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Coronary Heart Disease (CHD)Phase 2GOLDILOXNCT04610892

Efficacy and Safety of MEDI6570 in Patients With a History of Myocardial Infarction

A Phase 2 study testing MEDI6570 in people with Coronary Heart Disease (CHD), run by AstraZeneca at 84 sites in 11 countries.

Completed

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

Official record
Search all trials

Trial summary

A Phase IIB Parallel group Study to Evaluate the Efficacy and Safety of MEDI6570 in Participants with a Prior Myocardial Infarction. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Coronary Heart Disease (CHD)
What is being tested?
MEDI6570
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
423 participants
Where
84 sitesin 11 countries
Study dates
4 Nov 2020to 8 Nov 2023
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must provide informed consent before any study specific activities are performed, must be able and willing to meet all requirements for randomization within 42 days after signing the full ICF, and must adhere to the schedules of activities.
  • Women must be ≥ 40 years of age at the time of signing the ICF. Men must be ≥ 21 years of age at the time of signing the ICF.
  • Participant must:
  • be 30 to 365 days after presumed type-1 (ie, due to plaque rupture or erosion) MI (either STEMI or NSTEMI) at the time of enrollment.
  • have persistent inflammation, defined as hs CRP ≥ 1 mg/L, as measured centrally at screening Visit 1.
  • Participant must have body mass index within the range 18 to 40 kg/m2 inclusive.
Show all 10Show fewer
  • For female participants, the participant must not be pregnant or lactating and must be of non-childbearing potential, confirmed at screening Visit 1 by one of the following:
  • Postmenopausal, defined as amenorrhea for ≥ 12 months following cessation of all exogenous hormonal treatments, and with luteinizing hormone and follicle stimulating hormone levels in the postmenopausal range.
  • Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy, or bilateral salpingectomy. Tubal ligation is not considered as irreversible surgical sterilization.
  • Participant must have an evaluable, pre-randomization CTA with quantifiable, non calcified plaque.

Who cannot join

  • History of any clinically important disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or influence the results or the participant's ability to participate in the study.
  • Percutaneous coronary intervention or diagnostic angiogram planned after screening. Eligible participants who have a diagnostic angiogram performed in the absence of undergoing a new PCI may continue screening after the diagnostic angiogram has been performed or may be rescreened.
  • History of or planned coronary artery bypass grafting.
  • Documented episode of post-MI pericarditis in the 3 months before enrollment.
  • Ongoing New York Heart Association Class IV HF.
  • Increased risk of bleeding
Show all 34Show fewer
  • Patients with history or presence of any bleeding disorder.
  • Signs of ongoing bleeding at screening (eg, identified macroscopic bleeding, low hemoglobin presumed to be caused by bleeding) or high risk for major bleeding in accordance with the Investigator's assessment.
  • Need for chronic therapeutic anticoagulation therapy anticipated to be required throughout the course of the study (short-term treatment with prophylactic doses of heparin/low molecular weight heparin are allowed).
  • Known severe liver disease.
  • History or presence of any of the following:
  • Ongoing infection or febrile illness that in the opinion of the investigator may be the cause of elevated hs-CRP on screening.
  • Ongoing atrial fibrillation or flutter.
  • Cancer within 5 years before randomization, with the exception of non melanoma skin cancer.
  • Alcohol or substance abuse within 6 months before randomization, as judged by the investigator.
  • Known history of hypersensitivity reactions to other biologics, to human IgG preparations, or to any component of MEDI6570, or ongoing severe allergy as judged by the investigator.
  • Patients with active positive results on screening for serum hepatitis B surface antigen, hepatitis C antibody, or HIV.
  • Any clinically important abnormalities in clinical chemistry, hematology, coagulation parameters, as judged by the investigator.
  • BP values at screening:
  • Systolic BP < 90 mmHg or > 180 mmHg.
  • Diastolic BP > 100 mmHg.
  • Participants who are excluded based on elevated BP may be rescreened following adequate treatment.
  • Participants with any of the following contraindications to CTA:
  • eGFR < 50 mL/min/1.73 m2 by the Chronic Kidney Disease Epidemiology Collaboration equation, or end stage renal disease treated with kidney transplant or renal replacement therapy.
  • Allergy to iodinated contrast.
  • History of contrast-induced nephropathy.
  • Contraindication to nitroglycerin.
  • Rapid heart rate that is uncontrolled by medical therapy.
  • Inability to hold breath for at least 6 seconds.
  • Receipt of any investigational device or therapy within 6 months or 5 half lives before screening (whichever is longer).
  • This criterion does NOT apply for inactive, non replicating COVID-19 vaccines approved by Health Authorities or under emergency use authorization.
  • Planned participation in an additional investigational study of an intervention or biologic before the end of the follow-up period. Participation in observational studies or studies without investigational drugs or devices is allowed.
  • Participants who are legally institutionalized.
  • An employee or close relative of an employee of the sponsor, the CRO, or the study site, regardless of the employee or close relative's role.

