Selatogrel Outcome Study in Suspected Acute Myocardial Infarction (SOS-AMI)
Acute Myocardial Infarction
About this trial
This is an interventional treatment trial for Acute Myocardial Infarction focused on measuring Platelet Aggregation Inhibitors
Eligibility Criteria
Main Inclusion Criteria:
- Discharged with a confirmed diagnosis of symptomatic type 1 acute myocardial infarction (AMI) ST-Elevation Myocardial Infarction (STEMI) or Non-ST-Elevation Myocardial Infarction (NSTEMI), no longer than 4 weeks prior to randomization.
Presence of either a second prior AMI within 1 year of screening or at least 2 of the following risk factors:
- Second prior AMI more than 1 year before screening.
- Diabetes mellitus defined by ongoing glucose lowering treatment.
- Chronic kidney disease with estimated glomerular filtration rate less-than 60 mL/min/1.73 m2.
- Multivessel coronary artery disease.
- Peripheral artery disease.
- Age greater than or equal to 65 years.
- Absence of coronary revascularization of the qualifying AMI.
- Active daily smoking at screening.
- Successful self-administered placebo according to the autoinjector instruction for use training during screening.
Main Exclusion Criteria:
Increased risk of serious bleeding including any of the following:
- History of intracranial bleed at any time.
- Known uncorrected intracranial vascular abnormality.
- Gastrointestinal bleed requiring hospitalization or transfusion within 1 year prior to screening.
- Already on oral triple antithrombotic therapy (i.e., Dual antiplatelet therapy and oral anticoagulant).
- Known liver impairment significantly affecting the hepatic function.
- Current dialysis.
- Ischemic stroke or transient ischemic attack within 3 months of screening.
- Chronic anemia with hemoglobin < 10 g/dL.
- Chronic thrombocytopenia with platelet count < 100,000/mm3.
- Known hypersensitivity to selatogrel, any of its excipients, or drugs of the P2Y12 class.
- Previous exposure to an investigational drug within 3 months prior to randomization.
- Participation in another clinical trial with an investigational product or device within 3 months prior to randomization.
Sites / Locations
- Advanced Cardiovascular, LLC
- Birmingham VA Health Care System
- University of Alabama at Birmingham
- Grandview Medical Center and Affinity Cardiovascular Specialists, LCC
- Heart Center Research, LLC
- Dignity Health Mercy Gilbert Medical Center
- Mayo Clinic Arizona
- Northeast Arkansas Charitable Foundation, Inc.- NEA Baptist Clinic
- John Muir Health
- University of California San Diego Medical Center
- Long Beach VA Healthcare System
- San Francisco VA Health Care System"
- Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center
- Interventional Cardiology Medical Group
- Christiana Care Health Services, Inc.
- MedStar Washington Hospital Center
- Bay Area Cardiology Associates, P.A.
- Clearwater Cardiovascular Consultants
- University of Florida Health Science Center at Jacksonville
- Baptist Health Research Institute
- Pioneer Clinical Studies (PCS)
- Baptist Hospital
- Ascension Sacred Heart
- Clearwater Cardiovascular Consultants
- Atlanta VA Medical Center
- NorthShore University Healthsystem
- OSF HealthCare Cardiovascular Institute
- Indiana University School of Medicine
- Indiana University Health Ball Memorial Hospital
- Reid Physician Associates
- University of Louisville
- Grace Research, LLC
- Northern Light Eastern Maine Medical Center
- Sinai Hospital Baltimore, LifeBridge Health
- Adventist Healthcare White Oak Medical Center
- University of Michigan (also known as Michigan Medicine and University of Michigan Health Systems)
- MidMichigan Medical Center - Mildland
- Regions Hospital
- Cardiology Associates Research
- University of Missouri Healthcare
- North Kansas City Hospital
- Advanced Heart Care, LLC
- Saint Michael's Medical Center
- St. Joseph's Hospital Cardiology
- VA NY Harbor Healthcare System
- Columbia University Irving Medical Center
- Duke University Medical Center
- Moses H. Cone Memorial Hospital Operation Corporation d/b/a Cone Health
- NC Heart & Vascular Research, LLC
- University Hospitals Cleveland Medical Center
- University of Oklahoma Health Sciences Center
- Wellspan Chambersburg Hospital
- Penn State Health Milton S. Hershey Medical Center
- Penn State Health Medical Group - Berks Cardiology
- Prisma Health - Upstate
- Upstate Cardiology
- Monument Health Clinical Research, Monument Health Rapid City Hospital Inc.
