A Study to Evaluate the Safety and Efficacy of MEDI6012 in Acute ST Elevation Myocardial Infarction

NCT ID: NCT03578809

Last Updated: 2022-02-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

593 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-05

Study Completion Date

2021-01-18

Brief Summary

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This is a Phase 2b randomized, blinded, placebo controlled study to evaluate the efficacy, safety, PK/pharmacodynamic, and immunogenicity of repeat doses of MEDI6012 in adult participants presenting with acute STEMI (ST segment elevation myocardial infarction).

The study will enrol participants presenting with acute STEMI who are planned for primary percutaneous coronary intervention (pPCI). For all participants, an end of study CMR will be performed at 10-12 weeks (70-84 days following Dose 1). A subset of participants will also undergo an index and an end of study CTA.

Detailed Description

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Conditions

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ST Elevation Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
In this study, the participant and sponsor staff will be blinded. Sites will be trained to keep the investigator blinded. However, due to the acute nature of the study, members of the research team and, possibly, the investigator may be unblinded.

Study Groups

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Cohort A: Placebo

Participants will receive placebo matched to MEDI6012 on Day 1 prior to pPCI followed by a second inpatient dose on Day 3 by IV push.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo

Cohort A: MEDI6012

Participants will receive loading dose of MEDI6012 300 mg on Day 1 prior to pPCI followed by a second inpatient dose of MEDI6012 150 mg on Day 3 by IV push.

Group Type EXPERIMENTAL

MEDI6012

Intervention Type BIOLOGICAL

MEDI6012

Cohort B: Placebo

Participants will receive placebo matched to MEDI6012 on Day 1 prior to pPCI followed by a second inpatient dose on Day 3, and outpatient maintenance doses on Days 10, 17, 24, and 31 by IV push.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo

Cohort B: MEDI6012

Participants will receive loading dose of MEDI6012 300 mg on Day 1 prior to pPCI followed by a second inpatient dose of MEDI6012 150 mg on Day 3, and outpatient maintenance doses of MEDI6012 100 mg on Days 10, 17, 24, and 31 by IV push.

Group Type EXPERIMENTAL

MEDI6012

Intervention Type BIOLOGICAL

MEDI6012

Interventions

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MEDI6012

MEDI6012

Intervention Type BIOLOGICAL

Placebo

Placebo

Intervention Type OTHER

Other Intervention Names

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MEDI6012 300 mg will be administered on Day 1 and MEDI6012 150 mg on Day 3 by IV push in Cohorts A and B. In Cohort B, MEDI6012 100 mg will be administered on Days 10, 17, 24, and 31 by IV push. Placebo matched to MEDI6012 will be administered on Day 1 and Day 3 by IV push in Cohorts A and B, and on Days 10, 17, 24, and 31 by IV push in Cohort B.

Eligibility Criteria

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Inclusion Criteria

* Acute STEMI (ST segment elevation myocardial infarction) diagnosed by ST elevation
* Planned for primary PCI (percutaneous coronary intervention)
* Men and women without child-bearing potential aged 30-80 years of age
* Capable and willing to provide informed consent.
* Capable of completing study visits

Exclusion Criteria

* Fibrinolytic administration for index event
* Known prior MI or prior coronary artery bypass graft (CABG) surgery
* Known pre-existing cardiomyopathy
* History of anaphylaxis
* Suspected non-thrombotic etiology (ie, vasospasm, dissection, Takotsubo cardiomyopathy)
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The TIMI Study Group

OTHER

Sponsor Role collaborator

MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Belo Horizonte, , Brazil

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Campinas, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Brno, , Czechia

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Hradec Králové, , Czechia

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Liberec, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Ústí nad Labem, , Czechia

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Budapest, , Hungary

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Budapest, , Hungary

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Alkmaar, , Netherlands

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Nijmegen, , Netherlands

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Nijmegen, , Netherlands

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Bydgoszcz, , Poland

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Lodz, , Poland

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Lodz, , Poland

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Kazan', , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Banská Bystrica, , Slovakia

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Nitra, , Slovakia

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Madrid, , Spain

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Madrid, , Spain

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Pontevedra, , Spain

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Dundee, , United Kingdom

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Leeds, , United Kingdom

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Stevenage, , United Kingdom

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Countries

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Brazil Czechia Hungary Israel Netherlands Poland Russia Slovakia Spain United Kingdom

References

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Bonaca MP, Morrow DA, Bergmark BA, Berg DD, Lima JAC, Hoffmann U, Kato Y, Lu MT, Kuder J, Murphy SA, Spinar J, Oude Ophuis T, Kiss RG, Lopez-Sendon J, Averkov O, Wheatcroft SB, Kubica J, Carlos Nicolau J, Furtado RHM, Abuhatzira L, Hirshberg B, Omar SA, Vavere AL, Chang YT, George RT, Sabatine MS. Randomized, Placebo-Controlled Phase 2b Study to Evaluate the Safety and Efficacy of Recombinant Human Lecithin Cholesterol Acyltransferase in Acute ST-Segment-Elevation Myocardial Infarction: Results of REAL-TIMI 63B. Circulation. 2022 Sep 20;146(12):907-916. doi: 10.1161/CIRCULATIONAHA.122.059325. Epub 2022 Aug 30.

Reference Type DERIVED
PMID: 36039762 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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D5780C00007

Identifier Type: -

Identifier Source: org_study_id

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