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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01130246
Registration number
NCT01130246
Ethics application status
Date submitted
19/04/2010
Date registered
25/05/2010
Date last updated
31/10/2012
Titles & IDs
Public title
VISTA-16 Trial: Evaluation of Safety and Efficacy of Short-term A-002 Treatment in Subjects With Acute Coronary Syndrome
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Scientific title
VISTA-16 Trial: Evaluation of the Safety and Efficacy of Short-Term A-002 Treatment in Subjects With Acute Coronary Syndromes
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Secondary ID [1]
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AN-CVD2233
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Universal Trial Number (UTN)
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Trial acronym
VISTA-16
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Coronary Syndrome
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - A-002, varespladib methyl
Treatment: Drugs - Placebo
Experimental: A-002 500 mg - Once daily oral administration
Placebo comparator: Matched Placebo - Once daily oral administration
Treatment: Drugs: A-002, varespladib methyl
A-002 administered once daily in addition to atorvastatin and standard of care
Treatment: Drugs: Placebo
Placebo administered once daily in addition to atorvastatin and standard of care
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Primary Objective of the Study
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Assessment method [1]
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To determine whether 16 weeks of treatment with A-002 plus atorvastatin and standard of care is superior to placebo plus atorvastatin and standard of care for reducing the hazard of the first occurrence of the combined endpoint of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or documented unstable angina with objective evidence of ischemia requiring hospitalization.
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Timepoint [1]
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16 weeks
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Secondary outcome [1]
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Secondary Objective of the Study
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Assessment method [1]
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To determine whether A-002 plus atorvastatin and standard of care is superior to placebo plus atorvastatin and standard of care for reducing the occurrence of the hazard of the combined endpoint of all-cause mortality, non-fatal myocardial infarction, non-fatal stroke or documented unstable angina with objective evidence of ischemia requiring hospitalization or multiple occurrences of the non-fatal components of the composite primary endpoint.
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Timepoint [1]
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2, 4, 8, 16 weeks and 6 months
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Eligibility
Key inclusion criteria
1. Men and women =40 years of age
2. Written informed consent from the subject
3. A diagnosis of unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-segment elevation myocardial infarction (STEMI)
Unstable angina is defined as:
* Chest pain symptomatic of ischemia or angina occurring at rest or on minimal exertion with a pattern of increasing frequency or severity, lasting >10 minutes and consistent with myocardial ischemia within 24 hours prior to hospitalization and
* New or dynamic ST-segment depression or prominent T-wave inversion changes in at least 2 contiguous leads and
* In addition subjects meeting the above criteria for unstable angina must also have either troponin I, troponin T or CKMB above the LLD but below the 99th percentile of the upper reference limit (URL) and not due to cardioversion or underlying cardiovascular (CHF, cardiomyopathy) or renal disease
NSTEMI is defined as:
* Chest pain symptomatic of ischemia
* No electrocardiogram (ECG) changes, or ST-depression, or T wave changes(i.e., no new Q waves on serial ECGs)and
* Increase in cardiac troponin > local limit for the definition of myocardial infarction or increase in CK-MB isoenzyme > URL
STEMI is defined as:
* Chest pain symptomatic of ischemia
* ST segment elevation and associated T wave changes or ST-segment elevation of at least 2 mm in 2 contiguous leads, either of which persisting for longer than 15 minutes and
* Increase in cardiac troponin > local limit for the definition of myocardial infarction or increase in CK-MB >URL
4. All subjects must have the presence of at least one of the following risk factors:
* Diabetes Mellitus or
* Presence of any 3 of the following characteristics of metabolic syndrome
* Waist circumference >102 cm in males, >88 cm in females
* Serum triglycerides =150 mg/dL (=1.7 mmol/L)
* HDL-C <40 mg/dL (<1 mmol/L) in males, <50 mg/dL (<1.3 mmol/L) in females
* Blood pressure =130/85 mmHg
* Plasma glucose =110 mg/dL (=6.1 mmol/L) or
* history of cerebrovascular disease (stroke or TIA) or
* history of peripheral vascular disease or
* previous CABG or
* previous documented myocardial infarction or
* previous coronary revascularization
5. Subjects must be randomized within =96 hours of hospital admission for the index event, or if already hospitalized, within =96 hours of index event diagnosis
6. Revascularization, if required or planned, must occur prior to randomization
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Subjects enrolled in another experimental (interventional)protocol within the past 30 days prior to Screening.
