Serp-1 for the Treatment of Acute Coronary Syndrome
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Purpose
Males and females aged 18-80 years who present with ACS (unstable angina and non ST-elevation MI) defined as one or more episodes of angina lasting at least 5 minutes in the last 24 hours before admission and greater than 0.05 mV of presumed new ST-segment depression in at least 2 contiguous ECG leads OR, angina and per confirmatory angiogram, has been scheduled for percutaneous coronary angioplasty. The primary objective of this study is to evaluate the safety of Serp-1 injection when administered in 3 daily doses to patients undergoing conventional therapy for Acute Coronary Syndrome (ACS) requiring early intervention.
| Condition | Intervention | Phase |
|---|---|---|
|
Unstable Angina Coronary Atherosclerosis Coronary Restenosis |
Drug: Serine proteinase-1 (Serp-1) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Diagnostic |
| Official Title: | A Phase 2, Multicentre, Double-Blind, Placebo-Controlled, Dose Escalating Trial of the Safety, Pharmacokinetics, and Biological Activity of 3 Consecutive Daily Doses of Serp-1 When Added to Conventional Therapy in Patients With Acute Coronary Syndromes (Non ST-Elevation Myocardial Infarction and/or Unstable Angina) |
- Safety (Adverse events collected until 6 months post-dose)
- Inflammatory marker analysis
- MACE
- Restenosis at 6 months
| Estimated Enrollment: | 72 |
| Study Start Date: | October 2005 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
A total of 72 subjects will be enrolled, separated into 3 dose groups and centrally randomized in a 3:1 ratio of Serp-1 injection to placebo control.Subjects will receive Serp-1 by intravenous (IV) bolus injection daily for 3 days, at dose levels of 5.0, 15, and 50 ug/kg/dose or placebo (0.9% normal saline) added to any prescribed therapy for ACS. Serp-1 will be administered as a single IV bolus injection. The initial IV bolus dose is administered immediately preceding the PCI procedure with subsequent doses administered 24 and 48 hours later.Subjects will be evaluated for adverse events, serum inflammatory markers and restenosis rates at 6 months post-dose.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Established diagnosis of unstable angina or NSTEMI with one or more episodes of angina in the 24 hours before hospital admission
- Scheduled for PCI
Exclusion Criteria:
- CABG within 6 months
- Acute ST elevation, eligible for thrombolysis on initial examination
- Coronary lesions with total thrombotic occlusions
- Current immunosuppressant therapy
Contacts and Locations| United States, District of Columbia | |
| Washington Hospital Center | |
| Washington, District of Columbia, United States, 20010 | |
| United States, Florida | |
| University of Florida | |
| Gainesville, Florida, United States, 32610-0277 | |
| United States, Michigan | |
| Spectrum Health | |
| Grand Rapids, Michigan, United States, 49525 | |
| Canada, British Columbia | |
| Victoria Heart Institute | |
| Vicotria, British Columbia, Canada, V8R 4R2 | |
| Canada, Ontario | |
| Foothills Medical Center | |
| Calgary, Ontario, Canada, T2N 2T9 | |
| London Health Sciences Centre | |
| London, Ontario, Canada, N6A 5C1 | |
| University of Ottawa Heart Institute | |
| Ottawa, Ontario, Canada, K1Y 4W7 | |
| Canada, Quebec | |
| Montreal Heart Institute | |
| Montreal, Quebec, Canada, H1T 1C8 | |
| Study Director: | Alexandra Lucas, MD | Chief Clinical Officer- Viron Therapeutics |
| Study Chair: | Jean-Claude Tardif, MD | Director- Montreal Heart Institute Research Centre |
More Information
No publications provided by Viron Therapeutics Inc
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00243308 History of Changes |
| Other Study ID Numbers: | Serp-1-01-002 |
| Study First Received: | October 19, 2005 |
| Last Updated: | February 5, 2009 |
| Health Authority: | Canada: Health Canada United States: Food and Drug Administration |
Keywords provided by Viron Therapeutics Inc:
|
Anti-inflammatory agents unstable plaque acute coronary syndrome |
Additional relevant MeSH terms:
|
Angina Pectoris Angina, Unstable Atherosclerosis Coronary Artery Disease Myocardial Ischemia Myocardial Infarction Acute Coronary Syndrome Coronary Restenosis Heart Diseases Cardiovascular Diseases Vascular Diseases |
Chest Pain Pain Signs and Symptoms Arteriosclerosis Arterial Occlusive Diseases Coronary Disease Coronary Stenosis Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013