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Trial registered on ANZCTR
Registration number
ACTRN12607000541404
Ethics application status
Approved
Date submitted
19/10/2007
Date registered
22/10/2007
Date last updated
26/11/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Randomized, Double-Blind, Placebo-Controlled study to determine the safety and tolerability of E5555, and its Effects on Markers of Inflammation in Subjects with Coronary Artery Disease
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Scientific title
A Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Tolerability of E5555, and its Effects on Markers of Intravascular Inflammation in Subjects with Coronary Artery Disease
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Universal Trial Number (UTN)
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Trial acronym
LANCELOT CAD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary Artery Disease
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
E5555 will be administered orally (po), once daily from day 1 to day 168 (week 24). E5555 50 mg (one 50 mg active and two 100 mg placebo tablets). E5555 100 mg (one 50 mg placebo, one 100 mg active, and one 100 mg placebo tablet). E5555 200 mg (one 50 mg placebo and two 100 mg active tablets) Control arm: Placebo (one 50 mg placebo and two 100 mg placebo tablets)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Placebo (one 50 mg placebo and two 100 mg placebo tablets)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome measurement are the major bleeding events and time to event
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Assessment method [1]
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Timepoint [1]
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Weeks 1, 2, 4, 8, 12, 16, 20, 24 and 28
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Secondary outcome [1]
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The secondary outcome measurement are the Major Adverse Cardiovascular Events
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Assessment method [1]
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Timepoint [1]
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Weeks 1, 2, 4, 8, 12, 16, 20, 24 and 28
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Eligibility
Key inclusion criteria
The study will include men and women, aged between 45 and 80 years, inclusive, who have confirmed coronary artery disease defined as post-acute coronary syndrome (ACS) (> 4weeks); or myocardial infarction (MI) (>4 weeks) or Post percutaneous coronary intervention (PCI) (> 4 weeks) or coronary artery bypass surgery (CABG) (>12 weeks); or angina pectoris with documented (electrocardiogram or imaging study) ischemia; or angiographically documented lesion occluding =70% of a coronary vessel. Subjects must be at high risk as defined by meeting one or more of the following: Screening high-sensitivity c-reactive protein (hsCRP) = 3.0 mg/L, history of diabetes mellitus, under Rx treatment, documented history of peripheral arterial disease, documented history of thrombo-embolic transient ischemic attack (TIA) or stroke > 1 year prior to screening, documented history of carotid artery disease. All subjects must be receiving low dose aspirin (75-325 mg) and/or clopidogrel 75 mg once daily and/or ticlopidine 250 mg twice daily.
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Minimum age
45
Years
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Maximum age
80
Years
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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
Inability or unwillingness to provide fully informed consent to study participation; pregnancy; any history of a bleeding type condition or disorder; severe heart failure or heart rhythm problems; any cardiac surgery within the 12 weeks before admission or any cardiac event, such as heart attack or unstable angina, within the 30 days prior to admission; unstable diabetes requiring frequent alterations to prescribed anti-diabetic medication; any history of liver or kidney problems which causes significant abnormal blood results; the use of any medications shown to have potential adverse interactions with the study medication; recent significant infection or history of chronic infections requiring continuous antibiotic treatment; history of cancer unless adequate treated with no evdence of disease for at least 2 years and participation in any other clinical trial within the 30 days prior to admission.
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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)
Central randomisation - patients will be randomised through phone and fax via IVRS (Interactive Voice Response System)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Patients will be assigned to one of four treatment groups according to a computerized randomization schedule. The clinical site will then randomize patients according to drug kit number generated via an Interactive Voice Response System (IVRS).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2007
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Actual
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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
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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NSW, Victoria, SA, WA, Queensland
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Argentina, Belgium, Brazil, Canada, Czech Republic, Germany, Hungary, Ireland, Israel, Netherlands, Poland, South Africa, UK, US
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Country [2]
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United States of America
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State/province [2]
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Eisai Limited
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Address [1]
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3 Shortlands
London W6 8EE
UK
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Country [1]
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United Kingdom
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Primary sponsor type
Commercial sector/Industry
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Name
Eisai Limited
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Address
3 Shortlands
London W6 8EE
UK
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Country
United Kingdom
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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PRA International ANZ
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Address [1]
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Suite 1701 Central Square
323 Castlereagh Street
Sydney NSW 2000
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Redcliffe- Caboolture Health Service District HREC
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Ethics committee address [1]
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Redcliffe Hospital Level 2, Anzac Avenue Redcliffe Qld 4020
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/09/2007
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Approval date [1]
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12/10/2007
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Ethics approval number [1]
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N/A
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Summary
Brief summary
E5555 is a small molecule that inhibits activation of PAR-1, the main thrombin receptor on platelets, preventing platelet aggregation (which is essential to clot formation); preventing platelet activation and release of inflammatory substances locally and into the bloodstream; reducing generation of more thrombin. These actions suggest that it may be a useful adjunct to current therapy for CAD and not a replacement for any currently established forms of treatment for CAD. This study will look at the safety and tolerability of E5555 in CAD patients for a period of 24 weeks. There will also be a further visit 4 weeks after the last intake of study drug. The entire study participation will be up to 31 weeks, to allow for a maximum 3 weeks screening period. The patient would be asked to attend clinic for a total of 11 visits over the course of the study, with visits being between 1 and 4 weeks apart. The type of assessments at each visit are what would be typically undergone by cardiac patients - physical examinations; blood pressure, pulse, temperature, ECGs (up to 11 in total); blood tests (up to 11 in total) and regular intake of study medication (three tablets taken once a day with breakfast). Any adverse events will be recorded, as will details of concurrent medication. There is a sub-study being undertaken by selected sites, and participation in this will be optional for the patients. This sub-study would entail 3 additional visits and several additional blood samples being taken for pharmacokinetic and pharmacodynamic purposes.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Anandita Roy
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Address
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PRA International, Suite 1701 Central Square 323 Castlereagh Street Sydney NSW 2000
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Country
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Australia
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Phone
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+61 2 9289 8504
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Fax
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+61 2 9289 8501
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anandita Roy
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Address
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PRA International, Suite 1701 Central Square 323 Castlereagh Street Sydney NSW 2000
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Country
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Australia
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Phone
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+61 2 9289 8504
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Fax
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+61 2 9289 8501
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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