2. Subjects treated for cancer within the previous 5 years except for skin basal cell carcinoma or carcinoma in situ of the cervix, with measures other than a minor, complete surgical excision or radiation therapy (e.g. chemotherapy)
3. The presence of any severe liver disease with cirrhosis, active hepatitis, active chronic hepatitis, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3 x ULN, biliary obstruction with hyperbilirubinemia (total bilirubin >2 x ULN)
4. Active cholecystitis, gall bladder symptoms, or any hepatobiliary abnormalities
5. The presence of severe renal impairment (creatinine clearance [CrCl] <30 mL/min or creatinine >3 x ULN),nephrotic syndrome, or subjects undergoing dialysis
6. Uncontrolled diabetes mellitus (known hemoglobin A1c [HbA1c] >11% within the last 1 month prior to Screening)
7. Females who are nursing, pregnant, or intend to become pregnant during the time of the study, or females of childbearing potential who have a positive pregnancy test during screening evaluation. Women of child-bearing potential must also use a reliable method of birth control during the study and for 1 month following completion of therapy. A reliable method for this study is defined as one of the following: oral or injectable contraceptives, intrauterine device (IUD), contraceptive implants, tubal ligation, hysterectomy, a double barrier method (diaphragm with spermicidal foam or jelly, or a condom).
8. Subjects who have a history of alcohol or drug abuse within 1 year of study entry
9. Subjects living too far from participating center or unable to return for follow-up visits
10. Subjects who in the opinion of the Investigator are a poor medical or psychiatric risk for therapy with an investigational drug, are unreliable, or have an incomplete understanding of the study which may affect their ability to take drugs as prescribed or comply with instructions
11. Known human immunodeficiency virus (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), or tuberculosis infection
12. Acute bacterial, fungal or viral infection
13. Subjects currently taking drugs that are potent inhibitors of cytochrome P450 unless they can be withdrawn
14. Subjects with New York Heart Association (NYHA) Class III or IV heart failure, or if known, left ventricular ejection fraction (LVEF) <30
15. Subjects with moderate or severe aortic stenosis, aortic regurgitation, mitral stenosis or mitral regurgitation
16. Ventricular arrhythmias requiring chronic drug treatment or implantable cardioverter-defibrillator (ICD)
17. Subjects with no stenosis or stenosis <50% on angiography, if known
18. Subjects with a pacemaker or persistent left bundle branch block (LBBB)
19. Fasting triglyceride levels of =400 mg/dL (4.5 mmol/L)
20. Subjects who have a history of statin intolerance or a significant myopathy or rhabdomyolysis with any lipid altering drugs
21. Subjects currently treated with the maximum labeled dose of a statin and not at LDL-C target for their level of risk as defined by NCEP ATP III
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2012
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Sample size
Target
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Accrual to date
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Final
5189
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Investigator Site 6106 - Canberra
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Investigator Site 6114 - Gosford
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Investigator Site 6108 - So Australia
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Investigator Site 6119 - South Port
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Recruitment postcode(s) [1]
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- Canberra
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2250 - Gosford
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2747 - Kingswood
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4870 - Cairns
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4814 - Douglas
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4560 - Nambour
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5000 - Adelaide
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5042 - Bedford Park
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5112 - Elizabeth Vale
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7000 - Hobart
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3076 - Epping
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3084 - Heidelberg
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6000 - Perth
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- Brisbane
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- Geelong
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NSW2217 - Kogarah
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3004 - Melbourne
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6009 - Nedlands
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NSW2305 - New Lambton
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- So Australia
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Recruitment postcode(s) [21]
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4215QLD - South Port
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Recruitment outside Australia
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Illinois
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Louisiana
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Anthera Pharmaceuticals
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Address
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Country
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Ethics approval
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Summary
Brief summary
The objective of this study is to evaluate the safety and efficacy of short-term A-002 treatment on morbidity and mortality when added to atorvastatin and standard of care in subjects with an acute coronary syndrome (ACS).
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Trial website
https://clinicaltrials.gov/study/NCT01130246
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Trial related presentations / publications
Nicholls SJ, Kastelein JJ, Schwartz GG, Bash D, Rosenson RS, Cavender MA, Brennan DM, Koenig W, Jukema JW, Nambi V, Wright RS, Menon V, Lincoff AM, Nissen SE; VISTA-16 Investigators. Varespladib and cardiovascular events in patients with an acute coronary syndrome: the VISTA-16 randomized clinical trial. JAMA. 2014 Jan 15;311(3):252-62. doi: 10.1001/jama.2013.282836.
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Public notes
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Contacts
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Results not provided in
https://clinicaltrials.gov/study/NCT01130246
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