Trial Outcomes & Findings for Phase 2 Study in Vascular Inflammation on Patients After an Acute Coronary Syndrome Event (NCT NCT00552188)

NCT ID: NCT00552188

Last Updated: 2013-08-09

Results Overview

To evaluate the effect of VIA-2291 100 mg relative to placebo on the change from baseline in the target (plaque) to background (blood) ratio (TBR) from an index vessel (either right carotid, left carotid or ascending aorta) based on the standardized 18fluorodeoxy glucose (FDG) uptake measured with PET in patients with acute coronary syndrome and vascular inflammation after 24 weeks of daily dosing.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

52 participants

Primary outcome timeframe

Baseline and 24 Weeks

Results posted on

2013-08-09

Participant Flow

Patients were screened between November 2007 and April 2009

Subjects had Acute Coronory Syndrome (ACS) 1-3 months prior to randomization and must have received concomitant statin therapy for a minimum of 4 weeks and had a stable statin dose regimen for 2 weeks prior to randomization.

Participant milestones

Participant milestones
Measure
VIA-2291
VIA-2291 100mg
Placebo
Matching placebo
Overall Study
STARTED
26
26
Overall Study
COMPLETED
24
21
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Reasons for withdrawal
Measure
VIA-2291
VIA-2291 100mg
Placebo
Matching placebo
Overall Study
Adverse Event
0
2
Overall Study
Lost to Follow-up
2
1
Overall Study
Withdrawal of consent
0
1
Overall Study
Subject returned to home country
0
1

Baseline Characteristics

Phase 2 Study in Vascular Inflammation on Patients After an Acute Coronary Syndrome Event

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
VIA-2291
n=26 Participants
VIA-2291 100mg
Placebo
n=26 Participants
Matching placebo
Total
n=52 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=5 Participants
19 Participants
n=7 Participants
40 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Age Continuous
56.2 years
STANDARD_DEVIATION 9.50 • n=5 Participants
58.7 years
STANDARD_DEVIATION 8.00 • n=7 Participants
57.4 years
STANDARD_DEVIATION 8.79 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
22 Participants
n=7 Participants
46 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
16 participants
n=7 Participants
31 participants
n=5 Participants
Region of Enrollment
Canada
11 participants
n=5 Participants
10 participants
n=7 Participants
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 24 Weeks

Population: Evaluable Population

To evaluate the effect of VIA-2291 100 mg relative to placebo on the change from baseline in the target (plaque) to background (blood) ratio (TBR) from an index vessel (either right carotid, left carotid or ascending aorta) based on the standardized 18fluorodeoxy glucose (FDG) uptake measured with PET in patients with acute coronary syndrome and vascular inflammation after 24 weeks of daily dosing.

Outcome measures

Outcome measures
Measure
VIA-2291
n=24 Participants
VIA-2291 100mg
Placebo
n=21 Participants
Matching placebo
Change From Baseline in Plaque Imaging After 24 Weeks
-0.01 TBR
95% Confidence Interval 11.19 • Interval -0.08 to 0.06
-0.06 TBR
95% Confidence Interval 11.92 • Interval -0.14 to 0.02

SECONDARY outcome

Timeframe: Baseline and 6 Weeks

Population: Evaluable Population

To evaluate the effect of VIA-2291 100 mg relative to placebo on the change from baseline in the TBR from an index vessel (either right carotid, left carotid or ascending aorta) based on the standardized 18FDG uptake measured with PET in patients after 6 weeks of daily dosing.

Outcome measures

Outcome measures
Measure
VIA-2291
n=24 Participants
VIA-2291 100mg
Placebo
n=21 Participants
Matching placebo
Change From Baseline in Plaque Imaging After 6 Weeks
0.01 TBR
95% Confidence Interval 8.37 • Interval -0.07 to 0.08
-0.07 TBR
95% Confidence Interval 9.5 • Interval -0.14 to 0.01

Adverse Events

VIA-2291

Serious events: 5 serious events
Other events: 15 other events
Deaths: 0 deaths

Placebo

Serious events: 5 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
VIA-2291
n=26 participants at risk
VIA-2291 100mg
Placebo
n=26 participants at risk
Matching placebo
Cardiac disorders
Angina Unstable
7.7%
2/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Cardiac disorders
Angina Pectoris
3.8%
1/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Cardiac disorders
Atrial Fibrillation
3.8%
1/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Cardiac disorders
In-Stent Coronary Artery Restenosis
3.8%
1/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.00%
0/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Gastrointestinal disorders
Melaena
0.00%
0/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
General disorders
Chest Pain
3.8%
1/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Hepatobiliary disorders
Cholelithiasis
0.00%
0/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Vascular disorders
Peripheral Arterial Occlusive Disease
0.00%
0/26 • 24 Weeks
3.8%
1/26 • 24 Weeks

Other adverse events

Other adverse events
Measure
VIA-2291
n=26 participants at risk
VIA-2291 100mg
Placebo
n=26 participants at risk
Matching placebo
Cardiac disorders
Angina Pectoris
15.4%
4/26 • 24 Weeks
11.5%
3/26 • 24 Weeks
Cardiac disorders
Sinus Bradycardia
11.5%
3/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Gastrointestinal disorders
Dyspepsia
11.5%
3/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Gastrointestinal disorders
Constipation
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Gastrointestinal disorders
Diarrhoea
0.00%
0/26 • 24 Weeks
7.7%
2/26 • 24 Weeks
Nervous system disorders
Headache
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Nervous system disorders
Paraesthesia
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
General disorders
Chest Pain
11.5%
3/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
General disorders
Asthenia
0.00%
0/26 • 24 Weeks
7.7%
2/26 • 24 Weeks
Injury, poisoning and procedural complications
Contusion
7.7%
2/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Investigations
Low Density Lipoprotein Increased
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Musculoskeletal and connective tissue disorders
Myalgia
3.8%
1/26 • 24 Weeks
7.7%
2/26 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.7%
2/26 • 24 Weeks
0.00%
0/26 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.7%
2/26 • 24 Weeks
7.7%
2/26 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/26 • 24 Weeks
7.7%
2/26 • 24 Weeks
Infections and infestations
Influenza
7.7%
2/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
Vascular disorders
Hypotension
7.7%
2/26 • 24 Weeks
3.8%
1/26 • 24 Weeks
General disorders
Fatigue
0.00%
0/26 • 24 Weeks
19.2%
5/26 • 24 Weeks
Cardiac disorders
Angina Unstable
7.7%
2/26 • 24 Weeks
3.8%
1/26 • 24 Weeks

Additional Information

Brian Cunningham, MD

Tallikut Pharmaceuticals, Inc.

Phone: 312-505-0420

Results disclosure agreements

  • Principal investigator is a sponsor employee The PIs agreed to allow the sponsor 60 days to review and require changes to presentations or publications but only to protect confidential information and intellectual property, and for the sponsor to file a patent application, as applicable. The PIs also agreed for data to be presented as a joint, multi-center publication prior to publishing individual site results.
  • Publication restrictions are in place

Restriction type: OTHER