Study of Oral PG-116800 Following a Heart Attack

Sponsor
Procter and Gamble (Industry)
Overall Status
Completed
CT.gov ID
NCT00067236
Collaborator
(none)
253
52
2
15
4.9
0.3

Study Details

Study Description

Brief Summary

The main purpose of the study is to test whether a possible new drug (called PG-116800) can prevent some of the damage to heart muscle in patients who have had a heart attack. The study will also supply information regarding possible uses of this compound in cardiovascular disease.

Condition or Disease Intervention/Treatment Phase
  • Drug: PG-116800 (given as PG-530742)
  • Drug: Placebo tablet
Phase 2

Detailed Description

Heart attacks cause damage to heart muscle that can weaken the heart and lead to changes in the shape and pumping ability of the heart. These changes can lead to heart failure. An enzyme called metalloproteinase (MMP) plays a role in this damage.

The main purpose of the study is to test whether a possible new drug (called PG-116800) that interferes with the MMP enzyme can prevent some of the damage to heart muscle in patients who have had a heart attack. The study will also supply information regarding possible uses of this compound in cardiovascular disease.

This is a Phase II "proof-of-concept" study; that is, it is a first attempt to treat sick people with the drug to see if it works.

The study is interventional since we will be using a drug to interfere with the heart tissue damage that follows a heart attack.

Study Design

Study Type:
Interventional
Actual Enrollment :
253 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-blind, Placebo-controlled Study of Oral PG-116800 Following a Heart Attack
Study Start Date :
Sep 1, 2003
Actual Primary Completion Date :
Dec 1, 2004
Actual Study Completion Date :
Dec 1, 2004

Arms and Interventions

Arm Intervention/Treatment
Experimental: PG-116800 tablet

PG-116800 tablet (200 mg) taken twice daily for 90 days

Drug: PG-116800 (given as PG-530742)
200 mg tablet of PG-116800 (given as PG-530742)twice a day for 90 days

Placebo Comparator: Placebo tablet

Placebo tablet taken twice daily for 90 days

Drug: Placebo tablet
placebo tablet, twice a day for 90 days

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Left Ventricular End Diastolic Volume Index (LVEDVi in mL/m2) at Day 90 Post Myocardial Infarction (MI) [90 days]

    Mean change of left ventricular end diastolic volume index (mL/m2) as evaluated via ventricular end-diastolic volume index augmentation 90 days post Myocardial Infarction (MI)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion:
  • Be at least 18 years of age but not older than 80 years of age at screening;

  • Be diagnosed with a heart attack based on electrocardiogram (ECG) and cardiac enzymes criteria;

  • The qualifying heart attack has to be a first heart attack;

  • The qualifying heart attack has to result in a left ventricular ejection fraction (a measure of the working efficiency of the heart) between 15% and 40%.

Exclusion:
  • Documented previous history of heart attack;

  • Any past history of heart failure;

  • Hemodynamic instability (no instability of circulatory system);

  • History of congenital heart disease and cardiomyopathy (weakened heart muscle) associated with connective tissue disorders;

  • Recent history or current moderate-to-severe kidney or liver impairment;

  • Significant blood dyscrasias (disorders of the blood cells);

