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Trial · NCT01087723

European Ambulance Acute Coronary Syndrome (ACS) Angiography Trial

NCT01087723, Phase 3, Completed, The Medicines Company; results first posted 2016-02-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. European Ambulance Acute Coronary Syndrome (ACS) Angiography Trial. Trials, record NCT01087723. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01087723

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
European Ambulance Acute Coronary Syndrome (ACS) Angiography Trial
NCT number
NCT01087723
Status
Completed
Phases
Phase 3
Enrollment
2,198 participants, actual
Lead sponsor
The Medicines Company
Conditions
Acute Coronary Syndrome
Interventions
Bivalirudin, Heparin
First posted
2010-03-16
Last updated
2016-02-12
Results first posted
2016-02-12

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThe Composite Incidence of Death and Non-coronary Artery Bypass Graft (CABG) Major BleedingWithin 30 days
A participant was defined to have had a composite event if the participant experienced at least 1 of the 2 components (death or non-CABG major bleeding) of the composite. Incidence=the number of participants to experience the event/total number of at risk participants x 100. Death was defined as death from any cause at any time. Non-CABG major bleeding was defined as any 1 of the following: intra-cranial, retroperitoneal, intraocular, access site hemorrhage requiring radiological or surgical intervention, reduction in hemoglobin (Hb) concentration of \>4 grams/deciliter (g/dL) without an overt source of bleeding, reduction in hemoglobin concentration of \>3 g/dL with an overt source of bleeding; re-intervention for bleeding, or use of any blood product transfusion.
SecondaryThe Composite Incidence of Death, Re-infarction (MI), or Non-CABG Major BleedingWithin 30 days
A participant had a composite event if the participant experienced at least 1 of the 3 components (death, re-infarction \[MI\], or non-CABG major bleeding) of the composite. Incidence=the number of participants to experience the event/total number of at risk participants x 100. Death was defined as death from any cause at any time. Non-CABG major bleeding was defined as any one of the following: intracranial, retroperitoneal, intraocular, access site hemorrhage requiring radiological or surgical intervention, reduction in Hb concentration of \>4 g/dL without an overt source of bleeding, reduction in hemoglobin concentration of \>3 g/dL with an overt source of bleeding, re-intervention for bleeding, use of any blood product transfusion. MI was defined as a positive diagnosis of re-infarction (new event) not associated with index PCI.
SecondaryThe Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)Within 30 days
Incidence=number of participants to experience the event/total number of at risk participants x 100. Death from any cause at any time. Re-infarction was a positive diagnosis of re-infarction not associated with index PCI. Non-CABG major bleeding was any 1 of: intracranial, retroperitoneal, intraocular, access site hemorrhage requiring radiological or surgical intervention, reduction in Hb concentration of \>4 g/dL without an overt source of bleeding, reduction in hemoglobin concentration of \>3 g/dL with an overt source of bleeding, re-intervention for bleeding, use of any blood product transfusion. IDR was any refractory ischemia-driven repeat percutaneous intervention or bypass graft surgery involving any native coronary or pre-existing bypass graft vessel. In the absence of pain, new ST segment changes indicative of ischemia, acute pulmonary edema, ventricular arrhythmias, or hemodynamic instability presumed to be ischemic in origin, will constitute sufficient evidence of ischemia.
SecondaryThe Incidence of Death at 1 YearWithin 1 YearIncidence=the number of participants to experience the event/total number of at risk participants x 100. Death was defined as death from any cause at any time.
SecondaryThe Incidence of Major Bleeding: Thrombolysis in MI (TIMI) and Global Utilization of Streptokinase and tPA for Occluded Coronary Arteries (GUSTO)Within 30 days
Incidence=the number of participants to experience the event/total number of at risk participants x 100. Major bleeding based on TIMI criteria was defined as any intra-cranial bleeding, or any bleeding associated with clinically overt signs associated with a drop in Hb of \>5 g/dL (or, when Hb was not available, an absolute drop in hematocrit \[Hct\] \>15%). Major bleeding based on GUSTO criteria was defined as severe/life-threatening: intra-cranial hemorrhage or resulting in substantial hemodynamic compromise requiring treatment.
SecondaryThe Incidence of Minor Bleeding: TIMI and GUSTOWithin 30 days
Incidence=the number of participants to experience the event/total number of at risk participants x 100. Minor bleeding based on TIMI criteria was defined as any clinically overt sign of bleeding (including observation by imaging techniques) that was associated with a fall in Hb of ≥3 g/dL and ≤5 g/dL (or, when Hb was not available, an absolute drop in Hct of ≥9% and ≤15%). Minor bleeding based on GUSTO criteria was defined as other bleed not requiring blood transfusion or causing hemodynamic compromise.
SecondaryThe Incidence of Stent Thrombosis (Academic Research Consortium [ARC Definition])Within 30 days
Incidence=the number of participants to experience the event/total number of at risk participants x 100. Stent thrombosis, based on the ARC definition, was defined as angiographic confirmation of stent thrombosis, non-occlusive thrombus, occlusive thrombus, or pathological confirmation of stent thrombosis.
SecondaryThe Incidence of ThrombocytopeniaWithin 30 days
Incidence=the number of participants to experience the event/total number of at risk participants x 100. Thrombocytopenia was defined as a post-procedural platelet count \<100,000 cells/millimeter cubed (cells/mm\^3) in a participant with a baseline or pre-procedural platelet count \>100,000 cells/mm\^3.
SecondaryThe Incidence of StrokeWithin 30 days
Incidence=the number of participants to experience the event/total number of at risk participants x 100. Stroke was defined as a sudden, focal neurological defect resulting from a cerebrovascular cause, resulting in death or lasting greater than 24 hours that was not due to a readily identifiable cause, such as a tumor, infection, or trauma.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYThe Composite Incidence of Death and Non-coronary Artery Bypass Graft (CABG) Major BleedingWithin 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Composite Incidence of Death, Re-infarction (MI), or Non-CABG Major BleedingWithin 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)Within 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of Death at 1 YearWithin 1 YearParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of Major Bleeding: Thrombolysis in MI (TIMI) and Global Utilization of Streptokinase and tPA for Occluded Coronary Arteries (GUSTO)Within 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of Minor Bleeding: TIMI and GUSTOWithin 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of Stent Thrombosis (Academic Research Consortium [ARC Definition])Within 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of ThrombocytopeniaWithin 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER
SECONDARYThe Incidence of StrokeWithin 30 daysParticipants who were randomized and signed an ICF; ITT populationpercentage of participantsNUMBER

