Organizational Affiliation
Center for Clinical Heart Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Asker and Bærum Hospital
City
Rud
State/Province
Bærum
ZIP/Postal Code
1309
Country
Norway
Facility Name
Akershus university hospital HF
City
Lørenskog
ZIP/Postal Code
1478
Country
Norway
Facility Name
Oslo University Hospital(Ullevaal)
City
Oslo
ZIP/Postal Code
0424
Country
Norway
Facility Name
Stavanger University Hospital
City
Stavanger
Country
Norway

12. IPD Sharing Statement

Citations:
PubMed Identifier
34742136
Citation
Chiva-Blanch G, Bratseth V, Laake K, Arnesen H, Solheim S, Schmidt EB, Badimon L, Seljeflot I. One year of omega 3 polyunsaturated fatty acid supplementation does not reduce circulating prothrombotic microvesicles in elderly subjects after suffering a myocardial infarction. Clin Nutr. 2021 Dec;40(12):5674-5677. doi: 10.1016/j.clnu.2021.10.007. Epub 2021 Oct 20.
Results Reference
derived
PubMed Identifier
33650449
Citation
Kalstad AA, Myhre PL, Laake K, Opstad TB, Tveit A, Solheim S, Arnesen H, Seljeflot I. Biomarkers of ageing and cardiac remodeling are associated with atrial fibrillation. Scand Cardiovasc J. 2021 Aug;55(4):213-219. doi: 10.1080/14017431.2021.1889653. Epub 2021 Mar 2.
Results Reference
derived
PubMed Identifier
33191772
Citation
Kalstad AA, Myhre PL, Laake K, Tveit SH, Schmidt EB, Smith P, Nilsen DWT, Tveit A, Fagerland MW, Solheim S, Seljeflot I, Arnesen H; OMEMI Investigators. Effects of n-3 Fatty Acid Supplements in Elderly Patients After Myocardial Infarction: A Randomized, Controlled Trial. Circulation. 2021 Feb 9;143(6):528-539. doi: 10.1161/CIRCULATIONAHA.120.052209. Epub 2020 Nov 15.
Results Reference
derived
PubMed Identifier
31881852
Citation
Kalstad AA, Tveit S, Myhre PL, Laake K, Opstad TB, Tveit A, Schmidt EB, Solheim S, Arnesen H, Seljeflot I. Leukocyte telomere length and serum polyunsaturated fatty acids, dietary habits, cardiovascular risk factors and features of myocardial infarction in elderly patients. BMC Geriatr. 2019 Dec 27;19(1):376. doi: 10.1186/s12877-019-1383-9.
Results Reference
derived
PubMed Identifier
24928284
Citation
Laake K, Myhre P, Nordby LM, Seljeflot I, Abdelnoor M, Smith P, Tveit A, Arnesen H, Solheim S. Effects of omega3 supplementation in elderly patients with acute myocardial infarction: design of a prospective randomized placebo controlled study. BMC Geriatr. 2014 Jun 13;14:74. doi: 10.1186/1471-2318-14-74.
Results Reference
derived

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Omega-3 Fatty Acids in Elderly Patients With Acute Myocardial Infarction

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