- CHI Institute for Research and Innovation
- Baptist Clinical Research Institute
- Vanderbilt University Medical Center
- Covenant Medical Group d/b/a Parkway Cardiology Associates
- Cardiovascular Research of Knoxville
- Amarillo Heart Clinical Research Institute Inc.
- PharmaTex Research
- The Texas Heart Institute
- Wichita Falls Heart Clinic
- UVA University Hospital
- Inova Heart & Vascular Institute
- Virginia Heart
- Bon Secours St. Mary's Hospital of Richmond, LLC
- Aurora St. Luke's Medical Center
- LKH Universitätsklinikum Graz
- Klinikum Klagenfurt am Woerthersse
- Universitätsklinikum St. Pölten
- Klinik Ottakring
- Karl Landsteiner Institut für Kardiovaskuläre und Intensivmedizinische Forschung
- OLV Aalst
- ZNA Middelheim
- Imelda Hospital
- Hospital Oost-Limburg (ZOL)
- AZ Sint-Lucas
- Jessa Ziekenhuis
- University Hospital Leuven (UZ Leuven)
- AZ Delta Campus Rumbeke
- Mbal Puls
- UMHAT Deva Maria
- MHAT Ivan Skenderov EOOD
- Medical Centre Avitzena
- MHAT Cardiolife OOD
- SHATC Sveti Georgi
- MHAT South-West Hospital, Cardiology Department
- National Heart Hospital
- UMHAT "St. Ekaterina"
- UMHATEM N I Pirogov EAD
- UMHAT St. Anna - Sofia AD
- University of Calgary Foothills Medical Centre
- Royal Alexandra Hospital
- University of Alberta Hospital
- Grey Nuns Community Hospital
- Vancouver General Hospital
- Queen Elizabeth II Health Sciences Centre
- Wiliam Osler Health System
- Cambridge Cardiac Care Center
- York PCI Group, Inc.
- University of Ottawa Heart Institute
- Kawartha Cardiology Clinical Trials
- St. Michael's Hospital
- Clinique de Cardiologie de Lévis
- Montreal Heart Institute
- CHUM - Centre hospitalier de l'Universite de Montreal"
- Hôpital du Sacré-Coeur de Montréal
- CISSSL - Hopital Pierre-Le Gardeur
- Centre Intégré universitaire de santé et de services sociaux de la Mauricie-et-du-Centre-du-Québec
- Hôpital du Sacré-Coeur de Montréal
- Unity Health Toronto - Saint Michaels Site
- University Hospital Brno
- ICRC St. Anne University Hospital
- Regional Hospital Jihlava
- Nemocnice Pardubickeho kraje, a.s. - Pardubicka nemocnice
- Kardiologie Praha s.r.o.
- Institutu Klinicke a Experimentalni Mediciny (IKEM) (Institute for Clinical and Experimental Medicine)
- Univ. Hospital Vinohrady
- Kardiologie Vinohrady s.r.o.
- Všeobecná fakultní nemocnice
- Olomuc Cardiology
- University Hospital Ústí nad Labem
- Regional Hospital Ceské Budejovice
- Aalborg University Hospital Cardiology
- Aarhus University Hospital
- Rigshospitalet
- Esbjerg Hospital
- Goedstrup Region Hospital
- Herning Hospital
- Odense Universitetshospital
- Zealand University Hospital
- Svendborg Hospital
- Viborg Hospital
- The North Estonia Medical Centre
- Heart Clinic, Tartu University Hospital
- Jorvi Hospital, Helsinki University Hospital
- Heart and Lung Center, Helsinki University Hospital
- North Karelian Central Hospital
- StudyCor
- Kokkola Central Hospital
- Kuopio University Hospital
- Oulu University Hospital
- Seinäjoki Central Hospital
- TAYS Tutkimusvastaanotto / TAYS Research Center
- Heart Center, Turku University Hospital
- Hopital Cardiologique CHU Bordeaux
- CH Annecy Genevois
- CHRU Brest - Cavale Blanche
- CHU Caen · Unité Cardiologie et Pathologie Vasculaire
- Hospital Center Departmental Vendée
- CH Chartres
- CHU Timone 2
- Hôpital Arnaud de Villeneuve
- Clinique du Millénaire
- Univ Hosp de Nimes Carémeau
- University Hospitals Pitié Salpêtrière
- Bichat-Claude Bernard Hospital
- Hosp Rangueil - Cardiology A Dept
- CHRU Nancy
- Universitätsklinikum Freiburg; Universitäts-Herzzentrum Freiburg-Bad Krozingen
- Herz- und Diabeteszentrum NRW
- St. Johannes Hospital Dortmund
- Herzzentrum Dresden GmbH; Universitätsklinik an der Technischen Universität Dresden
- Universitätsklinikum Hamburg Eppendorf
- Krankenhaus der Augustinerinnen Köln gGmbH
- Universitätsklinikum Köln
- Herzzentrum Leipzig GmbH
- Gesellschaft für Klinische Forschung mbH Ludwigshafen
- Uniklinikum Magdeburg A. ö. R.
