VISTA-16 Trial: Evaluation of Safety and Efficacy of Short-term A-002 Treatment in Subjects With Acute Coronary Syndrome

Sponsor
Anthera Pharmaceuticals (Industry)
Overall Status
Terminated
CT.gov ID
NCT01130246
Collaborator
(none)
5,189
362
2
22
14.3
0.7

Study Details

Study Description

Brief Summary

The objective of this study is to evaluate the safety and efficacy of short-term A-002 treatment on morbidity and mortality when added to atorvastatin and standard of care in subjects with an acute coronary syndrome (ACS).

Condition or Disease Intervention/Treatment Phase
  • Drug: A-002, varespladib methyl
  • Drug: Placebo
Phase 3

Detailed Description

A double-blind randomized parallel group placebo controlled study in subjects presenting with an ACS. Up to 6500 subjects will be randomized to receive either A-002 500 mg once daily (QD) or placebo tablets in addition to atorvastatin QD and standard of care. Treatment will be 16 weeks in duration. The dose of atorvastatin shall be adjusted after 8 weeks if subject's LDL-C is ≥100 mg/dL, but otherwise must remain stable throughout the16-week duration of study. The survival status for all enrolled subjects will be ascertained 6 months after they complete the study.

Randomization must occur within ≤96 hours of hospitalization for the index ACS event, or if already hospitalized, within ≤96 hours of index event diagnosis. Follow-up visits will occur on Weeks 1, 2, 4, 8, and 16. A 6 month follow-up visit will also occur.

Study Design

Study Type:
Interventional
Actual Enrollment :
5189 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
VISTA-16 Trial: Evaluation of the Safety and Efficacy of Short-Term A-002 Treatment in Subjects With Acute Coronary Syndromes
Study Start Date :
May 1, 2010
Actual Primary Completion Date :
Mar 1, 2012
Actual Study Completion Date :
Mar 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: A-002 500 mg

Once daily oral administration

Drug: A-002, varespladib methyl
A-002 administered once daily in addition to atorvastatin and standard of care

Placebo Comparator: Matched Placebo

Once daily oral administration

Drug: Placebo
Placebo administered once daily in addition to atorvastatin and standard of care

Outcome Measures

Primary Outcome Measures

  1. Primary Objective of the Study [16 weeks]

    To determine whether 16 weeks of treatment with A-002 plus atorvastatin and standard of care is superior to placebo plus atorvastatin and standard of care for reducing the hazard of the first occurrence of the combined endpoint of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or documented unstable angina with objective evidence of ischemia requiring hospitalization.

Secondary Outcome Measures

  1. Secondary Objective of the Study [2, 4, 8, 16 weeks and 6 months]

    To determine whether A-002 plus atorvastatin and standard of care is superior to placebo plus atorvastatin and standard of care for reducing the occurrence of the hazard of the combined endpoint of all-cause mortality, non-fatal myocardial infarction, non-fatal stroke or documented unstable angina with objective evidence of ischemia requiring hospitalization or multiple occurrences of the non-fatal components of the composite primary endpoint.

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Men and women ≥40 years of age

  2. Written informed consent from the subject

  3. A diagnosis of unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-segment elevation myocardial infarction (STEMI)

Unstable angina is defined as:
  • Chest pain symptomatic of ischemia or angina occurring at rest or on minimal exertion with a pattern of increasing frequency or severity, lasting >10 minutes and consistent with myocardial ischemia within 24 hours prior to hospitalization and

  • New or dynamic ST-segment depression or prominent T-wave inversion changes in at least 2 contiguous leads and

  • In addition subjects meeting the above criteria for unstable angina must also have either troponin I, troponin T or CKMB above the LLD but below the 99th percentile of the upper reference limit (URL) and not due to cardioversion or underlying cardiovascular (CHF, cardiomyopathy) or renal disease

NSTEMI is defined as:
  • Chest pain symptomatic of ischemia

  • No electrocardiogram (ECG) changes, or ST-depression, or T wave changes(i.e., no new Q waves on serial ECGs)and

  • Increase in cardiac troponin > local limit for the definition of myocardial infarction or increase in CK-MB isoenzyme > URL

STEMI is defined as:
  • Chest pain symptomatic of ischemia

  • ST segment elevation and associated T wave changes or ST-segment elevation of at least 2 mm in 2 contiguous leads, either of which persisting for longer than 15 minutes and

