NCT00932100

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of the REG1 anticoagulation System in Acute Coronary Syndrome (ACS) patients undergoing cardiac catheterization.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
640

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jul 2009

Shorter than P25 for phase_2

Geographic Reach
4 countries

43 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 1, 2009

Completed
Same day until next milestone

Study Start

First participant enrolled

July 1, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 3, 2009

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2011

Completed
Last Updated

March 2, 2012

Status Verified

March 1, 2012

Enrollment Period

1.5 years

First QC Date

July 1, 2009

Last Update Submit

March 1, 2012

Conditions

Keywords

ACSAcute Coronary SyndromeCatheterization

Outcome Measures

Primary Outcomes (1)

  • The composite incidence of major and minor bleeding

    Through Day 30

Study Arms (5)

REG1-a

EXPERIMENTAL

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Drug: REG1

REG1-b

EXPERIMENTAL

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Drug: REG1

REG1-c

EXPERIMENTAL

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Drug: REG1

REG1-d

EXPERIMENTAL

Fixed dose of RB006 (anticoagulant) Variable blinded dose of RB007 (control agent)

Drug: REG1

Heparin

ACTIVE COMPARATOR

Heparin per standard of care at the local institution

Drug: Heparin

Interventions

REG1DRUG

IV form, bolus dose. May be redosed. Control agent given as single re-dose at completion of intervention

REG1-aREG1-bREG1-cREG1-d

IV dose per standard of care at the local institution

Also known as: unfractionated heparin, low molecular weight heparin
Heparin

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Chest pain or other ischemic symptoms a minimum of 10 minutes in duration within 72 hours before anticipated cardiac catheterization;
  • At least one of the following criteria are met:
  • New or presumably new ST-segment depression of at least 1 mm or transient (30 minutes) ST-segment elevation of at least 1 mm in 2 contiguous leads;
  • Elevated troponin I, T, or creatine phosphokinase-MB isoenzyme level within 24 hours of signing consent as defined by the universal MI definition
  • Documented coronary artery disease as evidenced on prior angiography, or by prior angioplasty, bypass graft surgery, or myocardial infarction

You may not qualify if:

  • Acute ST-segment elevation myocardial infarct
  • Anticipated inability to perform angiography within 24 hours of dosing
  • Evidence of clinical instability
  • Contraindications to anticoagulant use
  • Recent cardiac intervention
  • Clinically abnormal laboratory or test findings during screening
  • Subject is pregnant or lactating

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (43)

Heart Center Research LLC

Huntsville, Alabama, 35801, United States

Location

Mercy Heart & Vascular Institute

Sacramento, California, 95819, United States

Location

Sutter Medical Center - Sacramento

Sacramento, California, 95819, United States

Location

Scripps Mercy Hospital

San Diego, California, 92103, United States

Location

Heart & Vascular Institute of Florida

Clearwater, Florida, 33756, United States

Location

Jim Moran Heart & Vascular Research Institute

Fort Lauderdale, Florida, 33308, United States

Location

University of Florida-Medicine Cardiology Research

Gainsville, Florida, 32610-0277, United States

Location

University of Florida at Jacksonville

Jacksonville, Florida, 32209, United States

Location

Northeast Georgia Heart Center

Gainesville, Georgia, 30501, United States

Location

St. Luke's Idaho Cardiology Associates

Boise, Idaho, 83712, United States

Location

St. Luke's Idaho Cardiology Associates

Meridian, Idaho, 83642, United States

Location

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

The Care Group LLC

Indianapolis, Indiana, 46290, United States

Location

Cardiovascular Institute of the South - Houma

Houma, Louisiana, 70360, United States

Location

Sinai Hospital of Baltimore

Baltimore, Maryland, 21215, United States

Location

Henry Ford Health Systems

Detroit, Michigan, 48202, United States

Location

Buffalo Heart Group

Buffalo, New York, 14215, United States

Location

University of North Carolina - School of Medicine

Chapel Hill, North Carolina, 27599-7075, United States

Location

University of Cincinnati

Cincinnati, Ohio, 45267, United States

Location

University of Pennsylvania Health System

Philadelphia, Pennsylvania, 19104, United States

Location

Temple University

Philadelphia, Pennsylvania, 19140, United States

Location

Black Hills Clinical Research Center

Rapid City, South Dakota, 57701, United States

Location

North Cypress Medical Center

Cypress, Texas, 77429, United States

Location

Swedish Medical Center - Cardiovascular

Seattle, Washington, 98122, United States

Location

Heart Clinics Northwest

Spokane, Washington, 99204, United States

Location

Aurora Cardiovascular Services

Milwaukee, Wisconsin, 53215, United States

Location

Vancouver Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Hamilton Health Science

