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Myocardial InfarctionPhase 3NCT00046228

A Study of Abciximab and Reteplase When Administered Prior to Catherization After a Myocardial Infarction (Finesse)

A Phase 3 study of Myocardial Infarction, run by Centocor, Inc. at 227 sites in 19 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to… Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Myocardial Infarction
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2,461 participants
Where
227 sitesin 19 countries
Study dates
Aug 2002to Jan 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who have prolonged, continuous (lasting at least 20 minutes) signs and symptoms of A heart attack not eliminated with nitrates and onset within 6 hours of randomization,and confirmation by Electrocardiogram

Who cannot join

  • Low risk clinical presentation
  • patients who will not be undergoing a catherization within 4 hours of the qualifying Electrocardiogram

Trial locations and contacts

227 sites in 19 countries.

227 sites in 19 countries

United States52 sites
  • Study site

    Akron, Ohio

  • Study site

    Amarillo, Texas

  • Study site

    Ann Arbor, Michigan

  • Study site

    Bremerton, Washington

  • Study site

    Bristol, Tennessee

  • Study site

    Brooklyn, New York

  • Study site

    Clearwater, Florida

  • Study site

    Cleveland, Ohio

  • Study site

    Covina, California

  • Study site

    Dayton, Ohio

  • Study site

    Flushing, New York

  • Study site

    Galveston, Texas

  • Study site

    Harvey, Illinois

  • Study site

    Hershey, Pennsylvania

  • Study site

    Houston, Texas

  • Study site

    Jacksonville, Florida

  • Study site

    Kingsport, Tennessee

  • Study site

    Lewiston, Maine

  • Study site

    Lexington, Kentucky

  • Study site

    Louisville, Kentucky

  • Study site

    Lubbock, Texas

  • Study site

    Marshfield, Wisconsin

  • Study site

    Miami, Florida

  • Study site

    Mineola, New York

  • Study site

    Modesto, California

  • Study site

    New Orleans, Louisiana

  • Study site

    New York, New York

  • Study site

    Newark, Delaware

  • Study site

    Oklahoma City, Oklahoma

  • Study site

    Pawtucket, Rhode Island

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Phoenix, Arizona

  • Study site

    Pontiac, Michigan

  • Study site

    Providence, Rhode Island

  • Study site

    Raleigh, North Carolina

  • Study site

    Rock Island, Illinois

  • Study site

    Sayre, Pennsylvania

  • Study site

    Sellersville, Pennsylvania

  • Study site

    Spartanburg, South Carolina

  • Study site

    St Louis, Missouri

  • Study site

    St. Petersburg, Florida

  • Study site

    Tallahassee, Florida

  • Study site

    Tulsa, Oklahoma

  • Study site

    Upland, Pennsylvania

  • Study site

    Washington D.C., District of Columbia

  • Study site

    Waukesha, Wisconsin

  • Study site

    Westlake, Ohio

  • Study site

    Weston, Florida

  • Study site

    Winston-Salem, North Carolina

  • Study site

    Worcester, Massachusetts

  • Study site

    Wormleysburg, Pennsylvania

  • Study site

    York, Pennsylvania

Other trials in United States

Czechia41 sites
  • Study site

    Benesov U Prahy

  • Study site

    Bílovec

  • Study site

    Boskovice

  • Study site

    Brno

  • Study site

    Bruntál

  • Study site

    Čáslav

  • Study site

    České Budějovice

  • Study site

    Český Krumlov

  • Study site

    Havíøov 1

  • Study site

    Hodonín

  • Study site

    Hradec Králové

  • Study site

    Hranice

  • Study site

    Jeseník

  • Study site

    Jičín

  • Study site

    Jihlava

  • Study site

    Karniva-Ray N/A

  • Study site

    Kyjov

  • Study site

    Most

  • Study site

    Nový Jičín

  • Study site

    Odry

  • Study site

    Olomouc

  • Study site

    Ostrava

  • Study site

    Písek

  • Study site

    Poruba

  • Study site

    Prague

  • Study site

    Praha 10 N/A

  • Study site

    Přerov

  • Study site

    Prostějov

  • Study site

    Strakonice

  • Study site

    Šumperk

  • Study site

    Svitavy

  • Study site

    Tábor

  • Study site

    Teplice

  • Study site

    Tøebíè 1

  • Study site

    Tøinec 1

  • Study site

    Trutnov

  • Study site

    Ústí nad Labem

  • Study site

    Ústí nad Orlicí

