Myocardial InfarctionPhase 3NCT00046228
A Study of Abciximab and Reteplase When Administered Prior to Catherization After a Myocardial Infarction (Finesse)
A Phase 3 study of Myocardial Infarction, run by Centocor, Inc. at 227 sites in 19 countries.
Trial summary
The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to… Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Myocardial Infarction
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,461 participants
- Where
- 227 sitesin 19 countries
- Study dates
- Aug 2002to Jan 2008
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who have prolonged, continuous (lasting at least 20 minutes) signs and symptoms of A heart attack not eliminated with nitrates and onset within 6 hours of randomization,and confirmation by Electrocardiogram
Who cannot join
- Low risk clinical presentation
- patients who will not be undergoing a catherization within 4 hours of the qualifying Electrocardiogram
Trial locations and contacts
227 sites in 19 countries.
227 sites in 19 countries
United States52 sites
Study site
Akron, Ohio
Study site
Amarillo, Texas
Study site
Ann Arbor, Michigan
Study site
Bremerton, Washington
Study site
Bristol, Tennessee
Study site
Brooklyn, New York
Study site
Clearwater, Florida
Study site
Cleveland, Ohio
Study site
Covina, California
Study site
Dayton, Ohio
Study site
Flushing, New York
Study site
Galveston, Texas
Study site
Harvey, Illinois
Study site
Hershey, Pennsylvania
Study site
Houston, Texas
Study site
Jacksonville, Florida
Study site
Kingsport, Tennessee
Study site
Lewiston, Maine
Study site
Lexington, Kentucky
Study site
Louisville, Kentucky
Study site
Lubbock, Texas
Study site
Marshfield, Wisconsin
Study site
Miami, Florida
Study site
Mineola, New York
Study site
Modesto, California
Study site
New Orleans, Louisiana
Study site
New York, New York
Study site
Newark, Delaware
Study site
Oklahoma City, Oklahoma
Study site
Pawtucket, Rhode Island
Study site
Philadelphia, Pennsylvania
Study site
Phoenix, Arizona
Study site
Pontiac, Michigan
Study site
Providence, Rhode Island
Study site
Raleigh, North Carolina
Study site
Rock Island, Illinois
Study site
Sayre, Pennsylvania
Study site
Sellersville, Pennsylvania
Study site
Spartanburg, South Carolina
Study site
St Louis, Missouri
Study site
St. Petersburg, Florida
Study site
Tallahassee, Florida
Study site
Tulsa, Oklahoma
Study site
Upland, Pennsylvania
Study site
Washington D.C., District of Columbia
Study site
Waukesha, Wisconsin
Study site
Westlake, Ohio
Study site
Weston, Florida
Study site
Winston-Salem, North Carolina
Study site
Worcester, Massachusetts
Study site
Wormleysburg, Pennsylvania
Study site
York, Pennsylvania
Czechia41 sites
Study site
Benesov U Prahy
Study site
Bílovec
Study site
Boskovice
Study site
Brno
Study site
Bruntál
Study site
Čáslav
Study site
České Budějovice
Study site
Český Krumlov
Study site
Havíøov 1
Study site
Hodonín
Study site
Hradec Králové
Study site
Hranice
Study site
Jeseník
Study site
Jičín
Study site
Jihlava
Study site
Karniva-Ray N/A
Study site
Kyjov
Study site
Most
Study site
Nový Jičín
Study site
Odry
Study site
Olomouc
Study site
Ostrava
Study site
Písek
Study site
Poruba
Study site
Prague
Study site
Praha 10 N/A
Study site
Přerov
Study site
Prostějov
Study site
Strakonice
Study site
Šumperk
Study site
Svitavy
Study site
Tábor
Study site
Teplice
Study site
Tøebíè 1
Study site
Tøinec 1
Study site
Trutnov
Study site
Ústí nad Labem
Study site
Ústí nad Orlicí
Study site
Valašské Meziříčí
Study site
Vyškov
Study site
Znojmo
Poland33 sites
Study site
Będzin
Study site
Bielsko-Biala
Study site
Bolesławiec
Study site
Brzeg
Study site
