Acute Coronary SyndromePhase 3VISTA-16NCT01130246
VISTA-16 Trial: Evaluation of Safety and Efficacy of Short-term A-002 Treatment in Subjects With Acute Coronary Syndrome
A Phase 3 study testing A-002, varespladib methyl in people with Acute Coronary Syndrome, run by Anthera Pharmaceuticals at 362 sites in 17 countries.
Trial 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). Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Acute Coronary Syndrome
- What is being tested?
- A-002, varespladib methyl
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 5,189 participants
- Where
- 362 sitesin 17 countries
- Study dates
- May 2010to Mar 2012
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and women ≥40 years of age
- Written informed consent from the subject
- 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
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- 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
- 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
- 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
- Revascularization, if required or planned, must occur prior to randomization
Who cannot join
- Subjects enrolled in another experimental (interventional)protocol within the past 30 days prior to Screening.
- 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)
- 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)
- Active cholecystitis, gall bladder symptoms, or any hepatobiliary abnormalities
- The presence of severe renal impairment (creatinine clearance [CrCl] <30 mL/min or creatinine >3 x ULN),nephrotic syndrome, or subjects undergoing dialysis
- Uncontrolled diabetes mellitus (known hemoglobin A1c [HbA1c] >11% within the last 1 month prior to Screening)
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- 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).
- Subjects who have a history of alcohol or drug abuse within 1 year of study entry
- Subjects living too far from participating center or unable to return for follow-up visits
- 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
- Known human immunodeficiency virus (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), or tuberculosis infection
- Acute bacterial, fungal or viral infection
- Subjects currently taking drugs that are potent inhibitors of cytochrome P450 unless they can be withdrawn
- Subjects with New York Heart Association (NYHA) Class III or IV heart failure, or if known, left ventricular ejection fraction (LVEF) <30
- Subjects with moderate or severe aortic stenosis, aortic regurgitation, mitral stenosis or mitral regurgitation
- Ventricular arrhythmias requiring chronic drug treatment or implantable cardioverter-defibrillator (ICD)
- Subjects with no stenosis or stenosis <50% on angiography, if known
- Subjects with a pacemaker or persistent left bundle branch block (LBBB)
- Fasting triglyceride levels of ≥400 mg/dL (4.5 mmol/L)
- Subjects who have a history of statin intolerance or a significant myopathy or rhabdomyolysis with any lipid altering drugs
- 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
Trial locations and contacts
362 sites in 17 countries.
362 sites in 17 countries
United States83 sites
Investigator Site1110
Atlanta, Georgia, 30342
Investigator Site 1011
Augusta, Georgia, 30901
Investigator Site 1079
Aurora, Colorado, 80012
Investigator Site 1064
Birmingham, Alabama, 35205
Investigator Site 1063
Birmingham, Alabama, 35235
Investigator Site 1065
