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Rosuvastatin in Preventing Myonecrosis in Elective Percutaneous Coronary Interventions (PCIs) (ROMA)

Primary Purpose

Periprocedural Myocardial Necrosis

Status
Completed
Phase
Phase 3
Locations
Italy
Study Type
Interventional
Intervention
ROSUVASTATIN
Sponsored by
University of Roma La Sapienza
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Periprocedural Myocardial Necrosis focused on measuring Percutaneous angioplasty, Myocardial Infarction

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with stable angina

Exclusion Criteria:

  • Baseline myocardial enzyme rise

Sites / Locations

  • Policlinico Umberto I

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

CLOPIDOGREL

ROSUVASTATIN

Arm Description

Outcomes

Primary Outcome Measures

Myocardial enzymes arise

Secondary Outcome Measures

MACE

Full Information

First Posted
November 3, 2009
Last Updated
October 25, 2010
Sponsor
University of Roma La Sapienza
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1. Study Identification

Unique Protocol Identification Number
NCT01007279
Brief Title
Rosuvastatin in Preventing Myonecrosis in Elective Percutaneous Coronary Interventions (PCIs)
Acronym
ROMA
Official Title
ROsuvastatin Pretreatment in Patients Undergoing Elective PCI to Reduce the Incidence of MyocArdial Periprocedural Necrosis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
September 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University of Roma La Sapienza

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
An increase in cardiac biomarkers has been shown to occur in 5% to 30% of patients after otherwise successful percutaneous coronary interventions (PCIs)(1) Apart from side-branch occlusion, intimal dissection and coronary spasm, a possible aetiology of myonecrosis after PCI might be distal embolization of atherogenic materials from plaque disruption,(2 )causing obstruction of blood flow at capillary level resulting in micro-infarction.(3,4 )Recent studies have suggested that pretreatment with Atorvastatin may be associated with a reduction in infarct size after elective PCI. (5-7 ).Actually the standard pretreatment in patients undergoing elective coronary-PCI and already treated with aspirin is copidogrel loading dose administration before procedure.(8,9 ) The investigators hypothesized that a high (40mg) loading dose of Rosuvastatin administered within 24h before the procedure may be effective in reducing the rate of periprocedural MI.Therefore, the investigators will conduct a single center,prospective randomized study to assess whether a single,high (40mg) loading (within24h)dose of Rosuvastatin is effective in preventing elevation of biomarkers of MI after elective coronary stent implantation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Periprocedural Myocardial Necrosis
Keywords
Percutaneous angioplasty, Myocardial Infarction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
160 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CLOPIDOGREL
Arm Type
Active Comparator
Arm Title
ROSUVASTATIN
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
ROSUVASTATIN
Intervention Description
40 mg before procedure
Primary Outcome Measure Information:
Title
Myocardial enzymes arise
Time Frame
6-12-24 hours
Secondary Outcome Measure Information:
Title
MACE
Time Frame
1-6-9 MONTHS

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with stable angina Exclusion Criteria: Baseline myocardial enzyme rise
Facility Information:
Facility Name
Policlinico Umberto I
City
Rome
ZIP/Postal Code
00166
Country
Italy

12. IPD Sharing Statement

Learn more about this trial

Rosuvastatin in Preventing Myonecrosis in Elective Percutaneous Coronary Interventions (PCIs)

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