Częstochowa
Study site
Gdansk
Study site
Gdynia Poland
Study site
Gliwice
Study site
Gmina Końskie
Study site
Gorlice
Study site
Grójec
Study site
Jastrzębie Zdrój
Study site
Katowice
Study site
Konin
Study site
Kościerzyna
Study site
Krakow
Study site
Lodz
Study site
Nowy Dwor M
Study site
Nysa
Study site
Opole
Study site
Piotrkow Trybunalski
Study site
Poznan
Study site
Radomsko
Study site
Ruda Śląska
Study site
Skierniewice
Study site
Swidnica
Study site
Tychy
Study site
Ustroń
Study site
Warsaw
Study site
Warszawa Poland
Study site
Wroclaw
Study site
Zabrze
Study site
Żyrardów
Germany18 sites
Study site
Aachen
Study site
Bad Nauheim
Study site
Bad Segeberg
Study site
Bremen
Study site
Dresden
Study site
Eschweiler
Study site
Friedberg
Study site
Fulda
Study site
Hamburg
Study site
Kaltenkirchen
Study site
Magdeburg
Study site
Mannheim
Study site
Meißen
Study site
München
Study site
Münster
Study site
Pfaffenhofen
Study site
Radebeul
Study site
Schönebeck
United Kingdom15 sites
Study site
Antrim
Study site
Belfast
Study site
Brighton
Study site
Chichester
Study site
Durham
Study site
Glasgow
Study site
London
Study site
Manchester
Study site
Middlesbrough
Study site
Plymouth
Study site
Portadown
Study site
Saint Leonards-on-Sea
Study site
Southampton
Study site
Stockton-on-Tees
Study site
Worthing
Denmark13 sites
Study site
Esbjerg
Study site
Frederikshavn
Study site
Hjÿrring N/A
Study site
Horsens
Study site
Kÿbenhavn Nv N/A
Study site
Kÿbenhavn Sud N/A
Study site
Kÿbenhavn Ÿ
Study site
Odense
Study site
Randers
Study site
Silkeborg
Study site
Viborg
Study site
Ÿlborg
Study site
Ÿrhus N
Belgium10 sites
Study site
Antwerp
Study site
Bonheiden
Study site
Eeklo
Study site
Ghent
Study site
Herentals
Study site
Mechelen
Study site
Reet
Study site
Turnhout
Study site
Waregem
Study site
Westmalle
France8 sites
Study site
Besançon
Study site
Colmar
Study site
Metz
Study site
Nancy
Study site
Nancy Cedex N/A
Study site
Nîmes
Study site
Paris
Study site
Vandœuvre-lès-Nancy
Argentina6 sites
Study site
Adrogué
Study site
Buenos Aires
Study site
Corrientes
Study site
Merlo
Study site
Rosario
Study site
San Martin
Austria5 sites
Study site
Bruck an der Mur
Study site
Deutschlandsberg
Study site
Innsbruck
Study site
Linz
Study site
Vienna
Spain5 sites
Study site
Alicante
Study site
Barcelona
Study site
Madrid
Study site
Santander
Study site
Santiago de Compostela
Bulgaria4 sites
Study site
Dimitrovgrad
Study site
Haskovo
Study site
Plovdiv
Study site
Sofia
Romania4 sites
Study site
Bucharest
Study site
Cluj-Napoca
Study site
Iași
Study site
Târgu Mureş
Canada3 sites
Study site
Edmonton, Alberta
Study site
Montreal, Quebec
Study site
Repentigny, Quebec
South Africa3 sites
Study site
Arcadia Pretoria N/A
Study site
Cape Town Western Province
Study site
Roodepoort Central Gauteng
Switzerland3 sites
Study site
Basel
Study site
Bruderholz
Study site
Liestal
About this study
Official title: A Muticenter, Randomized, Double-blind, Placebo Controlled Trial Comparing the Efficacy and Safety of Reteplease and Abciximab Combination Therapy With Abciximab Alone Administered Early or Just Prior to Primary Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction.
The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention.
Read the detailed description
The purpose of this medical research study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention. This medical research study will also help determine if the combination of abciximab and reduced dose reteplase will decrease the risk of death, and reduce complications of a heart attack at 90 days compared to abciximab alone which is a standard treatment.
