Trial Outcomes & Findings for Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MDCO-2010 in Patients Undergoing Elective Coronary Artery Bypass Graft Surgery (NCT NCT01535222)

NCT ID: NCT01535222

Last Updated: 2012-07-19

Results Overview

Number of patients experiencing Adverse Events

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

7 days (day of surgery to day 7)

Results posted on

2012-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Overall Study
STARTED
3
3
7
6
6
8
Overall Study
COMPLETED
3
3
6
6
6
8
Overall Study
NOT COMPLETED
0
0
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Overall Study
Inclusion/exclusion
0
0
1
0
0
0

Baseline Characteristics

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MDCO-2010 in Patients Undergoing Elective Coronary Artery Bypass Graft Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=3 Participants
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
n=3 Participants
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
n=7 Participants
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
n=6 Participants
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
n=6 Participants
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
n=8 Participants
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Total
n=33 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
3 Participants
n=21 Participants
3 Participants
n=10 Participants
16 Participants
n=115 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
3 Participants
n=21 Participants
5 Participants
n=10 Participants
17 Participants
n=115 Participants
Age Continuous
63.3 years
STANDARD_DEVIATION 12.1 • n=5 Participants
62 years
STANDARD_DEVIATION 10.8 • n=7 Participants
59 years
STANDARD_DEVIATION 8.3 • n=5 Participants
68 years
STANDARD_DEVIATION 9.6 • n=4 Participants
63.2 years
STANDARD_DEVIATION 12.4 • n=21 Participants
65.9 years
STANDARD_DEVIATION 5.6 • n=10 Participants
63.9 years
STANDARD_DEVIATION 9.2 • n=115 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
0 Participants
n=10 Participants
5 Participants
n=115 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
4 Participants
n=4 Participants
3 Participants
n=21 Participants
8 Participants
n=10 Participants
28 Participants
n=115 Participants
Region of Enrollment
Switzerland
3 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
6 participants
n=4 Participants
6 participants
n=21 Participants
8 participants
n=10 Participants
33 participants
n=115 Participants

PRIMARY outcome

Timeframe: 7 days (day of surgery to day 7)

Number of patients experiencing Adverse Events

Outcome measures

Outcome measures
Measure
Cohort 1
n=3 Participants
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
n=3 Participants
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
n=6 Participants
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
n=6 Participants
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
n=6 Participants
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
n=8 Participants
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Incidence of Adverse Events
3 participants
3 participants
5 participants
4 participants
6 participants
7 participants

PRIMARY outcome

Timeframe: 7 days (day of surgery to day 7)

Number of patients experiencing Serious Adverse Events

Outcome measures

Outcome measures
Measure
Cohort 1
n=3 Participants
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
n=3 Participants
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
n=6 Participants
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
n=6 Participants
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
n=6 Participants
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
n=8 Participants
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Incidence of Serious Adverse Events
0 participants
0 participants
1 participants
0 participants
2 participants
0 participants

Adverse Events

Cohort 1

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Cohort 2

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Cohort 3

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Cohort 4

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Cohort 5

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1
n=3 participants at risk
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
n=3 participants at risk
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
n=6 participants at risk
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
n=6 participants at risk
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
n=6 participants at risk
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
n=8 participants at risk
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Nervous system disorders
Cerebrovascular accident
0.00%
0/3
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/8
Cardiac disorders
Acute myocardial infarction
0.00%
0/3
0.00%
0/3
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/8
General disorders
Device leakage
0.00%
0/3
0.00%
0/3
0.00%
0/6
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/8
Injury, poisoning and procedural complications
Vascular graft thrombosis
0.00%
0/3
0.00%
0/3
0.00%
0/6
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/8
Psychiatric disorders
Delirium
0.00%
0/3
0.00%
0/3
0.00%
0/6
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/8

Other adverse events

Other adverse events
Measure
Cohort 1
n=3 participants at risk
loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
Cohort 2
n=3 participants at risk
loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
Cohort 3
n=6 participants at risk
loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
Cohort 4
n=6 participants at risk
loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
Cohort 5
n=6 participants at risk
loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
Placebo
n=8 participants at risk
commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Vascular disorders
Hemorrhage
0.00%
0/3
0.00%
0/3
0.00%
0/6
0.00%
0/6
0.00%
0/6
25.0%
2/8 • Number of events 2
Cardiac disorders
Atrial fibrillation
0.00%
0/3
0.00%
0/3
0.00%
0/6
33.3%
2/6 • Number of events 2
16.7%
1/6 • Number of events 1
12.5%
1/8 • Number of events 1
General disorders
Chest pain
66.7%
2/3 • Number of events 2
66.7%
2/3 • Number of events 2
50.0%
3/6 • Number of events 3
16.7%
1/6 • Number of events 1
16.7%
1/6 • Number of events 1
50.0%
4/8 • Number of events 4
Injury, poisoning and procedural complications
Post procedural MI
0.00%
0/3
0.00%
0/3
33.3%
2/6 • Number of events 2
0.00%
0/6
0.00%
0/6
12.5%
1/8 • Number of events 1
Investigations
Alanine aminotransferase (ALAT) increased
66.7%
2/3 • Number of events 2
33.3%
1/3 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/6
33.3%
2/6 • Number of events 2
25.0%
2/8 • Number of events 2
Investigations
Aspartate aminotransferase (ASAT) increased
33.3%
1/3 • Number of events 1
33.3%
1/3 • Number of events 1
50.0%
3/6 • Number of events 3
0.00%
0/6
50.0%
3/6 • Number of events 3
37.5%
3/8 • Number of events 3
Investigations
Blood creatine phosphokinase MB increased
0.00%
0/3
33.3%
1/3 • Number of events 1
50.0%
3/6 • Number of events 3
16.7%
1/6 • Number of events 1
33.3%
2/6 • Number of events 2
0.00%
0/8
Investigations
Blood creatinine increased
33.3%
1/3 • Number of events 1
0.00%
0/3
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/3
33.3%
1/3 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/6
25.0%
2/8 • Number of events 2

Additional Information

Andreas van de Locht

The Medicines Company

Phone: +4989244180862

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor can review results communications prior to public release. Sponsor will complete review within 60 days. If Sponsor believes proposed publication contains patentable information, disclosure shall be delayed to 90 days to permit patent filing. If additional time is required an extension shall be granted not to exceed an additional 90 days. If Sponsor believes proposed publication contains confidential information, site shall delete such information.
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Restriction type: OTHER