EASE-PCI: Effects of N-acetyl Cysteine During Percutaneous Coronary Intervention
Study Details
Study Description
Brief Summary
The aim of this study is to evaluate the effects of N-acetyl cysteine on periprocedural myocardial infarction and major cardiac and cerebral events in patients undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: saline 30 mg/kg/15 min intravenous bolus preprocedural and 50 mg/kg/8 h intravenous infusion during and after the procedure |
Drug: Saline
|
Experimental: n-acetyl cysteine 30 mg/kg/15 min intravenous bolus preprocedural and 50 mg/kg/8 h intravenous infusion during and after the procedure |
Drug: N-acetyl cysteine
|
Outcome Measures
Primary Outcome Measures
- periprocedural myocardial infarction [postprocedural 3-6 h]
Secondary Outcome Measures
- NAC side effects (Asthma exacerbation, pruritus, dyspnea) [during hospitalization at 48 hours]
- major cardiac and cerebral events [1 year follow-up]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients > 18 years old undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy (Mehran Score ≥ 5)
Exclusion Criteria:
-
Primary percutaneous coronary intervention
-
Low risk for contrast induced nephropathy (Mehran Score < 5)
-
Use of nephrotoxic agents (NSAIDs, aminoglycosides,recent contrast injection...)
-
Infection
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Pregnancy, Lactation
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Renal failure requiring dialysis
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Hepatic failure
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History allergy for NAC
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History of Asthma
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Chronic nitrate usage
-
Malignancy
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Use of corticosteroids
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Leukocytosis,Thrombocytosis,Anemia
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Blood pressure of >180/100mmHg despite anti-hypertensive therapy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Suleyman Demirel University | Isparta | Mediterranean Region | Turkey | 32260 |
Sponsors and Collaborators
- Suleyman Demirel University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ozaydin289