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Ultrasound-Assisted Thrombolysis for Heart Attack (SONOSTEMILYSIS Trial)

Phase 2
Recruiting
Research Sponsored by University of Alberta
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with a high-risk STEMI ECG as defined by >2mm ST-segment elevation in 2 anterior or lateral leads; or >2mm ST-segment elevation in 2 inferior leads coupled with ST-segment depression in 2 contiguous anterior leads for a total ST-segment deviation of >4mm
Age >30 years
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights

SONOSTEMILYSIS Trial Summary

This trial will test whether using sound waves in addition to standard medical care can help improve outcomes for people having a heart attack.

Who is the study for?
This trial is for heart attack patients over 30 years old who are receiving clot-dissolving therapy within 6 hours of symptom onset. It's specifically for those with high-risk ECG patterns indicating severe heart attacks. People can't join if they're allergic to ultrasound contrast agents, have a bleeding disorder, major heart shunts, took experimental treatments recently, had prior bypass surgery or are in cardiogenic shock.Check my eligibility
What is being tested?
The SONOSTEMI-LYSIS Trial is testing the combination of Definity® (an ultrasound contrast agent) with High Mechanical Index Ultrasound to see if it's safe and works well when used alongside standard clot-dissolving drugs in treating severe heart attacks.See study design
What are the potential side effects?
Potential side effects may include reactions to the ultrasound contrast agent like headaches, nausea or more serious allergic reactions. The procedure might also cause discomfort or bruising where the ultrasound is applied.

SONOSTEMILYSIS Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My ECG shows significant changes indicating a severe heart attack.
Select...
I am older than 30 years.
Select...
I had a severe heart attack and got treatment within 6 hours.
Select...
I am expected to undergo a clot-dissolving treatment.

SONOSTEMILYSIS Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Complete ST-Segment Resolution
Secondary outcome measures
Frequency of rescue/urgent PCI
Global Longitudinal Strain (GLS)
Left ventricular ejection fraction
+5 more
Other outcome measures
Composite of death/shock, heart failure/new myocardial infarction at 1-year
Composite of death/shock, heart failure/new myocardial infarction in hospital
TIMI flow grade pre and post PCI on index angiogram

SONOSTEMILYSIS Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: SonothrombolysisExperimental Treatment1 Intervention
Diagnostic myocardial contrast echocardiography with ultrasound contrast agent 5% Definity® plus Sonothrombolysis
Group II: Standard of CareActive Control1 Intervention
Diagnostic myocardial contrast echocardiography with ultrasound contrast agent 5% Definity®

Find a Location

Who is running the clinical trial?

University of AlbertaLead Sponsor
889 Previous Clinical Trials
385,074 Total Patients Enrolled
8 Trials studying Myocardial Infarction
997 Patients Enrolled for Myocardial Infarction
Canadian VIGOUR CentreOTHER
8 Previous Clinical Trials
10,988 Total Patients Enrolled
1 Trials studying Myocardial Infarction
200 Patients Enrolled for Myocardial Infarction

Media Library

Definity® with High Mechanical Index Ultrasound Clinical Trial Eligibility Overview. Trial Name: NCT04217304 — Phase 2
Myocardial Infarction Research Study Groups: Sonothrombolysis, Standard of Care
Myocardial Infarction Clinical Trial 2023: Definity® with High Mechanical Index Ultrasound Highlights & Side Effects. Trial Name: NCT04217304 — Phase 2
Definity® with High Mechanical Index Ultrasound 2023 Treatment Timeline for Medical Study. Trial Name: NCT04217304 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is there evidence to suggest Definity® is effective when paired with High Mechanical Index Ultrasound?

"Currently, there are 19 clinical studies underway for Definity® with High Mechanical Index Ultrasound-- 1 of which is in its third phase. Philadelphia, Pennsylvania serves as the primary trial site; however, 26 other cities host trials for this treatment."

Answered by AI

What is the aggregate figure of participants involved in this investigation?

"Affirmative. The information hosted on clinicaltrials.gov shows this scientific trial is currently seeking participants, with 60 patients required across a single site. It was published on February 23rd 2021 and most recently revised May 16th 2022."

Answered by AI

Does the FDA recognize Definity® with High Mechanical Index Ultrasound as a legitimate medical treatment?

"The safety of Definity® with High Mechanical Index Ultrasound was rated a 2, as it is only in the second phase of clinical trials and data has yet to be collected proving efficacy."

Answered by AI

What medical applications is Definity® with High Mechanical Index Ultrasound usually utilized for?

"Definity® with High Mechanical Index Ultrasound is a viable option for diagnosing cardiovascular diseases and obtaining diagnostic imaging using echocardiography."

Answered by AI

Are there any remaining slots available to participants in this experiment?

"Indeed, the information hosted on clinicaltrials.gov reveals that enrollment is still open for this medical trial. First posted in February 2021 and recently updated in May of 2022, this research aims to recruit 60 patients from a single clinic site."

Answered by AI

Who else is applying?

What state do they live in?
California
How old are they?
18 - 65
What site did they apply to?
University of Alberta
What portion of applicants met pre-screening criteria?
Met criteria
~14 spots leftby May 2025