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Comparison · NCT00433966-f8d39618

Pharmacology Arm - Bivalirudin vs Pharmacology Arm - Unfractionated Heparin: Pharmacology Arm - Major Adverse Ischemic Cardiac Events and Major Bleeding Events

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

2 sourcestrial-comparisons-2026-03-23-0.1.0

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ConductScience Library. Pharmacology Arm - Bivalirudin vs Pharmacology Arm - Unfractionated Heparin: Pharmacology Arm - Major Adverse Ischemic Cardiac Events and Major Bleeding Events. Trial comparisons, record NCT00433966-f8d39618. Release trial-comparisons-2026-03-23-0.1.0, 23 Mar 2026. https://conductscience.org/library/comparisons/NCT00433966-f8d39618

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Measures6

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

MeasureValue95% interval, lower95% interval, upperMethodNote
Risk in group 10.09220.07970.106wilson
Risk in group 20.1210.1070.137wilson
Risk difference, group 1 minus group 2-0.0288-0.049-0.0086newcombe hybrid score
Risk ratio, group 1 over group 20.7620.630.923log
Odds ratio, group 1 over group 20.7380.5960.914log
Number needed to treat, for one fewer participant with the outcome on Pharmacology Arm - Bivalirudin than on Pharmacology Arm - Unfractionated Heparin34.820.4116from the risk difference interval

Groups2

Neither group, or both, names a comparator, so the groups keep ClinicalTrials.gov's order.

GroupTitleDescriptionWith the outcomeAnalysedClinicalTrials.gov code
Group 1Pharmacology Arm - Bivalirudin
To establish the safety and efficacy of the use of bivalirudin in patients with acute myocardial infarction undergoing a primary angioplasty strategy by showing that compared to unfractionated heparin plus routine use of GP IIb/IIIa inhibitors, bivalirudin (with use of GP IIb/IIIa inhibitors reserved for angioplasty complications) results in:~1. reduced rates of major bleeding events at 30 days~2. similar rates of major adverse ischemic cardiac events at 30 days~3. reduced rates of the composite of major adverse ischemic cardiac events + major bleeding at 30 days.~Bivalirudin: Bivalirudin bolus of 0.75 mg/kg IV, followed by an infusion of 1.75 mg/kg/h as soon as logistically feasible (ideally in the emergency room).~Unfractionated heparin: 60 U/kg of IV heparin, started as soon as possible (ideally in the emergency room).
1661,800OG000
Group 2Pharmacology Arm - Unfractionated Heparin
To establish the safety and efficacy of the use of bivalirudin in patients with acute myocardial infarction undergoing a primary angioplasty strategy by showing that compared to unfractionated heparin plus routine use of GP IIb/IIIa inhibitors, bivalirudin (with use of GP IIb/IIIa inhibitors reserved for angioplasty complications) results in:~1. reduced rates of major bleeding events at 30 days~2. similar rates of major adverse ischemic cardiac events at 30 days~3. reduced rates of the composite of major adverse ischemic cardiac events + major bleeding at 30 days.~Bivalirudin: Bivalirudin bolus of 0.75 mg/kg IV, followed by an infusion of 1.75 mg/kg/h as soon as logistically feasible (ideally in the emergency room).~Unfractionated heparin: 60 U/kg of IV heparin, started as soon as possible (ideally in the emergency room).
2181,802OG001

Outcome

Type
PRIMARY
Title
Pharmacology Arm - Major Adverse Ischemic Cardiac Events and Major Bleeding Events
Description
Number of participants with major adverse cardiovascular events (death, reinfarction, target-vessel revascularization for ischemia, and stroke) and major bleeding (bleeding adjudicated as not related to coronary artery bypass grafting).
Time frame
30 Days
Population

Source ClinicalTrials.gov

Trial

Title
Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction
NCT number
NCT00433966
Phases
PHASE3
Conditions
Myocardial Infarction
Interventions
Bivalirudin, Unfractionated heparin, Bare metal stent, Paclitaxel-eluting stent
Lead sponsor
Cardiovascular Research Foundation, New York
Results first posted
2017-12-04

Source ClinicalTrials.gov

Source

Release
trial-comparisons-2026-03-23-0.1.0
Release manifest SHA-256
f66225897fbf258b57ea10bdacfd0347d3cdfda93f7f5685234b7e06ea36fa57
AACT copy
2026-03-23
Tables read
outcome_counts.parquet, outcome_measurements.parquet, outcomes.parquet, reported_event_totals.parquet, reported_events.parquet, result_groups.parquet, studies.parquet, ctgov_trial.parquet

Source ClinicalTrials.gov

Sources 2

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions. The measures are ConductScience's calculation from them.

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