Birmingham, Alabama, 35243
Investigator Site 1024
Canton, Ohio, 44710
Investigator Site 1101
Charlotte, North Carolina, 28204
Investigator Site 1022
Clearwater, Florida, 33756
Investigator Site 1051
Clearwater, Florida, 33756
Investigator Site 1143
Cleveland, Ohio, 44106
Investigator 1141
Cleveland, Ohio, 44109
Investigator Site 1006
Colorado Springs, Colorado, 80909
Investigator Site 1044
Covington, Louisiana, 70433
Investigator Site 1115
Dallas, Texas, 75216
Investigator Site 1040
Dallas, Texas, 75226
Investigator Site 1107
Danville, Pennsylvania, 17822
Investigator Site 1050
Denver, Colorado, 80218
Investigator Site 1045
Denver, Colorado, 80220
Investigator Site 1029
Doylestown, Pennsylvania, 18901
Investigator Site 1034
Duluth, Minnesota, 55807
Investigator Site 1132
Escondido, California, 92025
Investigator Site 1108
Fargo, North Dakota, 58122
Investigator Site 1060
Flint, Michigan, 48532
Investigator Site 1061
Fort Collins, Colorado, 80528
Investigator Site 1112
Fort Lauderdale, Florida, 33316
Investigator Site 1100
Gastonia, North Carolina, 28054
Investigator Site 1056
Harrisonburg, Virginia, 22801
Investigator Site 1111
Hartford, Connecticut, 06102
Investigator Site 1037
Houston, Texas, 77030
Investigator Site 1130
Houston, Texas, 77030
Investigator Site 1020
Huntsville, Alabama, 35801
Investigator Site 1014
Jackson, Tennessee, 38305
Investigator Site 1057
Johnson City, New York, 13790
Investigator Site 1027
Kalispell, Montana, 59901
Investigator Site 1047
Knoxville, Tennessee, 37917
Investigator Site 1049
Lakeland, Florida, 33805
Investigator Site 1134
Lancaster, Pennsylvania, 17602
Investigator Site 1139
Layton, Utah, 84041
Investigator Site 1054
Littleton, Colorado, 80120
Investigator Site 1114
Macon, Georgia, 31201
Investigator Site 1131
Mansfield, Ohio, 44901
Investigator Site 1042
Marshfield, Wisconsin, 54449
Investigator Site 1124
Miami Beach, Florida, 33140
Investigator Site 1046
Minneapolis, Minnesota, 55407
Investigator Site 1033
Minneapolis, Minnesota, 55417
Investigator Site 1087
Mission Viejo, California, 92691
Investigator Site 1092
Missoula, Montana, 59802
Investigator Site 1133
Mobile, Alabama, 36608
Investigator Site 1086
Naperville, Illinois, 60540
Investigator Site 1069
New Orleans, Louisiana, 70112
Investigator Site 1066
New Orleans, Louisiana, 70115
Investigator Site 1028
Newark, Delaware, 19718
Investigator Site 1083
Norfolk, Virginia, 23507
Investigator Site 1136
Novi, Michigan, 48374
Investigator Site 1125
Oak Lawn, Illinois, 60453
Investigator Site 1004
Oklahoma City, Oklahoma, 73104
Investigator Site 1026
Oklahoma City, Oklahoma, 73112
Investigator Site 1032
Omaha, Nebraska, 68131
Investigator Site 1137
Petoskey, Michigan, 49770
Investigator Site 1122
Portland, Oregon, 97239
Investigator Site 1072
Providence, Rhode Island, 02906
Investigator Site 1121
Raleigh, North Carolina, 27609
Investigator Site 1088
Raleigh, North Carolina, 27610
Investigator Site 1038
Rapid City, South Dakota, 55701
Investigator Site 1043
Richmond, Virginia, 23249
Investigator Site 1031
Ridgewood, New Jersey, 07450
Investigator Site 1144
Shreveport, Louisiana, 71101
Investigator Site 1138
Sioux Falls, South Dakota, 57104
Investigator Site 1095
Tallahassee, Florida, 32308
Investigator Site 1058
Tampa, Florida, 33613
Investigator Site 1005
Torrance, California, 90502
Investigator Site 1048
Traverse City, Michigan, 49684
Investigator Site 1019
Tucson, Arizona, 85724
Investigator Site 1016
Tupelo, Mississippi, 38801
