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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 17 October 2012
Main ID:  NCT00317395
Date of registration: 21/04/2006
Primary sponsor: Sanofi-Aventis
Public title: Study of Otamixaban Versus Unfractionated Heparin (UFH) and Eptifibatide in Non-ST Elevation Acute Coronary Syndrome SEPIA-ACS1
Scientific title: A Randomized, Double-blind, Triple-dummy, Dose-ranging Study, Including an Active Control of Unfractionated Heparin and Eptifibatide, to Evaluate the Clinical Efficacy and Safety of Otamixaban, in Patients With Non-ST Elevation Acute Coronary Syndrome and Planned Early Invasive Strategy
Date of first enrolment: June 2006
Target sample size: 3241
Recruitment status: Completed
URL:  http://clinicaltrials.gov/show/NCT00317395
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment  
Countries of recruitment
Argentina Austria Brazil Bulgaria Canada Chile Colombia Croatia
Czech Republic Denmark Estonia Finland France Germany Greece Hungary
India Israel Italy Korea, Republic of Malaysia Mexico Netherlands Poland
Portugal Romania Russian Federation Singapore Slovakia South Africa Spain Switzerland
Taiwan Thailand Turkey United States Venezuela
Contacts
Name:   ICD CSD
Address: 
Telephone:
Email:
Affiliation:  Sanofi-Aventis
Key inclusion & exclusion criteria

Inclusion Criteria:

- Ischemic discomfort at rest = 10 minutes within 24 hours of randomization

- Electrocardiogram (ECG) criteria for non-ST elevation ACS or cardiac enzyme elevation
(> upper limit of normal [ULN])

- No ST elevation Myocardial Infarction (STEMI)

- Planned coronary angiography followed when indicated by a Percutaneous Coronary
Intervention (PCI) on Day 1 to Day 3

Exclusion Criteria:

- Inability to undergo coronary angiography or PCI by Day 3

- Prior PCI within 30 days

- Acute STEMI

- Cardiogenic shock

- Anticoagulant treatment for > 24 hours prior to randomization

- Prior treatment with fondaparinux since ACS onset

- Requirement for oral anticoagulant (OAC) prior to Day 30

- Creatinine clearance < 30 ml/min



Age minimum: 18 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Coronary Disease
Intervention(s)
Drug: eptifibatide
Drug: Otamixaban (XRP0673)
Drug: unfractionated heparin
Primary Outcome(s)
Quadruple efficacy composite of all-cause death, new myocardial infarction, severe recurrent ischemia requiring urgent revascularization and in-hospital bailout use of glycoprotein GPIIb/IIIa inhibitor [Time Frame: within 7 days following randomization]
Secondary Outcome(s)
Incidence of all bleedings [Time Frame: within 7 days and 30 days following randomization]
Incidence of TIMI significant bleeding [Time Frame: within 7 days following randomization]
Net clinical benefit: composite of the primary efficacy end point and Thrombolysis in Myocardial Infarction (TIMI) significant bleeding [Time Frame: within 7 days and 30 days following randomization]
Quadruple efficacy composite of all-cause death, new myocardial infarction, severe recurrent ischemia requiring urgent revascularization and in-hospital bailout use of glycoprotein GPIIb/IIIa inhibitor [Time Frame: within 30 days, 90 days and 180 days following randomization]
Secondary ID(s)
DRI6624
XRP0673A/2003
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
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