Copeptin a marker for diagnosis and prognosis in heart attack

ISRCTN ISRCTN14112941
DOI https://doi.org/10.1186/ISRCTN14112941
Secondary identifying numbers N/A
Submission date
29/07/2015
Registration date
09/08/2015
Last edited
05/09/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Chest pain can be caused by a variety of conditions, some of them dangerous (such as a heart attack), others harmless (such as a muscle pain). The aim of the study is to show if a new marker (a protein measured in the blood ) Copeptin, may be helpful in quickly identifying patients at higher risk for having a heart attack, thus enabling quick introduction of adequate treatment.

Who can participate?
Adult experiencing chest pain lasting five minutes or more within the last 6 hours.

What does the study involve?
Copeptin is measured for all participants via a blood test on admission to hospital. They then undergo routine treatment according to current guidelines and standards of care. Participants' follow-up data are collected and analyzed in regard to Copeptin concentrations.

What are the possible benefits and risks of participating?
The marker is measured from a blood sample which is taken at the same time as a standard blood test, so does not need additional puncture if the vein. Thus, the risk for participation in the study is minimal.

Where is the study run from?
2nd Department of Cardiology, Medical University of Silesia (Poland)

When is the study starting and how long is it expected to run for?
December 2011 to December 2018

Who is funding the study?
Silesian Medical University (Poland)

Who is the main contact?
Miss Beata Morawiec

Contact information

Miss Beata Morawiec
Scientific

2nd Department of Cardiology
Medical University of Silesia
M. Sklodowskiej-Curie Str. 10
Zabrze
41-800
Poland

ORCiD logoORCID ID 0000-0002-0187-1364
Phone +48322711010
Email beamorawiec@wp.pl

Study information

Study designProspective, observational single-center study
Primary study designObservational
Secondary study designCase series
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleCOPeptin for diagnosis and prediction in acute coronary syndrome (COPACS) study: design and objectives
Study acronymCOPACS - COPeptin for Acute Coronary Syndrome
Study objectivesCopeptin, the C-terminal part of prohormone for vasopressin, is a marker of acute endogenous stress. An immediate increase in concentration after a few minutes from the onset of chest pain and rapid peak of concentration (1-2h) have practical implications for chest pain patients. Together with cardiac troponin, which is a specific marker for myocardial injury, it could be effective in quickly identifying patients at higher risk for having a heart attack, thus enabling quick introduction of adequate treatment. The aim of this study is to see whether this is the case.
Ethics approval(s)Ethical Committee of Medical University of Silesia, 06/12/2011, ref: KNW/0022/KB1/187/11
Health condition(s) or problem(s) studiedChest pain
InterventionCopeptin is measured in patients with chest pain lasting up to 6h at admission and remains double-blinded throughout the enrollment. Further all patients undergo routine management for the condition being the cause of admission, according to current guidelines and standards of care. Patients' follow-up data are collected and analyzed in regard to copeptin concentrations.
Intervention typeOther
Primary outcome measure1. Primary diagnostic endpoint is the final diagnosis of NSTEMI
2. Primary prognostic endpoint is death of cardiovascular origin
Secondary outcome measures1. Secondary diagnostic endpoint is the diagnosis of ACS (NSTEMI+UA)
2. Secondary prognostic endpoints is as Major Adverse Cardiac and Cerebrovascular Events (MACCE) and included death of cardiovascular origin, non-fatal AMI, UA, repeated cardiac revascularization, stroke
Overall study start date15/12/2011
Completion date31/12/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants192 per first round of recruitment; up to 500 at the end of recruitment.
Total final enrolment154
Key inclusion criteria1. Chest pain lasting five minutes or more
2. Beginning of symptoms in last six hours before admission
Key exclusion criteria1. ST-segment elevation myocardial infarction (STEMI)
2. End-stage renal insufficiency (defined as GFR <15 ml/min/1.73m2 and/or dialysis)
3. Anemia (defined as level of hemoglobin <10 g/dl for men; <8 g/dl for women)
4. Hyponatremia (defined as level of Na+ <125mmol/l)
5. Injury or big surgery in last four weeks
6. Cancer with predicted life duration < six months
7. Pregnancy
8. Age < 18 years
9. Lack of informed consent
Date of first enrolment15/12/2011
Date of final enrolment31/12/2016

Locations

Countries of recruitment

  • Poland

Study participating centre

2nd Department of Cardiology, Medical University of Silesia
M. Sklodowskiej-Curie Str. 10
Zabrze
41-800
Poland

Sponsor information

Silesian Medical University
University/education

Poniatowskiego Str 15
Katowice
40-055
Poland

ROR logo "ROR" https://ror.org/005k7hp45

Funders

Funder type

University/education

Silesian Medical University (Poland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination planFirst publication is planned to cover the design and objectives of the study and to be published in an international journal soon. Further plans to be confirmed at a later date.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 24/01/2018 11/12/2020 Yes No
Other publications Study design 17/11/2016 05/09/2023 Yes No
Results article 12/11/2018 05/09/2023 Yes No

Editorial Notes

05/09/2023: Publication references added.
11/12/2020: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.