Bivalirudin in Patients With Acute Myocardial Infarction (AMI) Undergoing Primary PCI

Study Overview
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Brief Summary
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The purpose of this study is to demonstrate the benefit of bivalirudin in combination with clopidogrel with provisional GPIIb/IIIa inhibitor use, in reducing the bleeding complications associated with early invasive management of patients presenting with an ST Elevation Myocardial Infarction (STEMI) and undergoing primary PCI, while providing similar rates of ischemic events when compared to published results of relevant trials.

Official Title
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A Study Evaluating the Safety and Efficacy of Bivalirudin in the Management of Patients With ST-Segment Elevation Acute Myocardial Infarction Undergoing Primary PCI (BIAMI)

Conditions
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Myocardial Infarction

Intervention / Treatment
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* Drug: Angiomax (bivalirudin) anticoagulant


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients >18 years of age. Symptoms of STEMI for at least 30 min within previous 12 hours AND ST-segment elevation in at least 2 contiguous leads or new Left Branch Bundle Block (LBBB), OR existing LBBB with positive troponin Residual high grade stenosis and associated abnormalities in regional wall motion. Planned primary PCI in native coronary vessel. Exclusion Criteria: Confirmed pregnancy Fibrinolytic therapy - Any alteplase, reteplase, tenectoplase, or streptokinase within the last 24 hours Culprit lesion within SVG or bypass conduit Dependency on renal dialysis Administration of LMWH within 8 hours prior to PCI Administration of abciximab within 7 days prior to PCI Administration of eptifibatide or tirofiban within 12 hours prior to PCI Warfarin MUST BE discontinued prior to procedure, and the INR must be ⎕1.5, or the PT<15, Heparin. If heparin is administered in the ER as long as it is discontinued at least 30 minutes prior to procedure, OR ACT <250, a patient may be enrolled. No clotting measurements are required if patient received heparin ⎕30 minutes prior to the initiation of bivalirudin. Allergy to heparin or bivalirudin, or known sensitivity to any component of the products Allergy to aspirin, clopidogrel, or abciximab Contraindication to abciximab Angiomax within 24 hours prior to study drug administration Neurosurgery with three months Severe hypertension not adequately controlled by antihypertensive therapy at the time of study entry (BP >180/110 mm Hg) Cardiogenic shock (SBP <80 for >30 min or a need for intravenous pressors) Stroke within three months Any hemorrhagic diathesis Life expectancy <1 year Participation in another clinical trial

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: Angiomax (bivalirudin) anticoagulant|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in bleeding complications |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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PCI, ST-Segment Elevation, Acute Myocardial Infarction, Percutaneous Coronary Intervention