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CompletedNCT00491036IABP-SHOCK IIUpdated May 2, 2017

Intraaortic Balloon Pump in Cardiogenic Shock II

A Phase 4 interventional study of Intraaortic balloon pump in Myocardial Infarction and Shock, Cardiogenic, sponsored by University of Leipzig. Completed at 20 sites in Germany. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2017-05-02.

Sponsored by University of Leipzig · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
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Study summary

Patients in cardiogenic shock complicating acute myocardial infarction (AMI) are referred to a tertiary care center for percutaneous coronary intervention (PCI) of the infarct related artery in this multicenter, ran-domized clinical trial. After checking in- and exclusion criteria computerized randomization is performed to either PCI plus intraaortic balloon pump (IABP) insertion and medical treatment or PCI plus medical treatment only. Intensive care treatment is performed according to standard care including hemodynamic monitoring using a pulmonary artery catheter for optimal volume status adaptation and inotropic drug administration.

The IABP will be weaned after hemodynamic stabilization. Primary outcome measure will be 30-day mortality. The secondary outcome measures such as hemody-namic, laboratory and clinical parameters will serve as surrogate for prognosis of the patients.

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Conditions studied

  • Myocardial Infarction
  • Shock, Cardiogenic

Keywords

  • Acute myocardial infarction
  • cardiogenic shock
  • percutaneous coronary intervention
  • intraaortic balloon counterpulsation
  • Acute myocardial infarction - cardiogenic shock
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In context

Myocardial Infarction

2,744 studies on the registry are indexed under Myocardial Infarction; 418 are open to participants now.

This study's enrollment of 600 is above the median of 148 across 1,595 interventional studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

University of Leipzig is the lead sponsor of 147 studies on the registry; 24 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Cardiogenic shock complicating acute myocardial (STEMI or NSTEMI) with

  • intended revascularization (PCI or CABG)
  • Systolic blood pressure \< 90 mmHg > 30 min or inotropes required to maintain pressure > 90 mmHg during systole
  • Signs of pulmonary congestion
  • Signs of impaired organ perfusion with at least one of the following:

    • Altered mental status
    • Cold, clammy skin
    • Urine output \<30 ml/h
    • Serum lactate >2mmol/l
  • Informed consent

Exclusion criteria

Exclusion criteria:

  • Resuscitation > 30 minutes
  • Cerebral deficit with fixed dilated pupils
  • No intrinsic heart action
  • Mechanical infarction complication
  • Onset of shock > 12 h
  • Severe peripheral artery disease
  • Aortic regurgitation > II.°
  • Age > 90 years
  • shock of other cause
  • Other severe concomitant disease
  • participation in another trial
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
600 participants (actual)

Study arms

  • Active comparator
    Intraaortic balloon pump

    Patients in cardiogenic shock get an intraaortic balloon pump in the cath lab

    Device: Intraaortic balloon pump

  • No intervention
    No intraaortic balloon pump

    Patients in cardiogenic shock in this group get no intraaortic balloon pump

Interventions

  • DeviceIntraaortic balloon pump

    intraaortic balloon pump from Datascope/Maquet or Arrow/Teleflex will be used

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What researchers measure

Primary outcomes

  1. 30-day mortality

    Time frame: 30 day

Secondary outcomes

  1. Inflammatory markers (CRP and white blood cell count)

    Time frame: 4 days

  2. Hemodynamic Parameters (Blood pressure, Heart rate)

    Time frame: 3 days

  3. Time till hemodynamic stabilization

    Time frame: 30 days

  4. Catecholamine dose and duration of catecholamines

    Time frame: 30 days

  5. Mean and area under the curve of serum lactate

    Time frame: 48 hours

  6. Creatinine clearance until stabilization

    Time frame: 4 days

  7. requirement for hemofiltration or dialysis

    Time frame: 4 days

  8. length of ICU stay

    Time frame: 30 days

  9. length of mechanical ventilation

    Time frame: 30 days

  10. SAPS-II Score

    Time frame: 4 days

  11. requirement for active assist device implantation or heart transplantation at 30 days and approximately 60 months

