A prospective, randomised, double-blind, placebo-controlled clinical study to examine the effects of a single bolus erythropoietin on left ventricular function in patients with an acute myocardial infarction

ISRCTN ISRCTN46528154
DOI https://doi.org/10.1186/ISRCTN46528154
ClinicalTrials.gov number NCT00449488
Secondary identifying numbers N/A
Submission date
26/05/2006
Registration date
26/05/2006
Last edited
07/02/2019
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

Dr J. Hogenhuis
Scientific

University Medical Center Groningen (UMCG)
Trial Coordiantion Center
P.O. Box 30001
Groningen
9700 RB
Netherlands

Phone +31 (0)50 3618061
Email j.hogenhuis@thorax.umcg.nl

Study information

Study designProspective, randomised, double-blind, placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleA prospective, randomised, double-blind, placebo-controlled clinical study to examine the effects of a single bolus erythropoietin on left ventricular function in patients with an acute myocardial infarction
Study acronymHEBE III
Study objectivesA single bolus erythropoietin (EPO) administered just before a primary percutaneous coronary intervention (PCI) for a first acute myocardial infarction will increase left ventricular function after four months.
Ethics approval(s)Ethics approval details not yet received as of 26/05/06
Health condition(s) or problem(s) studiedMyocard infarction
InterventionOne bolus of EPO (Eprex, about 60.000 IU) will be administered intravenously in 30 minutes, within 3 hours after the primary PCI procedure versus placebo
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Erythropoietin
Primary outcome measureThe main study endpoint will be left ventricular ejection faction, measured with cardiac magnetic resonance imaging at four months after onset of the acute myocardial infarction
Secondary outcome measuresSecondary study endpoints are:
1. Myocardial infarct size, summarised as the percentage of left ventricular mass, measured with cardiac magnetic resonance imaging at four months after onset of the acute myocardial infarction
2. Cardiovascular events (cardiovascular death, re-myocardial infarction, re-PCI or coronary artery bypass graft (CABG), stroke, heart failure) from the onset of the acute myocardial infarction to four months afterwards
3. Enzymatic infarct size with computerised measurements of creatine kinase (CK) and creatine kinase myocardial band (CK-MB)
4. Safety endpoint: incidence of death, stroke, onset or worsening of congestive heart failure (CHF), deep vein thrombosis, malignant hypertension (risk ratio [RR] >250/125), re-myocardial infarction, pulmonary embolism, seizure
Overall study start date01/09/2006
Completion date01/09/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants400
Key inclusion criteriaSuccessful primary PCI (thrombin inhibition in myocardial infarction [TIMI] 2/3) for a first acute myocardial infarction, diagnosed by:
1. Chest pain suggestive of acute myocardial infarction
2. Symptom onset <12 hours after hospital admission, or <24 hours in case ongoing ischemia
3. Electrocardiogram (ECG) with ST-T segment elevation >1 mV in 2 or more leads
4. TIMI flow 0/1 before primary PCI on diagnostic coronary angiography spinothalamic tract
Key exclusion criteria1. Hemoglobin levels >10.6 mmol/l
2. Anticipated additional revascularisation within four months
3. Cardiogenic shock
4. Presence of other serious medical conditions
5. Pregnant/breast feeding
6. Malignant hypertension
7. End stage renal failure (creatinine >220 micromol/l)
8. Previous treatment with recombinant human erythropoietin (rh-EPO)
9. Blood transfusion <12 weeks prior to randomisation
10. Allergy against rh-EPO
11. Polycythemia vera
12. Previous acute myocardial infarction
13. Concomitant inflammatory or malignant disease
14. Recent trauma or major surgery
15. Unwilling to sign informed consent
16. Contra-indications for magnetic resonance imaging (MRI) (pacemaker and other metal subjects)
Date of first enrolment01/09/2006
Date of final enrolment01/09/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Medical Center Groningen (UMCG)
Groningen
9700 RB
Netherlands

Sponsor information

University Medical Center Groningen (UMCG) (The Netherlands)
University/education

Trial Coordination Center
P.O. Box 30001
Groningen
9700 RB
Netherlands

Email abc@123.com
ROR logo "ROR" https://ror.org/03cv38k47

Funders

Funder type

University/education

University Medical Center Groningen (UMCG) and Interuniversity Institute of Cardiology (ICIN), The Netherlands

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 01/05/2008 07/02/2019 Yes No
Results article results 01/11/2010 07/02/2019 Yes No

Editorial Notes

07/02/2019: Publication reference added.