- Universitätsmedizin Mannheim
- München Klinik Neuperlach
- Studienzentrum Innere Med. II Kardiologie, Universitätsklinikum Regensburg
- Kreisklinikum Siegen
- Robert-Bosch Krankenhaus Stuttgart
- Krankenhaus der Barmherzigen Brüder
- Universitätsklinikum Tübingen, Medizinische Klinik Innere Medizin III Kardiologie und Angiologie
- Siteworks GmbH Prüfzentrum Völklingen
- Betegápoló Irgalmasrend Budai Irgalmasrendi Kórház, Kardiológia
- Gottsegen György Országos Kardiovaszkuláris Intézet
- Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika Kardiológia
- Magyar Honvédség Egészségügyi Központ
- Uzsoki Utcai Kórház
- Debreceni Egyetem Klinikai Központ Kardiológiai és Szívsebészeti Klinika
- Szegedi Tudományegyetem ÁOK Szent-Györgyi Albert Klinikai Központ II.sz. Belgyógyászati Klinika és Kardiológiai Központ
- Léda-Platán Magánklinika
- St. James's Hospital
- Soroka University Medical Center
- Hillel Yaffee Medical Center, Cardiology Department
- Rambam Health Care Campus
- Bnai Zion Medical Center, Cardiology
- Edith Wolfson Medical Center
- Shaare Zedek Medical Center, Cardiology Department
- Hadassah Hospital on Mount Scopus
- Meir Medical Center
- Galilee Medical Center
- Rabin Medical Center
- Kaplan Medical Center, Intensive Cardiac Care Unit
- Tel-Aviv Sourasky Medical Center
- Leviev Heart Center, Sheba Medical Center
- Ziv Medical Center
- Shamir Medical Center (Assaf Harofeh)
- San Donato Hospital, U.O.C. Cardiology
- Ospedale Maggiore Bologna - Dept. Cardiology
- AORN Sant'Anna e San Sebastiano
- Azienda Ospedaliero-Universitaria Policlinico ""G. Rodolico - San Marco
- AOU Mater Domini
- University Hospital of Ferrara, Cardiology Unit
- "SOD Cardiologia Interventistica Strutturale, AOU Careggi
- Cardiologia - ASL5 - La Spezia
- A.O.U. Policlinico Gaetano Martino
- University of Naples "Federico II"
- AOU San Luigi Gonzaga Hospital
- Ospedale Policlinico S. Matteo
- Azienda Ospedaliera di Perugia
- Azienda Ospedaliera di Perugia
- Cardiology Department - Santa Chiara Hospital
- Cardiology Department - Santa Chiara Hospital
- Ospedale Ca' Foncello
- Infermi Hospital in Rivoli (Turin)
- Hospital of Lithuanian University of Health Sciences Kauno Klinikos
- Klaipeda Seamen's Hospital
- Republican Panevezys Hospital
- Republican Siauliai Hospital
- Vilnius University Hospital Santaros Klinikos
- Jeroen Bosch Ziekenhuis
- Noordwest Ziekenhuisgroep
- Meander Medisch Centrum
- Onze Lieve Vrouwe Gasthuis, locatie Oost
- Amsterdam UMC
- Gelre Ziekenhuis Apeldoorn
- Deventer Ziekenhuis
- Albert Schweitzer Ziekenhuis
- Gelderse Vallei Ziekenhuis
- Catharina Hospital
- UMC Groningen
- Zuyderland Medical Center
- Vasculair Onderzoek Centrum Hoorn
- Medisch Centrum Leeuwarden
- Radboud UMC
- Canisius-Wilhelmina Ziekenhuis
- Bravis Ziekenhuis
- Ziekenhuis Rivierenland
- Elisabeth-TweeSteden Ziekenhuis
- Diakonessenhuis Utrecht
- Máxima Medisch Centrum
- Viecuri Medisch Centrum
- Akershus University Hospital
- Diakonhjemmet Hospital
- Oslo University Hospital Rikshospitalet
- Oslo University Hospital, Ullevål hospital
- Sykehuset Østfold Kalnes (Trust)
- Vestfold Hospital
- Invasive Cardiology Department, University Teaching Hospital in Białystok
- Górnośląskie Centrum Medyczne w Katowicach, III Oddział Kardiologii
- Szpital Uniwersytecki w Krakowie, Oddział Kliniczny Kardiologii oraz Interwencji Sercowo-Naczyniowych
