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Coronary Artery DiseasePhase 2NCT02601560

To Evaluate Safety, Pharmacokinetics and Pharmacodynamics of MEDI6012 in Subjects With Stable Coronary Artery Disease

A Phase 2 study testing MEDI6012 in people with Coronary Artery Disease, run by MedImmune LLC at 8 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 2a randomized, double-blind (subject/investigator blinded, MedImmune unblinded), placebo-controlled, dose-escalation study to evaluate the safety, PK/PD, and immunogenicity of single IV and SC MEDI6012 doses in adult subjects with stable CAD. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Coronary Artery Disease
What is being tested?
MEDI6012
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
8 sitesUnited States
Study dates
3 Dec 2015to 3 Nov 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women 40 - 75 years old
  • History of Stable CAD
  • Currently receiving statin as standard of care

Who cannot join

  • Severe angina pectoris symptoms
  • High-risk coronary or carotid artery disease that will likely require surgical or percutaneous intervention during the study period
  • Hospitalization for heart failure within 12 months prior to screening
  • Uncontrolled Hypertension
  • Within 6 months prior to screening, a history of ACS or hospitalization for heart failure
  • Clinically significant abnormalities in rhythm, conduction or morphology of ECG
Show all 10Show fewer
  • Subjects with transplanted heart, left ventricular assist device, implanted pacemaker, implantable cardioverter defibrillator, or cardiac resynchronization therapy
  • Untreated life-threatening ventricular arrhythmias
  • History, within 12 months prior to screening, of myocarditis or restrictive pericarditis, or hemodynamically significant valvular hear disease or aortic disease
  • Undergone major surgery with in 3 months prior to screening or has planned major surgery during the study period

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Research Site

    Anniston, Alabama, 36207

  • Research Site

    Cincinnati, Ohio, 45227

  • Research Site

    Durham, North Carolina, 27710

  • Research Site

    Falls Church, Virginia, 22042

  • Research Site

    Jacksonville, Florida, 32216

  • Research Site

    Port Orange, Florida, 32127

  • Research Site

    Raleigh, North Carolina, 27612

  • Research Site

    San Antonio, Texas, 78229

Other trials in United States

About this study

Official title: A Phase 2a Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Single- Ascending Doses of MEDI6012 in Subjects With Stable Coronary Artery Disease

This is a Phase 2a randomized, double-blind (subject/investigator blinded, MedImmune unblinded), placebo-controlled, dose-escalation study to evaluate the safety, PK/PD, and immunogenicity of single IV and SC MEDI6012 doses in adult subjects with stable CAD.

Being tested
MEDI6012, Placebo SC, Placebo IV
Keywords
Coronary Artery Disease, CAD
Medical subject headings
Coronary Artery Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI6012Biological

    Participants received a single IV (24, 80, 240, and 800 mg) and SC (80 and 600 mg) MEDI6012 doses on Day 1.

  • Placebo SCBiological

    Participants received a single SC dose of placebo matched to MEDI6012 on Day 1 of the study.

  • Placebo IVBiological

    Participants received a single IV dose of placebo matched to MEDI6012 on Day 1 of the study.

Study groups in NCT02601560
Study groupRoleWhat they receive
MEDI6012 24 mg IVExperimentalParticipants received a single IV dose of 24 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
MEDI6012 80 mg IVExperimentalParticipants received a single IV dose of 80 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
MEDI6012 240 mg IVExperimentalParticipants received a single IV dose of 240 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
MEDI6012 800 mg IVExperimentalParticipants received a single IV dose of 800 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
MEDI6012 80 mg SCExperimentalParticipants received a single SC dose of 80 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
Placebo Intravenous (IV)Placebo comparatorParticipants received a single IV dose of placebo matched to MEDI6012 on Day 1 of the study.
Receives: Biological: Placebo IV
MEDI6012 600 mg SCExperimentalParticipants received a single SC dose of 600 mg MEDI6012 on Day 1.
Receives: Biological: MEDI6012
Placebo Subcutaneous (SC)Placebo comparatorParticipants received a single SC dose of placebo matched to MEDI6012 on Day 1 of the study.
Receives: Biological: Placebo SC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are the events between first dose of study drug and up to 57 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Baseline (Day 1) up to Day 57

  2. Number of Participants With TEAEs Related to Electrocardiogram (ECG) Evaluations

    TEAEs observed in participants with clinically significant ECG abnormalities were assessed. TEAEs are the events between first dose of study drug and up to 57 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Baseline (Day 1) up to Day 57

  3. Number of Participants With TEAEs Related to Vital Sign Parameters

    TEAEs observed in participants with clinically significant vital signs abnormalities were assessed. Vital signs parameters included blood pressure, respiration rate, pulse, pulse oximetry, and body temperature.

    Measured: Baseline (Day 1) up to Day 57

  4. Number of Participants With TEAEs Related to Clinical Laboratory Evaluations

    An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.

