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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: 20.0Level: SOCClassification code 10007541Term: Cardiac disordersSystem Organ Class: 10007541 - Cardiac disorders
MedDRA version: 20.0Level: LLTClassification code 10064346Term: STEMISystem Organ Class: 10007541 - Cardiac disorders
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2018-003676-12-NL
Lead Sponsor
Athera Biotechnologies AB
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
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 40
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 40

Exclusion Criteria

1. Deleted
2. Cardiogenic chock, non-compensated acute heart failure and/or pulmonary oedema.
3. Previous major vascular intervention within the last 4 weeks.
4. History of an infarct in the same artery that is currently affected.
5. 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).;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
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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