  • Females who are currently: pregnant; breast-feeding; or are of childbearing potential.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Arkansas for Medical Sciences and Central Arkansas Veterans Health Care System Little Rock Arkansas United States 72205
2 Mercy Community Medical Center Merced California United States 95340
3 Porter Adventist Hospital Denver Colorado United States 80210
4 University of Connecticut Health Center Farmington Connecticut United States 06030-2202
5 JFK Medical Center Atlantis Florida United States 33462
6 Morton Plant Hospital Clearwater Florida United States 33756
7 Piedmont Hospital Atlanta Georgia United States 30309
8 Henry Ford Hospital Detroit Michigan United States 48202
9 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55407-1139
10 Barnes Jewish Hospital St. Louis Missouri United States 63110
11 Strong Memorial Hospital Rochester New York United States 14642
12 Presbyterian Hospital Charlotte North Carolina United States 28204
13 Moses Cone Hospital Greensboro North Carolina United States 27401
14 Oklahoma Heart Hospital Oklahoma City Oklahoma United States 73120
15 Westmoreland Regional Hospital Greensburg Pennsylvania United States 15601-2745
16 Hershey Medical Center Hershey Pennsylvania United States 17033-0850
17 Rhode Island Hospital Providence Rhode Island United States 02903
18 Medical University of South Carolina Charleston South Carolina United States 29403
19 Memorial Hospital Chattanooga Tennessee United States 37404-1127
20 Memorial Hermann Hospital Houston Texas United States 77030
21 West Virginia University Hospital Morgantown West Virginia United States 26506-9157
22 Foothills Hospital Calgary Alberta Canada T2N 4N1
23 Royal Alexandra Hospital Edmonton Alberta Canada T5G 3C8
24 University of Alberta Hospital Edmonton Alberta Canada T6G 2B7
25 Grey Nuns Hospital Edmonton Alberta Canada T6L 5X8
26 Alder Medical Centre Campbell River British Columbia Canada V9W 5Y4
27 Vancouver General Hospital Vancouver British Columbia Canada V5Z 4E3
28 Victoria Heart Institute Victoria British Columbia Canada V8R 4R2
29 St. John's HSC St. John's New Brunswick Canada A1B 3V6
30 Queen Elizabeth II HSC Halifax Nova Scotia Canada B3H 3H7
31 Southlake Regional HC Newmarket Ontario Canada L3Y 2R2
32 Scarborough Grace Hospital Scarborough Ontario Canada M1S 4V5
33 Toronto East General Toronto Ontario Canada M4C 3E7
34 St. Michael's Hospital Toronto Ontario Canada M5B 1W8
35 CHUS, Hopital Fleurimont Fleurimont Quebec Canada J1H 5N4
36 Montreal Heart Institute Montreal Quebec Canada H1T 1C8
37 McGill University Health Centre, Royal Victoria Hospital Montreal Quebec Canada H3A 1A1
38 Montreal General Hospital Montreal Quebec Canada H3G 1A4
39 Hopital Sacre-Coeur Montreal Quebec Canada H4J 1C5
40 Hopital Laval Ste-Foy Quebec Canada G1V 4G5
41 Klinika Kardiologii, Panstwowy Szpital Kliniczny Bialystok Poland
42 Katedra i Klinika Kardiologii i Chorob Wewnetznych, Akademia Medyczna w Bydgoszczy Bydgoszcz Poland
43 1 Katedra Kardiologii Slaskiej Akademii Medycznej Katowice Poland
44 Klinika Chorob Serca i Naczyn, Krakowski Szpital Specjalistyczny Krakow Poland
45 Oddzial Kardiologii, Wojewodzki Szpital Specjalistyczny Krakow Poland
46 Klinika Kardiologii IMW, Uniwersytet Medyczny w Lodzi Lodz Poland
47 I Klinika Kardilogii Akademii Medycznej w Poznaniu Poznan Poland
48 Oddzial Internistyczno-Kardiologiczny, Samodzieiny Publiczny Wojewodzki Szpital Zespolony Szczecin Poland
49 I Klinika Choroby Wiencowej, Instytut Kardiologii w Warszawie Warszawa Poland
50 Klinika Choroby Wiencowej, Instytut Kardiologi w Warszawie Warszawa Poland
51 Klinika Kardilogii Inwazyjnej, Centrainy Szpital MSWiA Warszawa Poland
52 Klinika Kardiologii, Szpital Grochowski Warszawa Poland