    Measured: Baseline (Day 1) up to Day 57

  5. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hours (Hrs) (AUC [0-96 Hrs]) for High-Density Lipoprotein-Cholesterol (HDL-C)

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of HDL-C.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion, 4 and 8 hrs post-dose Day 1 (IV cohorts only)

Secondary outcomes (19)
  1. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Total Cholesterol

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of total cholesterol.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  2. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Free Cholesterol

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of free cholesterol.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  3. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Cholesteryl Ester

    The AUC(0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of cholesteryl ester.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  4. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for High-Density Lipoprotein Cholesteryl Ester

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of high density lipoprotein cholesteryl ester.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  5. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Non-High Density Lipoprotein Cholesterol

    The AUC(0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of non-high density lipoprotein cholesterol.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  6. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for High-Density Lipoprotein Unesterified Cholesterol

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of high density lipoprotein unesterified cholesterol.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  7. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Non-High Density Lipoprotein Cholesteryl Ester

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of non-high density lipoprotein cholesteryl ester.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  8. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Non-High Density Lipoprotein Unesterified Cholesterol

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of non-high density lipoprotein unesterified cholesterol.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  9. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) for Low Density Lipoprotein-Cholesterol (Direct)

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of low density lipoprotein cholesterol (direct).

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  10. Baseline-adjusted Area Under the Curve From Time 0 to 96 Hrs (AUC [0-96 Hrs]) Post Dose for Apolipoprotein B

    The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of apolipoprotein B.

    Measured: Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion and 4 and 8 hrs post-dose Day 1 (IV cohorts only)

  11. Change From Baseline in Serum Concentration of Pre Beta 1-High Density Lipoprotein at Day 29

    The change from baseline in serum concentration of pre beta 1-high density lipoprotein was estimated.

    Measured: Baseline (Day 1) and Day 29

  12. Change From Baseline in Serum Concentration of Lecithin-Cholesterol Acyltransferase (LCAT) at Day 57

    The change from baseline in serum concentration of lecithin-cholesterol acyltransferase was estimated.

    Measured: Baseline (Day 1) and Day 57

  13. Maximum Observed Serum Concentration (Cmax) of MEDI6012

    The first occurrence of the maximum observed plasma concentration of MEDI6012 determined directly from the raw concentration time data.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  14. Time to Reach Concentration Maximum (Tmax) of MEDI6012

    The time at which Cmax of MEDI6012 was observed determined directly from raw concentration time data.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  15. Area Under the Concentration Time Curve From 0 to 168 Hrs (AUC [0-168]) of MEDI6012

    The area under the concentration-time curve from 0 to 168 hrs of MEDI6012.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  16. Area Under the Concentration Time Curve From Time Zero to Last Quantifiable Concentration (AUC [0-last]) of MEDI6012

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUC [0-last]) of MEDI6012.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  17. Area Under the Concentration Time Curve to Infinite Time (AUC [0-inf]) of MEDI6012

    The area under the concentration-time curve to infinite time of MEDI6012.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  18. Elimination Half Life (t1/2) of MEDI6012

    The t1/2 is the time measured for the plasma concentration to decrease by one half.

    Measured: Pre-dose and within 5 minutes; 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120 and 168 hrs post-dose Day 1 for IV and SC dose, Day 15 and Day 29; additional 30 min after start of 1-hour infusion (IV cohorts only)

  19. Number of Participants With Positive Anti-Drug Antibodies for MEDI6012

    Participants were tested for immunogenicity to MEDI6012. The neutralization assay measures the capacity of participant's plasma (antibodies) to inhibit the binding of MEDI6012 to its target.

    Measured: Day 1 (pre-dose), 15, 29 and 57

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Nov 2015 (estimated)
  2. Study start3 Dec 2015
  3. Primary completion20 Aug 2016
  4. Study completion3 Nov 2016

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02601560
Sponsor's protocol ID
D5780C00002
Status last verified
Mar 2018
First submitted
9 Nov 2015
Last updated
19 Mar 2018
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • George RT, Abuhatzira L, Stoughton SM, Karathanasis SK, She D, Jin C, Buss NAPS, Bakker-Arkema R, Ongstad EL, Koren M, Hirshberg B. MEDI6012: Recombinant Human Lecithin Cholesterol Acyltransferase, High-Density Lipoprotein, and Low-Density Lipoprotein Receptor-Mediated Reverse Cholesterol Transport. J Am Heart Assoc. 2021 Jul 6;10(13):e014572. doi: 10.1161/JAHA.119.014572. Epub 2021 Jun 14.

    PubMed 34121413

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI6012 in people with Coronary Artery Disease, run by MedImmune LLC at 8 sites in United States.

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 3 inclusion and 10 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: finished, as of the sponsor's last update on 19 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Mar 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) (time frame: Baseline (Day 1) up to Day 57). The study lists 5 primary outcomes in all. 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 NCT02601560, 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 19 Mar 2018.

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