- Miedziowe Centrum Zdrowia Regionalny, Ośrodek Kardiologiczny, Pracownia Angiografii i Hemodynamiki
- Wielospecjalistyczny Szpital SPZOZ w Nowej Soli
- Wojewódzki Szpital Specjalistyczny w Olsztynie, Oddział Kardiologii
- Szpital Kliniczny im. Heliodora Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu
- Oddzial Kardiologii i intensywnej Terapii Kardiologicznej
- Pracownia Kardiologii Inwazyjnej I Katedry i Kliniki Kardiologii Uniwersyteckiego Centrum Klinicznego Warszawskiego Uniwersytetu Medycznego
- Narodowy Instytut Kardiologii
- Uniwersytecki Szpital Kliniczny we Wroclawiu
- SCCS Zabrze I i II Oddział Kardiologii i Angiologii
- Spitalul Judetean de Urgenta ""Dr. Constantin Opris" Baia Mare
- County Clinical Emergency Hospital Brasov
- Carol Davila University of Medicine and Pharmacy - Spitalul Universitar de Urgenta Elias
- Spitalul Clinic de Urgenta Bucuresti
- Niculae Stancioiu"" Heart Institute
- Spital Clinic Judetean de Urgentia Cluj Napoca
- Spitalul Judetean de Urgenta Satu Mare
- Institute of Cardiovascular Diseases Timisoara
- County Clinical Emergency Hospital Tirgu Mures
- Kliničko bolnički centar "Zvezdara"
- University Clinical Center of Serbia (Department for Cardiovascular Disease Cardiology Clinic)
- University Clinical Center of Serbia (Diagnostic and Catheterization Lab)
- University Clinical Center of Serbia (Emergency Cardiology Services)
- University Clinical Center of Serbia
- University Hospital Centre Dr Dragiša Mišovic - Dedinje
- Dedinje Cardiovascular Institute
- Department of Cardiology, Clinical Hospital Center Zemun
- Klinicko bolnicki centar, Bežanijska kosa
- Kliničko Bolnički Centar Bežanijska Kosa
- Klinički centar Kragujevac
- Klinički Centar Niš
- Institute of Cardiovascular Diseases, Vojvodina
- Central Slovak Institute of Cardiovascular Diseases
- Premedix Clinic
- University Hospital Bratislava
- Cardiocentre CINRE
- Východoslovenský ústav srdcových a cievnych chorôb
- University Hospital Martin
- Kardiocentrum Nitra
- Hospital Universitari Germans Trias i Pujol
- Hospital Clinic. Barcelona
- Hospital Universitario Virgen de la Arrixaca
- Hospital Universitari de Bellvitge
- Hospital Universitario de la Princesa
- Hospital Clinico San Carlos
- Hospital Clinico Universitario de Santiago
- Hospital Clinico Valencia
- Hospital Alvaro Cunqueiro, Cardiovascular Unit
- Universitätsspital Basel; Universitäres Herzzentrum
- Inselspital, Universitäatspital Bern, Universitäatklinik für Kardiologie
- Istituto Cardiocentro Ticino
- Kantonsspital St. Gallen
- Royal Papworth Hospital NHS Foundation Trust
- Altnagelvin Area Hospital (WHSCT)
- Freeman Hospital
- North Tyneside General Hospital, Northumbria Healthcare
- Southern Health & Social Care Trust
- Northern General Hospital
- Lister Hospital East and North Hertfordshire NHS Trust
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Selatogrel
Placebo
Study treatment administration may occur at any time between the randomization visit and the final study visit when the participant experiences symptoms suggestive of an acute myocardial infarction. Study treatment administration triggers protocol pre-defined assessments or visits.
Study treatment administration may occur at any time between the randomization visit and the final study visit when the participant experiences symptoms suggestive of an acute myocardial infarction. Study treatment administration triggers protocol pre-defined assessments or visits.