Sponsors and Collaborators

  • Procter and Gamble

Investigators

  • Study Director: Jose Brum, MD, Procter and Gamble

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Procter and Gamble
ClinicalTrials.gov Identifier:
NCT00067236
Other Study ID Numbers:
  • 2002135
First Posted:
Aug 14, 2003
Last Update Posted:
Nov 4, 2011
Last Verified:
Sep 1, 2011
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Placebo PG-116800 Tablet
Arm/Group Description Placebo tablet twice daily for 90 days PG-116800 tablet (200 mg) twice daily for 90 days
Period Title: Overall Study
STARTED 128 125
COMPLETED 108 99
NOT COMPLETED 20 26

Baseline Characteristics

Arm/Group Title Placebo PG-116800 Tablet Total
Arm/Group Description Placebo tablet twice daily for 90 days PG-116800 tablet (200 mg) twice daily for 90 days Total of all reporting groups
Overall Participants 128 125 253
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
59.9
(10.22)
59.7
(11.71)
59.8
(10.96)
Sex: Female, Male (Count of Participants)
Female
34
26.6%
32
25.6%
66
26.1%
Male
94
73.4%
93
74.4%
187
73.9%
Region of Enrollment (participants) [Number]
United States
19
14.8%
16
12.8%
35
13.8%
Canada
22
17.2%
23
18.4%
45
17.8%
Poland
87
68%
86
68.8%
173
68.4%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Left Ventricular End Diastolic Volume Index (LVEDVi in mL/m2) at Day 90 Post Myocardial Infarction (MI)
Description Mean change of left ventricular end diastolic volume index (mL/m2) as evaluated via ventricular end-diastolic volume index augmentation 90 days post Myocardial Infarction (MI)
Time Frame 90 days