  • Study site

    Valašské Meziříčí

  • Study site

    Vyškov

  • Study site

    Znojmo

Other trials in Czechia

Poland33 sites
  • Study site

    Będzin

  • Study site

    Bielsko-Biala

  • Study site

    Bolesławiec

  • Study site

    Brzeg

  • Study site

    Częstochowa

  • Study site

    Gdansk

  • Study site

    Gdynia Poland

  • Study site

    Gliwice

  • Study site

    Gmina Końskie

  • Study site

    Gorlice

  • Study site

    Grójec

  • Study site

    Jastrzębie Zdrój

  • Study site

    Katowice

  • Study site

    Konin

  • Study site

    Kościerzyna

  • Study site

    Krakow

  • Study site

    Lodz

  • Study site

    Nowy Dwor M

  • Study site

    Nysa

  • Study site

    Opole

  • Study site

    Piotrkow Trybunalski

  • Study site

    Poznan

  • Study site

    Radomsko

  • Study site

    Ruda Śląska

  • Study site

    Skierniewice

  • Study site

    Swidnica

  • Study site

    Tychy

  • Study site

    Ustroń

  • Study site

    Warsaw

  • Study site

    Warszawa Poland

  • Study site

    Wroclaw

  • Study site

    Zabrze

  • Study site

    Żyrardów

Other trials in Poland

Germany18 sites
  • Study site

    Aachen

  • Study site

    Bad Nauheim

  • Study site

    Bad Segeberg

  • Study site

    Bremen

  • Study site

    Dresden

  • Study site

    Eschweiler

  • Study site

    Friedberg

  • Study site

    Fulda

  • Study site

    Hamburg

  • Study site

    Kaltenkirchen

  • Study site

    Magdeburg

  • Study site

    Mannheim

  • Study site

    Meißen

  • Study site

    München

  • Study site

    Münster

  • Study site

    Pfaffenhofen

  • Study site

    Radebeul

  • Study site

    Schönebeck

Other trials in Germany

United Kingdom15 sites
  • Study site

    Antrim

  • Study site

    Belfast

  • Study site

    Brighton

  • Study site

    Chichester

  • Study site

    Durham

  • Study site

    Glasgow

  • Study site

    London

  • Study site

    Manchester

  • Study site

    Middlesbrough

  • Study site

    Plymouth

  • Study site

    Portadown

  • Study site

    Saint Leonards-on-Sea

  • Study site

    Southampton

  • Study site

    Stockton-on-Tees

  • Study site

    Worthing

Other trials in United Kingdom

Denmark13 sites
  • Study site

    Esbjerg

  • Study site

    Frederikshavn

  • Study site

    Hjÿrring N/A

  • Study site

    Horsens

  • Study site

    Kÿbenhavn Nv N/A

  • Study site

    Kÿbenhavn Sud N/A

  • Study site

    Kÿbenhavn Ÿ

  • Study site

    Odense

  • Study site

    Randers

  • Study site

    Silkeborg

  • Study site

    Viborg

  • Study site

    Ÿlborg

  • Study site

    Ÿrhus N

Other trials in Denmark

Belgium10 sites
  • Study site

    Antwerp

  • Study site

    Bonheiden

  • Study site

    Eeklo

  • Study site

    Ghent

  • Study site

    Herentals

  • Study site

    Mechelen

  • Study site

    Reet

  • Study site

    Turnhout

  • Study site

    Waregem

  • Study site

    Westmalle

Other trials in Belgium

France8 sites
  • Study site

    Besançon

  • Study site

    Colmar

  • Study site

    Metz

  • Study site

    Nancy

  • Study site

    Nancy Cedex N/A

  • Study site

    Nîmes

  • Study site

    Paris

  • Study site

    Vandœuvre-lès-Nancy

Other trials in France

Argentina6 sites
  • Study site

    Adrogué

  • Study site

    Buenos Aires

  • Study site

    Corrientes

  • Study site

    Merlo

  • Study site

    Rosario

  • Study site

    San Martin

Other trials in Argentina

Austria5 sites
  • Study site

    Bruck an der Mur

  • Study site

    Deutschlandsberg

  • Study site

    Innsbruck

  • Study site

    Linz

  • Study site

    Vienna

Other trials in Austria

Spain5 sites
  • Study site

    Alicante

  • Study site

    Barcelona

  • Study site

    Madrid

  • Study site

    Santander

  • Study site

    Santiago de Compostela

Other trials in Spain

Bulgaria4 sites
  • Study site

    Dimitrovgrad

  • Study site

    Haskovo

  • Study site

    Plovdiv

  • Study site

    Sofia

Other trials in Bulgaria

Romania4 sites
  • Study site

    Bucharest

  • Study site

    Cluj-Napoca

  • Study site

    Iași

  • Study site

    Târgu Mureş

Other trials in Romania

Canada3 sites
  • Study site

    Edmonton, Alberta

  • Study site

    Montreal, Quebec

  • Study site

    Repentigny, Quebec

