- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00268619
FOCUS:Focus On Coronary Unstable Syndromes
January 10, 2011 updated by: Sanofi
A Placebo-controlled, Double-blind, Randomized, Multicenter Study of Ramipril 5 and 10 mg Capsules and Insulin Infusion in Subjects With Unstable Coronary Syndromes
Study objectives:
- To demonstrate that the acute administration of ramipril will control the inflammation process in patients with high-risk Acute Coronary Syndrome (ACS) as assessed by the high sensitivity C-reactive protein blood levels.
- To demonstrate that the normalization of blood glucose levels with intravenous insulin will improve the inflammation process during the acute phase of an ACS as assessed by Tumor necrosis factor alpha blood levels.
Study Overview
Study Type
Interventional
Phase
- Phase 3
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Subject either not of childbearing potential or is not pregnant and agrees to use contraceptive measure for the duration of the study
Subjects presenting within 12 hours after the last episode of chest pain with:
- An accelerating pattern of anginal pain
- A prolonged or recurrent anginal pain at rest or with minimal effort AND
- Evidence of myocardial ischemia on ECG manifested by at least one of the following ECG criteria: - new persistent or transient ST-segment depression OR transient or reversible ST-segment elevation or new persistent or transient T-wave inversion OR Abnormal cardiac markers defined as: CK-MB greater than the upper limit of normal Troponin T or I level greater than the upper limit of normal.
Exclusion Criteria:
- Known or suspected pregnancy or actively breast-feeding
- Female of childbearing potential not using or planning to use a reliable method of contraception
- Treatment with Hormone Replacement Therapy at time of randomization
- Angina precipitated by obvious provoking factors
- Heart Failure defined as known ejection fraction less or equal to 40% or NYHA (New York Heart Association) class III pr IV
- Type I Diabetes Mellitus
- Type II diabetes requiring insulin therapy
- Hyperkaliemia
- Acute chronic inflammatory, collagen tissue disease, auto-immune disease or cancer and/or requiring the use of anti-inflammatory or anti-neoplastic agents at the time of randomization
- Use of a non-steriodal anti-inflammatory agent, coxibs, or anti-neoplasic agent within last 7 days
- Use of any oral or intra-venous steroidal agent in the last 7 days before study entry
- Uncontrolled hypertension
- Systolic pressure < 100 mmHg at randomization
- Likelihood of requiring treatment during the study period with drugs not permitted by the protocol
- Treatment with any investigational product or device in the last 4 weeks
- Previous participation into the trial
- History of hypersensitivity, allergy, or intolerance to Angiotensin-Converting Enzyme inhibitors.
- Severe cardiovascular diseases requiring urgent therapy
- Severe or co-morbid condition
- History of cancer not known to be disease free, with the exception of basal cell carcinoma of the skin
- Clinically important systemic disorder
- Impaired hepatic function
- Clinically important chronic or acute renal failure
- History of drug or alcohol abuse
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
To assess the highly specific C-reactive protein (hsCRP) blood levels
Time Frame: during the study conduct
|
during the study conduct
|
To assess the tumor necrosing factor alpha (TNFα) blood levels
Time Frame: during the study conduct
|
during the study conduct
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
TEAEs collection
Time Frame: From the signature of the informed consent up to the end of the study
|
From the signature of the informed consent up to the end of the study
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Stan Glezer, Sanofi
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2004
Primary Completion (Actual)
July 1, 2005
Study Registration Dates
First Submitted
December 21, 2005
First Submitted That Met QC Criteria
December 21, 2005
First Posted (Estimate)
December 22, 2005
Study Record Updates
Last Update Posted (Estimate)
January 11, 2011
Last Update Submitted That Met QC Criteria
January 10, 2011
Last Verified
January 1, 2011
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HOE498_3501
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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