- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04100434
Effect of Evolocumab Added to Moderate-Intensity Statin Therapy on LDL-C Lowering and Cardiovascular Adverse Events in Patients With Acute Coronary Syndrome (EMSIACS)
20. november 2020 opdateret af: Yin Liu,MD, Tianjin Chest Hospital
The study is an open-label, multicenter, and randomized study(five hospitals).The purpose of this study is to assess the differences in the effects of the evolocumab added to moderate-intensity statin therapy and the moderate-intensity statin only therapy on the regulation of LDL-C levels in patients with acute phase acute coronary syndrome after four weeks of treatment.
The primary outcome is the percentage change in LDL-C in weeks 4 and week 12 after treatment.
The secondary outcome is the occurrence of MACE after 12 weeks and 1 year of treatment.
Studieoversigt
Status
Rekruttering
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
500
Fase
- Fase 4
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Jing Gao, PHD
- Telefonnummer: +86-13820156072
- E-mail: gaojing2088@163.com
Studiesteder
-
-
-
Tianjin, Kina, 300222
- Rekruttering
- Tianjin Chest Hospital,
-
Kontakt:
- JING GAO, PH.D
- Telefonnummer: 13820156072
- E-mail: gaojing2088@163.com
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Recent hospitalization for acute coronary syndrome: Complies with the diagnostic criteria for acute coronary syndrome (non-ST-segment elevation myocardial infarction, acute ST-segment elevation myocardial infarction, and unstable angina within 72 hours of onset)
LDL-C level (meet one of the following conditions):
- Prior to the study, patients who received intensive statins for more than 4 weeks (the same dose of statin therapy has been sustained for the past four weeks) with LDL-C levels ≥70 mg/dL (≥1.8 mmol/L) or non-HDL-C ≥100 mg /dL (≥2.6mmol/L) are included in the study;
- Prior to the study, patients who received moderate-intensity statin therapy for more than 4 weeks (the same dose of statin therapy has been sustained for the past four weeks) with LDL-C levels ≥90 mg/dL (≥2.3 mmol/L) or non-HDL-C≥ 120mg/dL (≥3.1mmol/L) are included in the study;
- Prior to the study, patients who do not receive statin therapy or who do not continue to receive statin with LDL-C ≥ 125 mg/dL (≥ 3.2 mmol/L) or non-HDL-C ≥ 155 mg/dL (≥ 4.0 mmol/L).
- Being able to understand research requirements and sign informed consent
Exclusion Criteria:
- Unstable clinical status (hemodynamics or ECG instability)
- Uncontrolled arrhythmia, defined as recurrent or symptomatic ventricular tachycardia and atrial fibrillation with rapid ventricular reaction that the drug cannot control within three months prior to screening
- Severe renal insufficiency, defined as estimated glomerular filtration rate<30ml/min/1.73m2
- Active liver disease or liver dysfunction, whether it is on the patient's medical record or defined as an increase in alanine aminotransferase or aspartate aminotransferase more than 3 times above the upper limit of normal
- Records on statin or rosuvastatin (any dose) intolerance or other statin intolerance
- Known allergies to contrast agents, heparin, aspirin, ticagrelor or clopidogrel
- Known allergies to the supplements required for the use of the drug
- Patients who have been treated with evolocumab or other PCSK9 inhibitors
- Received cholesterol ester transfer protein inhibitors treatment 12 months prior to screening
- Received systemic steroid or cyclosporine treatment in the past 3 months
- Known infections, hemorrhages, metabolic or endocrine disorders as determined by the researchers
- Patients who have been included in other studies
- Patients with active malignant tumor in need of treatment
- Women with fertility (age <50 years, menstruation in the past 12 months), did not receive tubal ligation, oophorectomy or hysterectomy
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: the evolocumab plus statin therapy
Patients with ACS are treated with atorvastatin (20mg) daily and evolocumab (140 mg) every two weeks throughout the study period
|
Patienterne blev tilfældigt tildelt forholdet 1:1 ved hjælp af et computergenereret tilfældigt tal og opdelt i to behandlingsgrupper: statin alene-behandlingen og evolocumab plus statinbehandling.
|
Ingen indgriben: the statin alone therapy
Patients with ACS are treated with atorvastatin (20mg) daily throughout the study period.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
---|---|
Percent change in LDL-C
Tidsramme: 4 weeks
|
4 weeks
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Major cardiovascular adverse events
Tidsramme: 4 weeks and 1 year
|
Coronary heart disease death,nonfatal myocardial infarction,hospitalization for unstable angina,unplanned coronary revascularization, and stroke
|
4 weeks and 1 year
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
The mean percentage change from baseline in LDL-C levels
Tidsramme: within 1 year
|
within 1 year
|
|
The proportion of patients with LDL-C <70 mg/dL during treatment
Tidsramme: week 4 and week 12
|
week 4 and week 12
|
|
the quality of life of patients
Tidsramme: week 12 and week 48
|
using EQ-5D-3L questionnaire score to assess the quality of life
|
week 12 and week 48
|
The effect of evolocumab on platelet function based on the area under curve
Tidsramme: from baseline to 72 hours and baseline to week 4
|
using Col/ADP test to evaluate platelet function
|
from baseline to 72 hours and baseline to week 4
|
the effect of evolocumab on the percentage change of inflammatory markers (high-sensitivity C-reactive protein)
Tidsramme: from baseline to week 48
|
from baseline to week 48
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Forventet)
1. januar 2021
Primær færdiggørelse (Forventet)
1. juni 2022
Studieafslutning (Forventet)
1. juni 2023
Datoer for studieregistrering
Først indsendt
21. september 2019
Først indsendt, der opfyldte QC-kriterier
21. september 2019
Først opslået (Faktiske)
24. september 2019
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
24. november 2020
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
20. november 2020
Sidst verificeret
1. november 2020
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- EMSIACS
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
INGEN
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ja
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
produkt fremstillet i og eksporteret fra U.S.A.
Ja
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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