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Myocardial Injury After Noncardiac Surgery (MINS)Phase 3PREVENT-MINSNCT05279651

Ivabradine for Prevention of Myocardial Injury After Noncardiac Surgery Trial (PREVENT-MINS)

A Phase 3 study testing Ivabradine in people with Myocardial Injury After Noncardiac Surgery (MINS) and Myocardial Ischemia, run by Jagiellonian University at 26 sites in Poland.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study is a multicentre, randomized controlled trial of ivabradine versus placebo. Read more about this study

Who is it for?
Ages 45 years and older
What is being tested?
Ivabradine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2,146 participants
Where
26 sitesPoland
Study dates
13 Jun 2022to 30 Jun 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 45 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Undergoing noncardiac surgery
  • ≥45 years of age
  • Expected to require at least an overnight hospital admission after surgery
  • Provide written informed consent to participate in the PREVENT-MINS Trial, AND
  • Fulfill ≥1 of the following 5 criteria (A-E):
  • History of coronary artery disease B. History of peripheral arterial disease C. History of stroke D. Undergoing major vascular surgery, OR
  • Any 3 of 9 risk criteria:
  • Undergoing major surgery ii. History of congestive heart failure iii. History of a transient ischaemic attack iv. Diabetes and currently taking an oral hypoglycemic agent or insulin v. Age ≥70 years vi. History of hypertension vii. Serum creatinine >175 µmol/L (>2.0 mg/dl) viii. History of smoking within 2 years of surgery ix. Undergoing emergent/urgent surgery

Who cannot join

  • Conduction abnormalities:
  • Non-sinus rhythm on ECG B. Sinoatrial or AV (2nd and 3d degree) blocks C. Sick sinus syndrome D. Long QT syndrome E. Pacemaker dependent
  • Transplanted heart (or on waiting list)
  • Use of a selected class I or III antiarrhythmic drug (quinidine, disopyramide, sotalol, ibutilide, amiodarone) or diltiazem/verapamil
  • Resting heart rate <65 beats per minute on the day of surgery
  • Systolic blood pressure <90 mmHg on the day of surgery
Show all 17Show fewer
  • Acute decompensated heart failure, cardiogenic shock, acute myocarditis
  • Acute coronary syndrome within 2 months before surgery;
  • Stroke or transient cerebral ischaemia within 1 month before surgery
  • Known severe liver or kidney disease (MDRD creatinine clearance <15 mL/min)
  • Inability to tolerate oral intake
  • Recent use of ivabradine (<1 month)
  • Known allergy or hypersensitivity to ivabradine
  • Low-risk surgical procedure based on individual physician's judgment
  • Investigator considers the patient unreliable regarding requirement for study compliance
  • Women of childbearing potential who are not taking effective contraception, pregnant or breast-feeding
  • Previously enrolled in the PREVENT-MINS study

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

Poland26 sites
  • Szpital Uniwersytecki nr 1 im. dr Antoniego Jurasza w Bydgoszczy

    Bydgoszcz, 85-094

  • Specjalistyczny Szpital Wojewódzki w Ciechanowie

    Ciechanów, 06-400

  • ZZOZ Szpital Śląski w Cieszynie

    Cieszyn, 43-400

  • Uniwersyteckie Centrum Kliniczne Gdańskiego Uniwersytetu Medycznego

    Gdansk, 80-952

  • Szpital Specjalistyczny św. Łukasza w Końskich

    Gmina Końskie, 26-200

  • Uniwersyteckie Centrum Kliniczne im. Prof. Kornela Gibińskiego Śląski Uniwersytet Medyczny

    Katowice, 40-752

  • Szpital św. Rafała w Krakowie

    Krakow, 30-693

  • 5 Wojskowy Szpital Kliniczny z Polikliniką Samodzielny Publiczny Zakład Opieki Zdrowotnej w Krakowie

    Krakow, 30-901

  • Szpital Zakonu Bonifratrów św. Jana Grandego w Krakowie

    Krakow, 31-061

  • Krakowski Szpital Specjalistyczny im. Jana Pawła II

    Krakow, 31-202

  • SP ZOZ Szpital Uniwersytecki w Krakowie

    Krakow, 31-501

  • Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.

