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Ultrasound-Assisted Thrombolysis for Heart Attack (SONOSTEMILYSIS Trial)
Phase 2
Recruiting
Research Sponsored by University of Alberta
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients with a high-risk STEMI ECG as defined by >2mm ST-segment elevation in 2 anterior or lateral leads; or >2mm ST-segment elevation in 2 inferior leads coupled with ST-segment depression in 2 contiguous anterior leads for a total ST-segment deviation of >4mm
Age >30 years
Must not have
Previous coronary bypass surgery
Known bleeding diathesis or contraindication to glycoprotein 2b/3a inhibitors, anticoagulants, or aspirin
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights
No Placebo-Only Group
Summary
This trial will test whether using sound waves in addition to standard medical care can help improve outcomes for people having a heart attack.
Who is the study for?
This trial is for heart attack patients over 30 years old who are receiving clot-dissolving therapy within 6 hours of symptom onset. It's specifically for those with high-risk ECG patterns indicating severe heart attacks. People can't join if they're allergic to ultrasound contrast agents, have a bleeding disorder, major heart shunts, took experimental treatments recently, had prior bypass surgery or are in cardiogenic shock.
What is being tested?
The SONOSTEMI-LYSIS Trial is testing the combination of Definity® (an ultrasound contrast agent) with High Mechanical Index Ultrasound to see if it's safe and works well when used alongside standard clot-dissolving drugs in treating severe heart attacks.
What are the potential side effects?
Potential side effects may include reactions to the ultrasound contrast agent like headaches, nausea or more serious allergic reactions. The procedure might also cause discomfort or bruising where the ultrasound is applied.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My ECG shows significant changes indicating a severe heart attack.
Select...
I am older than 30 years.
Select...
I had a severe heart attack and got treatment within 6 hours.
Select...
I am expected to undergo a clot-dissolving treatment.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have had coronary bypass surgery in the past.
Select...
I cannot take certain blood thinners or aspirin due to a bleeding disorder.
Select...
I have had a severe heart condition called cardiogenic shock.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Complete ST-Segment Resolution
Secondary study objectives
Frequency of rescue/urgent PCI
Global Longitudinal Strain (GLS)
Left ventricular ejection fraction
+5 moreOther study objectives
Composite of death/shock, heart failure/new myocardial infarction at 1-year
Composite of death/shock, heart failure/new myocardial infarction in hospital
TIMI flow grade pre and post PCI on index angiogram
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: SonothrombolysisExperimental Treatment1 Intervention
Diagnostic myocardial contrast echocardiography with ultrasound contrast agent 5% Definity® plus Sonothrombolysis
Group II: Standard of CareActive Control1 Intervention
Diagnostic myocardial contrast echocardiography with ultrasound contrast agent 5% Definity®
Find a Location
Who is running the clinical trial?
University of AlbertaLead Sponsor
937 Previous Clinical Trials
433,764 Total Patients Enrolled
11 Trials studying Myocardial Infarction
1,893 Patients Enrolled for Myocardial Infarction
Canadian VIGOUR CentreOTHER
8 Previous Clinical Trials
10,938 Total Patients Enrolled
3 Trials studying Myocardial Infarction
1,052 Patients Enrolled for Myocardial Infarction
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have taken another experimental medication or treatment within the last 30 days before having a heart attack.I have had coronary bypass surgery in the past.You need to have clear images of your heart from certain angles on an echocardiogram.You have a specific type of heart attack with no signs of another type of heart problem.You have had a bad reaction to the special liquid used for the ultrasound test in the past.My ECG shows significant changes indicating a severe heart attack.I am older than 30 years.I had a severe heart attack and got treatment within 6 hours.You have a very short life expectancy or are seriously ill.I cannot take certain blood thinners or aspirin due to a bleeding disorder.I have had a severe heart condition called cardiogenic shock.You have a large hole between the right and left sides of your heart.I am expected to undergo a clot-dissolving treatment.
Research Study Groups:
This trial has the following groups:- Group 1: Sonothrombolysis
- Group 2: Standard of Care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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