Investigator Site 1025
Tyler, Texas, 75501
Inevestigator Site 1074
Washington D.C., District of Columbia, 20010
Investigator Site 1030
Washington D.C., District of Columbia, 20037
Investigator Site 1117
Washington D.C., District of Columbia, 20422
Investigator Site 1140
Wheat Ridge, Colorado, 80033
Investigator Site 1123
Wilmington, North Carolina, 28401
Investigator Site 1075
Winston-Salem, North Carolina, 27103
Investigator Site 1018
York, Pennsylvania, 17405
Canada30 sites
Investigator Site 2069
Calgary, Alberta, T2N 2T9
Investigator Site 2065
Edmonton, Alberta, T6G 2B7
Investigator Site 2064
Edmonton, Alberta, T6L 5X8
Investigator Site 2048
Halifax, Nova Scotia, B3H 3A7
Investigator Site 2067
Hamilton, Ontario, L8L2X2
Investigator Site 2059
Kelowna, British Columbia, V1Y 1E4
Investigator Site 2075
Kitchener, Ontario, N2M 1B2
Investigator Site 2074
Laval, Quebec, H7M 3L9
Investigator Site 2020
Lévis, Quebec, G6V 4Z5
Investigator Site 2058
London, Ontario, N6A 5A5
Investigator Site 2009
Montreal, Quebec, H1T 2M4
Investigator Site 2052
Montreal, Quebec, H2W1T8
Investigator Site 2001
Montreal, Quebec, H3H2R9
Investigator Site 2068
New Westminster, British Columbia, v3L3W4
Investigator Site 2004
Newmarket, Ontario, L3Y 8C3
Investigator Site 2053
Québec, Quebec, G1R 2J6
Investigator Site 2007
Québec, Quebec, G1V4G5
Investigator Site 2073
Red Deer, Alberta, T4N 4E7
Investigator Site 2010
Saint John, NBE2L4L2
Investigator Site 2071
Saint-Jérôme, Quebec, J7Z5T3
Investigator Site 2008
Scarborough Village, Ontario, M1E4B9
Investigator Site 2070
St. John's, Newfoundland and Labrador, A1B 3V6
Investigator Site 2066
Surrey, British Columbia, V3V 1Z2
Investigator Site 2072
Sydney, Nova Scotia, B1P1P3
Investigator Site 2006
Terrebonne, Quebec, J6V2H2
Investigator Site 2030
Thunder Bay, Ontario, P7B7C7
Investigator Site 2011
Toronto, Ontario, J6V2H2
Investigator Site 2012
Toronto, Ontario, M5B1W8
Investigator Site 2057
Vancouver, British Columbia, V6Z1Y6
Investigator Site 2063
Victoria, British Columbia, V8R4R2
Spain28 sites
Investigator Site 3435
Albacete, 02006
Investigator Site 3432
Badalona, Barcelona, 08916
Investigator Site 3428
Barcelona, Barcelona, 08025
Investigator Site 3418
Barcelona, 08906
Investigator Site 3420
Coslada, Madrid, 28820
Investigator Site 3419
Fuenlabrada, Madrid, 28942
Investigator Site 3425
Galdakao, Vizcaya, 48960
Investigator Site 3406
Girona, 17007
Investigator Site 3407
Huelva, 21005
Investigator Site 3430
Leganés, 28911
Investigator Site 3402
Lleida, Lleida, 25198
Investigator Site 3411
Lorca, Murcia, 30800
Investigator Site 3409
Madrid, Madrid, 28007
Investigator Site 3423
Madrid, 28040
Investigator Site 3401
Madrid, 28046
Investigator Site 3413
Majadahonda, Madrid, 28222
Investigator Site 3415
Málaga, Malaga, 29010
Investigator Site 3421
Málaga, Malaga, 29010
Investigator Site 3404
Oviedo, Principality of Asturias, 33006
Investigator Site 3416
Pamplona, Navarre, 31008
Investigator Site 3431
Pontevedra, 36071
Investigator Site 3424
Reus, 43206
Investigator Site 3414
Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38010
Investigator Site 3434
Seville, 41009
Investigator Site 3422
Utrera, 41710
Investigator Site 3403
Valencia, Valencia, 46014
Investigator Site 3408
Vigo, Pontevedra, 36211
Investigator Site 3410
Vigo, Pontevedra, 36214
Russia27 sites
Investigator Site 7026
Barnaui, 656099
Investigator Site 7021
Chelyabinsk
Investigator Site 7023
Irkutsk, 664079