Trial locations and contacts

84 sites in 11 countries.

84 sites in 11 countries

United States19 sites
  • Research Site

    Beverly Hills, California, 90211

  • Research Site

    Buffalo, New York, 14221

  • Research Site

    Canton, Ohio, 44710

  • Research Site

    Columbia, Missouri, 65212

  • Research Site

    Covina, California, 91723

  • Research Site

    Decatur, Georgia, 30033

  • Research Site

    Madison, Wisconsin, 53792

  • Research Site

    Midland, Michigan, 48640

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    Muncie, Indiana, 47303

  • Research Site

    New Brunswick, New Jersey, 08901

  • Research Site

    Northridge, California, 91324

  • Research Site

    Northridge, California, 91325

  • Research Site

    Ponte Vedra, Florida, 32081

  • Research Site

    Rapid City, South Dakota, 57701

  • Research Site

    Richmond, Indiana, 47374

  • Research Site

    Torrance, California, 90502

  • Research Site

    West Des Moines, Iowa, 50266

  • Research Site

    Winchester, Virginia, 22601

Other trials in United States

Japan12 sites
  • Research Site

    Himeji-shi, 670-0981

  • Research Site

    Kasuga-shi, 816-0864

  • Research Site

    Kasugai-shi, 487-0016

  • Research Site

    Kitakyushu-shi, 802-8555

  • Research Site

    Kumamoto, 860-0008

  • Research Site

    Kyoto, 606-8507

  • Research Site

    Matsudo-Shi, 271-0077

  • Research Site

    Minamiku, 861-4193

  • Research Site

    Miyazaki, 880-0834

  • Research Site

    Morioka, 020-0066

  • Research Site

    Osaka, 558-8558

  • Research Site

    Sendai, 980-0873

Other trials in Japan

Netherlands9 sites
  • Research Site

    Alkmaar, 1814 HB

  • Research Site

    Deventer, 7416 SE

  • Research Site

    Heerlen, 6419 PC

  • Research Site

    Nijmegen, 6525 GA

  • Research Site

    Nijmegen, 6532 SZ

  • Research Site

    Tilburg, 5042AD

  • Research Site

    Utrecht, 3508 AB

  • Research Site

    Venlo, 5912 BL

  • Research Site

    Zwolle, 8025 AB

Other trials in Netherlands

Poland8 sites
  • Research Site

    Bialystok, 15-276

  • Research Site

    Bydgoszcz, 85-095

  • Research Site

    Katowice, 40-635

  • Research Site

    Krakow, 30-082

  • Research Site

    Krakow, 30-688

  • Research Site

    Krakow, 31-202

  • Research Site

    Opole, 45-401

  • Research Site

    Wroclaw, 50-556

Other trials in Poland

Spain8 sites
  • Research Site

    Barcelona, 08003

  • Research Site

    El Palmar, 30120

  • Research Site

    Hospitalet de Llobregat(Barcel, 08907

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28046

  • Research Site

    Pontevedra, 36312

  • Research Site

    Santiago de Compostela, 15706

  • Research Site

    Seville, 41009

Other trials in Spain

Czechia6 sites
  • Research Site

    Brno, 656 91

  • Research Site

    Hradec Králové, 500-05

  • Research Site

    Liberec, 46002

  • Research Site

    Pardubice, 532 03

  • Research Site

    Plzen - Bory, 305 99

  • Research Site

    Prague, 150 06

Other trials in Czechia

Australia5 sites
  • Research Site

    Adelaide, 5000

  • Research Site

    Bedford Park, 5042

  • Research Site

    Clayton, 3168

  • Research Site

    Murdoch, WA6150

  • Research Site

    Perth, WA 6000

Other trials in Australia

Hungary5 sites
  • Research Site

    Budapest, 1133

  • Research Site

    Budapest, 1134

  • Research Site

    Budapest, H-1122

  • Research Site

    Debrecen, 4032

  • Research Site

    Székesfehérvár, 8000

Other trials in Hungary

United Kingdom5 sites
  • Research Site

    Aylesbury, HP21 8AL

  • Research Site

    Exeter, EX2 5DW

  • Research Site

    Middlesbrough, TS4 3BW

