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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04424368
Other study ID # 191119
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date October 3, 2018
Est. completion date December 31, 2021

Study information

Verified date August 2021
Source Ryazan State Medical University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

one-centered, open, prospective, non-randomized, controlled clinical study will be aimed at creating remote monitoring system for patients' condition and the development of methodological approaches and its usage for conducting patients, who had myocardial infraction and who has a very high risk of developing an unfavorable outcome.


Description:

The research will involve patients, who had myocardial infraction and who has the high level of potential adherence to treatment, which will be determined by the usage of Russian generic questionnaire for evaluation of compliance to drug therapy. At the end of a 12 month observation with the registration of unfavorable cardiovascular occasions (death from cardiovascular reasons, nonfatal myocardial infraction, cerebral stroke, necessity for repeated revascularization of the coronary arteries) based on the analysis of non-genetic and genetic factors (polymorphism of genes Thr174Met and Met235Thr in gene angiotensinogen, Arg389Gly and Ser49Gly in gene adrenoceptor beta 1, Ser447Ter in gene lipoprotein lipase and Leu28Pro in gene apolipoprotein E, Trp212Ter and G681A in gene cytochrome P450 family 2 subfamily C member 19) factors of unfavorable prognosis will be identified and considering which group of patients requires the use of remote monitoring system will be formed. From one group of patients we will form two comparable groups, one group will use this remote monitoring system and another will not. The effectiveness of the remote monitoring system will be evaluated after 6-month's observation based on the registration of the unfavorable cardiovascular occasions (death from cardiovascular reasons, nonfatal myocardial infraction, cerebral stroke, necessity for repeated revascularization of the coronary arteries, frequency of hospitalizations).


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 250
Est. completion date December 31, 2021
Est. primary completion date December 3, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. A significant diagnosis of myocardial infraction, confirmed by the level of biomarkers of myocardial necrosis in blood examination (troponin, creatine kinase-MV), electrocardiographic criteria, typical clinical presentation. 2. The high level of adherence to treatment 3. Signed informed agreement Exclusion Criteria: 1. Active cancer or remission period less than 5 years; 2. Absolute contradictions to the prescription of beta-adrenergic blocking agents, angiotensin converting enzyme inhibitors, statins, antiaggregants. 3. Mental illnesses. 4. Alcohol and drug abuse 5. Patient's noncompliance, according to the researchers

Study Design


Related Conditions & MeSH terms


Intervention

Device:
The remote monitoring system
Usage of remote monitoring system

Locations

Country Name City State
Russian Federation RyazSMU Ryazan'

Sponsors (1)

Lead Sponsor Collaborator
Ryazan State Medical University

Country where clinical trial is conducted

Russian Federation, 

Outcome

Type Measure Description Time frame Safety issue
Primary cardiovascular mortality the number of deaths from cardiovascular causes 12 months
Primary acute myocardial infarction incidence of acute myocardial infarction 12 months
Primary cerebral stroke incidence of cerebral stroke 12 months
Primary revascularization frequency of repeated revascularization of coronary arteries 12 months
Primary hospitalization frequency of hospitalization about the progression of coronary heart disease 12 months
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