Other trials in Canada

South Africa3 sites
  • Study site

    Arcadia Pretoria N/A

  • Study site

    Cape Town Western Province

  • Study site

    Roodepoort Central Gauteng

Other trials in South Africa

Switzerland3 sites
  • Study site

    Basel

  • Study site

    Bruderholz

  • Study site

    Liestal

Other trials in Switzerland

Israel2 sites
  • Study site

    Jerusalem

  • Study site

    Ramat Gan

Other trials in Israel

Netherlands1 site
  • Study site

    Leeuwarden

Other trials in Netherlands

Sweden1 site
  • Study site

    Gothenburg

Other trials in Sweden

About this study

Official title: A Muticenter, Randomized, Double-blind, Placebo Controlled Trial Comparing the Efficacy and Safety of Reteplease and Abciximab Combination Therapy With Abciximab Alone Administered Early or Just Prior to Primary Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction.

The purpose of this study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention.

Read the detailed description

The purpose of this medical research study is to determine whether abciximab given in combination with reteplase, before patients have a coronary intervention (a standard treatment where a catheter is inserted into the heart artery to get blood flowing past the clot), is safe and effective in the treatment of heart attacks compared to only abciximab given during coronary intervention. This medical research study will also help determine if the combination of abciximab and reduced dose reteplase will decrease the risk of death, and reduce complications of a heart attack at 90 days compared to abciximab alone which is a standard treatment.

Patients will receive either abciximab and reteplease or abciximab alone. Safety evaluations will be performed at specified intervals throughout the study and will consist of laboratory tests, vital signs (such as blood pressure), physical examinations and the occurrence and severity of adverse events as well as other study specific procedures. Patients will receive either abciximab and reteplease or abciximab and placebo into a vein in their arm for up to 12 hours.

Being tested
abciximab placebo; reteplase placebo, abciximab, abciximab, Abciximab; reteplase; abciximab placebo; abciximab, abciximab; reteplase placebo; abciximab placebo; abciximab
Keywords
Myocardial infarction, percutaneous coronary intervention, abciximab, reteplase, safety and efficacy
Medical subject headings
Myocardial Infarction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • abciximab placebo; reteplase placebo, abciximab, abciximabDrug

    placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

  • Abciximab; reteplase; abciximab placebo; abciximabDrug

    0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

  • abciximab; reteplase placebo; abciximab placebo; abciximabDrug

    0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h

  • abciximab placebo; reteplase placebo, abciximab, abciximabDrug

    placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

  • abciximab; reteplase placebo; abciximab placebo; abciximabDrug

    0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

  • Abciximab; reteplase; abciximab placebo; abciximabDrug

    0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¿g/kg/min, max 10 ¿g/min infusion x 12h

Study groups in NCT00046228
Study groupRoleWhat they receive
001ExperimentalAbciximab; reteplase; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2, 5 unit boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
Receives: Drug: abciximab placebo; reteplase placebo, abciximab, abciximab; Drug: Abciximab; reteplase; abciximab placebo; abciximab
002Experimentalabciximab; reteplase placebo; abciximab placebo; abciximab 0.25 mg/kg bolus; 1-2 placebo boluses; placebo bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
Receives: Drug: Abciximab; reteplase; abciximab placebo; abciximab; Drug: abciximab; reteplase placebo; abciximab placebo; abciximab
003Experimentalabciximab placebo; reteplase placebo, abciximab, abciximab placebo bolus; 1-2 placebo bolus; 0.25 mg/kg bolus; 0.125 ¼g/kg/min, max 10 ¼g/min infusion x 12h
Receives: Drug: abciximab; reteplase placebo; abciximab placebo; abciximab; Drug: abciximab placebo; reteplase placebo, abciximab, abciximab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Composite of All-Cause Mortality or Complications of MI at 90 Days.