  • Research Site

    Newcastle upon Tyne, NE7 7DN

  • Research Site

    Wythenshawe, M23 9LT

Other trials in United Kingdom

Italy4 sites
  • Research Site

    Cona, 44124

  • Research Site

    Milan, 20138

  • Research Site

    Parma, 43126

  • Research Site

    Rozzano, 20089

Other trials in Italy

Canada3 sites
  • Research Site

    Montreal, Quebec, H1T 1C8

  • Research Site

    Ottawa, Ontario, K1Y 4W7

  • Research Site

    Toronto, Ontario, M5G 2C4

Other trials in Canada

About this study

Official title: A Phase IIB, Randomized, Double Blinded, Placebo Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of MEDI6570 in Participants With a Prior Myocardial Infarction and Persistent Inflammation

A Phase IIB Parallel group Study to Evaluate the Efficacy and Safety of MEDI6570 in Participants with a Prior Myocardial Infarction.

Read the detailed description

This Phase IIB, proof-of-concept, dose-range finding clinical study is being conducted to evaluate the anti-inflammatory potential of MEDI6570 and its effect on surrogates for atherosclerotic and heart failure (HF) events in patients with a history of myocardial infarction (MI). The results of the Phase IIB study will inform future clinical development options and precision medicine strategy for future clinical studies.

Participants will be randomized in a 2:2:1:1 ratio after protocol Amend 2, 360 evaluable participants (111 evaluable participants in each of the 2 MEDI6570 groups, plus 27 evaluable participants in the legacy low dose MEDI6570 group, plus 111 participants in pooled placebo) will complete the study.

Being tested
MEDI6570, Placebo
Keywords
Coronary Heart Disease, Atherosclerosis
Medical subject headings
Coronary Disease, Atherosclerosis

What participants receive

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

  • MEDI6570Biological

    MEDI6570

  • PlaceboBiological

    Buffer

Study groups in NCT04610892
Study groupRoleWhat they receive
MEDI6570 Low doseExperimentalMonthly Subcutaneous administration.
Receives: Biological: MEDI6570
MEDI6570 Medium doseExperimentalMonthly Subcutaneous administration.
Receives: Biological: MEDI6570
MEDI6570 High doseExperimentalMonthly Subcutaneous administration.
Receives: Biological: MEDI6570
Placebo Low dosePlacebo comparatorMonthly Subcutaneous administration.
Receives: Biological: Placebo
Placebo Medium dosePlacebo comparatorMonthly Subcutaneous administration
Receives: Biological: Placebo
Placebo High dosePlacebo comparatorMonthly Subcutaneous administration
Receives: Biological: Placebo

What is being measured

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

  1. Change From Baseline to Day 253 in Non-calcified Plaque Volume in the Most Diseased Coronary Segment (NCPVMD), as Measured by Computed Tomography Angiography (CTA) Imaging

    To evaluate the effect of MEDI6570 on non-calcified coronary atherosclerotic plaques compared with placebo. The primary endpoint of change in NCPVMD from baseline to Day 253 was assessed based on the CTA Analysis Populations.

    Measured: From baseline to Day 253

Secondary outcomes (15)
  1. Change From Baseline to Day 253 in N Terminal Prohormone Brain Natriuretic Peptide (NT-proBNP)

    To evaluate the effect of MEDI6570 on a surrogate biomarker of Heart Failure (HF) compared with placebo

    Measured: From baseline to Day 253

  2. Change From Baseline to Day 253 in Left Ventricular Ejection Fraction (LVEF)

    To evaluate the effect of MEDI6570 on left ventricular systolic function compared with placebo

    Measured: From baseline to Day 253

  3. Left Ventricular Ejection Fraction (LVEF) Change From Baseline to Day 253 Among Subjects With Reduced Ejection Fraction (< 50%)