Results by group28

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
The Composite Incidence of Death and Non-coronary Artery Bypass Graft (CABG) Major BleedingBivalirudin5.1percentage of participants
The Composite Incidence of Death and Non-coronary Artery Bypass Graft (CABG) Major BleedingStandard of Care: Heparins With Optional GPI8.5percentage of participants
The Composite Incidence of Death, Re-infarction (MI), or Non-CABG Major BleedingBivalirudin6.6percentage of participants
The Composite Incidence of Death, Re-infarction (MI), or Non-CABG Major BleedingStandard of Care: Heparins With Optional GPI9.2percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)BivalirudinDeath2.9percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)Standard of Care: Heparins With Optional GPIDeath3.1percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)BivalirudinRe-infarction1.7percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)Standard of Care: Heparins With Optional GPIRe-infarction0.9percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)BivalirudinNon-CABG-related major bleeding2.6percentage of participants
The Incidence of Death, Re-infarction, Non-CABG-related Major Bleeding, or Ischemia-driven Revascularization (IDR)Standard of Care: Heparins With Optional GPINon-CABG-related major bleeding6.0percentage of participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBivalirudin1,089
Overall StudySTARTEDStandard of Care: Heparins With Optional GPI1,109
Overall StudyReceived at Least 1 Dose of Study DrugBivalirudin1,099
Overall StudyReceived at Least 1 Dose of Study DrugStandard of Care: Heparins With Optional GPI1,094
Overall StudyCOMPLETEDBivalirudin1,075
Overall StudyCOMPLETEDStandard of Care: Heparins With Optional GPI1,089
Overall StudyNOT COMPLETEDBivalirudin14
Overall StudyNOT COMPLETEDStandard of Care: Heparins With Optional GPI20

Adverse events204

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVentricular tachycardiaCardiac disordersBivalirudin571,099
otherVentricular tachycardiaCardiac disordersStandard of Care: Heparins With Optional GPI391,094
otherAtrial fibrillationCardiac disordersBivalirudin351,099
otherAtrial fibrillationCardiac disordersStandard of Care: Heparins With Optional GPI351,094
otherBradycardiaCardiac disordersBivalirudin201,099
otherBradycardiaCardiac disordersStandard of Care: Heparins With Optional GPI251,094
otherHypotensionVascular disordersBivalirudin221,099
otherHypotensionVascular disordersStandard of Care: Heparins With Optional GPI201,094
seriousVentricular fibrillationCardiac disordersBivalirudin391,099
seriousVentricular fibrillationCardiac disordersStandard of Care: Heparins With Optional GPI281,094

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBivalirudin
Total, all-cause mortalityStandard of Care: Heparins With Optional GPI
Total, other adverse eventsBivalirudin1341,099
Total, other adverse eventsStandard of Care: Heparins With Optional GPI1191,094
Total, serious adverse eventsBivalirudin1451,099
Total, serious adverse eventsStandard of Care: Heparins With Optional GPI1291,094

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24171490DERIVEDPubMed
24268209DERIVEDPubMed
25572507DERIVEDPubMed
26056249DERIVEDPubMed
26995053DERIVEDPubMed
27165710DERIVEDPubMed
27287251DERIVEDPubMed
28273285DERIVEDPubMed
29225903DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Bivalirudin vs Standard of Care: Heparins With Optional GPI: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
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
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01087723

GET https://conductscience.org/api/trials/v1/NCT01087723/results?page=2