NCT04848220

Brief Summary

The purpose of this study is to determine whether intravenous temanogrel is a safe and effective treatment for microvascular obstruction (MVO) in adult participants undergoing percutaneous coronary intervention (PCI).

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
29

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2021

Shorter than P25 for phase_2

Geographic Reach
5 countries

12 active sites

Status
terminated

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

April 14, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 19, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

May 20, 2021

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 23, 2022

Completed
8 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2022

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

December 12, 2023

Completed
Last Updated

December 12, 2023

Status Verified

November 1, 2023

Enrollment Period

1.3 years

First QC Date

April 14, 2021

Results QC Date

August 18, 2023

Last Update Submit

November 23, 2023

Conditions

Keywords

TemanogrelMicrovascular obstructionAPD791Percutaneous coronary interventionMVOPCI

Outcome Measures

Primary Outcomes (1)

  • Change in Index of Microcirculatory Resistance (IMR) From Baseline to Post Percutaneous Coronary Intervention (PCI)

    IMR was defined as the mean distal pressure at maximum hyperemia multiplied by the mean hyperemic transit time. IMRcorr (IMR corrected for the influence from collateral supply) was calculated using the following equation, to account for the presence of significant epicardial stenosis without the need for balloon dilation to measure the coronary wedge pressure (Pw), IMRcorr = mean aortic pressure at maximum hyperemia (Pa)\*mean transit time at maximal hyperemia (Tmn) \* \[1.34 \* mean distal coronary pressure at maximum hyperemia (Pd)/Pa minus 0.32\].

    From Baseline (prior to administration of study treatment) to 15 minutes post-PCI on Day 1

Secondary Outcomes (15)

  • Change From Baseline to Post-PCI for Coronary Flow Reserve (CFR)

    From Baseline (prior to administration of study treatment) to 15 minutes post-PCI on Day 1

  • Change From Baseline to Post-PCI for Fractional Flow Reserve (FFR)

    From Baseline (prior to administration of study treatment) to 15 minutes post-PCI on Day 1

  • Change From Baseline to Post-PCI for Corrected Thrombolysis in Myocardial Infarction Frame Count (cTFC)

    From Baseline (prior to administration of study treatment) to 15 minutes post-PCI on Day 1

  • Number of Participants According to Change From Baseline to Post-PCI for Thrombolysis in Myocardial Infarction (TIMI) Flow Grade (TFG) Post-PCI

    Baseline (prior to administration of study treatment) and anytime between 0 to 15 minutes post-PCI on Day 1

  • Number of Participants According to Change From Baseline to Post-PCI in Thrombolysis in Myocardial Infarction Myocardial Perfusion Grade (TMPG) Post-PCI

    Baseline (prior to administration of study treatment) and anytime between 0 to 15 minutes post-PCI on Day 1

  • +10 more secondary outcomes

Study Arms (3)

Stage A (Dose Cohort 1) and Stage B (Dose Group 1)

EXPERIMENTAL
Drug: Temanogrel

Stage A (Dose Cohort 2) and Stage B (Dose Group 2)

EXPERIMENTAL
Drug: Temanogrel

Stage A (Dose Cohort 1 and Dose Cohort 2) and Stage B (Dose Group 1 and Dose Group 2)

PLACEBO COMPARATOR
Drug: Placebo

Interventions

Participants will receive a single intravenous dose of temanogrel on Day 1 (Day 1 of PCI procedure)

Stage A (Dose Cohort 1) and Stage B (Dose Group 1)Stage A (Dose Cohort 2) and Stage B (Dose Group 2)

Participants will receive a single intravenous dose of temanogrel matching placebo on Day 1

Stage A (Dose Cohort 1 and Dose Cohort 2) and Stage B (Dose Group 1 and Dose Group 2)

Eligibility Criteria

Age30 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Stable angina participants suitable for elective PCI, or participants suitable for PCI for diagnosis of non-ST-elevation myocardial infarction or unstable angina (NSTEMI/UA) who are consistently hemodynamically stable until the time of PCI and have a thrombolysis in myocardial infarction (TIMI) Flow Grade 2 or 3 on the diagnostic angiography
  • Target lesions for PCI must appear suitable for stenting as confirmed on the diagnostic angiography and must satisfy the study criteria regarding lesion size and vessel diameter/type.
  • Females must not be of childbearing potential
  • Males with pregnant or non-pregnant female partners of childbearing potential must agree to using a condom during treatment and for 90 days following treatment

You may not qualify if:

  • Planned or anticipated use of rotational atherectomy/ablation or shockwave therapies during the PCI procedure
  • Any history of stroke, seizure, intracranial bleeding, or intracranial aneurysm
  • Transient ischemic attack within the 6 months prior to Screening
  • History of major trauma, major surgery, and/or clinically significant head injury or hemorrhage within the last 6 months of Screening
  • Any ST-elevation myocardial infarction (STEMI) within 10 days of Screening or STEMI within the target vessel territory within the last 4 months of Screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Tibor Rubin VA Medical Center

Long Beach, California, 90822-5201, United States

Location

VA Palo Alto - Cardiac Catheterization Laboratory

Palo Alto, California, 94304, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Royal Prince Alfred Hospital

Camperdown, New South Wales, 2050, Australia

Location

Concord Repatriation General Hospital

Concord, New South Wales, 2139, Australia

Location

Alfred Health - The Alfred Hospital

Melbourne, Victoria, 3004, Australia

Location

Royal Perth Hospital

Perth, Western Australia, 6000, Australia

Location

Radboud University Medical Center

Nijmegen, Gelderland, 6525 GA, Netherlands

Location

Maasstad Hospital

Rotterdam, South Holland, 3079 DZ, Netherlands

Location

Catharina Ziekenhuis

Eindhoven, 5623 EJ, Netherlands

Location

Skåne University Hospital

Lund, 221 85, Sweden

Location

East and North Hertfordshire NHS Trust Lister Hospital

Stevenage, SG1 4AB, United Kingdom

Location

Related Links

MeSH Terms

Interventions

APD791

Limitations and Caveats

This study was terminated early due to a business decision that was not due to any safety concerns. The number of participants was smaller than originally planned and only summary statistics were therefore generated for primary and secondary outcome measures.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

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

Study Record Dates

First Submitted

April 14, 2021

First Posted

April 19, 2021

Study Start

May 20, 2021

Primary Completion

August 23, 2022

Study Completion

August 31, 2022

Last Updated

December 12, 2023

Results First Posted

December 12, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations