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Efficacy and Safety of the ACAT Inhibitor CS-505 (Pactimibe) for Reducing the Progression of Coronary Artery Disease

Primary Purpose

Coronary Heart Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Pactimibe, CS-505
Sponsored by
Daiichi Sankyo, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Heart Disease focused on measuring Atherosclerosis, intravascular ultrasound

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Standard: Male or female subjects, age 18 years or greater; and Diagnosed or suspected coronary artery disease with a clinical indication for coronary angiography. Angiographic: Evidence of coronary heart disease Identification of a target native coronary artery for the plaque volume measurement. Exclusion Criteria: Standard: Breast feeding or lactating women, or women who have had a pregnancy (regardless of outcome) within the past 12 months; Previous heart or other organ transplantation; Treatment with any of the following agents within 4 weeks prior to randomization: Immunosuppressive agents (cyclosporine, azathioprine); Rifampin; and Phenytoin, phenobarbital, valproic acid, or other anticonvulsants. Any of the following manifestations of cardiac disease: Myocardial infarction or unstable angina within 24 hours prior to randomization or clinically unstable; Clinically significant heart disease; and Coronary artery bypass surgery within previous 3 months. Stroke (CVA) within previous 3 months; Evidence of severe symptomatic heart failure (NYHA Class III or IV) or known ejection fraction less than 30%; Uncontrolled diabetes mellitus; Uncontrolled hypertension; and Nephrotic syndrome, significant nephropathy, or other significant renal disease. Angiographic: Presence of any lesion with greater than 50% reduction in lumen diameter; or Any lesion with a greater than 50% occlusion in the left main coronary artery; A target vessel, including any of its branches, that has undergone or will be undergoing coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI); A target vessel that is itself a bypass graft.

Sites / Locations

Outcomes

Primary Outcome Measures

To compare the effect of CS-505 versus placebo when added to usual medical care on the change from baseline in percent atheroma volume, as measured by intravascular ultrasound (IVUS) of the identified target coronary artery segment

Secondary Outcome Measures

To compare the effect of CS-505 versus placebo when added to usual medical care on:
- change from baseline in total atheroma volume in
various arteries;
- changes in minimum luminal diameter and percent
diameter stenosis;
- incidence and time to first occurrence of
cardiovascular events.
To compare the safety of CS-505 versus placebo

Full Information

First Posted
September 9, 2005
Last Updated
September 10, 2007
Sponsor
Daiichi Sankyo, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00185042
Brief Title
Efficacy and Safety of the ACAT Inhibitor CS-505 (Pactimibe) for Reducing the Progression of Coronary Artery Disease
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Efficacy and Safety of the ACAT Inhibitor CS-505 for Reducing the Progression of Atherosclerosis in Subjects With Coronary Artery Disease Using Intravascular Ultrasound (IVUS)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2007
Overall Recruitment Status
Completed
Study Start Date
November 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
July 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Daiichi Sankyo, Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to learn if CS-505 is safe and effective for slowing down or possibly reversing the buildup of tissue, cells and fatty deposits (plaque) in the blood vessels of the heart (coronary artery atherosclerosis).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Heart Disease
Keywords
Atherosclerosis, intravascular ultrasound

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
534 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Pactimibe, CS-505
Primary Outcome Measure Information:
Title
To compare the effect of CS-505 versus placebo when added to usual medical care on the change from baseline in percent atheroma volume, as measured by intravascular ultrasound (IVUS) of the identified target coronary artery segment
Secondary Outcome Measure Information:
Title
To compare the effect of CS-505 versus placebo when added to usual medical care on:
Title
- change from baseline in total atheroma volume in
Title
various arteries;
Title
- changes in minimum luminal diameter and percent
Title
diameter stenosis;
Title
- incidence and time to first occurrence of
Title
cardiovascular events.
Title
To compare the safety of CS-505 versus placebo

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Standard: Male or female subjects, age 18 years or greater; and Diagnosed or suspected coronary artery disease with a clinical indication for coronary angiography. Angiographic: Evidence of coronary heart disease Identification of a target native coronary artery for the plaque volume measurement. Exclusion Criteria: Standard: Breast feeding or lactating women, or women who have had a pregnancy (regardless of outcome) within the past 12 months; Previous heart or other organ transplantation; Treatment with any of the following agents within 4 weeks prior to randomization: Immunosuppressive agents (cyclosporine, azathioprine); Rifampin; and Phenytoin, phenobarbital, valproic acid, or other anticonvulsants. Any of the following manifestations of cardiac disease: Myocardial infarction or unstable angina within 24 hours prior to randomization or clinically unstable; Clinically significant heart disease; and Coronary artery bypass surgery within previous 3 months. Stroke (CVA) within previous 3 months; Evidence of severe symptomatic heart failure (NYHA Class III or IV) or known ejection fraction less than 30%; Uncontrolled diabetes mellitus; Uncontrolled hypertension; and Nephrotic syndrome, significant nephropathy, or other significant renal disease. Angiographic: Presence of any lesion with greater than 50% reduction in lumen diameter; or Any lesion with a greater than 50% occlusion in the left main coronary artery; A target vessel, including any of its branches, that has undergone or will be undergoing coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI); A target vessel that is itself a bypass graft.
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
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Huntsville
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Alabama
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United States
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Mobile
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Alabama
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United States
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Phoenix
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Arizona
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United States
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Los Angeles
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California
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United States
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San Diego
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California
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United States
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Fort Collins
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Colorado
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United States
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Bridgeport
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Connecticut
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United States
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Newark
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Delaware
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United States
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Clearwater
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Florida
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United States
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Gainsville
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Florida
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United States
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Hudson
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Florida
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United States
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Jacksonville
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United States
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Melbourne
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United States
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Miami
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Florida
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United States
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Pensacola
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United States
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Port Charlotte
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Sarasota
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Tallahassee
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Tampa
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Atlanta
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Georgia
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Springfield
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Illinois
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United States
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Louisville
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Kentucky
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Baltimore
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Maryland
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Springfield
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Massachusetts
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United States
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Grand Rapids
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Michigan
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United States
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Kalamazoo
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Michigan
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Duluth
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Minnesota
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United States
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Minneapolis
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Kansas City
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Missouri
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United States
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Lincoln
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Nebraska
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United States
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New York
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New York
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United States
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Rochester
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New York
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United States
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Troy
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New York
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United States
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Charlotte
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North Carolina
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United States
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Greenville
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North Carolina
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United States
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High Point
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North Carolina
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United States
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Winston-Salem
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North Carolina
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United States
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Akron
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Ohio
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United States
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Cleveland
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Ohio
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United States
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Elyria
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Ohio
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United States
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Mansfield
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Ohio
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United States
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Oklahoma City
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Oklahoma
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Doylestown
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Pennsylvania
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United States
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Memphis
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Tennessee
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United States
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San Antonio
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Texas
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16554527
Citation
Nissen SE, Tuzcu EM, Brewer HB, Sipahi I, Nicholls SJ, Ganz P, Schoenhagen P, Waters DD, Pepine CJ, Crowe TD, Davidson MH, Deanfield JE, Wisniewski LM, Hanyok JJ, Kassalow LM; ACAT Intravascular Atherosclerosis Treatment Evaluation (ACTIVATE) Investigators. Effect of ACAT inhibition on the progression of coronary atherosclerosis. N Engl J Med. 2006 Mar 23;354(12):1253-63. doi: 10.1056/NEJMoa054699. Erratum In: N Engl J Med. 2006 Aug 10;355(6):638.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of the ACAT Inhibitor CS-505 (Pactimibe) for Reducing the Progression of Coronary Artery Disease

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