Rohan Dharmakumar
The objective of this randomized, controlled pilot study is to determine the efficacy of Deferiprone to reduce the amount of free iron inside the hemorrhagic zone of myocardial infarction among hemorrhagic myocardial infarction patients.
Patients with newly diagnosed STEMI (ST-segment elevation myocardial infarction) who appear to meet eligibility criteria will be recruited for participation. Those who agree to participate and are confirmed to be eligible will undergo a cardiac MRI scan and will be randomized to take either deferiprone or placebo daily for 60 days. Total study participation will last 6 months, during which study participants will attend 7 study visits for blood draws, ECGs, and a repeat cardiac MRI at Day 180.
Inclusion Criteria 1. At least 18 years of age 2. Index Anterior wall STEMI 3. Emergency coronary angiogram with primary PCI Exclusion Criteria 1. Prior history of MI / PCI / coronary artery bypass graft (CABG) within previous 1 year 2. Patients with previous history of left ventricular ejection fraction (LVEF) \< 40% 3. Use of investigational drugs or devices 30 days prior to randomization 4. Known allergy or contra-indication to gadolinium/contrast agents 5. eGFR \< 30 ml/kg/min 6. Any contraindication against cardiac MRI (such as metal implants) 7. Women who are pregnant or breastfeeding…
Deferiprone tablets are the active medication for the active arm of the study groups. Randomization will be done by investigational drug services pharmacist and intervention will be double-blinded to investigators and patients.
Deferiprone placebo is the non-medicated formulation for a control arm of the study groups.
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