    Krakow, 31-826

  • Szpital Specjalistyczny im. Stefana Żeromskiego w Krakowie

    Krakow, 31-913

  • Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi

    Lodz, 92-213

  • Samodzielny Publiczny Szpital Kliniczny 1 w Lublinie

    Lublin, 20-081

  • Wojewódzki Szpital Specjalistyczny w Olsztynie

    Olsztyn, 10-561

  • Uniwersytecki Szpital Kliniczny w Opolu

    Opole, 45-401

  • Samodzielny Publiczny Szpital Kliniczny Nr 2 Pomorskiego Uniwersytetu Medycznego

    Szczecin, 70-111

  • Samodzielny Publiczny Szpital Kliniczny Nr 1 Pomorskiego Uniwersytetu Medycznego

    Szczecin, 72-252

  • Specjalistyczny Szpital im. Edwarda Szczeklika w Tarnowie

    Tarnów, 33-100

  • Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Szpital Kliniczny Dzieciątka Jezus

    Warsaw, 02-005

  • Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Centralny Szpital Kliniczny

    Warsaw, 02-097

  • Wojskowy Instytut Medyczny Centralny Szpital Kliniczny MON

    Warsaw, 04-141

  • Uniwersytecki Szpital Kliniczny we Wrocławiu

    Wroclaw, 50-556

  • Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Stanisława Szyszko Śląskiego Uniwersytetu Medycznego w Katowicach

    Zabrze, 41-800

  • Szpital Uniwersytecki im. Karola Marcinkowskiego w Zielonej Górze

    Zielona Góra, 65-001

Other trials in Poland

About this study

Official title: Ivabradine for PREVENTion of Myocardial Injury After Noncardiac Surgery

This study is a multicentre, randomized controlled trial of ivabradine versus placebo.

Read the detailed description

The PREVENT-MINS study is a 2,500 patient multicentre, superiority randomized controlled trial of ivabradine versus placebo. The primary objective of the trial is to determine the impact of ivabradine versus placebo on the risk of MINS in patients with or at risk of atherosclerotic disease who are followed for 30 days after noncardiac surgery.

Being tested
Ivabradine, Placebo
Keywords
Myocardial ischemia, Randomized controlled trial, Blinded, Noncardiac surgery, Cardiovascular events, Myocardial injury after non-cardiac surgery, Perioperative myocardial injury, Perioperative myocardial infarction, Perioperative medicine, Heart rate, Ivabradine, Cardiovascular Diseases, Troponin, Perioperative care, Physiological Effects of Drugs, Cardiovascular Agents, Cardiac Chronotropy, Heart Rate Control
Medical subject headings
Myocardial Ischemia, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IvabradineDrug

    Patients fulfilling haemodynamic requirements (i.e. systolic blood pressure ≥90 mmHg and sinus rhythm with a heart rate ≥65 beats per minute) will receive 5mg of oral ivabradine at least 1 hour before surgery and the first postoperative dose in the evening or in the morning after surgery, at least 12 hours after the preoperative dose. Starting on the day after surgery, patients will receive 5mg oral ivabradine twice a day and continue this treatment for 7 days after surgery or until hospital discharge.

  • PlaceboDrug

    Patients fulfilling haemodynamic requirements (i.e. systolic blood pressure ≥90 mmHg and sinus rhythm with a heart rate ≥65 beats per minute) will receive matching placebo at least 1 hour before surgery and the first postoperative dose in the evening or in the morning after surgery, at least 12 hours after the preoperative dose. Starting on the day after surgery, patients will receive matching placebo twice a day and continue this treatment for 7 days after surgery or until hospital discharge.

Study groups in NCT05279651
Study groupRoleWhat they receive
IvabradineActive comparatorPatients fulfilling haemodynamic requirements (i.e. systolic blood pressure ≥90 mmHg and sinus rhythm with a heart rate ≥65 beats per minute) will receive 5mg of oral ivabradine at least 1 hour before surgery and the first postoperative dose in the evening or in the morning after surgery, at least 12 hours after the preoperative dose. Starting on the day after surgery, patients will receive 5mg oral ivabradine twice a day and continue this treatment for 7 days after surgery or until hospital discharge.
Receives: Drug: Ivabradine
PlaceboPlacebo comparatorPatients fulfilling haemodynamic requirements (i.e. systolic blood pressure ≥90 mmHg and sinus rhythm with a heart rate ≥65 beats per minute) will receive matching placebo at least 1 hour before surgery and the first postoperative dose in the evening or in the morning after surgery, at least 12 hours after the preoperative dose. Starting on the day after surgery, patients will receive matching placebo twice a day and continue this treatment for 7 days after surgery or until hospital discharge.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. MINS

    Number of patients who experience myocardial injury after non-cardiac surgery (MINS) defined as any myocardial infarction and any elevated postoperative cardiac troponin judged as resulting from myocardial ischaemia during or within 30 days after noncardiac surgery.