  • Increase in cardiac troponin > local limit for the definition of myocardial infarction or increase in CK-MB >URL

  1. All subjects must have the presence of at least one of the following risk factors:
  • Diabetes Mellitus or

  • Presence of any 3 of the following characteristics of metabolic syndrome

  • Waist circumference >102 cm in males, >88 cm in females

  • Serum triglycerides ≥150 mg/dL (≥1.7 mmol/L)

  • HDL-C <40 mg/dL (<1 mmol/L) in males, <50 mg/dL (<1.3 mmol/L) in females

  • Blood pressure ≥130/85 mmHg

  • Plasma glucose ≥110 mg/dL (≥6.1 mmol/L) or

  • history of cerebrovascular disease (stroke or TIA) or

  • history of peripheral vascular disease or

  • previous CABG or

  • previous documented myocardial infarction or

  • previous coronary revascularization

  1. Subjects must be randomized within ≤96 hours of hospital admission for the index event, or if already hospitalized, within ≤96 hours of index event diagnosis

  2. Revascularization, if required or planned, must occur prior to randomization

Exclusion Criteria:
  1. Subjects enrolled in another experimental (interventional)protocol within the past 30 days prior to Screening.

  2. Subjects treated for cancer within the previous 5 years except for skin basal cell carcinoma or carcinoma in situ of the cervix, with measures other than a minor, complete surgical excision or radiation therapy (e.g. chemotherapy)

  3. The presence of any severe liver disease with cirrhosis, active hepatitis, active chronic hepatitis, alanine aminotransferase (ALT) or aspartate aminotransferase (AST)

3 x ULN, biliary obstruction with hyperbilirubinemia (total bilirubin >2 x ULN)

  1. Active cholecystitis, gall bladder symptoms, or any hepatobiliary abnormalities

  2. The presence of severe renal impairment (creatinine clearance [CrCl] <30 mL/min or creatinine >3 x ULN),nephrotic syndrome, or subjects undergoing dialysis

  3. Uncontrolled diabetes mellitus (known hemoglobin A1c [HbA1c] >11% within the last 1 month prior to Screening)

  4. Females who are nursing, pregnant, or intend to become pregnant during the time of the study, or females of childbearing potential who have a positive pregnancy test during screening evaluation. Women of child-bearing potential must also use a reliable method of birth control during the study and for 1 month following completion of therapy. A reliable method for this study is defined as one of the following: oral or injectable contraceptives, intrauterine device (IUD), contraceptive implants, tubal ligation, hysterectomy, a double barrier method (diaphragm with spermicidal foam or jelly, or a condom).

  5. Subjects who have a history of alcohol or drug abuse within 1 year of study entry

  6. Subjects living too far from participating center or unable to return for follow-up visits

  7. Subjects who in the opinion of the Investigator are a poor medical or psychiatric risk for therapy with an investigational drug, are unreliable, or have an incomplete understanding of the study which may affect their ability to take drugs as prescribed or comply with instructions

  8. Known human immunodeficiency virus (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), or tuberculosis infection

  9. Acute bacterial, fungal or viral infection

  10. Subjects currently taking drugs that are potent inhibitors of cytochrome P450 unless they can be withdrawn

  11. Subjects with New York Heart Association (NYHA) Class III or IV heart failure, or if known, left ventricular ejection fraction (LVEF) <30

  12. Subjects with moderate or severe aortic stenosis, aortic regurgitation, mitral stenosis or mitral regurgitation

  13. Ventricular arrhythmias requiring chronic drug treatment or implantable cardioverter-defibrillator (ICD)

  14. Subjects with no stenosis or stenosis <50% on angiography, if known

  15. Subjects with a pacemaker or persistent left bundle branch block (LBBB)

  16. Fasting triglyceride levels of ≥400 mg/dL (4.5 mmol/L)

  17. Subjects who have a history of statin intolerance or a significant myopathy or rhabdomyolysis with any lipid altering drugs

  18. Subjects currently treated with the maximum labeled dose of a statin and not at LDL-C target for their level of risk as defined by NCEP ATP III

