CClinicalTrials.gg
TerminatedNCT00719914IC TITANUpdated Aug 27, 2012Results posted

A Safety/Efficacy Study of Intracoronary Integrilin to Improve Balloon Angioplasty Outcomes for the Treatment of Heart Attacks

A Phase 2 interventional study of eptifibatide and eptifibatide in ST-Elevation Myocardial Infarction, sponsored by Brigham and Women's Hospital. Terminated at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-08-27.

Sponsored by Brigham and Women's Hospital · Phase 2, Interventional, and Treatment

Why this study was terminated
Poor enrollment
Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this research study is to try to improve the results of the standard treatment for heart attacks. Normally, heart attack patients get a fast dose and a slow dose of eptifibatide in the emergency room, shortly after arriving. This drug is usually given through a vein in the arm. However, eptifibatide can also be injected directly into the heart's blood supply just before angioplasty, a common procedure to unblock a blood vessel in the heart. This new way of giving the drug is being studying.

Read the detailed description

The primary objective of the IC-TITAN study is to demonstrate that an IC bolus of eptifibatide added to an upstream double-bolus and infusion regimen of eptifibatide administered intravenously and initiated early in the ER will result in significant additional clot resolution in vivo when compared with an IC injection of placebo (saline). The primary endpoint chosen to evaluate this hypothesis is the improvement in percent diameter stenosis of the culprit artery following the IC bolus administration of eptifibatide vs. IC placebo (saline) as assessed with quantitative coronary angiography (QCA).

02

Conditions studied

  • ST-Elevation Myocardial Infarction

Keywords

  • eptifibatide
  • Integrilin
  • ST-Elevation Myocardial Infarction
  • Acute Myocardial Infarction
03

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 31 is below the median of 148 across 1,595 interventional studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Clinical

  • Patients (men or women) at least 18 years of age and
  • Presenting with ischemic chest discomfort >20 minutes and \<6 hours of duration suggestive of acute myocardial infarction

AND:

ECG

  • ST elevation >1mm (>0.1mV) in two contiguous limb leads OR >2mm (>0.2mV) in two contiguous precordial leads

Exclusion criteria

Exclusion Criteria:

CLINICAL

  • Maximal systolic blood pressure \<80 mmHg AFTER initial fluid and/or pressor resuscitation
  • Uncontrolled hypertension (SBP>180 OR DBP >110) at time of enrollment
  • Ventricular fibrillation or ventricular tachycardia requiring DC cardioversion
  • Sinus bradycardia (HR \<50/min), third degree or advanced second degree heart block.
  • Known pregnancy
  • New or suspected new left bundle branch block

BIOCHEMICAL

  • Known thrombocytopenia (platelet count \<100,000)
  • Known severe renal insufficiency (creatinine >4.0 mg/dL)

INCREASED BLEEDING RISK

  • Active or recent (\<1 year) bleeding or gastrointestinal hemorrhage
  • Major surgery \<1 month
  • Known coagulopathy, platelet disorder or history of thrombocytopenia: If a patient is known to be on chronic warfarin therapy, the International Normalized Ratio (INR) must be known to be \<1.6 in order for the patient to be included
  • Known neoplasm
  • Any history of hemorrhagic cerebrovascular disorder or active intracranial pathology

MEDICATIONS

  • Administration of a fibrinolytic agent within 7 days
  • Known allergy or contraindication to eptifibatide OR aspirin OR heparin
  • Treatment with another GP IIb/IIIa inhibitor within 7 days
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Active comparator
    1

    Intracoronary injection of eptifibatide

    Drug: eptifibatide

  • Placebo comparator
    2

    Intra-coronary injection of normal saline.

    Drug: normal saline

Interventions

  • Drugeptifibatide

    Intra-coronary injection, weight based, of eptifibatide.

  • Drugeptifibatide

    Intra-coronary injection, based on weight, of eptifibatide

  • Drugnormal saline

    Intra-coronary injection, weight based, of normal saline.

06

What researchers measure

Primary outcomes

  1. Improvement in Percent Diameter Stenosis of the Culprit Artery Following the IC Bolus Administration of Eptifibatide vs. IC Placebo (Saline) as Assessed With Quantitative Coronary Angiography (QCA)

    Time frame: 30 days

07

Results

Posted Aug 27, 2012
Limitations and caveats
Early termination due to poor enrollment.

Participant flow

Participant flow — Overall Study
MilestoneAdditional Bolus of EptifibatideBolus of Normal Saline
Started107
Completed107
Not completed00

Outcome measures

PrimaryImprovement in Percent Diameter Stenosis of the Culprit Artery Following the IC Bolus Administration of Eptifibatide vs. IC Placebo (Saline) as Assessed With Quantitative Coronary Angiography (QCA)
Time frame:
30 days

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Additional Bolus of Eptifibatide———
Bolus of Normal Saline———

Baseline characteristics

Age Continuous
Age Continuous(years)Additional Bolus of EptifibatideBolus of Normal SalineTotal
Mean57.9 ± 10.267 ± 9.561.6 ± 10.7
Age, Customized
Age, Customized(participants)Additional Bolus of EptifibatideBolus of Normal SalineTotal
<=18 years000
Between 18 and 75 years9615
>=75 years112
Sex: Female, Male
Sex: Female, Male(Participants)Additional Bolus of EptifibatideBolus of Normal SalineTotal
Female101
Male9716
Region of Enrollment
Region of Enrollment(participants)Additional Bolus of EptifibatideBolus of Normal SalineTotal
United States10717
08

Study locations

3 sites
  • Cardiology Research Associates
    Ormond Beach, Florida 32174, United States
  • Crittenton Hospital Medical Center
    Rochester, Michigan 48307, United States
  • Mid Ohio Heart Clinic
    Mansfield, Ohio 44906, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00719914
Lead sponsor
Brigham and Women's Hospital
Collaborators
Schering-Plough
Responsible party
C. Michael Gibson, MS, MD (Principal Investigator, Brigham and Women's Hospital) — Principal investigator
First posted
Jul 22, 2008
Start date
Nov 2007
Primary completion
Nov 2008
Completion
Jan 2009
Results posted
Aug 27, 2012
Last update
Aug 27, 2012

Study contacts

Eugene Braunwald, M.D.
study chair · The TIMI Study Group
C. Michael Gibson, M.D.
principal investigator · The TIMI Study Group

Oversight

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

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