Quality of Life and Target Achievement After Treatment of Patients With Stable Angina Pectoris (LOBSTR)
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Purpose
The purpose of this study is to, in patients with stable angina pectoris, assess the additional benefit of PCI on top of optimized medical treatment, physical training and smoking cessation with regard to quality of life, achievement of target of treatment and clinical events such as death, acute myocardial infarction, stroke and revascularization.
| Condition | Intervention | Phase |
|---|---|---|
|
Stable Angina Pectoris |
Procedure: Percutaneous coronary angioplasty (PCI) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Quality of Life and Achievement of Target of Treatment After Optimized Medical Treatment, Physical Training and Smoking Cessation With or Without Percutaneous Coronary Intervention in Patients With Stable Angina Pectoris. |
- Quality of life measured by SF36 [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Achievement of target of treatment based on interview of the patients [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Death, myocardial infarction, stroke or new revascularization [ Time Frame: 6 months, one year and five years after randomization ] [ Designated as safety issue: Yes ]
- To assess expectations of treatment at inclusion and fulfilment of expectations [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Quality of life measured by EQ5D and Seattle angina questionaire [ Time Frame: 6 months and 5 years ] [ Designated as safety issue: No ]
- Health economy [ Time Frame: 6 months, one year and five years ] [ Designated as safety issue: No ]
| Enrollment: | 0 |
| Study Start Date: | January 2009 |
| Study Completion Date: | January 2010 |
| Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Without PCI
Optimized medical treatment, physical training and smoking cessation
|
|
|
Active Comparator: With PCI
optimized medical treatment, physical training and smoking cessation with complimentary treatment with percutaneous coronary intervention(PCI)
|
Procedure: Percutaneous coronary angioplasty (PCI)
optimized medical treatment, physical training and smoking cessation with complimentary treatment with coronary angioplasty (PCI):
Other Name: PCI
|
Detailed Description:
Patients with stable angina pectoris with a significant coronary stenosis will be randomized to optimized medical treatment, physical training and smoking cessation or to optimized medical treatment, physical training, smoking cessation and complimentary treatment with PCI. All patients will be followed up at six months and at one and five years regarding symptoms, blood lipids, systemic blood pressure, physical training status, smoking habits, and maximal exercise ECG.
Achievement of target of treatment will be measured by questions regarding the patients' expectation of the treatment at baseline and at a 6 month follow-up. The questions at 6 months will be based on the interviews at inclusion. Furthermore quality of life will be measured with three different measuring instrument; SF-36 short form, Seattle Angina Questionnaire (SAQ), and EQ-5D. These instruments will be given to the patients at baseline, at six months and at the five year follow up.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Stable coronary artery disease
- Angina pectoris with at least angina class 2 according to Canadian Cardiovascular Society (CCS)
- Angiographic verified stenos in a native vessel
- Accepted for PCI
Exclusion Criteria:
- Instable coronary artery disease or AMI withín two months
- CCS class IV
- Stenosis in Left main and/or proximal LAD
- NYHA- III-IV
- Fall in blood pressure during exercise test > 10mm Hg, measured two times
- Contraindication or allergy against clopidogrel or ASA
- Unable to communicate verbal or i writing
- Unwillingness to participate in the study
- Participating in an other study
Contacts and Locations| Sweden | |
| Sahlgrenska University hospital | |
| Göteborg, Sweden, 41345 | |
| Principal Investigator: | Lars Grip, Prof. | Göteborgs Universty |
More Information
Publications:
| Responsible Party: | Lars Grip M D PhD Prof, Sahlgrenska University Hospital, Sweden |
| ClinicalTrials.gov Identifier: | NCT00825604 History of Changes |
| Other Study ID Numbers: | Dnr: 056-08 |
| Study First Received: | January 20, 2009 |
| Last Updated: | March 16, 2012 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Keywords provided by Göteborg University:
|
stable coronary artery disease quality of life target achievement physical training percutaneous coronary intervention |
Additional relevant MeSH terms:
|
Angina Pectoris Myocardial Ischemia Heart Diseases Cardiovascular Diseases |
Vascular Diseases Chest Pain Pain Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013