An observational study in STEMI - ST Elevation Myocardial Infarction and AMI, sponsored by TherOx. Recruiting at 25 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-20.
Sponsored by TherOx · Observational
The SuperSaturated Oxygen Comprehensive Observational Registry (SSCORE) registry, a prospectively designed observational study, aims to evaluate the clinical utility, infarct size reduction, and cost-effectiveness of SSO2 Therapy versus PCI alone among patients with anterior AMI in routine clinical practice.
The goal of SSCORE is to collect real-world data from patients treated with SSO2 Therapy to determine its impact on the overall HF (heart failure) burden on patients and healthcare systems compared with usual care for treatment of patients with AMI. Additionally, the study will confirm infarct size reduction in patients treated with SSO2 Therapy compared to standard of care treatment. The SSCORE Registry will generate effectiveness and healthcare resource utilization data that will be used in cost-effectiveness analysis modeling.
667 studies on the registry are indexed under ST Elevation Myocardial Infarction; 180 are open to participants now.
This study's planned enrollment of 1,000 is above the median of 329 across 222 observational studies indexed under ST Elevation Myocardial Infarction.
Browse ST Elevation Myocardial Infarction studies →TherOx is the lead sponsor of 7 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
The study will aim to prospectively enroll 500 subjects not treated with SuperSaturated Oxygen (SSO2) Therapy (Prospective Control Cohort), 500 subjects who received SSO2 Therapy in accordance with the product label (SSO2 Treated On-Label) and any subjects that receive SSO2 at an institution that meet criteria inclusion/exclusion (IE) criteria.
Subjects screened for either the Prospective Control Cohort or the SSO2 Treated (On-Label) Cohorts must meet ALL the following baseline criteria:
Patients must be ≥ 18 years and ≤ 80 years of age
Presentation with AMI and successful revascularization of the infarct-related artery with PCI
The subject or their legally authorized representative has been informed of the nature of the study, agrees to its provisions and has been provided and signed written informed consent, approved by the appropriate Institutional Review Board (IRB)
Treatment with SSO2 Therapy will be up to the physician's discretion and the decision will be made prior to enrollment in the study. Any subject that is treated with SSO2 Therapy and meets the baseline criteria should be invited to participate in the study.
Subjects who are in the Prospective Control Cohort as well as subjects enrolled in the SSO2 Treated On-Label Cohort must meet these additional criteria:
The primary culprit lesion must be in the left anterior descending (LAD) coronary artery
Successful primary PCI within 6 hours of symptom onset (defined as persistent symptoms that caused the patient to pursue medical care), as documented by \<50% diameter residual angiographic stenosis and Thrombolysis In Myocardial Infarction (TIMI) Grades 2 or 3 flow in the target vessel
No major complications such as presence of post-PCI dissection or perforation, serious bleeding, presence of cardiogenic shock (including the use of intra-aortic balloon pump (IABP) or mechanical circulatory support (MCS)) before the end of PCI procedure
Not pregnant or nursing
Exclusion Criteria
Subjects will be excluded if they meet any of the following criteria:
Life expectancy of less than 2 years
No access to medical records from either the index hospitalization or subsequent outpatient visits
Currently participating in an interventional drug or device trial
cMRI Sub-Study
At qualifying sites that can perform cMRI scans, subjects who meet the following inclusion and exclusion criteria will be considered for the cMRI sub-study.
cMRI Inclusion Criteria
Subjects will be included in the cMRI sub-study must meet all these criteria:
Meet all the inclusion and exclusion criteria for the overall study
Consent during index hospitalization to participate in the main study
cMRI Exclusion Criteria
Subjects will be excluded from the sub-study if they are contraindicated to MRI, including any of the following:
Non-MRI compatible cardiac pacemaker or implantable defibrillator; Non-MRI compatible aneurysm clip or other metallic implants; Neural Stimulator (i.e., TENS unit); Any implanted or magnetically activated device (insulin pump); Any type of non-MRI compatible ear implant; Metal shavings in the orbits; Any indwelling metallic foreign body, shrapnel, or bullet; Any condition contraindicating MRI, including claustrophobia; Inability to follow breath-hold instructions or to maintain a breath-hold for >15 seconds; and Known hypersensitivity or contraindication to gadolinium contrast.
Treated with SSO2
Other: KCCQ · Other: Eq5D · Other: cMRI (Subset of patients)
Not treated with SSO2
Other: KCCQ · Other: Eq5D · Other: cMRI (Subset of patients)
Quality of life questionnaire
Eq5d quality of life questionnaire
cardiac MRI
Cardiovascular (CV) death or Heart Failure (HF) burden
The clinical outcome will be a non-hierarchical composite measured during a median follow-up of 1.5 years (minimum of 1 year and maximum of 2 years). The composite will be analyzed as the time-to-first occurrence of CV death or HF event, defined as new/worsening HF requiring hospitalization or outpatient treatment.
Time frame: Median of 1.5years
Infarct Size
Cardiac magnetic resonance imaging will be used to measure the co-primary endpoint of infarct size within 2-7 days after PCI in a subset of patients.
Time frame: 2-7 days after PCI
MVO
Microvascular obstruction (MVO) measured within 2-7 days post PCI
Time frame: 2-7 days post PCI
IMH
Intramyocardial hemorrhage measured within 2-7 days post PCI
Time frame: 2-7 days post PCI
Rate of all cause mortality
Rate of all cause mortality
Time frame: 2 years
Rate of cardiovascular death
Rate of cardiovascular death
Time frame: 2 years
Rate of Hospitalization for Heart Failure
Rate of Hospitalization for Heart Failure
Time frame: 2 years
Rate of All-cause Hospitalization
Rate of All-cause Hospitalization
Time frame: 2 years
Change in EQ5D-3L Score
Patient reported outcome, 0 to1, where 0 is death and 1 is perfect health
Time frame: 2 years
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ-23) Score
Heart related patient reported outcome, scaled from 0 to 100, with 0 representing the worst symptoms and function and 100 representing the best
Time frame: 2 years
Plan to share: No
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