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CompletedNCT01201837CHI SQUAREUpdated Mar 3, 2014

Effect of CER-001 on Atherosclerosis in Acute Coronary Syndrome (ACS) Patients - Efficacy and Safety: The CHI SQUARE Trial

A Phase 2 interventional study of Placebo and CER-001 in Acute Coronary Syndrome, sponsored by Cerenis Therapeutics, SA. Completed at 47 sites in 4 countries. Open to participants aged Up to 75 Years. Per ClinicalTrials.gov, last updated 2014-03-03.

Sponsored by Cerenis Therapeutics, SA · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
507
Allocation
Randomized
Ages
Up to 75 Years
Sex
All
01

Study summary

Cardiovascular disease remains the most pressing healthcare issue for developed countries and is becoming so for developing countries. There are a number of chronic therapies available for long-term management of risk. Short term therapies for subjects with an acute event, such as an episode of acute coronary syndrome (ACS), are focused on reperfusion and removing thrombus but most subsequent events are caused by atherosclerotic plaque rupture at a different site. There are no approved therapies that can rapidly reduce the burden of unstable, inflamed plaque in the overall coronary vascular bed. HDL has multiple actions that could lead to atherosclerotic plaque stabilization, such as rapid removal of large quantities of cholesterol from the vasculature, improvement in endothelial function, protection against oxidative damage and reduction in inflammation. This study will assess the effects of CER-001, an ApoA-I-based HDL mimetic, on indices of atherosclerotic plaque progression and regression as assessed by intravascular ultrasound (IVUS) measurements in patients with (ACS).

02

Conditions studied

  • Acute Coronary Syndrome

Keywords

  • Acute coronary syndrome
  • HDL mimetic
  • ApoA-I
03

In context

Acute Coronary Syndrome

1,461 studies on the registry are indexed under Acute Coronary Syndrome; 267 are open to participants now.

This study's enrollment of 507 is above the median of 200 across 869 interventional studies indexed under Acute Coronary Syndrome.

Browse Acute Coronary Syndrome studies →

Lead sponsor

Cerenis Therapeutics, SA is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female less than 75 years of age
  • Acute coronary syndrome (acute chest pain and a diagnosis of ST segment elevation myocardial infarction, non-ST elevation myocardial infarction or unstable angina)
  • Angiographic evidence of coronary artery disease with suitable "target" coronary artery for IVUS evaluation

Exclusion criteria

Exclusion Criteria:

  • Females of child-bearing potential
  • Weight >120 kg
  • Angiographic evidence of >50% stenosis of the left main artery
  • Uncontrolled diabetes (HbA1C>10%)
  • Hypertriglyceridemia (>500 mg/dL)
  • Congestive heart failure (NYHA class III or IV)
  • Ejection fraction \<35%
  • Uncontrolled hypertension (SBP >180 mm Hg)
  • Known major hematologic, renal, hepatic, metabolic, gastrointestinal or endocrine dysfunction
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
507 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    Low Dose

    CER-001 Low Dose

    Drug: CER-001

  • Experimental
    Mid Dose

    CER-001 Mid Dose

    Drug: CER-001

  • Experimental
    High Dose

    CER-001 High Dose

    Drug: CER-001

Interventions

  • DrugPlacebo

    Weekly injection

  • DrugCER-001

    Weekly injection

06

What researchers measure

Primary outcomes

  1. Change in Total Plaque Volume

    Absolute change in total plaque volume, as assessed by IVUS, from the baseline measurement to the follow-up taken \~3 weeks following the final dose of study medication (approximately 9 weeks after the baseline assessment)

    Time frame: Baseline and 3 weeks post final dose

Secondary outcomes

  1. Percent Change in Plaque Volume

    Percent change in total plaque volume, as assessed by IVUS, from the baseline measurement to the follow-up taken \~3 weeks following the final dose of study medication (approximately 9 weeks after the baseline assessment)

