CAMEO: Cangrelor in Acute Myocardial Infarction: Effectiveness and Outcomes Registry
Study Details
Study Description
Brief Summary
The purpose of this registry is to address optimal platelet inhibition during the early management of MI patients prior to coronary angiography or CABG.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The CAMEO registry is a multicenter observational registry that will collect information on 3,000 patients with NSTEMI or STEMI treated with cangrelor or an oral P2Y12 inhibitor into the registry.
Phase 1: Each site will abstract data from the medical record for the first 50 patients meeting the inclusion and exclusion criteria treated at the hospital within 4 months prior to study initiation or during the study period.
Phase 2: After Phase 1, all cangrelor-treated patients meeting the inclusion and exclusion criteria treated at the hospital no later than 1 month from the discharge date will be entered into the registry, and we will begin sampling non-cangrelor patients in a 2:1 cangrelor: non-cangrelor ratio.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
STEMI/NSTEMI Patients in the registry will be 18 years of age or older and underwent coronary angiography for a ST-elevation myocardial infarction (STEMI) or NSTEMI Non-ST-elevation myocardial infarction |
Outcome Measures
Primary Outcome Measures
- The number of Antiplatelet medications used during hospitalization [The time frame is hospitalization through discharge, approximately 3 days]
Antiplatelet use, including switching and discontinuation will be measured by medical record report. The medical record report will include medication start and stop dates and times.
- Number of bleeding events during hospitalization as measured by medical record report [The time frame is hospitalization, up to 7 days post discharge]
Bleeding event entered from the medical record report.
Eligibility Criteria
Criteria
Phase 1 Inclusion Criteria:
For the first 50 patients at each participating site, consecutive patients are entered in the registry if they are ≥ 18 years of age, underwent coronary angiography for a STEMI or NSTEMI, and received cangrelor at any time during the hospitalization or an oral P2Y12 inhibitor during his/her first 48 hours of the hospitalization for MI.
Phase 2 Inclusion Criteria:
Subsequent patients are eligible to be entered in the registry if they are ≥ 18 years of age and underwent coronary angiography for a STEMI or NSTEMI and meet at least 1 of the following criteria:
- The patient was hospitalized for STEMI and met one of the following inclusion criteria:
-
The patient received cangrelor at any time during his/her hospitalization for MI.
-
The patient received an oral P2Y12 inhibitor during his/her first 48 hours of hospitalization AND either of the following:
-
The patient received a P2Y12 inhibitor and an opiate/opioid within 24 hours prior to or during primary PCI for STEMI presentation.
OR
- The patient underwent coronary angiography followed by CABG during the index MI admission and received any P2Y12 inhibitor within 7 days prior to CABG.
- The patient was hospitalized for NSTEMI and met one of the following inclusion criteria:
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The patient received cangrelor during his/her hospitalization for MI.
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The patient received an oral P2Y12 inhibitor during his/her first 48 hours of hospitalization AND either of the following:
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The patient underwent coronary angiography followed by CABG during the index MI admission and received any P2Y12 inhibitor within 7 days prior to CABG. OR
-
Any 2 of the following criteria without prior PCI or CABG: age> 60 years, male sex, diabetes, EF <40% prior heart failure
Exclusion Criteria: If the patient does not meet the inclusion criteria for either Phase.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The Regents of the University of California on behalf of its San Diego campus | La Jolla | California | United States | 92093 |
2 | Christiana Care Health Services, Inc. | Newark | Delaware | United States | 19713 |
3 | University of Florida | Gainesville | Florida | United States | 32611 |
4 | Kootenai Hospital District dba Kootenai Health | Coeur d'Alene | Idaho | United States | 83814 |
5 | MedStar Health Research Institute, Inc. | Hyattsville | Maryland | United States | 20782 |
6 | The Brigham and Women's Hospital, Inc. | Boston | Massachusetts | United States | 02115 |
7 | Henry Ford Health System | Detroit | Michigan | United States | 48202 |
8 | Washington University | Saint Louis | Missouri | United States | 63110 |
9 | The Trustees of Columbia University in the City of New York | New York | New York | United States | 10032 |
10 | Duke University | Durham | North Carolina | United States | 27705 |
11 | Vanderbilt University Medical Center | Nashville | Tennessee | United States | 37323 |
Sponsors and Collaborators
- Chiesi USA, Inc.
- Duke University
Investigators
- Principal Investigator: Tracy Wang, MD, Duke University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Pro00100421