A Study Evaluating the Efficacy and Safety of Abciximab, an Anti-platelet Therapy, in Patients Undergoing High-risk Coronary Angioplasty

Sponsor
Centocor, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00269893
Collaborator
(none)
2,038
3
12

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the effectiveness and safety of abciximab (an anti-platelet therapy) versus placebo in patients undergoing high risk coronary angioplasty.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

This is a randomized, double-blind, placebo-controlled, multicenter study evaluating the efficacy and safety of abciximab, an anti-platelet therapy, in patients undergoing high risk coronary angioplasty. The primary outcomes of the study include any of the following: the number of deaths from any cause, or myocardial infarctions and recurrent ischemic events requiring urgent intervention (e.g., repeat angioplasty, coronary artery bypass surgery, intracoronary stent placement, or intra-aortic balloon pump).

Patients receive an abciximab bolus, abciximab bolus plus infusion, or placebo.

Study Design

Study Type:
Interventional
Actual Enrollment :
2038 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase III Double-Blind, Placebo-Controlled Multicenter Study of Abciximab In Patients Undergoing High Risk Coronary Angioplasty (EPIC)
Study Start Date :
Nov 1, 1991
Actual Primary Completion Date :
Nov 1, 1992
Actual Study Completion Date :
Nov 1, 1992

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo

Participants will receive matching placebo solution bolus followed by matching placebo solution infusion up to 12 hours.

Drug: Placebo
Matching Placebo soulution either bolus or infusion.

Experimental: Abciximab and Placebo

Participants will receive 0.25 milligram per kilogram (mg/kg) of body weight of abciximab (c7E3 Fab) bolus injection followed by followed by placebo solution infusion up to 12 hours.

Drug: Abciximab
0.25 mg/kg of body weight of abciximab either bolus or infusion.
Other Names:
  • c7E3 Fab
  • Drug: Placebo
    Matching Placebo soulution either bolus or infusion.

    Experimental: Abciximab

    Participants will receive 0.25 mg/kg of body weight of abciximab bolus followed by abciximab (c7E3 Fab) infusion up to 12 hours.

    Drug: Abciximab
    0.25 mg/kg of body weight of abciximab either bolus or infusion.
    Other Names:
  • c7E3 Fab
  • Outcome Measures

    Primary Outcome Measures

    1. Any of the following within 30 days: Death from any cause; Myocardial infarction; Recurrent ischemic event requiring urgent intervention (repeat angioplasty, coronary artery bypass surgery, intracoronary stent placement, or intra-aortic balloon pump). [30 days after angioplasty]

    Secondary Outcome Measures

    1. Number of participants With use of thrombolytic agent in catheterization lab [Day 1]

    2. Time spent in catheterization lab [Day 1]

    3. Number of balloon Used inflations during angioplasty [Day 1]

    4. Number of Successful Angioplasty [Day 1]

    5. Reason for Specific Mortality [Up to end of study (30 days after angioplasty)]

    6. Number of participants with late major clinical events [30 days after angioplasty up to 6 months after angioplasty]

    7. Number of Abrupt Closure [Day 1]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients referred for elective or urgent coronary balloon angioplasty or atherectomy with an FDA-approved device in one of the following settings: unstable angina or non-Q wave myocardial infarction, acute Q-wave myocardial infarction, or high-risk clinical/morphological characteristics
    Exclusion Criteria:
    • Patients with a history of hemorrhagic diathesis - Having had major surgery or clinically significant gastrointestinal or genitourinary bleeding within 6 weeks of study enrollment

    • Having had a stroke within 2 years prior to enrollment or any stroke with significant residual neurological deficit

    • Having occlusion of the left main coronary artery greater than 50% or a history of vasculitis

    • Treated with oral anticoagulants within 7 days (unless prothrombin time is =< 1.2 times control) or intravenous dextran (before or planned for during the treatment angioplasty)

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Centocor, Inc.

    Investigators

    • Study Director: Centocor, Inc. Clinical Trial, Centocor, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Centocor, Inc.
    ClinicalTrials.gov Identifier:
    NCT00269893
    Other Study ID Numbers:
    • CR006268
    • C0116T09
    First Posted:
    Dec 26, 2005
    Last Update Posted:
    Jun 2, 2015
    Last Verified:
    Jun 1, 2015
    Keywords provided by Centocor, Inc.
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 2, 2015