Investigator Site 7020
Kazan', 420101
Investigator Site 7002
Kemerovo, 650002
Investigator Site 7017
Krasnoyarsk
Investigator Site 7024
Kursk, 305035
Investigator Site 7003
Moscow, 111539
Investigator Site 7015
Moscow, 119620
Investigator Site 7019
Moscow, 121552
Investigator Site 7018
Murmansk, 183047
Investigator Site 7004
Novosibirsk, 630008
Investigator Site 7027
Novosibirsk
Investigator Site 7022
Orenburg, 460040
Investigator Site 7016
Rostov-on-Don, 344068
Investigator Site 7009
Saint Petersburg, 191015
Investigator Site 7008
Saint Petersburg, 198205
Investigator Site 7007
Saint Petersburg
Investigator Site 7010
Saint Petersburg
Investigator Site 7013
Saint Petersburg
Investigator Site 7025
Saint Petersburg
Investigator Site 7005
Samara, 443070
Investigator Site 7006
Saratov, 410054
Investigator Site 7028
Saratov
Investigator Site 7011
Tomsk, 634012
Investigator Site 7012
Tyumen, 625026
Investigator Site 7001
Yekaterinburg, 620109
Netherlands26 sites
Investigator Site 3120
Amstelveen, 1186 AM
Investigator Site 3128
Amsterdam, 1081 HV
Investigator Site 3117
Amsterdam, 1091 AC
Investigator Site 3125
Amsterdam
Investigator Site 3136
Breda, 4818
Investigator Site 3130
Delft, 2625 AD
Investigator Site 3108
Den Helder, 1782 GZ
Investigator Site 3105
Deventer, 7416 SE
Investigator Site 3102
Ede, 6716RP
Investigator Site 3129
Goes, RA, 4462
Investigator Site 3134
Heerlen, 6419 PC
Investigator Site 3109
Hoogeveen, 7909 AA
Investigator Site 3101
Leeuwarden
Investigator Site 3118
Leiden, 2333 ZA
Investigator Site 3126
Nieuwegein, CM, 3435
Investigator Site 3112
Purmerend, 1447 TC
Investigator Site 3107
Roosendaal, 4708 AE
Investigator Site 3104
Rotterdam, 3011 TD
Investigator Site 3106
Rotterdam, 3045 PM
Investigator Site 3123
Rotterdam, 3075 EA
Investigator Site 3131
Schiedam, 3118 JH
Investigator Site 3135
Sneek, 8601 ZK
Investigator Site 3103
Tilburg, 5022 CG
Investigator Site 3116
Utrecht, 3584 CX
Investigator Site 3124
Venlo, 5912 BL
Investigator Site 3113
Zaandam, 1502 DV
Australia22 sites
Investigator Site 6111
Adelaide, South Australia, 5000
Investigator Site 6124
Bedford Park, South Australia, 5042
Investigator Site 6118
Brisbane
Investigator Site 6113
Cairns, Queensland, 4870
Investigator Site 6106
Canberra, Australian Capital Territory
Investigator Site 6112
Douglas, Queensland, 4814
Investigator Site 6103
Elizabeth Vale, South Australia, 5112
Investigator Site 6129
Epping, Victoria, 3076
Investigator Site 6126
Geelong
Investigator Site 6114
Gosford, New South Wales, 2250
Investigator Site 6127
Heidelberg, Victoria, 3084
Investigator Site 6122
Hobart, Tasmania, 7000
Investigator Site 6120
Kingswood, New South Wales, 2747
Investigator Site 6101
Kogarah, NSW2217
Investigator Site 6105
Melbourne, 3004
Investigator Site 6123
Nambour, Queensland, 4560
Investigator Site 6110
Nedlands, 6009
Investigator Site 6121
New Lambton, NSW2305
Investigator Site 6125
Perth, Western Australia, 6000
Investigator Site 6130
Perth, Western Australia, 6000
Investigator Site 6108
So Australia
Investigator Site 6119
Southport, 4215QLD
Germany20 sites
Investigator Site 4932
Bad Friedrichshall, 74177
Investigator Site 4930
Bad Nauheim, 61231
Investigator Site 4928
Berlin, 12559
Investigator Site 4904
Bielefeld, 336 04
Investigator Site 4905
Bonn, 53105
Investigator Site 4923
Dortmund, 44137
Investigator Site 4912
Erfurt, 99089
Investigator Site 4907
Göttingen, 37075
Investigator Site 4922
Hamburg, 21075
Investigator Site 4929
