Efficacy and Safety Study of Thymosin Beta 4 in Patients With Acute Myocardial Infarction

NCT ID: NCT05984134

Last Updated: 2024-06-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-15
• Study Completion Date: 2023-05-29

Brief Summary

A multicenter randomized double-blind placebo parallel control design was used in this study. The 90 participants were randomly assigned to placebo, 0.5μg/kg dose group, and 1.0μg/kg dose group in a ratio of 1:1:1. After randomization, subjects received the trial drug or placebo intravenously within 12 hours and on days 2 to 7 after PCI. The patients were observed 90 days after PCI.

Detailed Description

Cardiovascular magnetic resonance imaging (CMR) was performed on day 5 and day 90 after PCI to evaluate myocardial infarction size, microvascular obstruction area, left ventricular ejection fraction (LVEF), left ventricular end-systolic volume (LVESV), and left ventricular end-diastolic volume (LVEDV). Physical examination, blood routine examination, and coagulation function examination were performed before the first dose, on the 7th, 30th, and 90th day after PCI. The examination before the first dose was conducted to accept the examination results from the current onset to the first dose.Electrocardiogram (ECG) was performed before the first dose, day 2, day 7, day 30, and day 90 after PCI, and the test results from the period after PCI to the first dose were received. Vital signs were examined before the first dose, day 1 to day 7, day 30, and day 90 after PCI, and the results of the examination from the first onset to the first dose were accepted during the examination before the first dose. Blood biochemical tests were performed before the first dose, from day 2 to day 4, day 7, day 30, and day 90 after PCI. The results of the examinations from the first onset to the first dose were accepted during the examination before the first dose. High-sensitivity troponin I(hs-cTnI) or troponin I(cTnI) and amino-terminal B-type natriuretic peptide precursor (NT-proBNP) or B-type natriuretic peptide (BNP) were tested before first administration and on days 2, 3, 4, and 7 after PCI. Examination results from the time after PCI to the time before initial administration; Creatine kinase isoenzyme (CK-MB) tests were performed before the first dose, 12 hours after the first dose, day 2 (if it coincided with 12 hours after the first dose, no repeat blood collection was required), day 3, and day 4. The test results from the period after PCI to the period before the first dose were accepted. Tumor markers were detected and immunogenic blood samples were collected before the first dose and on the 30th day after PCI. The tumor markers were examined before the first dose. Urine routine examination was performed before the first dose and on the 90th day after PCI. The examination before the first dose accepted the examination results from the onset of the disease to the first dose. Drug combinations, adverse events, and cardiovascular events were recorded during the trial.

Conditions

Acute Myocardial Infarction

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: BASIC_SCIENCE
• Blinding Strategy: QUADRUPLE

Study Groups

Middle Dose

12 hours after PCI: 0.5 ug/kg Recombinant Human Thymosin β4 （intravenous injection），Day2-Day7 after PCI：0.5 ug/kg Recombinant Human Thymosin β4 （intravenous injection）

Group Type: EXPERIMENTAL

NL005 Middle Dose

Intervention Type: DRUG

Patients in this treatment group will receive NL005 for 0.5 ug/kg respective.Continuous administration for 7 days.

High Dose

12 hours after PCI: 1.0 ug/kg Recombinant Human Thymosin β4 （intravenous injection），Day2-Day7 after PCI：1.0 ug/kg Recombinant Human Thymosin β4 （intravenous injection）

Group Type: EXPERIMENTAL

NL005 High Dose

Intervention Type: DRUG

Patients in this treatment group will receive NL005 for 1.5 ug/kg respective.Continuous administration for 7 days.

Placebo

Patients in this treatment group will receive placebo respective. Continuous administration for 7 days.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

30 subjects will be randomly assigned to the placebo for 7 days

Interventions

NL005 Middle Dose

Patients in this treatment group will receive NL005 for 0.5 ug/kg respective.Continuous administration for 7 days.

Intervention Type: DRUG

NL005 High Dose

Patients in this treatment group will receive NL005 for 1.5 ug/kg respective.Continuous administration for 7 days.

Intervention Type: DRUG

Placebo

30 subjects will be randomly assigned to the placebo for 7 days

Intervention Type: DRUG

Other Intervention Names

NL005（ Middle Dose）; NL005（ High Dose）

Eligibility Criteria

Inclusion Criteria

1. The subjects or their guardians voluntarily participate in the experiment and sign the informed consent;

2. Age ≥18 years old and ≤75 years old, gender is not limited;

3. STEMI patients with proximal or/and middle occlusion of a single left anterior descending artery (TIMI grade 0-1) and PCI;

4. No coronary collateral (Rentrop grade 0);

5. meet one of the following conditions:

• The total myocardial ischemia time before PCI was < 6 hours, and the TIMI grade after PCI was < 3
• 6 hours ≤ Total myocardial ischemia time before PCI ≤24 hours Note: Total myocardial ischemia time =PCI wire passage time - start time of chest pain

6. All subjects (male and female) must agree to use appropriate contraceptive methods (hormonal or barrier methods, abstinence) during study participation and up to 6 months of the last dosing, and women of childbearing age must test negative for pregnancy before dosing.

Exclusion Criteria

1. Patients with a history of myocardial infarction who have received acute coronary thrombolysis, interventional therapy, or bypass surgery; A clear diagnosis of acute heart failure (Killip grade ≥III);

2. Severe arrhythmias that cannot be corrected;

3. Aortic dissection;

4. Severe liver and kidney dysfunction or severe consumption;

5. History of major surgery or hemorrhagic stroke within six months;

6. Previous history of malignant tumors;

7. Hypertensive patients with systolic blood pressure ≥180 mmHg and/or diastolic blood pressure ≥110 mmHg after active antihypertensive treatment;

8. Clinically significant allergic reaction history, especially mannitol, drugs, protein preparations, biological products;

9. Patients who participated in other clinical studies within 3 months prior to screening;

10. Can not perform CMR examination;

11. Other conditions deemed unsuitable for inclusion by the investigators (for example, those whose coronary arteries other than the left anterior descending branch were judged by the investigators to require elective revascularization therapy at the same time or within 1 month).

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Beijing Northland Biotech. Co., Ltd.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

KeFei Dou

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences, Fuwai Hospital

Locations

Fuwai Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Countries

China

Other Identifiers

NL005-AMI-IIb

Identifier Type: -

Identifier Source: org_study_id