Outcome Measure Data

Analysis Population Description
A patient was considered evaluable for the primary efficacy assessment if data were complete for at least the baseline and Day 90 visit (i.e., no data were imputed for the primary endpoint).
Arm/Group Title Placebo PG-116800 Tablet
Arm/Group Description Placebo tablet twice daily for 90 days PG-116800 tablet (200 mg) twice daily for 90 days
Measure Participants 108 99
Mean (Standard Error) [mL/m2]
5.48
(1.41)
5.09
(1.45)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PG-116800 Tablet
Comments Changes from baseline in efficacy parameters at Day 90.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4239
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 4
Confidence Interval (2-Sided) 95%
to
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Placebo PG-116800 Tablet
Arm/Group Description Placebo tablet twice daily for 90 days PG-116800 tablet (200 mg) twice daily for 90 days
All Cause Mortality
Placebo PG-116800 Tablet
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Placebo PG-116800 Tablet
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 67/128 (52.3%) 75/125 (60%)
Blood and lymphatic system disorders
Anaemia 1/128 (0.8%) 1 0/125 (0%) 0
Pancytopenia 1/128 (0.8%) 1 0/125 (0%) 0
Cardiac disorders
Atrioventricular block complete 0/128 (0%) 0 1/125 (0.8%) 1
Atrioventricular block second degree 0/128 (0%) 0 1/125 (0.8%) 1
Bundle branch block 1/128 (0.8%) 1 0/125 (0%) 0
Intracardiac thrombus 1/128 (0.8%) 1 0/125 (0%) 0
Coronary Artery disease 1/128 (0.8%) 1 0/125 (0%) 0
Cardiac failure NOS 7/128 (5.5%) 9 3/125 (2.4%) 5
Cardiac failure acute 1/128 (0.8%) 1 0/125 (0%) 0
Cardiac failure chronic 1/128 (0.8%) 1 0/125 (0%) 0
Cardiac failure congestive 2/128 (1.6%) 2 6/125 (4.8%) 8
Cardiogenic shock 1/128 (0.8%) 1 3/125 (2.4%) 3
Acute coronary sydrome 3/128 (2.3%) 3 3/125 (2.4%) 3
Acute myocardial infarction 1/128 (0.8%) 1 2/125 (1.6%) 2
Angina pectoris 2/128 (1.6%) 2 3/125 (2.4%) 3
Angina unstable 1/128 (0.8%) 1 2/125 (1.6%) 2
Myocardial infarction 0/128 (0%) 0 7/125 (5.6%) 7
Myocardial ischaemia 1/128 (0.8%) 1 0/125 (0%) 0
Mitral valve incompetence 0/128 (0%) 0 1/125 (0.8%) 1
Cardiac aneurysm 1/128 (0.8%) 1 0/125 (0%) 0
Dressler's syndrome 1/128 (0.8%) 1 0/125 (0%) 0
Bradycardia 1/128 (0.8%) 1 0/125 (0%) 0
Atrial fibrillation 0/128 (0%) 0 1/125 (0.8%) 1
Tricuspid valve incompetence 0/128 (0%) 0 1/125 (0.8%) 1
Ventricular fibrillation 0/128 (0%) 0 1/125 (0.8%) 1
Ventricular tachycardia 1/128 (0.8%) 1 0/125 (0%) 0
Cardiac arrest 0/128 (0%) 0 1/125 (0.8%) 1
Ear and labyrinth disorders
Vestibular neruontis 0/128 (0%) 0 1/125 (0.8%) 1
Gastrointestinal disorders
Gastritis 0/128 (0%) 0 1/125 (0.8%) 1
Diverticular perforation 1/128 (0.8%) 1 0/125 (0%) 0
General disorders
Asthenia 0/128 (0%) 0 1/125 (0.8%) 1
oedema peripheral 1/128 (0.8%) 1 1/125 (0.8%) 1
Chest pain 3/128 (2.3%) 3 2/125 (1.6%) 2
Discomfort 1/128 (0.8%) 1 0/125 (0%) 0
General disorders and administration site conditions 5/128 (3.9%) 5 4/125 (3.2%) 4
Hepatobiliary disorders
Hepatic failure 0/128 (0%) 0 1/125 (0.8%) 1
Infections and infestations
Bronchitis acute 2/128 (1.6%) 2 0/125 (0%) 0
Bronchopneumonia 2/128 (1.6%) 2 0/125 (0%) 0
Lower respiratory tract infection 0/128 (0%) 0 1/125 (0.8%) 1
Pneumonia 2/128 (1.6%) 2 4/125 (3.2%) 4
Injury, poisoning and procedural complications
Coronary artery restenosis 1/128 (0.8%) 1 0/125 (0%) 0
Investigations
Blood potassium increased 0/128 (0%) 0 1/125 (0.8%) 1
Blood creatinine increased 0/128 (0%) 0 1/125 (0.8%) 1
Metabolism and nutrition disorders
Diabetic ketoacidosis 1/128 (0.8%) 1 0/125 (0%) 0
Metabolism and nutrition disorders 1/128 (0.8%) 1 0/125 (0%) 0
