A Study of INO-1001, an Intravenous PARP (Poly [ADP Ribose] Polymerase) Inhibitor in Acute Heart Attack Patients Undergoing Primary Percutaneous Coronary Intervention

NCT ID: NCT00271765

Last Updated: 2006-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2006-06-30

Brief Summary

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The primary purpose of this study is to assess the safety of INO-1001 in subjects who have experienced a heart attack and are to be treated with coronary angioplasty.

Detailed Description

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Currently, heart attacks may be treated with clot-dissolving medicines, coronary angioplasty, or a combination of both. Unblocking of blood flow to the heart following coronary angioplasty can cause side effects such as heart tissue and blood vessel damage, abnormal heart rhythms and death of heart muscle cells.

In animal studies, the PARP enzyme has been shown to be involved in damaging heart muscle after the sudden unblocking of coronary arteries. INO-1001 blocks the PARP enzyme, and so it may reduce heart damage in humans who have had their coronary arteries unblocked after a heart attack.

A total of 40 patients will be selected and randomly assigned to either INO-1001 or placebo (sugar water). One dose only of the drug will be given prior to coronary angioplasty. Patients will be followed until 30 days after surgery.

The following information will be gathered: vital signs, symptoms, physical examination, blood and urine tests, electrocardiograms, and other information from medical charts.

The information provided in this listing is disclosed solely to comply with regulatory requirements. The drug INO-1001 has not yet been approved for marketing and is only available to patients who participate in a clinical trial and are chosen for the treatment group.

Conditions

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Acute Myocardial Infarction

Keywords

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Myocardial infarction Coronary angioplasty PARP inhibitor PARP inhibition Heart Attack

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Interventions

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INO-1001

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects with acute myocardial infarction (as defined in protocol) with onset within 24 hours prior to randomization.
* Scheduled for primary percutaneous coronary intervention within 3 hours of presentation at a hospital participating in this study.
* Males and non-pregnant, non-lactating females.

Exclusion Criteria

* Subjects will be required to undergo a full medical review in order to exclude serious medical, or psychological illness prior to inclusion.
* History of a hypersensitivity reaction to more than three drugs or mannitol.
* Participation in any investigational study within 30 days of randomization
* Treatment with certain restricted medications within a specified time prior to participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inotek Pharmaceuticals Corporation

INDUSTRY

Sponsor Role lead

Locations

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Holy Cross Hospital

Fort Lauderdale, Florida, United States

Site Status

Porter Hospital

Valparaiso, Indiana, United States

Site Status

St. Paul Heart Clinic

Saint Paul, Minnesota, United States

Site Status

Newark, New Jersey, United States

Site Status

Toledo Hospital

Toledo, Ohio, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Black Hills Cardiovascular Research

Rapid City, South Dakota, United States

Site Status

Burlington, Vermont, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Meir Medical Center

Kfar Saba, , Israel

Site Status

Hasharon Medical Center

Petah Tikva, , Israel

Site Status

Rabin Medical Center

Petah Tikva, , Israel

Site Status

Rehovot, , Israel

Site Status

Assaf Harofe Medical Centre

Ẕerifin, , Israel

Site Status

Countries

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United States Israel

References

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Liaudet L, Szabo E, Timashpolsky L, Virag L, Cziraki A, Szabo C. Suppression of poly (ADP-ribose) polymerase activation by 3-aminobenzamide in a rat model of myocardial infarction: long-term morphological and functional consequences. Br J Pharmacol. 2001 Aug;133(8):1424-30. doi: 10.1038/sj.bjp.0704185.

Reference Type BACKGROUND
PMID: 11498530 (View on PubMed)

Zingarelli B, Cuzzocrea S, Zsengeller Z, Salzman AL, Szabo C. Protection against myocardial ischemia and reperfusion injury by 3-aminobenzamide, an inhibitor of poly (ADP-ribose) synthetase. Cardiovasc Res. 1997 Nov;36(2):205-15. doi: 10.1016/s0008-6363(97)00137-5.

Reference Type BACKGROUND
PMID: 9463632 (View on PubMed)

Zingarelli B, Salzman AL, Szabo C. Genetic disruption of poly (ADP-ribose) synthetase inhibits the expression of P-selectin and intercellular adhesion molecule-1 in myocardial ischemia/reperfusion injury. Circ Res. 1998 Jul 13;83(1):85-94. doi: 10.1161/01.res.83.1.85.

Reference Type BACKGROUND
PMID: 9670921 (View on PubMed)

Grupp IL, Jackson TM, Hake P, Grupp G, Szabo C. Protection against hypoxia-reoxygenation in the absence of poly (ADP-ribose) synthetase in isolated working hearts. J Mol Cell Cardiol. 1999 Jan;31(1):297-303. doi: 10.1006/jmcc.1998.0864.

Reference Type BACKGROUND
PMID: 10072736 (View on PubMed)

Morrow DA, Brickman CM, Murphy SA, Baran K, Krakover R, Dauerman H, Kumar S, Slomowitz N, Grip L, McCabe CH, Salzman AL. A randomized, placebo-controlled trial to evaluate the tolerability, safety, pharmacokinetics, and pharmacodynamics of a potent inhibitor of poly(ADP-ribose) polymerase (INO-1001) in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention: results of the TIMI 37 trial. J Thromb Thrombolysis. 2009 May;27(4):359-64. doi: 10.1007/s11239-008-0230-1. Epub 2008 Jun 6.

Reference Type DERIVED
PMID: 18535785 (View on PubMed)

Other Identifiers

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IPC-15-2003

Identifier Type: -

Identifier Source: org_study_id