PMID- 22968678 OWN - NLM STAT- MEDLINE DCOM- 20130228 LR - 20211021 IS - 1573-7241 (Electronic) IS - 0920-3206 (Print) IS - 0920-3206 (Linking) VI - 26 IP - 5 DP - 2012 Oct TI - Metformin in non-diabetic patients presenting with ST elevation myocardial infarction: rationale and design of the glycometabolic intervention as adjunct to primary percutaneous intervention in ST elevation myocardial infarction (GIPS)-III trial. PG - 417-26 LID - 10.1007/s10557-012-6413-1 [doi] AB - BACKGROUND: Left ventricular dysfunction and the development of heart failure is a frequent and serious complication of myocardial infarction. Recent animal experimental studies suggested that metformin treatment reduces myocardial injury and preserves cardiac function in non-diabetic rats after experimental myocardial infarction. We will study the efficacy of metformin with the aim to preserve left ventricular ejection fraction in non-diabetic patients presenting with ST elevation myocardial infarction (STEMI). METHODS: The Glycometabolic Intervention as adjunct to Primary percutaneous intervention in ST elevation myocardial infarction (GIPS)-III trial is a prospective, single center, double blind, randomized, placebo-controlled trial. Three-hundred-and-fifty patients, without diabetes, requiring primary percutaneous coronary intervention (PCI) for STEMI will be randomized to metformin 500 mg twice daily or placebo treatment and will undergo magnetic resonance imaging (MRI) after 4 months. Major exclusion criteria were prior myocardial infarction and severe renal dysfunction. The primary efficacy parameter is left ventricular ejection fraction 4 months after randomization. Secondary and tertiary efficacy parameters include major adverse cardiac events, new onset diabetes and glycometabolic parameters, and echocardiographic diastolic function. Safety parameters include renal function deterioration and lactic acidosis. CONCLUSIONS: The GIPS-III trial will evaluate the efficacy of metformin treatment to preserve left ventricular ejection fraction in STEMI patients without diabetes. FAU - Lexis, Chris P H AU - Lexis CP AD - Department of Cardiology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB, PO Box 30.001, Groningen, the Netherlands. c.p.h.lexis@umcg.nl FAU - van der Horst, Iwan C C AU - van der Horst IC FAU - Lipsic, Erik AU - Lipsic E FAU - van der Harst, Pim AU - van der Harst P FAU - van der Horst-Schrivers, Anouk N A AU - van der Horst-Schrivers AN FAU - Wolffenbuttel, Bruce H R AU - Wolffenbuttel BH FAU - de Boer, Rudolf A AU - de Boer RA FAU - van Rossum, Albert C AU - van Rossum AC FAU - van Veldhuisen, Dirk J AU - van Veldhuisen DJ FAU - de Smet, Bart J G L AU - de Smet BJ CN - GIPS-III Investigators LA - eng SI - ClinicalTrials.gov/NCT01217307 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Cardiovasc Drugs Ther JT - Cardiovascular drugs and therapy JID - 8712220 RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Glucose Tolerance Test MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Metformin/*therapeutic use MH - Myocardial Infarction/*drug therapy/surgery MH - Percutaneous Coronary Intervention MH - Ventricular Dysfunction, Left/*drug therapy/surgery MH - Ventricular Function, Left/drug effects/physiology PMC - PMC3464381 FIR - Lexis, C P H IR - Lexis CP FIR - van der Horst, I C C IR - van der Horst IC FIR - Wieringa, W G IR - Wieringa WG FIR - Lipsic, E IR - Lipsic E FIR - van der Harst, P IR - van der Harst P FIR - van Veldhuisen, D J IR - van Veldhuisen DJ FIR - de Smet, B J G L IR - de Smet BJ FIR - van der Werf, H W IR - van der Werf HW FIR - Schurer, R A J IR - Schurer RA FIR - Pundziute, G P IR - Pundziute GP FIR - van den Heuvel, A F M IR - van den Heuvel AF FIR - Tan, E S IR - Tan ES FIR - Gerds, H Z R IR - Gerds HZ FIR - de Boer, R A IR - de Boer RA FIR - Willemsen, M H IR - Willemsen MH FIR - Nieuwland, W IR - Nieuwland W FIR - Coster, J IR - Coster J FIR - Tio, R A IR - Tio RA FIR - van der Meer, P IR - van der Meer P FIR - Dorhout, B IR - Dorhout B FIR - ter Horst, G J IR - ter Horst GJ FIR - van der Horst-Schrivers, A N A IR - van der Horst-Schrivers AN EDAT- 2012/09/13 06:00 MHDA- 2013/03/01 06:00 PMCR- 2012/09/12 CRDT- 2012/09/13 06:00 PHST- 2012/09/13 06:00 [entrez] PHST- 2012/09/13 06:00 [pubmed] PHST- 2013/03/01 06:00 [medline] PHST- 2012/09/12 00:00 [pmc-release] AID - 6413 [pii] AID - 10.1007/s10557-012-6413-1 [doi] PST - ppublish SO - Cardiovasc Drugs Ther. 2012 Oct;26(5):417-26. doi: 10.1007/s10557-012-6413-1.