Kassel, 34121
Investigator Site 4911
Kiel, 24105
Investigator Site 4901
Limburg, 65549
Investigator Site 4927
Lübeck, 23538
Investigator Site 4908
Magdeburg, 39120
Investigator Site 4902
Mainz, 55131
Investigator Site 4917
München
Investigator Site 4925
Nauen, 14641
Investigator Site 4915
Regensburg, 93053
Investigator Site 4906
Ulm, 89081
Investigator Site 4921
Warendorf, Am Krankenhaus, 48231
Czechia18 sites
Investigator Site 4210
Brno, 656 91
Investigator Site 4206
Hradec Králové, 500 05
Investigator Site 4208
Jihlava, 58633
Investigator Site 4212
Jihlavska, Brno, 62500
Investigator Site 4216
Liberec, Stare Mesto, 46063
Investigator Site 4214
Mladá Boleslav, 29350
Investigator Site 4218
Nymburk, 288 02
Investigator 4218
Nymburk, 425/9
Investigator Site 4207
Olomouc, 755 20
Investigator Site 4209
Ostrava, 70852
Investigator Site 4205
Pilsen, 30599
Investigator Site 4213
Prague, 10034
Investigator Site 4204
Prague, 12802
Investigator Site 4217
Prague, 150 06
Investigator Site 4220
Prague, 6
Investigator Site 4201
Ústí nad Labem, Labem, 40113
Investigator Site 4202
Ústí nad Labem, 401 13
Investigator Site 4203
Znojmo, 66902
India17 sites
Investigator Site 9104
Ahmedabad, Gujarat, 380 014
Investigator Site 9111
Ahmedabad, Gujarat, 380052
Investigator Site 9108
Ahmedabad, Gujarat, 380060
Investigator Site 9114
Bangalore, Karnataka, 560 0034
Investigator Site 9121
Bangalore, Karnataka, 560 052
Investigator Site 9110
Hyderabad, Andhra Pradesh, 500082
Investigator Site 9113
Indore, Madhya Pradesh, 452008
Investigator Site 9118
Kolkata, West Bengal, 7000020
Investigator Site 9107
Kolkata, West Bengal, 700027
Investigator Site 9103
Lucknow, Uttar Pradesh, 226003
Investigator Site 9101
Nagpur, Maharashtra, 440012
Investigator Site 9105
New Delhi, National Capital Territory of Delhi, 110076
Investigator Site 9109
Secunderabad, Andhra Pradesh, 500003
Investigator Site 9119
Secunderabad, Andhra Pradesh, 500003
Investigator Site 9117
Surat, Gujarat, 395007
Investigator Site 9115
Vadodara, Gujarat, 390 015
Investigator Site 9102
Vadodara, Gujarat, 390007
Hungary16 sites
Investigator Site 3625
Balatonfüred, 8203
Investigator Site 3602
Budapest, Gaal Jozsef
Investigator Site 3616
Budapest, Pest County, 1076
Investigator Site 3612
Budapest, Pest County, 1097
Investigator Site 3604
Budapest, 1096
Investigator Site 3622
Budapest, 1106
Investigator Site 3605
Debrecen, Hajdú-Bihar, 4012
Investigator Site 3619
Eger, 3300
Investigator Site 3624
Hódmezővásárhely, 6800
Investigator Site 3626
Pécs, Baranya, H-7624
Investigator Site 3614
Semmelweis, Kistarcsa, 2143
Investigator Site 3629
Sopron, 9400
Investigator Site 3606
Székesfehérvár, Fejér, 8000
Investigator Site 3607
Szolnok, Jász-Nagykun-Szolnok, 5000
Investigator Site 3623
Szombathely, 9700
Investigator Site 3603
Zalaegerszeg, Zala County, H-8900
South Korea15 sites
Investigator Site 8205
Busan, 602-715
Investigator Site 8206
Busan, 602-739
Investigator Site 8202
Cheongju-si, 361-711
Investigator Site 8214
Daegu, 700-712
Investigator Site 8213
Daejeon, 301-723
Investigator Site 8203
Gwangju, 501-757
Investigator Site 8204
Gyeonggi-do, 480-717
Investigator Site 8210
Kangwon-do, 220-701
Investigator Site 8209
Seoul, 130-702
Investigator Site 8215
Seoul, 130-709
Investigator Site 8212
Seoul, 135-710
Investigator Site 8207
Seoul, 135-720
Investigator Site 8201
Seoul, 152-703
Investigator Site 8208
Suwon, 442-723
Investigator Site 8211
Suwon, 443-721
Italy14 sites
Investigator Site 3921