Contacts and Locations

Locations

Site City State Country Postal Code
1 Investigator Site 1064 Birmingham Alabama United States 35205
2 Investigator Site 1063 Birmingham Alabama United States 35235
3 Investigator Site 1065 Birmingham Alabama United States 35243
4 Investigator Site 1020 Huntsville Alabama United States 35801
5 Investigator Site 1133 Mobile Alabama United States 36608
6 Investigator Site 1019 Tucson Arizona United States 85724
7 Investigator Site 1132 Escondido California United States 92025
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9 Investigator Site 1005 Torrance California United States 90502
10 Investigator Site 1079 Aurora Colorado United States 80012
11 Investigator Site 1006 Colorado Springs Colorado United States 80909
12 Investigator Site 1050 Denver Colorado United States 80218
13 Investigator Site 1045 Denver Colorado United States 80220
14 Investigator Site 1061 Fort Collins Colorado United States 80528
15 Investigator Site 1054 Littleton Colorado United States 80120
16 Investigator Site 1140 Wheat Ridge Colorado United States 80033
17 Investigator Site 1111 Hartford Connecticut United States 06102
18 Investigator Site 1028 Newark Delaware United States 19718
19 Inevestigator Site 1074 Washington District of Columbia United States 20010
20 Investigator Site 1030 Washington District of Columbia United States 20037
21 Investigator Site 1117 Washington District of Columbia United States 20422
22 Investigator Site 1022 Clearwater Florida United States 33756
23 Investigator Site 1051 Clearwater Florida United States 33756
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184 Investigator Site 3626 Pecs Baranya Megye Hungary H-7624
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190 Investigator Site 3612 Budapest Pest Megye Hungary 1097
191 Investigator Site 3607 Szolnok Szolnok Megye Hungary 5000
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193 Investigator Site 3625 Balatonfured Hungary 8203
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200 Investigator Site 9110 Hyderabad Andhra Pradesh India 500082
201 Investigator Site 9109 Secunderabad Andhra Pradesh India 500003
202 Investigator Site 9119 Secunderabad Andhra Pradesh India 500003
203 Investigator Site 9105 New Delhi Delhi India 110076
204 Investigator Site 9104 Ahmedabad Gujarat India 380 014
205 Investigator Site 9111 Ahmedabad Gujarat India 380052
206 Investigator Site 9108 Ahmedabad Gujarat India 380060
207 Investigator Site 9117 Surat Gujarat India 395007
208 Investigator Site 9115 Vadodara Gujarat India 390 015
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210 Investigator Site 9114 Bangalore Karanataka India 560 0034
211 Investigator Site 9121 Bangalore Karnataka India 560 052
212 Investigator Site 9113 Indore Madhya Pradesh India 452008
213 Investigator Site 9101 Nagpur Maharashtra India 440012
214 Investigator Site 9103 Lucknow Uttar Pradesh India 226003
215 Investigator Site 9118 Kolkata West Bengal India 7000020
216 Investigator Site 9107 Kolkata West Bengal India 700027
217 Investigator Site 3921 Brescia Via L Bissolati Italy 57
218 Investigator Site 3908 Cecina Italy 57023
219 Investigator Site 3912 Colleferro Italy 00034
220 Investigator Site 3910 Ferrara Italy 44121
221 Investigator Site 3916 Massa Italy 54100
222 Investigator Site 3906 Milano Italy 20138
223 Investigator Site 3901 Monza Italy 20052
224 Investigator Site 3907 Napoli Italy 80131
225 Investigator Site 3920 Novara Italy 28100
226 Investigator Site 3918 Roma Italy 00135
227 Investigator Site 3902 Rome Italy 00168
228 Investigator Site 3909 Rome Italy 00189
229 Investigator Site 3903 Rozzano (MI) Italy 20089
230 Investigator Site 3904 Siena Italy 53100
231 Investigator Site 8205 Busan Korea, Republic of 602-715