    Time frame: 60 months

  12. long-term mortality at 6, 12 and approximately 60 months

    Time frame: 60 months

  13. quality of life at 30 days and approximately 60 months

    Time frame: 60 months

07

Study locations

20 sites
  • Zentralklinik Bad Berka GmbH
    Bad Berka, 99437, Germany
  • Herzzentrum Bad Krozingen
    Bad Krozingen, 79189, Germany
  • Segeberger Kliniken Gmbh
    Bad Segeberg, 23795, Germany
  • Charité Berlin, Campus Benjamin Franklin
    Berlin, 12200, Germany
  • Heart Center Bernau - Brandenburg
    Bernau, 16321, Germany
  • Herzzentrum Cottbus
    Cottbus, 03048, Germany
  • Klinikum Lippe-Detmold
    Detmold, 32756, Germany
  • Krankenhaus Fulda
    Fulda, 36043, Germany
  • University Greifswald
    Greifswald, 17475, Germany
  • Martin-Luther-Universität Halle-Wittenberg
    Halle, 06097, Germany
  • SLK-Kliniken Heilbronn
    Heilbronn, 74078, Germany
  • Oberhavel-Kliniken Hennigsdorf
    Hennigsdorf, 16761, Germany
  • Klinikum der Universität Jena
    Jena, 07747, Germany
  • Asklepios Klinik Langen
    Langen, 63225, Germany
  • University of Leipzig - Heart Center
    Leipzig, 04289, Germany
  • Klinikum der Stadt Ludwigshafen am Rhein
    Ludwigshafen, 67063, Germany
  • University of Lübeck
    Lübeck, 23538, Germany
  • Otto-von-Guericke University Magdeburg
    Magdeburg, 39120, Germany
  • German Heart Center Munich
    Munich, 80636, Germany
  • Krankenhaus der Barmherzigen Brüder
    Regensburg, 93049, Germany
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References and documents

