NCT04610892

Brief Summary

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

Trial Health

98
On Track

Trial Health Score

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

Enrollment
423

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2020

Typical duration for phase_2

Geographic Reach
11 countries

84 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 28, 2020

Completed
3 months until next milestone

First Posted

Study publicly available on registry

November 2, 2020

Completed
2 days until next milestone

Study Start

First participant enrolled

November 4, 2020

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 8, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 8, 2023

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

February 21, 2025

Completed
Last Updated

February 21, 2025

Status Verified

January 1, 2025

Enrollment Period

3 years

First QC Date

July 28, 2020

Results QC Date

November 8, 2024

Last Update Submit

January 31, 2025

Conditions

Keywords

Coronary Heart DiseaseAtherosclerosis

Outcome Measures

Primary Outcomes (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.

    From baseline to Day 253

Secondary Outcomes (15)

  • Change From Baseline to Day 253 in N Terminal Prohormone Brain Natriuretic Peptide (NT-proBNP)

    From baseline to Day 253

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

    From baseline to Day 253

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

    From baseline to Day 253

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

    From baseline to Day 253

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

    From baseline to Day 253

  • +10 more secondary outcomes

Study Arms (6)

MEDI6570 Low dose

EXPERIMENTAL

Monthly Subcutaneous administration.

Biological: MEDI6570

MEDI6570 Medium dose

EXPERIMENTAL

Monthly Subcutaneous administration.

Biological: MEDI6570

MEDI6570 High dose

EXPERIMENTAL

Monthly Subcutaneous administration.

Biological: MEDI6570

Placebo Low dose

PLACEBO COMPARATOR

Monthly Subcutaneous administration.

Biological: Placebo

Placebo Medium dose

PLACEBO COMPARATOR

Monthly Subcutaneous administration

Biological: Placebo

Placebo High dose

PLACEBO COMPARATOR

Monthly Subcutaneous administration

Biological: Placebo

Interventions

MEDI6570BIOLOGICAL

MEDI6570

MEDI6570 High doseMEDI6570 Low doseMEDI6570 Medium dose
PlaceboBIOLOGICAL

Buffer

Placebo High dosePlacebo Low dosePlacebo Medium dose

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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.
  • 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.

You may not qualify if:

  • 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
  • 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.
  • +19 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (84)

Research Site

Mobile, Alabama, 36608, United States

Location

Research Site

Beverly Hills, California, 90211, United States

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Covina, California, 91723, United States

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Northridge, California, 91324, United States

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Northridge, California, 91325, United States

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Torrance, California, 90502, United States

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Ponte Vedra, Florida, 32081, United States

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Decatur, Georgia, 30033, United States

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Muncie, Indiana, 47303, United States

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Richmond, Indiana, 47374, United States

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West Des Moines, Iowa, 50266, United States

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Midland, Michigan, 48640, United States

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Columbia, Missouri, 65212, United States

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New Brunswick, New Jersey, 08901, United States

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Buffalo, New York, 14221, United States

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Canton, Ohio, 44710, United States

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Rapid City, South Dakota, 57701, United States

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Winchester, Virginia, 22601, United States

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Madison, Wisconsin, 53792, United States

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Adelaide, 5000, Australia

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Bedford Park, 5042, Australia

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Clayton, 3168, Australia

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Murdoch, WA6150, Australia

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Perth, WA 6000, Australia

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Ottawa, Ontario, K1Y 4W7, Canada

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Toronto, Ontario, M5G 2C4, Canada

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Montreal, Quebec, H1T 1C8, Canada

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Brno, 656 91, Czechia

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Hradec KrĂ¡lovĂ©, 500-05, Czechia

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Liberec, 46002, Czechia

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Pardubice, 532 03, Czechia

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Plzen - Bory, 305 99, Czechia

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Prague, 150 06, Czechia

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Budapest, 1133, Hungary

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Budapest, 1134, Hungary

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Budapest, H-1122, Hungary

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Debrecen, 4032, Hungary

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SzĂ©kesfehĂ©rvĂ¡r, 8000, Hungary

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Cona, 44124, Italy

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Milan, 20138, Italy

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Parma, 43126, Italy

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Rozzano, 20089, Italy

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Himeji-shi, 670-0981, Japan

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Kasuga-shi, 816-0864, Japan

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Kasugai-shi, 487-0016, Japan

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Kitakyushu-shi, 802-8555, Japan

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Kumamoto, 860-0008, Japan

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Kyoto, 606-8507, Japan

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Matsudo-Shi, 271-0077, Japan

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Minamiku, 861-4193, Japan

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Miyazaki, 880-0834, Japan

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Morioka, 020-0066, Japan

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Osaka, 558-8558, Japan

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Sendai, 980-0873, Japan

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Alkmaar, 1814 HB, Netherlands

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Deventer, 7416 SE, Netherlands

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Heerlen, 6419 PC, Netherlands

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Nijmegen, 6525 GA, Netherlands

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Nijmegen, 6532 SZ, Netherlands

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Tilburg, 5042AD, Netherlands

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Utrecht, 3508 AB, Netherlands

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Venlo, 5912 BL, Netherlands

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Zwolle, 8025 AB, Netherlands

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Bialystok, 15-276, Poland

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Bydgoszcz, 85-095, Poland

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Katowice, 40-635, Poland

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Krakow, 30-082, Poland

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Krakow, 30-688, Poland

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Krakow, 31-202, Poland

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Opole, 45-401, Poland

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Wroclaw, 50-556, Poland

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Barcelona, 08003, Spain

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Research Site

El Palmar, 30120, Spain

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Research Site

Hospitalet de Llobregat(Barcel, 08907, Spain

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Research Site

Madrid, 28040, Spain

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Research Site

Madrid, 28046, Spain

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Research Site

Pontevedra, 36312, Spain

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Research Site

Santiago de Compostela, 15706, Spain

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Research Site

Seville, 41009, Spain

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Research Site

Aylesbury, HP21 8AL, United Kingdom

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Research Site

Exeter, EX2 5DW, United Kingdom

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Research Site

Middlesbrough, TS4 3BW, United Kingdom

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Research Site

Newcastle upon Tyne, NE7 7DN, United Kingdom

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Research Site

Wythenshawe, M23 9LT, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Coronary DiseaseAtherosclerosis

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesArteriosclerosisArterial Occlusive Diseases

Results Point of Contact

Title
Global Clinical Lead
Organization
AstraZeneca

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
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

July 28, 2020

First Posted

November 2, 2020

Study Start

November 4, 2020

Primary Completion

November 8, 2023

Study Completion

November 8, 2023

Last Updated

February 21, 2025

Results First Posted

February 21, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will share

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.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
More information

Locations