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Efficacy of Montelukast on STEMl Patients
Bu çalışma, ST yükselmeli miyokard enfarktüsü (ST-segment elevation myocardial infarction, STEMI) yani bir tür kalp krizi geçiren hastalarda Montelukast ilacının etkinliğini plaseboyla karşılaştırarak inceliyor. Çalışmaya, akut ön duvar STEMI tanısı almış, birincil perkütan koroner girişim planlanan ve belirti başlangıcından itibaren 12 saat içindeki 18-75 yaş arası hastalar katılabilmektedir. Faz 3 aşamasında yürütülmektedir ve halen katılımcı almaktadır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: 1. Age \> 18 years and \< 75 years; 2. Diagnosed with acute anterior ST-segment elevation myocardial infarction and planned to undergo primary percutaneous coronary intervention; 3. Time from symptom onset ≤ 12 hours; 4. The patient and their family members voluntarily participate in this study and sign the informed consent form. Exclusion Criteria: 1. Cardiogenic shock, severe heart failure (Killip Class IV), or structural complications such as papillary muscle rupture; 2. Having received cardiopulmonary resuscitation ; 3. Severe and inadequately controlled hypertension (systolic blood pressure \> 180 mmHg and/or diastolic blood pressure \> 110 mmHg); 4. Severe liver dysfunction (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) exceeding three times the upper limit of normal) or renal dysfunction (estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m²); 5. History of myocardial infarction; 6. Concomitant active bleeding or visceral hemorrhage; 7. Concomitant malignant tumors, lymphomas, leukemias, or other diseases with an expected survival time of less than 1 year; 8. Having undergone gastrointestinal surgery within the past 4 weeks that may affect the absorption of the investigational drug; 9. Pregnant or breastfeeding women; 10. Family history of psychiatric disorders; 11. Having been enrolled in another drug study within the past 4 weeks or currently receiving any investigational treatment other than the study drug; 12. Allergic to montelukast or having used montelukast within the past 4 weeks; 13. Unable to tolerate cardiac magnetic resonance imaging (e.g., patients with magnetic materials in the body or those with claustrophobia).