    Time frame: Baseline and 3 weeks post final dose

07

Study locations

47 sites
  • Heart Center Research LLC
    Huntsville, Alabama 35801, United States
  • Mayo Clinic - Arizona
    Phoenix, Arizona 85054, United States
  • VA San Diego Health Care Center
    San Diego, California 92161, United States
  • Palm Beach Heart Institute, LLC - Zasa Clinical Research
    Boynton Beach, Florida 33472, United States
  • Heart and Vascular Institute of Florida
    Clearwater, Florida 33755, United States
  • Jacksonville Center for Clinical Research
    Jacksonville, Florida 32216, United States
  • Saint Joseph Research Institute
    Atlanta, Georgia 30342, United States
  • The Care Group, LLC
    Indianapolis, Indiana 46260, United States
  • Suburban Hospital
    Bethesda, Maryland 20814, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • Detroit Medical Center (DMC) Cardiovascular Institute
    Detroit, Michigan 48201, United States
  • Cardiac and Vascular Research Center of Northern Michigan
    Petoskey, Michigan 49770, United States
  • Alegent Research Center
    Omaha, Nebraska 68124, United States
  • Buffalo Heart Group
    Buffalo, New York 14215, United States
  • Buffalo Cardiology & Pulmonary Associates
    Williamsville, New York 14221, United States
  • University of North Carolina Medical Center
    Chapel Hill, North Carolina 27599, United States
  • LeBauer Cardiovascular Research Foundation
    Greensboro, North Carolina 27401, United States
  • Sanford Heart Center
    Fargo, North Dakota 58122, United States
  • South Oklahoma Heart Research
    Oklahoma City, Oklahoma 73135, United States
  • Penn Presbyterian Medical Center
    Philadelphia, Pennsylvania 19104, United States
  • Sanford Research / USD
    Sioux Falls, South Dakota 57104, United States
  • Baptist Memorial Hospital
    Memphis, Tennessee 38120, United States
  • Dallas VA Medical Center
    Dallas, Texas 75016, United States
  • MultiCare Health System Research Institute / Cardiac Study Center
    Tacoma, Washington 98405, United States
  • Foothills Medical Centre
    Calgary, Alberta T2N 2T9, Canada
  • Victoria Heart Institute Foundation
    Victoria, British Columbia V8R 4R2, Canada
  • St. John Health Center
    St. John's, Newfoundland and Labrador A1B 3V6, Canada
  • London Health Sciences Center
    London, Ontario N6A 5A5, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • Centre de Santé et de Services Sociaux de Laval
    Laval, Quebec H7M 3L9, Canada
  • Montreal Heart Institute
    Montreal, Quebec H1T1C8, Canada
  • Montreal General Hospital Research Institute
    Montreal, Quebec H3G 1A4, Canada
  • CSSS du Nord de Lanaudière
    St-Charles-Borromée, Quebec J6E 6J2, Canada
  • Centre Hospitalier Régional de Trois-Rivières
    Trois-Rivières, Quebec G8Z 3R9, Canada
  • Institut Universitaire de Cardiologie et Pneumologie de Québec (IUCPQ)
    Quebec, G1V 4G5, Canada
  • Hôpital Cardiologique du Haut-Lévesque
    Bordeaux, PESSAC Cedex 33064, France
  • Clinique Pasteur
    Toulouse, 31076, France
  • Centre Hospitalier Universitaire de Toulouse Rangueil
    Toulouse, France
  • Onze Lieve Vrouwe Gasthius
    Amsterdam, AC 1091, Netherlands
  • Medisch Centrum Leeuwarden
    Leeuwarden, AD 8934, Netherlands
  • Medisch Centrum Alkmaar
    Alkmaar, Amsterdam JD 1815, Netherlands
  • Academic Medical Center
    Amsterdam, AZ 1105, Netherlands
  • St. Antonius Ziekenhuis Nieuwegein
    Nieuwegein, CM 3430, Netherlands
  • Maassstadziekenhuis Cardiology Research
    Rotterdam, DZ 3079, Netherlands
  • Catharina Ziekenhuis Eindhoven
    Eindhoven, EJ 5623, Netherlands
  • Medisch Spectrum Twente
    Enschede, ER 7513, Netherlands
  • Canisius Wilhelmina Ziekenhuis
    Nijmegen, SZ 6532, Netherlands
08

