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A Study of RTP-026 to Assess Safety, Tolerability and Efficacy in Patients With ST-Elevation Myocardial Infarction (STEMI)

Phase 2
Recruiting
Conditions
ST Elevation Myocardial Infarction
Interventions
Drug: Placebo
Registration Number
NCT06465303
Lead Sponsor
ResoTher Pharma
Brief Summary

This is an exploratory, randomized, double-blind, multicentre, placebo-controlled study of RTP-026.

The study population will consist of men and women with documented evidence of ST-elevation myocardial infarction (STEMI) referred to primary Percutaneous Coronary Intervention (PCI).

Detailed Description

An exploratory, randomized, double-blind, multicentre, placebo-controlled study of RTP-026 to assess safety, tolerability, and efficacy in patients with (STEMI).

The study population is men between 18-80 years and post-menopausal women up to 80 years with documented evidence of STEMI referred to primary PCI with acute onset of chest pain lasting \<12 hours and neutrophil to lymphocyte ratio (NLR) in the range of 7-17 at hospital admission/right after the PCI.

They will be given three 30-minute intravenous infusions of RTP-026 or placebo (the investigational product). The first dose is to be initiated within 2 hours following the establishment of reflow after PCI, and the following two study treatments with 8-hour intervals.

The purpose of this study is to evaluate the safety, tolerability and efficacy of RTP-026 versus placebo in multiple doses.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
96
Inclusion Criteria
  • Informed consent for participation in the study has been obtained prior to initiating any study-specific procedures
  • Men between 18-80 years of age and post-menopausal women up to 80 years of age
  • Acute onset of chest pain of < 12 hours duration
  • STEMI as characterized on ECG by 2 mm ST elevation in 2 or more V1 through V4 leads or presumed new left bundle branch block with a minimum of 1 mm concordant ST elevation or 1 mV ST elevation in the limb lead (II, III and aVF, I, aVL) and V4-V6 or ST depression in 2 or more V1 through V4 leads indicating posterior acute myocardial infarction (AMI)
  • Eligible for primary PCI
  • NLR in the range of 7-17 at hospital admission or right after the PCI
Exclusion Criteria
  • Participation in any other study involving investigational drug(s) during the study and within 4 weeks prior to study entry
  • Previous exposure to RTP-026
  • Time from symptoms onset to primary PCI > 12 hours
  • Previous CABG
  • Evidence of active malignant disease
  • Ongoing treatment with immune suppressive compounds
  • Any condition that, in the view of the investigator, would suggest that the patient is unable to comply with the study protocol and procedures
  • Known contraindications to CMR
  • ORBI Risk Score > 10

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
RTP-026RTP-026-
Primary Outcome Measures
NameTimeMethod
Change in Cardiac Troponin T (cTNT)24 hours

Change in cTnT determined in blood samples taken at Baseline, 6 hours post-PCI, before the infusion 3 and 24 hours post-PCI.

Change in Creatinine kinase-MB (CK-MB)24 hours

Change in CK-MB determined in blood samples taken at Baseline, 6 hours post-PCI, before the infusion 3 and 24 hours post-PCI.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hjertecenteret, Rigshospitalet

🇩🇰

Copenhagen, Denmark

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