Evidence map›Paper›PMID 27852589›Full record

Trial reportJournal of the American Heart Association2016

Effects of the P-Selectin Antagonist Inclacumab on Myocardial Damage After Percutaneous Coronary Intervention According to Timing of Infusion: Insights From the SELECT-ACS Trial.

Barbara E Stähli, Catherine Gebhard, Valérie Duchatelle, Daniel Cournoyer, Thibaut Petroni, Jean-François Tanguay, Stephen Robb, Jessica Mann, Marie-Claude Guertin, R Scott Wright and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01327183 (A MULTI-CENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY EVALUATING THE EFFICACY AND SAFETY OF 2 DOSES OF RO4905417), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01327183 phase2completednot on this map

A multi-center, randomized, double-blind, placebo-controlled study evaluating the efficacy and safety of 2 doses of ro4905417 (r1512) administered to patients with non st-elevation myocardial infarction (non-stemi) undergoing percutaneous coronary intervention (pci)

TypeinterventionalSponsorHoffmann-La RocheRan2011 to 2012Enrolled532ConditionsMyocardial InfarctionArmsPercutaneous Coronary Intervention (PCI), RO4905417, placebo
3 · Its place in the literature

Who cites it

41 citing papers in PubMed.

  1. Review
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  5. Article
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  9. Platelet-Neutrophil Crosstalk in Thrombosis.International journal of molecular sciences · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. P- and E- selectin in venous thrombosis and non-venous pathologies.Journal of thrombosis and haemostasis : JTH · 2022
    Review
  16. Review
  17. Emerging Anti-Atherosclerotic Therapies.International journal of molecular sciences · 2021
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Barbara E StähliMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Catherine GebhardMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Valérie DuchatelleMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Daniel CournoyerMontreal Health Innovations Coordinating Center (MHICC), Montreal, Canada.
Thibaut PetroniMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Jean-François TanguayMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Stephen RobbHoffmann-La Roche, Basel, Switzerland.
Jessica MannHoffmann-La Roche, Basel, Switzerland.
Marie-Claude GuertinMontreal Health Innovations Coordinating Center (MHICC), Montreal, Canada.
R Scott WrightMayo Clinic, Rochester, MN.
Philippe L L'AllierMontreal Heart Institute, Université de Montréal, Montreal, Canada.
Jean-Claude TardifMontreal Heart Institute, Université de Montréal, Montreal, Canada jean-claude.tardif@icm-mhi.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Effects of the P-Selectin Antagonist Inclacumab on Myocardial Damage After Percutaneous Coronary Intervention for Non-ST-Segment Elevation Myocardial Infarction (SELECT-ACS) trial suggested beneficial effects of inclacumab, a monoclonal antibody directed against P-selectin, on periprocedural myocardial damage. This study evaluated the effect of inclacumab on myocardial damage according to varying time intervals between study drug infusion and percutaneous coronary intervention (PCI). METHODS AND

resultsPatients (n=544) enrolled in the SELECT-ACS trial and randomized to receive 1 infusion of placebo or inclacumab (5 or 20 mg/kg, administered between 1 and 24 hours before PCI) were divided according to the time interval between study drug infusion and PCI. The primary end point was the change in troponin I from baseline at 16 and 24 hours after PCI. In patients receiving inclacumab 20 mg/kg with a short (less than median) time interval between infusion and PCI, placebo-adjusted geometric mean percent changes in troponin I, creatine kinase-myocardial band, and peak troponin I at 24 hours were -45.6% (P=0.005), -30.7% (P=0.01), and -37.3% (P=0.02), respectively. No significant changes were observed in patients with a long (greater than median) time interval between infusion and PCI. Placebo-adjusted geometric mean percent changes in troponin I and creatine kinase-myocardial band were -43.5% (P=0.02) and -26.0% (P=0.07), respectively, when inclacumab 20 mg/kg was administered between 1 and 3 hours before PCI, whereas the drug had no effect with longer intervals.

conclusionsInclacumab 20 mg/kg significantly reduces myocardial damage after PCI in patients with non-ST-segment elevation myocardial infarction, and benefits are larger when the infusion is administered <3 hours before PCI. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT01327183.

Indexed as

Percutaneous Coronary InterventionAgedAntibodies, MonoclonalCreatine Kinase, MB FormFemaleHumansMaleMiddle AgedMyocardial Reperfusion InjuryNon-ST Elevated Myocardial InfarctionP-SelectinTime FactorsTreatment OutcomeTroponin IAntibodies, MonoclonalCreatine Kinase, MB ForminclacumabP-SelectinSELP protein, humanTroponin Iacute coronary syndromeinflammationmyocardial infarctionpercutaneous coronary interventionthrombosis

Identifiers

PMID27852589
PMCPMC5210344

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.