Study of ARC1779 in patients with acute myocardial infarction undergoing percutaneous coronary intervention (PCI) (vITAL-1)

ISRCTN ISRCTN01837376
DOI https://doi.org/10.1186/ISRCTN01837376
ClinicalTrials.gov number NCT00507338
Secondary identifying numbers ARC1779-003
Submission date
10/01/2008
Registration date
28/02/2008
Last edited
08/08/2008
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Michael Gibson
Scientific

350 Longwood Avenue
Boston
02115
United States of America

Study information

Study designRandomized, double-blind (subject, caregiver, investigator, outcomes assessor), active control, parallel assignment, multi-center, safety/efficacy study.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleA phase 2 study of an aptameric von Willebrand Factor antagonist, ARC1779, in patients with acute myocardial infarction undergoing percutaneous coronary intervention
Study acronymvITAL-1
Study objectivesAdjunctive anti-thrombotic therapy for PCI of Acute Myocardial Infarction (AMI) may be improved by incorporation of a novel anti-platelet therapeutic principle, von Willebrand Factor antagonism. ARC1779 is a therapeutic oligonucleotide ("aptamer") which blocks the binding of the A1 domain of vWF to the platelet GP1b receptor, and thereby modulates platelet adhesion, activation, and aggregation under the high shear conditions of coronary arterial stenosis and plaque rupture. This study is intended to provide dose-ranging and clinical proof of concept for ARC1779 in a primary PCI population.
Ethics approval(s)Ethics Committee of the Medical University of Vienna and the General Hospital of the City of Vienna. Date of approval: 27 November 2007
Health condition(s) or problem(s) studiedAcute myocardial infarction
InterventionPlease note that as of 14/05/2008 this trial was terminated.

Procedure: Primary PCI
Study Drugs: Active control - Abciximab (ReoPro®) labeled regimen for primary PCI. Investigational agent - ARC1779 Injection 0.1 mg/kg, 0.3 mg/kg, or 1.0 mg
Duration: Bolus + 12 hr infusion
Frequency: 1 x treatment
Mode of Administration: Intravenous
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)aptameric von Willebrand Factor antagonist (ARC1779)
Primary outcome measureAdequacy of reperfusion (Time frame: 48 hours post-PCI)
Secondary outcome measuresBleeding (Time frame: PCI to hospital discharge)
Overall study start date01/10/2007
Completion date31/10/2008
Reason abandoned (if study stopped)Trial terminated due to the mode of administration of drug being unfeasible for this proposed indication. Please keep reason for termination confidential.

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants300
Key inclusion criteria1. Troponin-positive Non-ST-segment Elevation Myocardial Infarction (NSTEMI), with diagnostic symptoms and/or electrocardiogram (ECG) abnormalities present within the preceding 24 hours, and a planned "early invasive" management strategy
2. ST-Segment Elevation Myocardial Infarction (STEMI), with planned primary PCI
Key exclusion criteria1. History of bleeding diathesis or evidence of active abnormal bleeding within the previous 30 days
2. Received treatment with fibrinolytic or GPIIb/IIIa antagonist drugs within the preceding 72 hours
3. Received anticoagulant therapy with a low molecular weight heparin within the preceding 8 hours
4. Severe hypertension (systolic blood pressure >200 mmHg or diastolic blood pressure >110 mmHg) not adequately controlled on antihypertensive therapy
5. Major surgery or trauma within the preceding 6 weeks
6. History of stroke within 30 days or any history of hemorrhagic stroke
7. End-Stage Renal Disease (ESRD) with dependency on renal dialysis
Date of first enrolment01/10/2007
Date of final enrolment31/10/2008

Locations

Countries of recruitment

  • Austria
  • Canada
  • Germany
  • Israel
  • Poland
  • Russian Federation
  • United States of America

Study participating centre

350 Longwood Avenue
Boston
02115
United States of America

Sponsor information

Archemix Corp (USA)
Industry

300 3rd Street
Cambridge
02142
United States of America

Phone +1 617 621 7700
Email jgilbert@archemix.com
ROR logo "ROR" https://ror.org/00v8tzb98

Funders

Funder type

Industry

Archemix Corp (USA)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan