Efficacy of FX06 in the Prevention of Myocardial Reperfusion Injury
A Multicenter, Double Blind, Randomized, Placebo Controlled Study to Measure the Effect of FX06 (a Fibrin Derived Peptide Bbeta15-42) on Ischemia Reperfusion Injury in Patients Undergoing Primary Percutaneous Coronary Intervention (PCI): The "F.I.R.E." Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Vienna, Austria, A-1090
- Allgemeines Krankenhaus Wien
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Vienna, Austria, A-1171
- Wilhelminen-Spital
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Brussels, Belgium, B-1090
- Academisch Ziekenhuis van de vrije Universiteit
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Brussels, Belgium, B-1200
- Cliniques Universitaires St-Luc
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Hradec Kralove, Czech Republic, CZ-50005
- I. Interna Klinika, Fakultni nemocnice Hradec Kralove
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Usti nad Labem, Czech Republic, 40013
- Kardiologicke oddeleni, Masarykova nemocnice
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Hellerup, Denmark, DK-2900
- Amtssygehuset i Gentofte
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Aachen, Germany, D-52057
- Universitätsklinikum Aachen
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Bad Berka, Germany, D-99437
- Zentralkliniken Bad Berka
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Berlin, Germany, D-12200
- Charite, Campus Benjamin Franklin
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Berlin, Germany, D-13436
- Vivantes Klinikum Neukölln, Klinik für Innere Medizin
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Bernau, Germany, D-16321
- Ev. Freikirchliches KH Bernau und Herzzentrum Brandenburg
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Düren, Germany, D-52351
- Krankenhaus Düren gem. GmbH, Innere I (Kardiologie)
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Freiburg, Germany, D-79106
- Universitätsklinikum Freiburg - Innere Medizin III
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Halle, Germany, D-06120
- Krankenhaus Martha-Maria Halle-Dölau - Innere Medizin I
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Halle, Germany, D-06120
- Martin-Luther-Universität Halle-Wittenberg, Klinikum der Medizinischen Fakultät, Inner Medizin III
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Kiel, Germany, D-24105
- Universitätsklinikum Schleswig-Holstein-Klinik f. Kardiologie
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Leipzig, Germany, D-04289
- Universität Leipzig, Klinik für Innere Medizin, Herzzentrum
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Lübeck, Germany, D-23538
- Universitätsklinikum Schleswig-Holstein,Medizinische Klinik II, Campus Lübeck
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Mannheim, Germany, D-66167
- Universitätsklinikum Mannheim, I. Medizinische Klinik
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Munich, Germany, D-80636
- Deutsches Herzzentrum München
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Osnabrück, Germany, D-49074
- Klinik für Innere Medizin und Kardiologie, Marienhospital Osnabrück, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Hannover
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Vilnius, Lithuania, 08661
- Vilnius University Hospital "Santariskiu klinikos", Center of Cardiology and Angiology
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Amsterdam, Netherlands, NL-1091AC
- Onze Lieve Vrouwe Gasthuis
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Nieuwegein, Netherlands, NL-3430 EM
- St. Antonius Ziekenhuis
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Krakow, Poland, PL-02507
- Krakowski Szpital Specjalistyczny im. Jana Pawla II
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Lodz, Poland, 91-347
- Zaklad Szybkiej Diagnostyki, Kardiologicznej, Szpital im. Biekalskiego
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Lodz, Poland, 91-425
- Samodzielny Publiczy, Zaklad Opieki Zrowotnej, Uniwersytecki Szpital Kliniczny Nr. 3, Im. dr Seweryna Sterlinga
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Timisoara, Romania, 300310
- Institute for Cardiovascular Disease
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Gothenburg, Sweden, S-41345
- Sahlgrenska Universitetssjukhuset
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Linkoeping, Sweden, S-58185
- Universitetssjukhuset
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Zurich, Switzerland, CH-8006
- Universitätshospital Zürich
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients who have given informed consent
- Patients after primary percutaneous coronary intervention (PCI) for acute ST-elevation myocardial infarction (STEMI)
- Men or women with no child bearing potential
- Onset of symptoms to balloon time < 6 hours
- ST-elevation of at least 2 mm in at least 3 leads on 12-lead electrocardiogram (ECG)
- Primary PCI indicated per standard of care
- First myocardial infarction (MI)
- Single index lesion with complete occlusion [thrombolysis in myocardial infarction (TIMI) flow 0/I] of one target vessel.
Exclusion Criteria:
- History of MI (from patient history, or from ECG)
- Chest pain or other angina symptoms in the 24 hours before the first recognized symptoms of the acute myocardial infarction (AMI)
- Need for coronary artery bypass graft (CABG)
- Administration of any thrombolytic agent since onset of AMI symptoms
- Serious procedural complications (e.g., procedural unintended occlusion of coronary artery branch, cardiac tamponade, emergency bypass operation, LM dissection, etc.)
- Presence of cardiogenic shock: hemodynamically unstable and/or need for positive inotropic agents
- Contraindication to cardiovascular magnetic resonance (CMR): claustrophobia, pacemakers, defibrillators and other electronic devices, and metallic cerebral clips; frequent extrasystoles (> 12/Min) or atrial fibrillation (AF).
- Known renal dysfunction defined as serum creatinine > 250 µmol/l
- Previous CABG
- History of congestive heart failure (CHF)
- Body mass index (BMI) > 35
- Patients who cannot communicate reliably with the investigator
- Patients who are unlikely to cooperate with the requirements of the study
- Patients who are unwilling and/or unable to give informed consent
- Patients at increased risk of death from a pre-existing concurrent illness
- Patients participating in another clinical study
- Patients who have used any other investigational drugs within 1 month of first dosing
- Patients who have participated already in this study
- Patients who are employees at the investigational site; relatives or spouse of the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: 2
Matching placebo
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400 mg as intravenous injection in two divided boluses
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Experimental: 1
400 mg injected in 2 divided boluses
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400 mg as intravenous injection in two divided boluses
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Infarct size as measured by cardiac MRI
Time Frame: 5-7 days post intervention
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5-7 days post intervention
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Myocardial scar mass and left ventricular function
Time Frame: 4 months post intervention
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4 months post intervention
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Dan Atar, MD, Aker University Hospital, Oslo, Norway
Publications and helpful links
General Publications
- Hallen J, Jensen JK, Fagerland MW, Jaffe AS, Atar D. Cardiac troponin I for the prediction of functional recovery and left ventricular remodelling following primary percutaneous coronary intervention for ST-elevation myocardial infarction. Heart. 2010 Dec;96(23):1892-7. doi: 10.1136/hrt.2009.190819.
- Hallen J, Petzelbauer P, Schwitter J, Geudelin B, Buser P, Atar D. Impact of time to therapy and presence of collaterals on the efficacy of FX06 in acute ST elevation myocardial infarction: a substudy of the F.I.R.E., the Efficacy of FX06 in the prevention of myocardial reperfusion injury trial. EuroIntervention. 2010 Apr;5(8):946-52.
- Atar D, Petzelbauer P, Schwitter J, Huber K, Rensing B, Kasprzak JD, Butter C, Grip L, Hansen PR, Suselbeck T, Clemmensen PM, Marin-Galiano M, Geudelin B, Buser PT; F.I.R.E. Investigators. Effect of intravenous FX06 as an adjunct to primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction results of the F.I.R.E. (Efficacy of FX06 in the Prevention of Myocardial Reperfusion Injury) trial. J Am Coll Cardiol. 2009 Feb 24;53(8):720-9. doi: 10.1016/j.jacc.2008.12.017.
Study record dates
Study Major Dates
Study Start
Study Start
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FX06AQ-II-01
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