Patients will receive either abciximab and reteplease or abciximab alone. Safety evaluations will be performed at specified intervals throughout the study and will consist of laboratory tests, vital signs (such as blood pressure), physical examinations and the occurrence and severity of adverse events as well as other study specific procedures. Patients will receive either abciximab and reteplease or abciximab and placebo into a vein in their arm for up to 12 hours.
- Conditions
- Myocardial Infarction
- Being tested
- abciximab placebo; reteplase placebo, abciximab, abciximab, Abciximab; reteplase; abciximab placebo; abciximab, abciximab; reteplase placebo; abciximab placebo; abciximab
- Keywords
- Myocardial infarction, percutaneous coronary intervention, abciximab, reteplase, safety and efficacy
- Medical subject headings
- Myocardial Infarction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
abciximab placebo; reteplase placebo, abciximab, abciximabDrug
placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
Abciximab; reteplase; abciximab placebo; abciximabDrug
0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
abciximab; reteplase placebo; abciximab placebo; abciximabDrug
0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
abciximab placebo; reteplase placebo, abciximab, abciximabDrug
placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h
abciximab; reteplase placebo; abciximab placebo; abciximabDrug
0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h
Abciximab; reteplase; abciximab placebo; abciximabDrug
0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h
| Study group | Role | What they receive |
|---|---|---|
| 001 | Experimental | Abciximab; reteplase; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h Receives: Drug: abciximab placebo; reteplase placebo, abciximab, abciximab; Drug: Abciximab; reteplase; abciximab placebo; abciximab |
| 002 | Experimental | abciximab; reteplase placebo; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h Receives: Drug: Abciximab; reteplase; abciximab placebo; abciximab; Drug: abciximab; reteplase placebo; abciximab placebo; abciximab |
| 003 | Experimental | abciximab placebo; reteplase placebo, abciximab, abciximab placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h Receives: Drug: abciximab; reteplase placebo; abciximab placebo; abciximab; Drug: abciximab placebo; reteplase placebo, abciximab, abciximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Composite of All-Cause Mortality or Complications of MI at 90 Days.
Occurs within 90 days and is composite of all-cause mortality or complications of myocardial infarction (MI) (rehospitalization or emergency department visit for congestive heart failure (CHF), cardiogenic shock, or resuscitated ventricular fibrillation occurring > 48 hours after randomization).
Measured: 90 days
Secondary outcomes (4)
Complications of MI as Defined in the Primary Outcome Measure Through 90 Days
The complications of myocardial infarction (MI) is defined as any event of rehospitalization or emergency department visit for CHF, cardiogenic shock, or resuscitated ventricular fibrillation occurring > 48 hours after randomization.
Measured: 90 Days
All-Cause Mortality Through 90 Days
All cause mortality occurred through 90 days from randomization.
Measured: 90 days
Subjects With ST-Segment Resolution > 70% From Baseline at 60 to 90 Minutes Following Randomization
Measured: 60 to 90 minutes
All-Cause Mortality Through 1 Year
All-cause mortality through 1 year from randomization.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Sep 2002 (estimated)
- Study startAug 2002
- Primary completionJan 2008
- Study completionJan 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Myocardial InfarctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,461 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centocor, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Responsible party
- Sponsor
- Investigators
- Centocor, Inc. Clinical Trial, Study director, Centocor, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00046228
- Sponsor's protocol ID
- CR005410
- Other IDs
- FINESSE, CR005410
- Status last verified
- Jul 2014
- First submitted
- 24 Sep 2002
- Last updated
- 31 Jul 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Ellis SG, Armstrong P, Betriu A, Brodie B, Herrmann H, Montalescot G, Neumann FJ, Smith JJ, Topol E; Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events Investigators. Facilitated percutaneous coronary intervention versus primary percutaneous coronary intervention: design and rationale of the Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events (FINESSE) trial. Am Heart J. 2004 Apr;147(4):E16. doi: 10.1016/j.ahj.2003.07.025.
PubMed 15077099Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Janssens L, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Kosmider M, Katz O, Neunteufl T, Jorgova J, Dorobantu M, Grinfeld L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008 May 22;358(21):2205-17. doi: 10.1056/NEJMoa0706816.
