A Study Assessing the REG1 Anticoagulation System Compared Heparin in Subjects With Acute Coronary Syndrome

NCT ID: NCT00932100

Last Updated: 2012-03-02

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

640 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2011-01-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of the REG1 anticoagulation System in Acute Coronary Syndrome (ACS) patients undergoing cardiac catheterization.

Detailed Description

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Primary Outcome Bleeding Secondary Outcome Ischemia

Conditions

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Acute Coronary Syndrome (ACS)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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REG1-a

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Group Type EXPERIMENTAL

REG1

Intervention Type DRUG

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

REG1-b

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Group Type EXPERIMENTAL

REG1

Intervention Type DRUG

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

REG1-c

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Group Type EXPERIMENTAL

REG1

Intervention Type DRUG

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

REG1-d

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Group Type EXPERIMENTAL

REG1

Intervention Type DRUG

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

Heparin

Heparin per standard of care at the local institution

Group Type ACTIVE_COMPARATOR

Heparin

Intervention Type DRUG

IV dose per standard of care at the local institution

Interventions

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REG1

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

Intervention Type DRUG

Heparin

IV dose per standard of care at the local institution

Intervention Type DRUG

Other Intervention Names

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unfractionated heparin low molecular weight heparin

Eligibility Criteria

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Inclusion Criteria

* Chest pain or other ischemic symptoms a minimum of 10 minutes in duration within 72 hours before anticipated cardiac catheterization;
* At least one of the following criteria are met:

1. New or presumably new ST-segment depression of at least 1 mm or transient (30 minutes) ST-segment elevation of at least 1 mm in 2 contiguous leads;
2. Elevated troponin I, T, or creatine phosphokinase-MB isoenzyme level within 24 hours of signing consent as defined by the universal MI definition
3. Documented coronary artery disease as evidenced on prior angiography, or by prior angioplasty, bypass graft surgery, or myocardial infarction

Exclusion Criteria

* Acute ST-segment elevation myocardial infarct
* Anticipated inability to perform angiography within 24 hours of dosing
* Evidence of clinical instability
* Contraindications to anticoagulant use
* Recent cardiac intervention
* Clinically abnormal laboratory or test findings during screening
* Subject is pregnant or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regado Biosciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John H Alexander, MD MHS FACC

Role: PRINCIPAL_INVESTIGATOR

Duke Clinical Research Institute

Locations

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Heart Center Research LLC

Huntsville, Alabama, United States

Site Status

Mercy Heart & Vascular Institute

Sacramento, California, United States

Site Status

Sutter Medical Center - Sacramento

Sacramento, California, United States

Site Status

Scripps Mercy Hospital

San Diego, California, United States

Site Status

Heart & Vascular Institute of Florida

Clearwater, Florida, United States

Site Status

Jim Moran Heart & Vascular Research Institute

Fort Lauderdale, Florida, United States

Site Status

University of Florida-Medicine Cardiology Research

Gainsville, Florida, United States

Site Status

University of Florida at Jacksonville

Jacksonville, Florida, United States

Site Status

Northeast Georgia Heart Center

Gainesville, Georgia, United States

Site Status

St. Luke's Idaho Cardiology Associates

Boise, Idaho, United States

Site Status

St. Luke's Idaho Cardiology Associates

Meridian, Idaho, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

The Care Group LLC

Indianapolis, Indiana, United States

Site Status

Cardiovascular Institute of the South - Houma

Houma, Louisiana, United States

Site Status

Sinai Hospital of Baltimore

Baltimore, Maryland, United States

Site Status

Henry Ford Health Systems

Detroit, Michigan, United States

Site Status

Buffalo Heart Group

Buffalo, New York, United States

Site Status

University of North Carolina - School of Medicine

Chapel Hill, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Black Hills Clinical Research Center