Musculoskeletal and connective tissue disorders
Intervertebral discitis 0/128 (0%) 0 1/125 (0.8%) 1
Joint contracture 0/128 (0%) 0 2/125 (1.6%) 2
Arthralgia 2/128 (1.6%) 2 1/125 (0.8%) 1
Joint range of motion decreased 1/128 (0.8%) 1 1/125 (0.8%) 1
Fasciitis 0/128 (0%) 0 1/125 (0.8%) 1
Nodule on extremity 1/128 (0.8%) 1 0/125 (0%) 0
Tendonitis 0/128 (0%) 0 1/125 (0.8%) 1
Musculoskeletal chest pain 0/128 (0%) 0 1/125 (0.8%) 1
Tendon disorder 0/128 (0%) 0 2/125 (1.6%) 2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer 1/128 (0.8%) 1 0/125 (0%) 0
Nervous system disorders
Cerebrovascular accident 1/128 (0.8%) 1 0/125 (0%) 0
Syncope vasovagal 0/128 (0%) 0 1/125 (0.8%) 1
Transient ischaemic attack 1/128 (0.8%) 1 1/125 (0.8%) 1
Psychiatric disorders
confusional state 0/128 (0%) 0 1/125 (0.8%) 1
Renal and urinary disorders
Urinary retention 1/128 (0.8%) 1 0/125 (0%) 0
Renal insufficiency 1/128 (0.8%) 1 1/125 (0.8%) 1
Renal failure acute 1/128 (0.8%) 1 0/125 (0%) 0
Reproductive system and breast disorders
Prostatitis 1/128 (0.8%) 1 0/125 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive airways disease exacerbated 1/128 (0.8%) 1 0/125 (0%) 0
epistaxis 0/128 (0%) 0 1/125 (0.8%) 1
Pneumothorax 1/128 (0.8%) 1 0/125 (0%) 0
Pulmonary hypertension 1/128 (0.8%) 1 0/125 (0%) 0
Pulmonary oedemas 2/128 (1.6%) 2 0/125 (0%) 0
Pulmonary embolism 1/128 (0.8%) 1 1/125 (0.8%) 1
Acute respiratory failure 0/128 (0%) 0 1/125 (0.8%) 1
Skin and subcutaneous tissue disorders
Face oedema 0/128 (0%) 0 1/125 (0.8%) 2
Dermatitis medicamentosa 0/128 (0%) 0 1/125 (0.8%) 1
Vascular disorders
Vascular pesuoaneurysm 0/128 (0%) 0 1/125 (0.8%) 1
Hypotension 1/128 (0.8%) 1 1/125 (0.8%) 1
Other (Not Including Serious) Adverse Events
Placebo PG-116800 Tablet
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 124/128 (96.9%) 124/125 (99.2%)
Gastrointestinal disorders
Nausea 6/128 (4.7%) 7 3/125 (2.4%) 5
General disorders
Fatigue 9/128 (7%) 10 0/125 (0%) 0
Pyrexia 9/128 (7%) 10 2/125 (1.6%) 3
Musculoskeletal and connective tissue disorders
Arthralgia 10/128 (7.8%) 12 17/125 (13.6%) 29
Joint range of motion decreased 4/128 (3.1%) 6 6/125 (4.8%) 7
Joint stiffness 0/128 (0%) 0 7/125 (5.6%) 10
Back pain 4/128 (3.1%) 4 6/125 (4.8%) 7
Pain in extremity 10/128 (7.8%) 12 7/125 (5.6%) 10
Tendon disorder 3/128 (2.3%) 3 7/125 (5.6%) 7
Nervous system disorders
Headache 11/128 (8.6%) 11 7/125 (5.6%) 9
Dizziness 11/128 (8.6%) 11 3/125 (2.4%) 5
Anxiety 2/128 (1.6%) 2 8/125 (6.4%) 8
Insomnia 12/128 (9.4%) 13 9/125 (7.2%) 9
Respiratory, thoracic and mediastinal disorders
Dyspnea 8/128 (6.3%) 9 10/125 (8%) 10
Dyspnea exertional 2/128 (1.6%) 2 7/125 (5.6%) 7
Cough 8/128 (6.3%) 9 13/125 (10.4%) 13
Skin and subcutaneous tissue disorders
Rash 5/128 (3.9%) 5 7/125 (5.6%) 7
Vascular disorders
Hypertension 10/128 (7.8%) 14 5/125 (4%) 5

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Data, calculations, interpretations, opinions, and recommendations will be the property of P&GP. Manuscripts for publication will be drafted by the Expert Panel which will select appropriate journals in which to publish. P&GP, through its Expert Panel representation, will provide technical/editorial/review assistance. Other manuscript(s) will supported as appropriate. These materials must be submitted to P&GP and the Expert Panel for review prior to publication

Results Point of Contact

Name/Title Peter Thomas
Organization Procter & Gamble
Phone 513.622.4838
Email thomas.pr@pg.com
Responsible Party:
Procter and Gamble
ClinicalTrials.gov Identifier:
NCT00067236
Other Study ID Numbers:
  • 2002135
First Posted:
Aug 14, 2003
Last Update Posted:
Nov 4, 2011
Last Verified:
Sep 1, 2011