PubMed 18499565Montalescot G, Ellis SG, de Belder MA, Janssens L, Katz O, Pluta W, Ecollan P, Tendera M, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Armstrong P, Brodie BR, Herrmann HC, Neumann FJ, Effron MB, Lu J, Barnathan ES, Topol EJ; Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events Investigators. Enoxaparin in primary and facilitated percutaneous coronary intervention A formal prospective nonrandomized substudy of the FINESSE trial (Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events). JACC Cardiovasc Interv. 2010 Feb;3(2):203-12. doi: 10.1016/j.jcin.2009.11.012.
PubMed 20170878Herrmann HC, Lu J, Brodie BR, Armstrong PW, Montalescot G, Betriu A, Neuman FJ, Effron MB, Barnathan ES, Topol EJ, Ellis SG; FINESSE Investigators. Benefit of facilitated percutaneous coronary intervention in high-risk ST-segment elevation myocardial infarction patients presenting to nonpercutaneous coronary intervention hospitals. JACC Cardiovasc Interv. 2009 Oct;2(10):917-24. doi: 10.1016/j.jcin.2009.06.018.
PubMed 19850249Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Hamankiewicz M, Pluta W, Oldroyd K, Ecollan P, Janssens L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. 1-year survival in a randomized trial of facilitated reperfusion: results from the FINESSE (Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events) trial. JACC Cardiovasc Interv. 2009 Oct;2(10):909-16. doi: 10.1016/j.jcin.2009.07.009.
PubMed 19850248
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Muticenter, Randomized, Double-blind, Placebo Controlled Trial Comparing the Efficacy and Safety of Reteplease and Abciximab Combination Therapy With Abciximab Alone Administered Early or Just Prior to Primary Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction.
- ClinicalTrials.gov ID
- NCT00046228
- Acronym / sponsor ID
- CR005410
- Conditions
- Myocardial Infarction
- Keywords
- Myocardial infarction, percutaneous coronary intervention, abciximab, reteplase, safety and efficacy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,461 participants (actual)
- Lead sponsor
- Centocor, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- Aug 2002
- Primary completion
- Jan 2008 (actual)
- Study completion
- Jan 2008 (actual)
- First posted
- 25 Sep 2002 (estimated)
- Results
- Posted 15 May 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention.
Detailed description
The purpose of this medical research study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention. This medical research study will also help determine if the combination of abciximab and reduced dose reteplase will decrease the risk of death, and reduce complications of a heart attack at 90 days compared to abciximab alone which is a standard treatment.
Patients will receive either abciximab and reteplease or abciximab alone. Safety evaluations will be performed at specified intervals throughout the study and will consist of laboratory tests, vital signs (such as blood pressure), physical examinations and the occurrence and severity of adverse events as well as other study specific procedures. Patients will receive either abciximab and reteplease or abciximab and placebo into a vein in their arm for up to 12 hours.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 001 | Experimental | Drug: abciximab placebo; reteplase placebo, abciximab, abciximab, Drug: Abciximab; reteplase; abciximab placebo; abciximabAbciximab; reteplase; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h |
| 002 | Experimental | Drug: Abciximab; reteplase; abciximab placebo; abciximab, Drug: abciximab; reteplase placebo; abciximab placebo; abciximababciximab; reteplase placebo; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h |
| 003 | Experimental | Drug: abciximab; reteplase placebo; abciximab placebo; abciximab, Drug: abciximab placebo; reteplase placebo, abciximab, abciximababciximab placebo; reteplase placebo, abciximab, abciximab placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Patients who have prolonged, continuous (lasting at least 20 minutes) signs and symptoms of A heart attack not eliminated with nitrates and onset within 6 hours of randomization,and confirmation by Electrocardiogram
Key exclusion criteria (2 listed)
- Low risk clinical presentation
- patients who will not be undergoing a catherization within 4 hours of the qualifying Electrocardiogram
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| abciximab placebo; reteplase placebo, abciximab, abciximabplacebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h | Drug | 001 |
| Abciximab; reteplase; abciximab placebo; abciximab0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h | Drug | 002 |
| abciximab; reteplase placebo; abciximab placebo; abciximab0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h | Drug | 003 |
| abciximab placebo; reteplase placebo, abciximab, abciximabplacebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h | Drug | 003 |
| abciximab; reteplase placebo; abciximab placebo; abciximab0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h | Drug | 002 |
| Abciximab; reteplase; abciximab placebo; abciximab0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h | Drug | 001 |
Primary outcome
The Composite of All-Cause Mortality or Complications of MI at 90 Days.
