Pitavastatin Pre-Treatment Study in Patient With Elective PCI for Stable Angina Pectoris (PIPA)
Study Details
Study Description
Brief Summary
Patients who is scheduled elective PCI are randomized to pitavastatin 4mg daily or without pitavastatin for 5 -7days before the procedure. Creatine kinase-MB, troponin I, and myoglobin levels are measured at baseline and at 8 and 24 hours after the procedure(1st evaluation). After PCI, pitavastatin will be administered for additional 4 weeks(2nd evaluation).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
Procedural ischemic myocardial injury remains the most frequent complication after coronary angioplasty. Recently it was reported that pretreatment with atorvastatin reduce the myocardial damage compared to placebo. Thus, we will evaluate the difference of pretreatment of pitavastatin compared to standard therapy on the reduction of myocardial damage in patient who is scheduled elective PCI for stable angina pectoris.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Pitavastatin Group
|
Drug: Pitavastatin
4mg daily for 5-7 days before Percutaneous Coronary Intervention(PCI) and 4mg daily for 28 days after PCI
|
Other: Usual Care Group
|
Drug: Pitavastatin
4mg daily for 28 days after PCI
|
Outcome Measures
Primary Outcome Measures
- Proportion of patients whose CK-MB > 2 times above UNL [First evaulation time (before PCI)]
Secondary Outcome Measures
- Proportion of patients who show any increase of CK-MB, troponin I, and myoglobin above UNL [First evaluation time]
- Mean peak values of CK-MB, troponin I and myoglobin after intervention [After PCI (<24hrs)]
- Change of hs-CRP, wall motion score [Second evaluation time]
- Occurence of all major adverse cardiac events [Second evaluation time]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients with LDL ≥ 100mg/dL
-
Patients who are scheduled an elective PCI for stable angina
Exclusion Criteria:
-
Acute myocardial infarction (<3 months)
-
Unstable angina
-
Previous treatment with statins (<6 months)
-
Increase in CK-MB above upper normal limit
-
Increase in liver enzymes (AST/ALT) above 2 times of upper normal limit
-
Increase in serum creatinine above 2 times of upper normal limit
-
Left ventricular ejection fraction <30%
-
Previous treatment with glycoprotein Ⅱb/Ⅲa receptor inhibitor (<4 weeks)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Catholic University of Korea Kangnam St. Mary's Hospital | Seoul | Korea, Republic of |
Sponsors and Collaborators
- JW Pharmaceutical
Investigators
- Principal Investigator: Ki Bae Seung, Ph.D, Professor, Catholic University of Korea Kangnam St. Mary's Hospital located
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CWP-PTV-705