232 Investigator Site 8206 Busan Korea, Republic of 602-739
233 Investigator Site 8202 Cheongju Korea, Republic of 361-711
234 Investigator Site 8214 Daegu Korea, Republic of 700-712
235 Investigator Site 8213 Daejeon Korea, Republic of 301-723
236 Investigator Site 8203 Gwangju Korea, Republic of 501-757
237 Investigator Site 8204 Gyeonggi-do Korea, Republic of 480-717
238 Investigator Site 8210 Kangwon-do Korea, Republic of 220-701
239 Investigator Site 8209 Seoul Korea, Republic of 130-702
240 Investigator Site 8215 Seoul Korea, Republic of 130-709
241 Investigator Site 8212 Seoul Korea, Republic of 135-710
242 Investigator Site 8207 Seoul Korea, Republic of 135-720
243 Investigator Site 8201 Seoul Korea, Republic of 152-703
244 Investigator Site 8208 Suwon Korea, Republic of 442-723
245 Investigator Site 8211 Suwon Korea, Republic of 443-721
246 Investigator Site 9603 Bir Hassan Jnah Lebanon
247 Investigator Site 9601 Beirut Lebanon BEI
248 Investigator Site 9603 Beirut Lebanon
249 Investigator Site 3126 Nieuwegein CM Netherlands 3435
250 Investigator Site 3129 Goes RA Netherlands 4462
251 Investigator Site 3120 Amstelveen Netherlands 1186 AM
252 Investigator Site 3128 Amsterdam Netherlands 1081 HV
253 Investigator Site 3117 Amsterdam Netherlands 1091 AC
254 Investigator Site 3125 Amsterdam Netherlands
255 Investigator Site 3136 Breda Netherlands 4818
256 Investigator Site 3130 Delft Netherlands 2625 AD
257 Investigator Site 3108 Den Helder Netherlands 1782 GZ
258 Investigator Site 3105 Deventer Netherlands 7416 SE
259 Investigator Site 3102 Ede Netherlands 6716RP
260 Investigator Site 3134 Heerlen Netherlands 6419 PC
261 Investigator Site 3109 Hoogeveen Netherlands 7909 AA
262 Investigator Site 3101 Leeuwarden Netherlands
263 Investigator Site 3118 Leiden Netherlands 2333 ZA
264 Investigator Site 3112 Purmerend Netherlands 1447 TC
265 Investigator Site 3107 Roosendaal Netherlands 4708 AE
266 Investigator Site 3104 Rotterdam Netherlands 3011 TD
267 Investigator Site 3106 Rotterdam Netherlands 3045 PM
268 Investigator Site 3123 Rotterdam Netherlands 3075 EA
269 Investigator Site 3131 Schiedam Netherlands 3118 JH
270 Investigator Site 3135 Sneek Netherlands 8601 ZK
271 Investigator Site 3103 Tilburg Netherlands 5022 CG
272 Investigator Site 3116 Utrecht Netherlands 3584 CX
273 Investigator Site 3124 Venlo Netherlands 5912 BL
274 Investigator Site 3113 Zaandam Netherlands 1502 DV
275 Investigator Site 6402 Takapuna Auckland New Zealand 0622
276 Investigator Site 6405 Christchurch New Zealand 8011
277 Investigator Site 6404 Dunedin New Zealand 9054
278 Investigator Site 6401 Hamilton New Zealand 3240
279 Investigator Site 6406 Wellington New Zealand 6021
280 Investigator Site 4825 Wroc³aw Dolnoslaskie Poland 53-114
281 Investigator Site 4804 Inowroclaw Kujawsko-pomorskie Poland 88-100
282 Investigator Site4819 Pulawy Podkarpackie Poland 24-100
283 Investigator Site 4828 Gdansk Pomorskie Poland 80-952
284 Investigator Site 4809 Bialystok Poland 15-276
285 Investigator Site 4813 Bialystok Poland 15-276
286 Investigator Site 4801 Bytom Poland 41-902
287 Investigator Site 4816 Stalowa Wola Poland 37-450
288 Investigator Site 4827 Szczecin Poland 70-111
289 Investigator Site 4812 Warszawa Poland 00-685
290 Investigator Site 4815 Warszawa Poland 01-809
291 Investigator Site 4806 Warszawa Poland 02-507
292 Investigator Site 4823 Warszawa Poland 04-628
293 Investigator Site 4824 Wroclaw Poland 50-367
294 Investigator Site 7026 Barnaui Russian Federation 656099
295 Investigator Site 7021 Chelyabinsk Russian Federation
296 Investigator Site 7001 Ekaterinburg Russian Federation 620109
297 Investigator Site 7023 Irkutsk Russian Federation 664079
298 Investigator Site 7020 Kazan Russian Federation 420101