Brescia, Via L Bissolati, 57
Investigator Site 3908
Cecina, 57023
Investigator Site 3912
Colleferro, 00034
Investigator Site 3910
Ferrara, 44121
Investigator Site 3916
Massa, 54100
Investigator Site 3906
Milan, 20138
Investigator Site 3901
Monza, 20052
Investigator Site 3907
Naples, 80131
Investigator Site 3920
Novara, 28100
Investigator Site 3918
Roma, 00135
Investigator Site 3902
Rome, 00168
Investigator Site 3909
Rome, 00189
Investigator Site 3903
Rozzano (MI), 20089
Investigator Site 3904
Siena, 53100
Poland14 sites
Investigator Site 4809
Bialystok, 15-276
Investigator Site 4813
Bialystok, 15-276
Investigator Site 4801
Bytom, 41-902
Investigator Site 4828
Gdansk, Pomeranian Voivodeship, 80-952
Investigator Site 4804
Inowrocław, Kuyavian-Pomeranian Voivodeship, 88-100
Investigator Site4819
Puławy, Podkarpackie Voivodeship, 24-100
Investigator Site 4816
Stalowa Wola, 37-450
Investigator Site 4827
Szczecin, 70-111
Investigator Site 4812
Warsaw, 00-685
Investigator Site 4815
Warsaw, 01-809
Investigator Site 4806
Warsaw, 02-507
Investigator Site 4823
Warsaw, 04-628
Investigator Site 4825
Wroc³aw, Lower Silesian Voivodeship, 53-114
Investigator Site 4824
Wroclaw, 50-367
Ukraine14 sites
Investigator Site 3809
Dnipropetrovsk, 49006
Investigator Site 3807
Ivano-Frankivsk, 76014
Investigator Site 3806
Kharkiv, 61002
Investigator Site 3802
Kharkiv, 61018
Investigator Site 3803
Kharkiv, 61039
Investigator Site
Kharkiv, 61039
Investigator Site 3810
Kharkiv
Investigator Site 3801
Kiev, 02175
Investigator Site 3805
Kiev
Investigator Site 3808
Kiev
Investigator Site 3811
Lviv
Investigator Site 3813
Odesa, 65014
Investigator Site 3815
Odesa
Investigator Site 3814
Poltava, 36039
Georgia10 sites
Investigator Site 9502
Tbilisi, 0102
Investigator Site 9508
Tbilisi, 0102
Investigator Site 9504
Tbilisi, 0141
Investigator Site 9509
Tbilisi, 0144
Investigator Site 9510
Tbilisi, 0144
Investigator Site 9501
Tbilisi, 0159
Investigator Site 9505
Tbilisi, 0159
Investigator Site 9506
Tbilisi, 0164
Investigator Site 9503
Tbilisi, 0179
Investigator Site 9507
Tbilisi, 0186
New Zealand5 sites
Investigator Site 6405
Christchurch, 8011
Investigator Site 6404
Dunedin, 9054
Investigator Site 6401
Hamilton, 3240
Investigator Site 6402
Takapuna, Auckland, 0622
Investigator Site 6406
Wellington, 6021
Lebanon3 sites
Investigator Site 9601
Beirut, BEI
Investigator Site 9603
Beirut
Investigator Site 9603
Bir Hassan, Jnah
About this study
Official title: VISTA-16 Trial: Evaluation of the Safety and Efficacy of Short-Term A-002 Treatment in Subjects With Acute Coronary Syndromes
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).
Read the 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.
- Conditions
- Acute Coronary Syndrome
- Being tested
- A-002, varespladib methyl, Placebo
- Medical subject headings
- Acute Coronary Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
A-002, varespladib methylDrug
A-002 administered once daily in addition to atorvastatin and standard of care
PlaceboDrug
Placebo administered once daily in addition to atorvastatin and standard of care
| Study group | Role | What they receive |
|---|---|---|
| A-002 500 mg | Experimental | Once daily oral administration Receives: Drug: A-002, varespladib methyl |
| Matched Placebo | Placebo comparator | Once daily oral administration Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Objective of the Study
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.
