Intracoronary Stenting and Antithrombotic Regimen: Lesion Platelet Adhesion as Selective Target of Endovenous Revacept
- Conditions
- Stable Coronary Artery Disease
- Interventions
- Drug: Revacept 80 mgDrug: PlaceboDrug: Revacept 160 mg
- Registration Number
- NCT03312855
- Lead Sponsor
- Deutsches Herzzentrum Muenchen
- Brief Summary
The main objective is to evaluate the efficacy and safety of treatment with 2 doses (80 and 160 mg) of Revacept versus placebo in patients with stable coronary artery disease undergoing PCI.
- Detailed Description
Revacept is a protein that is made up of an Fc fragment ("fragment crystallisable") fused to the GPVI receptor (the endogenous platelet collagen receptor). Consequently, Revacept binds to its ligand (collagen) on atherosclerotic plaques preventing circulating thrombocytes from binding to collagen exposed by the injured plaque. All this is achieved without affecting systemic hemostasis.
Thus, blocking of GPVI-dependent pathways by interfering with vascular collagen sites is commonly seen as an attractive target for an anti-platelet therapy of atherosclerotic diseases.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 334
- Signed written informed consent
- Men and women >18 years of age
- Diagnosis: Clinically stable coronary artery disease
- Angiographic evidence of coronary artery disease
- Indication for PCI
- WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for up to 4 weeks after receiving investigational product.
- Women who are pregnant or breastfeeding or are planning pregnancy during course of trial
- Women with a positive pregnancy test on enrolment or prior to investigational product administration.
- Patients with elevated high sensitivity cardiac troponin T levels at screening
- Patients receiving antithrombotic therapy with Prasugrel or Ticagrelor within 7 days prior to randomisation
- History of hypersensitivity, contraindication or serious adverse reaction to any component of the study drug (GPVI-Fc, sucrose, mannitol), acetylsalicylic acid or clopidogrel
- History of bleeding diathesis or active bleeding within the last 30 days
- Recent intracerebral haemorrhage or trauma within the last 3 months
- Thrombocytopenia (platelet count <30000/mm3) at screening
- Sustained hypertension (systolic BP >179mmHg or diastolic BP >109mmHg) at screening
- Renal failure (estimated glomerular filtration rate < 30ml/min and/or dialysis)
- Severe systemic disease, such as known malignancies or other comorbid conditions with life expectancy less than one year that may result in protocol non-compliance
- Unable to provide informed consent (e.g. severe dementia, or psychosis)
- Current severe liver dysfunction (transaminase level >5-fold the upper normal range limit)
- Patients with an indication for anticoagulant therapy
- Participation in any other clinical interventional trial (drug/device) within less than 30 days prior to screening
- Any other contraindication to perform PCI
- Any planned additional PCI or surgery within 30 days after randomization
- Suspected poor capability to follow instructions and cooperate
- Prisoners or subjects who are involuntarily incarcerated
- Subjects who are compulsorily detained for treatment of either a psychiatric or physical illness (e.g. infectious disease)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Revacept 80 mg Revacept 80 mg single dose, intravenous Placebo Placebo single dose, intravenous Revacept 160 mg Revacept 160 mg single dose, intravenous
- Primary Outcome Measures
Name Time Method Primary endpoint-composite endpoint of death and myocardial injury within 48 hours from randomisation A composite endpoint of death or myocardial injury (defined as increase in cardiac biomarker - high sensitivity cardiac troponin T of at least 5 times the upper limit of norm (ULN) within 48 hours from randomisation).
- Secondary Outcome Measures
Name Time Method Myocardial infarction within 30 days after randomisation Myocardial infarction
Bleeding class 2 or higher according to Bleeding Academic Research Consortium (BARC) criteria (safety endpoint) within 30 days after randomisation Bleeding class 2 or higher according to Bleeding Academic Research Consortium (BARC) criteria (safety endpoint)
Stroke within 30 days after randomisation Stroke
Urgent coronary revascularization within 30 days after randomisation Urgent coronary revascularization
Peak potprocedural high-sensitivity troponin T level within 48 hours after randomisation Peak potprocedural high-sensitivity troponin T level
All cause mortality within 30 days after randomisation All cause mortality
Definite stent thrombosis within 30 days after randomisation Definite stent thrombosis
PCI-related (type 4) myocardial infarction within 30 days after randomisation PCI-related (type 4) myocardial infarction
Trial Locations
- Locations (8)
Universitätsmedizin Berlin, Campus Benjamin Franklin
🇩🇪Berlin, Germany
Charité - Universitätsmedizin Berlin, Campus Virchow
🇩🇪Berlin, Germany
Universtätsmedizin Mainz, Zentrum für Kardiologie/Kardiologie I
🇩🇪Mainz, Germany
Universitätsklinikum Frankfurt, Medizinische Klinik III, Kardiologie
🇩🇪Frankfurt am Main, Germany
Klinikum der Universität München, Medizinische Klinik und Poliklinik I
🇩🇪Munich, Germany
Klinikum rechts der Isar, I. Medizinische Klinik und Poliklinik
🇩🇪Munich, Germany
Universitätsklinikum Tübingen
🇩🇪Tübingen, Germany
Deutsches Herzzentrum München
🇩🇪Munich, Bavaria, Germany