Surgical Treatment for Ischaemic Heart Failure Trial (STICH)
ISRCTN | ISRCTN09382700 |
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DOI | https://doi.org/10.1186/ISRCTN09382700 |
ClinicalTrials.gov number | NCT00023595 |
Secondary identifying numbers | 5148 |
- Submission date
- 07/07/2010
- Registration date
- 07/07/2010
- Last edited
- 17/07/2014
- 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
Not provided at time of registration
Contact information
Mr Mike Lammiman
Scientific
Scientific
Department of Cardiology
Castle Road
Cottingham
HU16 5JQ
United Kingdom
mike.lammiman@hey.nhs.uk |
Study information
Study design | Multicentre randomised interventional treatment trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Surgical Treatment for Ischaemic Heart Failure Trial (STICH): a multicentre randomised interventional treatment trial |
Study objectives | No randomised trial has ever directly compared long-term benefits of surgical and medical treatment of patients with ischaemic heart failure (HF). Along the broad spectrum of severity of ischaemic HF, specific clinical information, such as severe angina or left main coronary artery stenosis, may clearly indicate the need for surgical therapy for some patients. However, a large number of patients fall into a gray zone without clear evidence for benefit from either medical or surgical therapy. For these patients, evidence supporting choice between therapies was never strong and has only been confused by recent studies showing improved outcomes with both therapies. Patients for whom equipoise of anticipated benefit now exists between modern medical and surgical therapy represent the broad population who are appropriate candidates for a randomised trial to provide the context for assessing the value of two therapeutic strategies: 1. Medication (MED) alone 2. MED and coronary artery bypass grafting (CABG) The study is also being run in the USA and includes surgical ventricular reconstruction as a treatment option in those sites only. As of 13/07/2010 the study is seeking a protocol amendment to extend follow-up for another 9 years. |
Ethics approval(s) | Hull and East Riding REC, 04/08/2005, ref: 05/MRE00/51 |
Health condition(s) or problem(s) studied | Topic: Cardiovascular; Subtopic: Cardiovascular (all Subtopics); Disease: Cardiovascular |
Intervention | 1. Optical medication (for heart failure according to National Institute for Clinical Excellence [NICE] guidelines) 2. CABG and optimal medication Total duration of treatment: up to 6 years maximum Follow-up length: 36 months |
Intervention type | Other |
Primary outcome measure | CABG combined with MED compared to MED alone, measured up to 6 years. |
Secondary outcome measures | Measured up to 6 years: 1. Cardiac magnetic resonance (CMR) of left ventricle (LV) shape, size and function for predicting the benefit of a specific treatment strategy 2. Nuclear cardiology and/or echocardiography testing of myocardial ischaemia |
Overall study start date | 22/12/2005 |
Completion date | 30/05/2007 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned sample size: 2800 |
Key inclusion criteria | 1. Men 2. Women who are not of childbearing potential 3. Aged 18 years or above 4. Who have a left ventricular ejection fraction (LVEF) less than 0.35 measured by cardiac magnetic resonance (CMR) ventriculogram, gated single photon emission computed tomography (SPECT) ventriculogram, echocardiography, or contrast ventriculogram within three months of trial entry 5. Who have coronary artery disease suitable for revascularisation |
Key exclusion criteria | 1. Failure to provide informed consent 2. Aortic valvular heart disease clearly indicating the need for aortic valve repair or replacement 3. Cardiogenic shock (within 72 hours of randomization) as defined by the need for intra-aortic balloon support or the requirement for intravenous inotropic support 4. Plan for percutaneous intervention of coronary artery disease 5. Recent acute myocardial infarction judged to be an important cause of left ventricular dysfunction 6. History of more than one prior coronary bypass operation 7. Non-cardiac illness with a life expectancy of less than 3 years 8. Non-cardiac illness imposing substantial operative mortality 9. Conditions/circumstances likely to lead to poor treatment adherence (e.g., history of poor compliance, alcohol or drug dependency, psychiatric illness, no fixed abode) 10. Previous heart, kidney, liver, or lung transplantation 11. Current participation in another clinical trial in which a patient is taking an investigational drug or receiving an investigational medical device MED Therapy Eligibility Criteria: 12. Absence of left main coronary artery disease as defined by an intraluminal stenosis of 50% or greater 13. Absence of Canadian Class III angina or greater (angina markedly limiting ordinary activity) |
Date of first enrolment | 22/12/2005 |
Date of final enrolment | 30/05/2007 |
Locations
Countries of recruitment
- England
- United Kingdom
- United States of America
Study participating centre
Department of Cardiology
Cottingham
HU16 5JQ
United Kingdom
HU16 5JQ
United Kingdom
Sponsor information
Duke University (USA)
University/education
University/education
School of Medicine
Durham
NC 27710
United States of America
Website | http://www.duke.edu/ |
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https://ror.org/00py81415 |
Funders
Funder type
Government
National Institute for Health Research (NIHR) (UK)
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
- Location
- United Kingdom
National Institutes of Health (NIH) (USA) - National Heart, Blood and Lung Institute (ref: 5 U01 HL069015-4)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Protocol article | protocol | 01/12/2007 | Yes | No | |
Results article | results | 23/04/2009 | Yes | No | |
Results article | results | 01/05/2009 | Yes | No | |
Results article | results | 03/08/2010 | Yes | No | |
Results article | results | 03/08/2010 | Yes | No | |
Results article | results | 28/04/2011 | Yes | No | |
Results article | results | 28/04/2011 | Yes | No | |
Results article | results | 01/03/2012 | Yes | No | |
Results article | results | 29/05/2012 | Yes | No | |
Results article | results | 01/01/2013 | Yes | No | |
Results article | results | 01/05/2013 | Yes | No | |
Results article | results | 07/05/2013 | Yes | No | |
Results article | results | 01/10/2013 | Yes | No | |
Results article | results | 01/10/2013 | Yes | No | |
Results article | results | 01/11/2013 | Yes | No | |
Results article | results | 01/12/2013 | Yes | No | |
Results article | results | 01/08/2014 | Yes | No |