References and documents

Publications

  • Nanjee MN, Doran JE, Lerch PG, Miller NE. Acute effects of intravenous infusion of ApoA1/phosphatidylcholine discs on plasma lipoproteins in humans. Arterioscler Thromb Vasc Biol. 1999 Apr;19(4):979-89. doi: 10.1161/01.atv.19.4.979. PubMed 10195926 ↗
  • Eriksson M, Carlson LA, Miettinen TA, Angelin B. Stimulation of fecal steroid excretion after infusion of recombinant proapolipoprotein A-I. Potential reverse cholesterol transport in humans. Circulation. 1999 Aug 10;100(6):594-8. doi: 10.1161/01.cir.100.6.594. PubMed 10441095 ↗
  • Spieker LE, Sudano I, Hurlimann D, Lerch PG, Lang MG, Binggeli C, Corti R, Ruschitzka F, Luscher TF, Noll G. High-density lipoprotein restores endothelial function in hypercholesterolemic men. Circulation. 2002 Mar 26;105(12):1399-402. doi: 10.1161/01.cir.0000013424.28206.8f. PubMed 11914243 ↗
  • Nieuwdorp M, Vergeer M, Bisoendial RJ, op 't Roodt J, Levels H, Birjmohun RS, Kuivenhoven JA, Basser R, Rabelink TJ, Kastelein JJ, Stroes ES. Reconstituted HDL infusion restores endothelial function in patients with type 2 diabetes mellitus. Diabetologia. 2008 Jun;51(6):1081-4. doi: 10.1007/s00125-008-0975-2. Epub 2008 Apr 4. No abstract available. PubMed 18389214 ↗
  • Drew BG, Duffy SJ, Formosa MF, Natoli AK, Henstridge DC, Penfold SA, Thomas WG, Mukhamedova N, de Courten B, Forbes JM, Yap FY, Kaye DM, van Hall G, Febbraio MA, Kemp BE, Sviridov D, Steinberg GR, Kingwell BA. High-density lipoprotein modulates glucose metabolism in patients with type 2 diabetes mellitus. Circulation. 2009 Apr 21;119(15):2103-11. doi: 10.1161/CIRCULATIONAHA.108.843219. Epub 2009 Apr 6. PubMed 19349317 ↗
  • Shaw JA, Bobik A, Murphy A, Kanellakis P, Blombery P, Mukhamedova N, Woollard K, Lyon S, Sviridov D, Dart AM. Infusion of reconstituted high-density lipoprotein leads to acute changes in human atherosclerotic plaque. Circ Res. 2008 Nov 7;103(10):1084-91. doi: 10.1161/CIRCRESAHA.108.182063. Epub 2008 Oct 2. PubMed 18832751 ↗
  • Waksman R, Torguson R, Kent KM, Pichard AD, Suddath WO, Satler LF, Martin BD, Perlman TJ, Maltais JA, Weissman NJ, Fitzgerald PJ, Brewer HB Jr. A first-in-man, randomized, placebo-controlled study to evaluate the safety and feasibility of autologous delipidated high-density lipoprotein plasma infusions in patients with acute coronary syndrome. J Am Coll Cardiol. 2010 Jun 15;55(24):2727-35. doi: 10.1016/j.jacc.2009.12.067. PubMed 20538165 ↗
  • Tardif JC, Gregoire J, L'Allier PL, Ibrahim R, Lesperance J, Heinonen TM, Kouz S, Berry C, Basser R, Lavoie MA, Guertin MC, Rodes-Cabau J; Effect of rHDL on Atherosclerosis-Safety and Efficacy (ERASE) Investigators. Effects of reconstituted high-density lipoprotein infusions on coronary atherosclerosis: a randomized controlled trial. JAMA. 2007 Apr 18;297(15):1675-82. doi: 10.1001/jama.297.15.jpc70004. Epub 2007 Mar 26. PubMed 17387133 ↗
  • Nissen SE, Tsunoda T, Tuzcu EM, Schoenhagen P, Cooper CJ, Yasin M, Eaton GM, Lauer MA, Sheldon WS, Grines CL, Halpern S, Crowe T, Blankenship JC, Kerensky R. Effect of recombinant ApoA-I Milano on coronary atherosclerosis in patients with acute coronary syndromes: a randomized controlled trial. JAMA. 2003 Nov 5;290(17):2292-300. doi: 10.1001/jama.290.17.2292. PubMed 14600188 ↗
  • Tardif JC, Ballantyne CM, Barter P, Dasseux JL, Fayad ZA, Guertin MC, Kastelein JJ, Keyserling C, Klepp H, Koenig W, L'Allier PL, Lesperance J, Luscher TF, Paolini JF, Tawakol A, Waters DD; Can HDL Infusions Significantly QUicken Atherosclerosis REgression (CHI-SQUARE) Investigators. Effects of the high-density lipoprotein mimetic agent CER-001 on coronary atherosclerosis in patients with acute coronary syndromes: a randomized trial. Eur Heart J. 2014 Dec 7;35(46):3277-86. doi: 10.1093/eurheartj/ehu171. Epub 2014 Apr 29. PubMed 24780501 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01201837
Lead sponsor
Cerenis Therapeutics, SA
Responsible party
Sponsor
First posted
Sep 15, 2010
Start date
Mar 2011
Primary completion
Oct 2012
Completion
Mar 2013
Last update
Mar 3, 2014

Study contacts

Jean-Claude Tardif, MD
principal investigator · Montreal Heart Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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