    Occurs within 90 days and is composite of all-cause mortality or complications of myocardial infarction (MI) (rehospitalization or emergency department visit for congestive heart failure (CHF), cardiogenic shock, or resuscitated ventricular fibrillation occurring > 48 hours after randomization).

    Measured: 90 days

Secondary outcomes (4)
  1. Complications of MI as Defined in the Primary Outcome Measure Through 90 Days

    The complications of myocardial infarction (MI) is defined as any event of rehospitalization or emergency department visit for CHF, cardiogenic shock, or resuscitated ventricular fibrillation occurring > 48 hours after randomization.

    Measured: 90 Days

  2. All-Cause Mortality Through 90 Days

    All cause mortality occurred through 90 days from randomization.

    Measured: 90 days

  3. Subjects With ST-Segment Resolution > 70% From Baseline at 60 to 90 Minutes Following Randomization

    Measured: 60 to 90 minutes

  4. All-Cause Mortality Through 1 Year

    All-cause mortality through 1 year from randomization.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Sep 2002 (estimated)
  2. Study startAug 2002
  3. Primary completionJan 2008
  4. Study completionJan 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,461 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00046228
Sponsor's protocol ID
CR005410
Other IDs
FINESSE, CR005410
Status last verified
Jul 2014
First submitted
24 Sep 2002
Last updated
31 Jul 2014

Publications

  • Ellis SG, Armstrong P, Betriu A, Brodie B, Herrmann H, Montalescot G, Neumann FJ, Smith JJ, Topol E; Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events Investigators. Facilitated percutaneous coronary intervention versus primary percutaneous coronary intervention: design and rationale of the Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events (FINESSE) trial. Am Heart J. 2004 Apr;147(4):E16. doi: 10.1016/j.ahj.2003.07.025.

    PubMed 15077099
  • Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Janssens L, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Kosmider M, Katz O, Neunteufl T, Jorgova J, Dorobantu M, Grinfeld L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008 May 22;358(21):2205-17. doi: 10.1056/NEJMoa0706816.

    PubMed 18499565
  • Montalescot G, Ellis SG, de Belder MA, Janssens L, Katz O, Pluta W, Ecollan P, Tendera M, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Armstrong P, Brodie BR, Herrmann HC, Neumann FJ, Effron MB, Lu J, Barnathan ES, Topol EJ; Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events Investigators. Enoxaparin in primary and facilitated percutaneous coronary intervention A formal prospective nonrandomized substudy of the FINESSE trial (Facilitated INtervention with Enhanced Reperfusion Speed to Stop Events). JACC Cardiovasc Interv. 2010 Feb;3(2):203-12. doi: 10.1016/j.jcin.2009.11.012.

    PubMed 20170878
  • Herrmann HC, Lu J, Brodie BR, Armstrong PW, Montalescot G, Betriu A, Neuman FJ, Effron MB, Barnathan ES, Topol EJ, Ellis SG; FINESSE Investigators. Benefit of facilitated percutaneous coronary intervention in high-risk ST-segment elevation myocardial infarction patients presenting to nonpercutaneous coronary intervention hospitals. JACC Cardiovasc Interv. 2009 Oct;2(10):917-24. doi: 10.1016/j.jcin.2009.06.018.

    PubMed 19850249
  • Ellis SG, Tendera M, de Belder MA, van Boven AJ, Widimsky P, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Hamankiewicz M, Pluta W, Oldroyd K, Ecollan P, Janssens L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ; FINESSE Investigators. 1-year survival in a randomized trial of facilitated reperfusion: results from the FINESSE (Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events) trial. JACC Cardiovasc Interv. 2009 Oct;2(10):909-16. doi: 10.1016/j.jcin.2009.07.009.

    PubMed 19850248

Questions about this trial

What is this clinical trial studying?

A Phase 3 study of Myocardial Infarction, run by Centocor, Inc. at 227 sites in 19 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 227 sites in United States, Czechia, Poland, Germany, United Kingdom and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 May 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Composite of All-Cause Mortality or Complications of MI at 90 Days. (time frame: 90 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00046228, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2014.

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