    To evaluate the effect of MEDI6570 on left ventricular systolic function among participants with reduced ejection fraction (defined as <50%) compared with placebo

    Measured: From baseline to Day 253

  4. Change From Baseline to Day 253 in Global Longitudinal Strain (GLS)

    To evaluate the effect of MEDI6570 on left ventricular systolic function compared with placebo

    Measured: From baseline to Day 253

  5. Global Longitudinal Strain (GLS) Change From Baseline to Day 253 Among Subjects With Reduced Ejection Fraction (< 50%)

    To evaluate the effect of MEDI6570 on left ventricular systolic function among participants with reduced ejection fraction (defined as <50%) compared with placebo

    Measured: From baseline to Day 253

  6. Change From Baseline to Day 253 in Global Non-calcified Plaque Volume (NCPV)

    To evaluate the effect of MEDI6570 on other measures of non-calcified coronary atherosclerotic plaque compared with placebo

    Measured: From baseline to Day 253

  7. Change From Baseline to Day 253 in Low Attenuation Plaque Volume (LAPV)

    To evaluate the effect of MEDI6570 on other measures of non-calcified coronary atherosclerotic plaque compared with placebo

    Measured: From baseline to Day 253

  8. Summary of ADA (Anti-drug Antibody) Responses During the Study

    To evaluate the immunogenicity of MEDI6570

    Measured: From baseline to Day 325/405. Day 325/405: for participants who completed the study under clinical study protocol (CSP) Amendment 1 & 2, the end of study visits were Day 405 and Day 325 respectively.

  9. Anti-drug Antibody Titre Summary by Visit

    To evaluate the immunogenicity of MEDI6570

    Measured: From Baseline to Day 325/405. Day 325/405: for participants who completed the study under CSP Amendment 1 & 2, the end of study visits were Day 405 and Day 325 respectively.

  10. Summary of Serum Concentrations (ug/mL) of MEDI6570

    MEDI6570 concentrations as measured in serum during the intervention and follow-up periods

    Measured: From baseline to Day 325/Day 405

  11. Number of Participants With Adverse Events in Any Category

    To assess the safety and tolerability of MEDI6570 compared with placebo

    Measured: During study follow-up (from day 1 to day 325)

  12. Number of Participants With Most Common Adverse Events (Frequency > 5%)

    To assess the safety and tolerability of MEDI6570 compared with placebo

    Measured: During study follow-up (from day 1 to day 325)

  13. Vital Signs (Change in Systolic and Diastolic Blood Pressure From Baseline) Over Time

    To assess the safety and tolerability of MEDI6570 compared with placebo

    Measured: From baseline to Day 325/405. Day 325/405: for participants who completed the study under CSP Amendment 1 & 2, the end of study visits were Day 405 and Day 325 respectively.

  14. Vital Signs (Change in Heart Rate From Baseline) Variables Over Time

    To assess the safety and tolerability of MEDI6570 compared with placebo

    Measured: From baseline to Day 325/405. Day 325/405: for participants who completed the study under CSP Amendment 1 & 2, the end of study visits were Day 405 and Day 325 respectively.

  15. Vital Signs (Change of Weight From Baseline to Day 325/405 )

    To assess the safety and tolerability of MEDI6570 compared with placebo

    Measured: From baseline to Day 325/405. Day 325/405: for participants who completed the study under CSP Amendment 1 & 2, the end of study visits were Day 405 and Day 325 respectively

Timeline

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

  1. First posted2 Nov 2020
  2. Study start4 Nov 2020
  3. Primary completion8 Nov 2023
  4. Study completion8 Nov 2023

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
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
423 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04610892
Sponsor's protocol ID
D4920C00002
Other IDs
2020-000840-75
Acronym
GOLDILOX
Status last verified
Jan 2025
First submitted
28 Jul 2020
Last updated
21 Feb 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI6570 in people with Coronary Heart Disease (CHD), run by AstraZeneca at 84 sites in 11 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 10 inclusion and 34 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 21 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 84 sites in United States, Japan, Netherlands, Poland, Spain and 6 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 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 21 Feb 2025). 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?

Change From Baseline to Day 253 in Non-calcified Plaque Volume in the Most Diseased Coronary Segment (NCPVMD), as Measured by Computed Tomography Angiography (CTA) Imaging (time frame: From baseline to Day 253). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Feb 2025.

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