Publications

  • Ceglarek U, Schellong P, Rosolowski M, Scholz M, Willenberg A, Kratzsch J, Zeymer U, Fuernau G, de Waha-Thiele S, Buttner P, Jobs A, Freund A, Desch S, Feistritzer HJ, Isermann B, Thiery J, Poss J, Thiele H. The novel cystatin C, lactate, interleukin-6, and N-terminal pro-B-type natriuretic peptide (CLIP)-based mortality risk score in cardiogenic shock after acute myocardial infarction. Eur Heart J. 2021 Jun 21;42(24):2344-2352. doi: 10.1093/eurheartj/ehab110. PubMed 33647946 ↗
  • Fuernau G, Desch S, de Waha-Thiele S, Eitel I, Neumann FJ, Hennersdorf M, Felix SB, Fach A, Bohm M, Poss J, Jung C, Ouarrak T, Schneider S, Werdan K, Zeymer U, Thiele H. Arterial Lactate in Cardiogenic Shock: Prognostic Value of Clearance Versus Single Values. JACC Cardiovasc Interv. 2020 Oct 12;13(19):2208-2216. doi: 10.1016/j.jcin.2020.06.037. PubMed 33032708 ↗
  • Thiele H, Zeymer U, Thelemann N, Neumann FJ, Hausleiter J, Abdel-Wahab M, Meyer-Saraei R, Fuernau G, Eitel I, Hambrecht R, Bohm M, Werdan K, Felix SB, Hennersdorf M, Schneider S, Ouarrak T, Desch S, de Waha-Thiele S; IABP-SHOCK II Trial (Intraaortic Balloon Pump in Cardiogenic Shock II) Investigators; IABP-SHOCK II Investigators. Intraaortic Balloon Pump in Cardiogenic Shock Complicating Acute Myocardial Infarction: Long-Term 6-Year Outcome of the Randomized IABP-SHOCK II Trial. Circulation. 2019 Jan 15;139(3):395-403. doi: 10.1161/CIRCULATIONAHA.118.038201. Epub 2018 Nov 11. PubMed 30586721 ↗
  • Poss J, Koster J, Fuernau G, Eitel I, de Waha S, Ouarrak T, Lassus J, Harjola VP, Zeymer U, Thiele H, Desch S. Risk Stratification for Patients in Cardiogenic Shock After Acute Myocardial Infarction. J Am Coll Cardiol. 2017 Apr 18;69(15):1913-1920. doi: 10.1016/j.jacc.2017.02.027. PubMed 28408020 ↗
  • Ledwoch J, Fuernau G, Desch S, Eitel I, Jung C, de Waha S, Poess J, Schneider S, Schuler G, Werdan K, Zeymer U, Thiele H. Drug-eluting stents versus bare-metal stents in acute myocardial infarction with cardiogenic shock. Heart. 2017 Aug;103(15):1177-1184. doi: 10.1136/heartjnl-2016-310403. Epub 2017 Feb 7. PubMed 28174212 ↗
  • Jung C, Fuernau G, Eitel I, Desch S, Schuler G, Kelm M, Adams V, Thiele H. Incidence, laboratory detection and prognostic relevance of hypoxic hepatitis in cardiogenic shock. Clin Res Cardiol. 2017 May;106(5):341-349. doi: 10.1007/s00392-016-1060-3. Epub 2016 Dec 8. PubMed 27928583 ↗
  • Zeymer U, Werdan K, Schuler G, Zahn R, Neumann FJ, Furnau G, de Waha S, Schneider S, Thiele H. Editor's Choice- Impact of immediate multivessel percutaneous coronary intervention versus culprit lesion intervention on 1-year outcome in patients with acute myocardial infarction complicated by cardiogenic shock: Results of the randomised IABP-SHOCK II trial. Eur Heart J Acute Cardiovasc Care. 2017 Oct;6(7):601-609. doi: 10.1177/2048872616668977. Epub 2016 Sep 21. PubMed 27655918 ↗
  • Poss J, Fuernau G, Denks D, Desch S, Eitel I, de Waha S, Link A, Schuler G, Adams V, Bohm M, Thiele H. Angiopoietin-2 in acute myocardial infarction complicated by cardiogenic shock--a biomarker substudy of the IABP-SHOCK II-Trial. Eur J Heart Fail. 2015 Nov;17(11):1152-60. doi: 10.1002/ejhf.342. Epub 2015 Sep 3. PubMed 26333723 ↗
  • Jung C, Fuernau G, de Waha S, Eitel I, Desch S, Schuler G, Figulla HR, Thiele H. Intraaortic balloon counterpulsation and microcirculation in cardiogenic shock complicating myocardial infarction: an IABP-SHOCK II substudy. Clin Res Cardiol. 2015 Aug;104(8):679-87. doi: 10.1007/s00392-015-0833-4. Epub 2015 Feb 27. PubMed 25720332 ↗
  • Jung C, Fuernau G, Muench P, Desch S, Eitel I, Schuler G, Adams V, Figulla HR, Thiele H. Impairment of the endothelial glycocalyx in cardiogenic shock and its prognostic relevance. Shock. 2015 May;43(5):450-5. doi: 10.1097/SHK.0000000000000329. Erratum In: Shock. 2016 Apr;45(4):469. Shock. 2016 Jan 29;45(4):469. doi: 10.1097/SHK.0000000000000581. PubMed 25692257 ↗
  • Schuster A, Faulkner M, Zeymer U, Ouarrak T, Eitel I, Desch S, Hasenfuss G, Thiele H. Economic implications of intra-aortic balloon support for myocardial infarction with cardiogenic shock: an analysis from the IABP-SHOCK II-trial. Clin Res Cardiol. 2015 Jul;104(7):566-73. doi: 10.1007/s00392-015-0819-2. Epub 2015 Jan 31. PubMed 25637294 ↗
  • Fuernau G, Poss J, Denks D, Desch S, Heine GH, Eitel I, Seiler S, de Waha S, Ewen S, Link A, Schuler G, Adams V, Bohm M, Thiele H. Fibroblast growth factor 23 in acute myocardial infarction complicated by cardiogenic shock: a biomarker substudy of the Intraaortic Balloon Pump in Cardiogenic Shock II (IABP-SHOCK II) trial. Crit Care. 2014 Dec 21;18(6):713. doi: 10.1186/s13054-014-0713-8. PubMed 25528363 ↗
  • Fuernau G, Poenisch C, Eitel I, de Waha S, Desch S, Schuler G, Adams V, Werdan K, Zeymer U, Thiele H. Growth-differentiation factor 15 and osteoprotegerin in acute myocardial infarction complicated by cardiogenic shock: a biomarker substudy of the IABP-SHOCK II-trial. Eur J Heart Fail. 2014 Aug;16(8):880-7. doi: 10.1002/ejhf.117. Epub 2014 Jun 5. PubMed 24903195 ↗
  • Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, Hausleiter J, de Waha A, Richardt G, Hennersdorf M, Empen K, Fuernau G, Desch S, Eitel I, Hambrecht R, Lauer B, Bohm M, Ebelt H, Schneider S, Werdan K, Schuler G; Intraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial. Lancet. 2013 Nov 16;382(9905):1638-45. doi: 10.1016/S0140-6736(13)61783-3. Epub 2013 Sep 3. PubMed 24011548 ↗
  • Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, Hausleiter J, Richardt G, Hennersdorf M, Empen K, Fuernau G, Desch S, Eitel I, Hambrecht R, Fuhrmann J, Bohm M, Ebelt H, Schneider S, Schuler G, Werdan K; IABP-SHOCK II Trial Investigators. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med. 2012 Oct 4;367(14):1287-96. doi: 10.1056/NEJMoa1208410. Epub 2012 Aug 26. PubMed 22920912 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00491036
Lead sponsor
University of Leipzig
Responsible party
Holger Thiele (Deputy Director, University of Leipzig) — Principal investigator
First posted
Jun 25, 2007
Start date
Jun 2009
Primary completion
Jun 2012
Completion
Oct 2016
Last update
May 2, 2017

Study contacts

Holger Thiele, MD
study chair · Heart Center Leipzig - University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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