Rapid City, South Dakota, United States

Site Status

North Cypress Medical Center

Cypress, Texas, United States

Site Status

Swedish Medical Center - Cardiovascular

Seattle, Washington, United States

Site Status

Heart Clinics Northwest

Spokane, Washington, United States

Site Status

Aurora Cardiovascular Services

Milwaukee, Wisconsin, United States

Site Status

Vancouver Hospital

Vancouver, British Columbia, Canada

Site Status

Hamilton Health Science

Hamilton, Ontario, Canada

Site Status

Montreal Heart Institute Research Center

Montreal, Quebec, Canada

Site Status

Nouvelles Cliniques Nantaises

Nantes, , France

Site Status

Kerckhoff-Klinik GmbH

Bad Nauheim, , Germany

Site Status

Kardiologische Praxis

Bad Soden, , Germany

Site Status

MVZ am Kuechwald GmbH Ambulantes Herzzentrum

Chemnitz, , Germany

Site Status

Klinikum Coburg GmbH 2. Med. Klinik Ebene 3 Studienbuero

Coburg, , Germany

Site Status

Universitatsklinikum Freiburg Abt. Innere Medizin III

Freiburg im Breisgau, , Germany

Site Status

Klinikum Fulda gAG Medizinische Klinik I

Fulda, , Germany

Site Status

Universitaetsklinikum Halle/Saale Klinik für Innere Medizin III

Halle, , Germany

Site Status

Universitätsklinikum Schleswig-Holstein Kiel

Kiel, , Germany

Site Status

Klinikum der Stadt Ludwigshafen am Rhein gGmbH

Ludwigshafen, , Germany

Site Status

Universitaetsklinik Magdeburg Klinik für Kardiologie Angiologie und Pneumologie

Magdeburg, , Germany

Site Status

Carl-von-Basedow Klinikum

Merseburg, , Germany

Site Status

Klinikum der Universitaet Muenchen Großhadern Medizinische Klinik und Poliklinik I der LMU

München, , Germany

Site Status

Klinikum Quedlinburg GmbH Klinik fuer Innere Medizin und Kardiologie

Quedlinburg, , Germany

Site Status

Countries

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United States Canada France Germany

References

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TCT-176: Access and non-Access Site Bleeding in Acute Coronary Syndrome Patients Treated with a Novel Actively Reversible Factor IXa Inhibitor. Results from the RADAR Trial J Am Coll Cardiol 2011 58: B47

Reference Type RESULT

Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.

Reference Type DERIVED
PMID: 30957581 (View on PubMed)

Povsic TJ, Vavalle JP, Alexander JH, Aberle LH, Zelenkofske SL, Becker RC, Buller CE, Cohen MG, Cornel JH, Kasprzak JD, Montalescot G, Fail PS, Sarembock IJ, Mehran R; RADAR Investigators. Use of the REG1 anticoagulation system in patients with acute coronary syndromes undergoing percutaneous coronary intervention: results from the phase II RADAR-PCI study. EuroIntervention. 2014 Aug;10(4):431-8. doi: 10.4244/EIJY14M06_01.

Reference Type DERIVED
PMID: 24929350 (View on PubMed)

Povsic TJ, Cohen MG, Chan MY, Zelenkofske SL, Wargin WA, Harrington RA, Alexander JH, Rusconi CP, Becker RC. Dose selection for a direct and selective factor IXa inhibitor and its complementary reversal agent: translating pharmacokinetic and pharmacodynamic properties of the REG1 system to clinical trial design. J Thromb Thrombolysis. 2011 Jul;32(1):21-31. doi: 10.1007/s11239-011-0588-3.

Reference Type DERIVED
PMID: 21503856 (View on PubMed)

Povsic TJ, Cohen MG, Mehran R, Buller CE, Bode C, Cornel JH, Kasprzak JD, Montalescot G, Joseph D, Wargin WA, Rusconi CP, Zelenkofske SL, Becker RC, Alexander JH. A randomized, partially blinded, multicenter, active-controlled, dose-ranging study assessing the safety, efficacy, and pharmacodynamics of the REG1 anticoagulation system in patients with acute coronary syndromes: design and rationale of the RADAR Phase IIb trial. Am Heart J. 2011 Feb;161(2):261-268.e1-2. doi: 10.1016/j.ahj.2010.10.022.

Reference Type DERIVED
PMID: 21315207 (View on PubMed)

Other Identifiers

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REG-CLIN211

Identifier Type: -

Identifier Source: org_study_id

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