Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12607000544471
Ethics application status
Not yet submitted
Date submitted
19/10/2007
Date registered
23/10/2007
Date last updated
20/09/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
"A Randomised, Double-Blind, Placebo-Controlled study to determine the safety and tolerability of E5555 in patients admitted to hospital with symptoms of Acute Coronary Syndrome"
Query!
Scientific title
A Randomised, Double-Blind, Placebo-Controlled Study of the Safety and Tolerability of E5555, and its Effects on Clinical Events and Biomarkers in Patients with Non-ST-Segment Elevation Acute Coronary Syndrome
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
LANCELOT ACS (Acute Coronary Syndrome)
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Acute Coronary Syndrome
2371
0
Query!
Condition category
Condition code
Cardiovascular
2476
2476
0
0
Query!
Coronary heart disease
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
After a single, orally administered, loading dose of E5555 400 mg on day 1 (four 100 mg active tablets) or placebo 400 mg (four 100 mg placebo tablets), E5555 will be administered orally (po), once daily from day 2 to day 84 (week 12). 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) and 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).
Query!
Intervention code [1]
2093
0
Treatment: Drugs
Query!
Comparator / control treatment
Control arm:
Placebo (one 50 mg placebo and two 100 mg placebo tablets)
Query!
Control group
Placebo
Query!
Outcomes
Primary outcome [1]
3484
0
Primary outcome measurement are the major bleeding events and time to event
Query!
Assessment method [1]
3484
0
Query!
Timepoint [1]
3484
0
Daily during the hospitalization period and at weeks 2, 4, 8, 12 and 16
Query!
Secondary outcome [1]
5816
0
The secondary outcome measurement are the Major Adverse Cardiovascular Events
Query!
Assessment method [1]
5816
0
Query!
Timepoint [1]
5816
0
Daily during the hospitalization period and at weeks 2, 4, 8, 12 and 16
Query!
Eligibility
Key inclusion criteria
The study will include men and women, aged between 45 and 80 years, inclusive, who have been admitted to hospital with a diagnosis of non-ST segment elevation Acute Coronary Syndrome (ACS). There must be symptoms typical of unstable angina, and able to be randomised and treated within 24 hours of the onset of the pain resulting in this admission. In addition to this, cardiac enzymes must be elevated or electrocardiogram (ECG) changes compatible with ischemia must be present
Query!
Minimum age
45
Years
Query!
Query!
Maximum age
80
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
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
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
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).
Query!
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 computerised randomisation schedule. The clinical site will then randomise patients according to drug kit number generated via an Interactive Voice Response System (IVRS)
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Subject, investigator and sponsor will be kept blinded in the study
Query!
Phase
Phase 2
Query!
Type of endpoint/s
Safety
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Not yet recruiting
Query!
Date of first participant enrolment
Anticipated
1/09/2007
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
600
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Recruitment postcode(s) [1]
433
0
NSW, Victoria, Queensland, SA, WA
Query!
Recruitment outside Australia
Country [1]
506
0
United States of America
Query!
State/province [1]
506
0
South Africa, South America, Israel, Europe, the US, Canada and Australia
Query!
Country [2]
507
0
United States of America
Query!
State/province [2]
507
0
Query!
Funding & Sponsors
Funding source category [1]
2622
0
Commercial sector/Industry
Query!
Name [1]
2622
0
Eisai Limited
Query!
Address [1]
2622
0
3 Shortlands
London W6 8EE
UK
Query!
Country [1]
2622
0
United Kingdom
Query!
Primary sponsor type
Commercial sector/Industry
Query!
Name
Eisai Ltd
Query!
Address
3 Shortlands
London W6 8EE
UK
Query!
Country
United Kingdom
Query!
Secondary sponsor category [1]
2371
0
Commercial sector/Industry
Query!
Name [1]
2371
0
Pharmaceutical Research Associates Ltd
Query!
Address [1]
2371
0
Level 17
Suite 1701
323 Castlereagh Street
Sydney NSW 2000
Query!
Country [1]
2371
0
Australia
Query!
Ethics approval
Ethics application status
Not yet submitted
Query!
Ethics committee name [1]
4646
0
North Coast Area HS EC
Query!
Ethics committee address [1]
4646
0
North Coast Area Health Service PO Box 126 PORT MACQUARIE NSW 2444 Australia
Query!
Ethics committee country [1]
4646
0
Australia
Query!
Date submitted for ethics approval [1]
4646
0
27/09/2007
Query!
Approval date [1]
4646
0
Query!
Ethics approval number [1]
4646
0
MNC 02/02
Query!
Summary
Brief summary
E5555 is a small molecule that inhibits activation of protease-activated receptor 1 (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 Acute Coronary Syndrome (ACS) and not a replacement for any currently established forms of treatment for Acute Coronary Syndrome (ACS). This study will look at the safety and efficacy of E5555 in patients admitted to hospital with symptoms, and objective evidence, of acute coronary syndrome, for a period of 12 weeks. There will also be a further visit 4 weeks after the last intake of study drug. The entire study participation will be 16 weeks. The patients would be seen initially on a daily basis during the hospitalisaiton period, and once discharged, asked to attend clinic for a total of 5 visits over the outpatient phase of the study. Visits will be between 2 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, electrocardiongrams (up to 11 in total); blood draws (8 in total) and regular intake of study medication (three tables taken once a day with breakfast). Continuous electrocardiogram (ECG) monitoring (Holter monitoring) will also be done for the first 48 hours following randomisation. 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 additional blood samples being taken for pharmacokinetics (PK) and platelet aggregation purposes
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
27791
0
Query!
Address
27791
0
Query!
Country
27791
0
Query!
Phone
27791
0
Query!
Fax
27791
0
Query!
Email
27791
0
Query!
Contact person for public queries
Name
10877
0
Nimisha Katariya
Query!
Address
10877
0
PRA International
Level 17
Suite 1701
323 Castlereagh Street
Sydney NSW 2000
Query!
Country
10877
0
Australia
Query!
Phone
10877
0
+61 2 9289 8542
Query!
Fax
10877
0
+61 2 9289 8501
Query!
Email
10877
0
[email protected]
Query!
Contact person for scientific queries
Name
1805
0
Nimisha Katariya
Query!
Address
1805
0
PRA International
Level 17
Suite 1701
323 Castlereagh Street
Sydney NSW 2000
Query!
Country
1805
0
Australia
Query!
Phone
1805
0
+61 2 9289 8542
Query!
Fax
1805
0
+61 2 9289 8501
Query!
Email
1805
0
[email protected]
Query!
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.
Download to PDF