Measured: 16 weeks
Secondary outcomes (1)
Secondary Objective of the Study
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.
Measured: 2, 4, 8, 16 weeks and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 May 2010 (estimated)
- Study startMay 2010
- Primary completionMar 2012
- Study completionMar 2012
Why it stopped: Lack of efficacy
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Acute Coronary SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 5,189 participants (actual)
Sponsor and investigators
- Lead sponsor
- Anthera Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01130246
- Sponsor's protocol ID
- AN-CVD2233
- Acronym
- VISTA-16
- Status last verified
- Oct 2012
- First submitted
- 19 Apr 2010
- Last updated
- 31 Oct 2012
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Nicholls SJ, Kastelein JJ, Schwartz GG, Bash D, Rosenson RS, Cavender MA, Brennan DM, Koenig W, Jukema JW, Nambi V, Wright RS, Menon V, Lincoff AM, Nissen SE; VISTA-16 Investigators. Varespladib and cardiovascular events in patients with an acute coronary syndrome: the VISTA-16 randomized clinical trial. JAMA. 2014 Jan 15;311(3):252-62. doi: 10.1001/jama.2013.282836.
PubMed 24247616
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- VISTA-16 Trial: Evaluation of the Safety and Efficacy of Short-Term A-002 Treatment in Subjects With Acute Coronary Syndromes
- ClinicalTrials.gov ID
- NCT01130246
- Acronym / sponsor ID
- VISTA-16 / AN-CVD2233
- Conditions
- Acute Coronary Syndrome
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Lack of efficacy
- Enrolment
- 5,189 participants (actual)
- Lead sponsor
- Anthera PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- May 2010
- Primary completion
- Mar 2012 (actual)
- Study completion
- Mar 2012 (actual)
- First posted
- 25 May 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
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
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A-002 500 mg | Experimental | Drug: A-002, varespladib methylOnce daily oral administration |
| Matched Placebo | Placebo comparator | Drug: PlaceboOnce daily oral administration |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (30 listed)
- Men and women ≥40 years of age
- Written informed consent from the subject
- A diagnosis of unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-segment elevation myocardial infarction (STEMI)
- All subjects must have the presence of at least one of the following risk factors:
- 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
Key exclusion criteria (21 listed)
- Subjects enrolled in another experimental (interventional)protocol within the past 30 days prior to Screening.
- 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)
- 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)
- Active cholecystitis, gall bladder symptoms, or any hepatobiliary abnormalities
- The presence of severe renal impairment (creatinine clearance [CrCl] <30 mL/min or creatinine >3 x ULN),nephrotic syndrome, or subjects undergoing dialysis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| A-002, varespladib methylA-002 administered once daily in addition to atorvastatin and standard of care | Drug | A-002 500 mg |
| PlaceboPlacebo administered once daily in addition to atorvastatin and standard of care | Drug | Matched Placebo |
Primary outcome
Primary Objective of the Study
Time frame: 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.
1 secondary outcome
Secondary Objective of the Study
Time frame: 2, 4, 8, 16 weeks and 6 months
Results and safety
The study was stopped early (reason given: Lack of efficacy). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2012.
- Derived from this study: PubMed 24247616Nicholls SJ, Kastelein JJ, Schwartz GG, Bash D, Rosenson RS, Cavender MA, Brennan DM, Koenig W, Jukema JW, Nambi V, Wright RS, Menon V, Lincoff AM, Nissen SE; VISTA-16 Investigators. Varespladib and cardiovascular events in patients with an acute coronary syndrome: the VISTA-16 randomized clinical trial. JAMA. 2014 Jan 15;311(3):252-62. doi: 10.1001/jama.2013.282836.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
362 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing A-002, varespladib methyl in people with Acute Coronary Syndrome, run by Anthera Pharmaceuticals at 362 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 30 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 31 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 362 sites in United States, Canada, Spain, Russia, Netherlands and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Lack of efficacy). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary Objective of the Study (time frame: 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01130246, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Oct 2012.