299 Investigator Site 7002 Kemerovo Russian Federation 650002
300 Investigator Site 7017 Krasnoyarsk Russian Federation
301 Investigator Site 7024 Kursk Russian Federation 305035
302 Investigator Site 7007 Leningrad Russian Federation
303 Investigator Site 7003 Moscow Russian Federation 111539
304 Investigator Site 7015 Moscow Russian Federation 119620
305 Investigator Site 7019 Moscow Russian Federation 121552
306 Investigator Site 7018 Murmansk Russian Federation 183047
307 Investigator Site 7004 Novosibirsk Russian Federation 630008
308 Investigator Site 7027 Novosibirsk Russian Federation
309 Investigator Site 7022 Orenburg Russian Federation 460040
310 Investigator Site 7016 Rostov-on-Don Russian Federation 344068
311 Investigator Site 7005 Samara Russian Federation 443070
312 Investigator Site 7006 Saratov Russian Federation 410054
313 Investigator Site 7028 Saratov Russian Federation
314 Investigator Site 7008 St. Petersburg Russian Federation 198205
315 Investigator Site 7010 St. Petersburg Russian Federation
316 Investigator Site 7013 St. Petersburg Russian Federation
317 Investigator Site 7025 St. Petersburg Russian Federation
318 Investigator Site 7009 St.Petersburg Russian Federation 191015
319 Investigator Site 7011 Tomsk Russian Federation 634012
320 Investigator Site 7012 Tyumen Russian Federation 625026
321 Investigator Site 3404 Oviedo Asturias Spain 33006
322 Investigator Site 3432 Badalona Barcelona Spain 08916
323 Investigator Site 3420 Coslada Madrid Spain 28820
324 Investigator Site 3419 Fuenlabrada Madrid Spain 28942
325 Investigator Site 3413 Majadahonda Madrid Spain 28222
326 Investigator Site 3411 Lorca Murcia Spain 30800
327 Investigator Site 3416 Pamplona Navarra Spain 31008
328 Investigator Site 3408 Vigo Pontevedra Spain 36211
329 Investigator Site 3410 Vigo Pontevedra Spain 36214
330 Investigator Site 3425 Galdakao Vizcaya Spain 48960
331 Investigator Site 3435 Albacete Spain 02006
332 Investigator Site 3428 Barcelona Spain 08025
333 Investigator Site 3418 Barcelona Spain 08906
334 Investigator Site 3406 Girona Spain 17007
335 Investigator Site 3407 Huelva Spain 21005
336 Investigator Site 3430 Leganes Spain 28911
337 Investigator Site 3402 Lleida Spain 25198
338 Investigator Site 3409 Madrid Spain 28007
339 Investigator Site 3423 Madrid Spain 28040
340 Investigator Site 3401 Madrid Spain 28046
341 Investigator Site 3415 Malaga Spain 29010
342 Investigator Site 3421 Malaga Spain 29010
343 Investigator Site 3431 Pontevedra Spain 36071
344 Investigator Site 3424 Reus Spain 43206
345 Investigator Site 3414 Santa Cruz de Tenerife Spain 38010
346 Investigator Site 3434 Sevilla Spain 41009
347 Investigator Site 3422 Utrera Spain 41710
348 Investigator Site 3403 Valencia Spain 46014
349 Investigator Site 3809 Dnipropetrovsk Ukraine 49006
350 Investigator Site 3807 Ivano-Frankivsk Ukraine 76014
351 Investigator Site 3806 Kharkiv Ukraine 61002
352 Investigator Site 3802 Kharkiv Ukraine 61018
353 Investigator Site 3803 Kharkiv Ukraine 61039
354 Investigator Site Kharkiv Ukraine 61039
355 Investigator Site 3810 Kharkiv Ukraine
356 Investigator Site 3801 Kiev Ukraine 02175
357 Investigator Site 3805 Kiev Ukraine
358 Investigator Site 3808 Kiev Ukraine
359 Investigator Site 3811 Lviv Ukraine
360 Investigator Site 3813 Odessa Ukraine 65014
361 Investigator Site 3815 Odessa Ukraine
362 Investigator Site 3814 Poltava Ukraine 36039

Sponsors and Collaborators

  • Anthera Pharmaceuticals

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Anthera Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01130246
Other Study ID Numbers:
  • AN-CVD2233
First Posted:
May 25, 2010
Last Update Posted:
Oct 31, 2012
Last Verified:
Oct 1, 2012
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 31, 2012