A MULTI-CENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY EVALUATING THE EFFICACY AND SAFETY OF 2 DOSES OF RO4905417 (R1512) ADMINISTERED TO PATIENTS WITH NON ST-ELEVATION MYOCARDIAL INFARCTION (NON-STEMI) UNDERGOING PERCUTANEOUS CORONARY INTERVENTION (PCI)
Overview
- Phase
- Phase 2
- Intervention
- Percutaneous Coronary Intervention (PCI)
- Conditions
- Myocardial Infarction
- Sponsor
- Hoffmann-La Roche
- Enrollment
- 532
- Primary Endpoint
- Reduction of procedural damage during percutaneous coronary intervention (PCI): Change from baseline in troponin I levels early after PCI
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of RO4905417 in patients with non ST-elevation myocardial infarction (Non-STEMI) undergoing percutaneous coronary intervention (PCI). Patients will be randomized to receive an intravenous infusion of either 5 mg/kg RO4905417 or 20 mg/kg RO4905417 or placebo before PCI. Follow-up will be for 4 months.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patients, \>18 to \<75 years of age
- •Non ST-elevation myocardial infarction
- •Woman of childbearing potential will be allowed only if using two acceptable methods of contraception
- •Body mass index (BMI) \</= 40 kg/m2
Exclusion Criteria
- •Acute ST-elevation myocardial infarction (STEMI)
- •Culprit coronary lesion with a total thrombotic occlusion or a lesion requiring the use of distal embolization protection or thrombectomy devices
- •Percutaneous coronary intervention (PCI) within the past 72 hours
- •Thrombolytic therapy within the past 7 days
- •Major surgery within the past 3 months
- •History of cerebral vascular disease or stroke in the past 3 months
- •Bleeding disorders
- •Inadequately controlled severe hypertension
- •Prior coronary artery bypass graft (CABG) surgery
- •Decompensated heart failure (oedema and/or rale)
Arms & Interventions
20 mg/kg RO4905417 before PCI
Intervention: Percutaneous Coronary Intervention (PCI)
20 mg/kg RO4905417 before PCI
Intervention: RO4905417
5 mg/kg RO4905417 before PCI
Intervention: Percutaneous Coronary Intervention (PCI)
5 mg/kg RO4905417 before PCI
Intervention: RO4905417
Placebo before PCI
Intervention: Percutaneous Coronary Intervention (PCI)
Placebo before PCI
Intervention: placebo
Outcomes
Primary Outcomes
Reduction of procedural damage during percutaneous coronary intervention (PCI): Change from baseline in troponin I levels early after PCI
Time Frame: from baseline to 24 hours post PCI
Secondary Outcomes
- Change from baseline in troponin I at 8 hours post PCI(from baseline to 8 hours post PCI)
- Peak and AUC for troponin I(24 hours post PCI)
- Change from baseline in Creatine Kinase-Myocardial Band (CK-MB) after PCI(from baseline to 24 hours post PCI)
- Change form baseline in Growth Differentiation Factor 15 (GDF-15) at 120 days post PCI(from baseline to Day 120 post PCI)
- Change from baseline in cystatin C biomarker at 24 hours and 30 days post PCI(from baseline to Day 30 post PCI)
- Safety: Incidence of adverse events and major adverse cardiovascular events (MACEs)(120 days)