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Placebo-controlled, double blind, randomised research in several centres to investigate the effect, safety and tolerability of a monoclonal antibody in patients with severe acute myocardial infarction.

Phase 1
Conditions
Treatment of ST-elevated myocardial infarction (STEMI) after percutaneous intervention (PCI)
MedDRA version: 20.0 Level: SOC Classification code 10007541 Term: Cardiac disorders System Organ Class: 10007541 - Cardiac disorders
MedDRA version: 20.0 Level: LLT Classification code 10064346 Term: STEMI System Organ Class: 10007541 - Cardiac disorders
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2018-003676-12-SE
Lead Sponsor
Athera Biotechnologies AB
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

1. Provision of informed consent
2. Symptoms and signs consistent with acute MI and ST elevation at the J-point in two
contiguous leads (cut-points: >0.2mV in men and >0.15 mV in women in leads V2-V3 and/or
>0.1 mV in other leads)
3. Start of PCI, defined as when the guide wire is passed through the stenosis, less than 4 hours after symptom onset. Symptom onset defined as the time of the start of the pain that causes the call to the ambulance.
4. TIMI flow grade 0 at angiography before PCI in left anterior descending coronary artery segment 6 or 7 without collaterals OR TIMI flow grade less than 3 in any infarct related main coronary arteries after PCI.
5. Age 40-85, inclusive

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 80
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 80

Exclusion Criteria

1. Cardiogenic chock, non-compensated acute heart failure and/or pulmonary oedema.
2. Previous major vascular intervention within the last 4 weeks.
3. History of an infarct in the same artery that is currently affected.
4. Thrombolysis therapy prior to admission.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The main goal of this study is to evaluate efficacy of a single administration of ATH3G10 in patients presenting with an acute ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI).;<br> Secondary Objective: To investigate effects on myocardial salvage index (MSi) measured by MRI<br> To investigate the safety and tolerability of ATH3G10 <br> <br> ;Primary end point(s): Left Ventricular End-Diastolic Volume index (LV EDVi) change from Visit 2 to Visit 3;Timepoint(s) of evaluation of this end point: At V3 (3 month post IMP administration)
Secondary Outcome Measures
NameTimeMethod
<br> Secondary end point(s): •Safety and tolerability: AEs/SAEs, blood pressure, physical examination, ECG and laboratory assessments including clinical chemistry, haematology and coagulation. <br> •Myocardial Salvage index (MSi) at Visit 2.<br> ;Timepoint(s) of evaluation of this end point: At V3 (3 month post IMP administration)
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