Study to Evaluate the Safety and Activity of BB3 to Treat Heart Attack
A Phase 2 Pilot Study to Evaluate the Safety and Activity of BB3 as an Adjunct to Percutaneous Coronary Intervention (PCI) in Subjects Presenting With Acute ST Segment Elevation Myocardial Infarction (STEMI)
2 other identifiers
interventional
5
1 country
2
Brief Summary
The study will evaluate the effect of BB3 to preserve myocardial (heart) tissue and function following myocardial infarction (heart attack).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jul 2012
Shorter than P25 for phase_2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 22, 2012
CompletedFirst Posted
Study publicly available on registry
February 27, 2012
CompletedStudy Start
First participant enrolled
July 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedResults Posted
Study results publicly available
November 4, 2014
CompletedNovember 21, 2014
November 1, 2014
1 year
February 22, 2012
October 29, 2014
November 7, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Evaluation of Reduction in Infarct Size
Evaluation of reduction in infarct size by MRI between the BB3 and placebo treatment groups at 6 months based on index of myocardial salvage
6 month
Evaluation of the Degree of Late Ventricular Remodeling
Evaluation of the degree of late ventricular remodeling between the BB3 and placebo treatment groups at 6 months, as measured by increase in LV end-diastolic volume index (LVEDVI) from initial MR image (day 5±1) to late MR image (6 months).
6 months
Secondary Outcomes (18)
Change in CK-MB and Troponin
6 months
Change in BNP Levels
6 months
Change in Symptoms and Clinical Signs of CHF
6 months
Change in LVEDVI, LVESVI and LV Ejection Fraction (EF) After MI Assessed by Cine MR (SSFP Imaging)
6 months
LVEDVI, LVESVI and LVEF After MI Assessed by 2D and 3D Echocardiography
6 months
- +13 more secondary outcomes
Study Arms (2)
BB3
EXPERIMENTALDaily intravenous administration of 2 mg/kg BB3 for four (4) days
Normal Saline
PLACEBO COMPARATORDaily intravenous administration for four (4) days
Interventions
Daily intravenous administration for four (4) days. The volume of normal saline will vary by estimated weight.
Eligibility Criteria
You may qualify if:
- The subject or legally authorized representative has been informed of the nature of the study, agrees to its provisions, and has been provided and signed written informed consent, approved by the Institutional Review Board (IRB), prior to performance of any study related procedure including screening procedure.
- Subject is male or female
- Subject is 21 to 80 years of age
- Estimated body weight \< 120 kg and BMI \< 40
- Subject is experiencing clinical symptoms consistent with acute myocardial infarction (AMI) (e.g., chest pain, arm pain, etc.,) \>30 minutes duration and unresponsive to nitroglycerin; with ST segment elevation of more than 1 mm in at least two contiguous leads of ECG or new or presumed new onset bundle branch block (BBB)
- Fulfills clinical center's criteria for primary PCI
- PCI will be done within 12 hours of onset of STEMI.
- The subject and his/her physician are willing to comply with the requirements of the study and the specified follow-up evaluations.
- If female, either surgically sterile or post-menopausal or using acceptable contraception and agree to use effective birth control regimen during the study period. Men must agree to use condoms during the study period. Women of child bearing potential must have a negative urine or serum pregnancy test.
- In the opinion of the Investigator, the subject is capable of understanding and complying with the protocol.
You may not qualify if:
- Pregnant or nursing subjects and those who plan pregnancy in the period up to 6 months following index procedure.
- Cardiogenic shock (Killip class 4) or cardiac arrest
- History of prior myocardial infarction or pre-existing Q waves on ECG
- An elective surgical procedure is planned that would necessitate interruption of anti-platelet agents during the first six months post enrollment;
- Cardiac pacemaker or implantable defibrillator;
- Non-MRI-compatible aneurysm clip;
- Neural stimulator (e.g., TENS-Unit);
- Any implanted or magnetically activated device (e.g., insulin pump);
- Any type of non-MRI-compatible metallic ear implant;
- Metal shavings in the orbits;
- Any metallic foreign body, shrapnel, or bullet in a location which the physician feels would present a risk to the subject;
- Any history indicating contraindication to MRI, including claustrophobia or allergy to gadolinium;
- Inability to follow breathhold instructions or to maintain a breathhold for \>15 seconds;
- Irregular cardiac rhythm not expected to resolve after treatment of the acute cardiac condition (e.g., chronic atrial fibrillation)
- Known hypersensitivity or contraindication to gadolinium contrast.
- +14 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55417-1139, United States
Yale University Medical Center
New Haven, New York, 06520, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Five subjects were enrolled into the study; 3 subjects were randomized to BB3 and 2 subjects to placebo. All the 3 subjects randomized to BB3 discontinued the study prematurely. The 2 subjects randomized to placebo completed study treatment.
Results Point of Contact
- Title
- Dr. Joesph Brennan
- Organization
- Yale University Medical Center
Study Officials
- STUDY DIRECTOR
Weizhong Cai
Sponsor GmbH
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
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
February 22, 2012
First Posted
February 27, 2012
Study Start
July 1, 2012
Primary Completion
July 1, 2013
Study Completion
November 1, 2013
Last Updated
November 21, 2014
Results First Posted
November 4, 2014
Record last verified: 2014-11