Phase 2
Completed N=535
Shortened Aggrastat® Versus Integrilin in Percutaneous Coronary Intervention
Source: ClinicalTrials.gov NCT01522417 ↗Enrolled (actual)
535
Serious AEs
4.9%
Results posted
Apr 2021
Primary outcomePrimary: The Composite Endpoint of Death, Periprocedural Myonecrosis (PPM), Urgent Target Vessel Revascularization (uTVR) or Major Bleeding — 69; 60; 48 Participants
Summary
The purpose this study is to assess whether a tirofiban regimen of a high-dose bolus plus a shortened infusion duration compared to label-dosing eptifibatide in patients undergoing percutaneous coronary intervention (PCI) is associated with a non-inferior composite rate of death, PCI-related myocardial infarction, urgent target vessel revascularization or in-hospital major bleeding within 48 hours following PCI or hospital discharge, whichever comes first.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Composite Endpoint of Death, Periprocedural Myonecrosis (PPM), Urgent Target Vessel Revascularization (uTVR) or Major Bleeding |
69; 60; 48 | — |
| SECONDARY The Composite Endpoint of Death, Periprocedural Myonecrosis or Urgent Target Vessel Revascularization |
69; 60; 45 | — |
| SECONDARY Individual Components of Death, Urgent Target Revascularization or Major Bleeding |
0; 1; 0; 1; 0; 1 | — |
| SECONDARY Individual Components of Periprocedural Myonecrosis |
69; 60; 45; 36; 35; 28 | — |
| SECONDARY The Composite Endpoint of Death, Periprocedural Myonecrosis (PPM) (≥ 10x Troponin), Urgent Target Vessel Revascularization (uTVR) or Major Bleeding |
36; 35; 32 | — |
Eligibility Criteria
Inclusion Criteria
- Age ≥18 years of age
- Scheduled to undergo PCI with an FDA, approved or cleared device (stent or procedures such as balloon angioplasty, rotoblation, AngioSculpt, laser atherectomy,etc.) in one or more native coronary target lesions
- Written informed consent
Exclusion Criteria
- Primary PCI for STEMI as index procedure
- Prior STEMI within 48 hours before randomization
- Prior PCI within 30 days before randomization
- Planned staged PCI within the subsequent 24 hours after index PCI
- Use of abciximab within 7 days before randomization
- Use of tirofiban or eptifibatide within 12 hours before randomization
- Use of low-molecular weight heparin within 12 hours before randomization
- Use of bivalirudin within 12 hours before randomization
Data sourced from ClinicalTrials.gov (NCT01522417). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.