    Measured: 30 days after randomization

Secondary outcomes (17)
  1. A composite of vascular death, non-fatal MINS, non-fatal stroke, and non-fatal cardiac arrest

    Number of patients who have at least one of the following: vascular death, non-fatal MINS, non-fatal stroke, and non-fatal cardiac arrest

    Measured: 30 days after randomization

  2. MINS not fulfilling the 4th universal definition of myocardial infarction

    Number of patients who experience MINS not fulfilling the 4th universal definition of myocardial infarction

    Measured: 30 days after randomization

  3. Myocardial infarction

    Number of patients who experience a myocardial infarction

    Measured: 30 days after randomization

  4. Vascular death

    Number of patients who die of vascular cause

    Measured: 30 days after randomization

  5. Stroke

    Number of patients who experience a stroke

    Measured: 30 days after randomization

  6. All-cause mortality

    Number of patients who die of any cause

    Measured: 30 days after randomization

  7. Days alive and at home

    Average number of days when a patient is alive and out of hospital within 30 days after randomization

    Measured: 30 days after randomization

  8. Health-related quality of life

    Average health-related quality of life (based on EuroQol 5 Dimension, five-level version [EQ-5D])

    Measured: 30 days after randomization

  9. Clinically important atrial fibrillation

    Number of patients who experience clinically important atrial fibrillation

    Measured: 30 days after randomization

  10. Clinically significant bradycardia

    Number of patients who experience clinically significant bradycardia

    Measured: 30 days after randomization

  11. Clinically significant hypotension

    Number of patients who experience clinically significant hypotension

    Measured: 30 days after randomization

  12. Phosphenes

    Number of patients who experience phosphenes

    Measured: 30 days after randomization

  13. Cancellation or postponement of surgery due to concerns about patient's heart rate

    Number of surgeries cancelled or postponed due to heart rate concerns

    Measured: 30 days after randomization

  14. Peak troponin concentration

    Peak troponin concentration during the index hospitalization

    Measured: 30 days after randomization

  15. Area under the curve troponin

    Area under the curve of troponin concentrations measured during the hospitalization

    Measured: 30 days after randomization

  16. Intraoperative mean arterial pressure

    Intraoperative mean arterial pressure measured during the index surgery to calculate the average intraoperative mean arterial pressure

    Measured: 30 days after randomization

  17. Intraoperative heart rate

    Intraoperative heart rate measured during the index surgery to calculate the average heart rate

    Measured: 30 days after randomization

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2022
  2. Study start13 Jun 2022
  3. Primary completion30 Apr 2025
  4. Study completion30 Jun 2026 (estimated)

Resources

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
Model description
Parallel Assignment
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05279651
Sponsor's protocol ID
PREVENT-MINS
Acronym
PREVENT-MINS
Status last verified
Mar 2025
First submitted
4 Mar 2022
Last updated
3 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Szczeklik W, Fronczek J, Putowski Z, Wludarczyk A, Gorka J, Seczynska B, Gryszowka D, Widawska A, Bialka S, Palaczynski P, Borys M, Kutnik P, Czarnik T, Krolicki T, Szczepanska A, Hajder N, Mozanski M, Onichimowski D, Kotfis K, Trzebicki J, Sadowski L, Solek-Pastuszka J, Grudzien P, Mudyna W, Misiewska-Kaczur A, Owczuk R, Kudlinski B, Studzinska D, Pawlik J, Makowski A, Zietkiewicz M, Przydacz M, Gozdzik W, Gola W, Jasiewicz P, Zhao Z, Shyr Y, Devereaux PJ. Ivabradine for prevention of myocardial injury after noncardiac surgery (PREVENT-MINS trial): study protocol for a randomized controlled trial. Trials. 2025 Nov 21;26(1):533. doi: 10.1186/s13063-025-09087-z.

    PubMed 41272750
  • Szczeklik W, Fronczek J, Putowski Z, Wludarczyk A, Gorka J, Seczynska B, Gryszowka D, Widawska A, Bialka S, Palaczynski P, Borys M, Kutnik P, Czarnik T, Szczepanska A, Mozanski M, Mieszkowski M, Kotfis K, Trzebicki J, Sadowski L, Solek-Pastuszka J, Grudzien P, Mudyna W, Misiewska-Kaczur A, Owczuk R, Kudlinski B, Studzinska D, Pawlik J, Makowski A, Zietkiewicz M, Przydacz M, Gozdzik W, Gola W, Jasiewicz P, Zhao Z, Shyr Y, Devereaux PJ; PERI-CRIT Investigators. Ivabradine in Patients Undergoing Noncardiac Surgery: A Randomized Controlled Trial. Circulation. 2025 Oct 21;152(16):1126-1135. doi: 10.1161/CIRCULATIONAHA.125.076704. Epub 2025 Aug 30.

    PubMed 40884771

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ivabradine in people with Myocardial Injury After Noncardiac Surgery (MINS) and Myocardial Ischemia, run by Jagiellonian University at 26 sites in Poland.

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 8 inclusion and 17 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: under way, not looking for participants, as of the sponsor's last update on 3 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Poland. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

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?

MINS (time frame: 30 days after randomization). 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 NCT05279651, which also lists 2 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 3 Sep 2025.

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