Time frame: 90 days
Occurs within 90 days and is composite of all-cause mortality or complications of myocardial infarction (MI) (rehospitalization or emergency department visit for congestive heart failure (CHF), cardiogenic shock, or resuscitated ventricular fibrillation occurring > 48 hours after randomization).
4 secondary outcomes
Complications of MI as Defined in the Primary Outcome Measure Through 90 Days
Time frame: 90 Days
All-Cause Mortality Through 90 Days
Time frame: 90 days
Subjects With ST-Segment Resolution > 70% From Baseline at 60 to 90 Minutes Following Randomization
Time frame: 60 to 90 minutes
All-Cause Mortality Through 1 Year
Time frame: 1 year
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 15077099Ellis SG, Armstrong P, Betriu A, Brodie B, Herrmann H, Montalescot G, Neumann FJ, Smith JJ, Topol E; Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events Investigators. Facilitated percutaneous coronary intervention versus primary percutaneous coronary intervention: design and rationale of the Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events (FINESSE) trial. Am Heart J. 2004 Apr;147(4):E16. doi: 10.1016/j.ahj.2003.07.025.
- Results publication: PubMed 18499565Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Janssens L, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Kosmider M, Katz O, Neunteufl T, Jorgova J, Dorobantu M, Grinfeld L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008 May 22;358(21):2205-17. doi: 10.1056/NEJMoa0706816.
- Derived from this study: PubMed 20170878Montalescot G, Ellis SG, de Belder MA, Janssens L, Katz O, Pluta W, Ecollan P, Tendera M, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Armstrong P, Brodie BR, Herrmann HC, Neumann FJ, Effron MB, Lu J, Barnathan ES, Topol EJ; Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events Investigators. Enoxaparin in primary and facilitated percutaneous coronary intervention A formal prospective nonrandomized substudy of the FINESSE trial (Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events). JACC Cardiovasc Interv. 2010 Feb;3(2):203-12. doi: 10.1016/j.jcin.2009.11.012.
- Derived from this study: PubMed 19850249Herrmann HC, Lu J, Brodie BR, Armstrong PW, Montalescot G, Betriu A, Neuman FJ, Effron MB, Barnathan ES, Topol EJ, Ellis SG; FINESSE Investigators. Benefit of facilitated percutaneous coronary intervention in high-risk ST-segment elevation myocardial infarction patients presenting to nonpercutaneous coronary intervention hospitals. JACC Cardiovasc Interv. 2009 Oct;2(10):917-24. doi: 10.1016/j.jcin.2009.06.018.
- Derived from this study: PubMed 19850248Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Hamankiewicz M, Pluta W, Oldroyd K, Ecollan P, Janssens L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. 1-year survival in a randomized trial of facilitated reperfusion: results from the FINESSE (Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events) trial. JACC Cardiovasc Interv. 2009 Oct;2(10):909-16. doi: 10.1016/j.jcin.2009.07.009.
- A Study of Abciximab and Reteplase When Administered Prior to Catheterization After a Myocardial Infarction - FinesseLink provided by the sponsor.
Related trials for Myocardial Infarction
Not yet recruitingPhase 4
Roxadustat and Myocardial Injury After Off-Pump Coronary Artery Bypass Surgery
Coronary Artery Disease, Coronary Artery Bypass Grafting
Active, not recruitingObservational study
A Longitudinal Cohort Study to Evaluate Cardiovascular Risk Factors and Disease in Haiti
Hypertension, Diabetes
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
Enrolling by invitation
The DANE-HEART Trial - Computed Tomography Coronary Angiography for Primary Prevention
Coronary Atherosclerosis and Other Heart Disease, Cardiovascular Diseases
Not yet recruitingObservational study
Elicit Drugs in Myocardial Infarction
Young Patients With Acute Myocardial Infarction
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Centocor, Inc. Clinical Trial study director
Centocor, Inc.
227 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study of Myocardial Infarction, run by Centocor, Inc. at 227 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 227 sites in United States, Czechia, Poland, Germany, United Kingdom and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 May 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Composite of All-Cause Mortality or Complications of MI at 90 Days. (time frame: 90 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00046228, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2014.