Hamilton, Ontario, L8L 2X2, Canada

Location

Montreal Heart Institute Research Center

Montreal, Quebec, H1T 1C8, Canada

Location

Nouvelles Cliniques Nantaises

Nantes, 44277, France

Location

Kerckhoff-Klinik GmbH

Bad Nauheim, 61231, Germany

Location

Kardiologische Praxis

Bad Soden, 65812, Germany

Location

MVZ am Kuechwald GmbH Ambulantes Herzzentrum

Chemnitz, 9113, Germany

Location

Klinikum Coburg GmbH 2. Med. Klinik Ebene 3 Studienbuero

Coburg, 96450, Germany

Location

Universitatsklinikum Freiburg Abt. Innere Medizin III

Freiburg im Breisgau, 79106, Germany

Location

Klinikum Fulda gAG Medizinische Klinik I

Fulda, 36043, Germany

Location

Universitaetsklinikum Halle/Saale Klinik für Innere Medizin III

Halle, 6097, Germany

Location

Universitätsklinikum Schleswig-Holstein Kiel

Kiel, 24105, Germany

Location

Klinikum der Stadt Ludwigshafen am Rhein gGmbH

Ludwigshafen, 67063, Germany

Location

Universitaetsklinik Magdeburg Klinik für Kardiologie Angiologie und Pneumologie

Magdeburg, 39120, Germany

Location

Carl-von-Basedow Klinikum

Merseburg, 6217, Germany

Location

Klinikum der Universitaet Muenchen Großhadern Medizinische Klinik und Poliklinik I der LMU

München, 81377, Germany

Location

Klinikum Quedlinburg GmbH Klinik fuer Innere Medizin und Kardiologie

Quedlinburg, 6484, Germany

Location

Related Publications (5)

  • TCT-176: Access and non-Access Site Bleeding in Acute Coronary Syndrome Patients Treated with a Novel Actively Reversible Factor IXa Inhibitor. Results from the RADAR Trial J Am Coll Cardiol 2011 58: B47

    RESULT
  • Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.

  • Povsic TJ, Vavalle JP, Alexander JH, Aberle LH, Zelenkofske SL, Becker RC, Buller CE, Cohen MG, Cornel JH, Kasprzak JD, Montalescot G, Fail PS, Sarembock IJ, Mehran R; RADAR Investigators. Use of the REG1 anticoagulation system in patients with acute coronary syndromes undergoing percutaneous coronary intervention: results from the phase II RADAR-PCI study. EuroIntervention. 2014 Aug;10(4):431-8. doi: 10.4244/EIJY14M06_01.

  • Povsic TJ, Cohen MG, Chan MY, Zelenkofske SL, Wargin WA, Harrington RA, Alexander JH, Rusconi CP, Becker RC. Dose selection for a direct and selective factor IXa inhibitor and its complementary reversal agent: translating pharmacokinetic and pharmacodynamic properties of the REG1 system to clinical trial design. J Thromb Thrombolysis. 2011 Jul;32(1):21-31. doi: 10.1007/s11239-011-0588-3.

  • Povsic TJ, Cohen MG, Mehran R, Buller CE, Bode C, Cornel JH, Kasprzak JD, Montalescot G, Joseph D, Wargin WA, Rusconi CP, Zelenkofske SL, Becker RC, Alexander JH. A randomized, partially blinded, multicenter, active-controlled, dose-ranging study assessing the safety, efficacy, and pharmacodynamics of the REG1 anticoagulation system in patients with acute coronary syndromes: design and rationale of the RADAR Phase IIb trial. Am Heart J. 2011 Feb;161(2):261-268.e1-2. doi: 10.1016/j.ahj.2010.10.022.

MeSH Terms

Conditions

Acute Coronary Syndrome

Interventions

HeparinHeparin, Low-Molecular-Weight

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

GlycosaminoglycansPolysaccharidesCarbohydrates

Study Officials

  • John H Alexander, MD MHS FACC

    Duke Clinical Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 1, 2009

First Posted

July 3, 2009

Study Start

July 1, 2009

Primary Completion

January 1, 2011

Study Completion

January 1, 2011

Last Updated

March 2, 2012

Record last verified: 2012-03

Locations