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CompletedNCT02976467CHIARA MIA 2Updated Sep 3, 2019

A Double-blind Study to Investigate Efficacy, Safety and Tolerability of BAY 1142524 in Patients After Acute Myocardial Infarction With Left-ventricular Dysfunction

A Phase 2 interventional study of Fulacimstat (BAY1142524) and Placebo in Myocardial Infarction, sponsored by Bayer. Completed at 25 sites in 5 countries. Open to participants aged 40 Years to 79 Years. Per ClinicalTrials.gov, last updated 2019-09-03.

Sponsored by Bayer · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
107
Allocation
Randomized
Ages
40 Years to 79 Years
Sex
All
01

Study summary

The purpose of the trial is the analysis of safety and efficacy of the chymase inhibitor BAY1142524 at a dose of 25 mg BID in comparison to placebo using a 6 months treatment period in patients with left-ventricular (LV) dysfunction after myocardial infarction (MI). BAY1142524 or placebo will be given on top of evidence-based standard of care for left-ventricular dysfunction after myocardial infarction. Primary objective is the analysis of first signs of efficacy as determined by favourable changes in functional parameters of adverse cardiac remodelling (i.e. endsystolic and enddiastolic volume index, ejection fraction). Secondary objective is the analysis of safety and tolerability as evidenced by the incidence and severity of adverse events. 30 patients have to complete treatment with verum and 30 patients have to complete treatment with placebo.

02

Conditions studied

  • Myocardial Infarction
03

In context

Myocardial Infarction

2,744 studies on the registry are indexed under Myocardial Infarction; 418 are open to participants now.

This study's enrollment of 107 is below the median of 148 across 1,595 interventional studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

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Who can participate

Ages eligible
40 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with first ST elevation myocardial infarction (STEMI) treated with primary percutaneous intervention (PCI) or thrombolysis within 24 hours after symptom onset
  • Diagnosis of STEMI requires the presence of the following three criteria:

    • Typical clinical symptoms such as chest pain, shortness of breath for more than 20 minutes related to the myocardial infarction
    • New ST elevation indicating myocardial infarction
    • Significant elevation in troponin T or I with at least one value above the 99th percentile upper reference limit (URL) and/or elevation creatine kinase (CK) and creatine kinase MB (6-10% of total CK)
  • At the screening period, on day 5 to 9 after MI, patients have to have a LVEF ≤ 45% and an infarct size >10% LV mass (as measured by LGE-MRI, central-blinded evaluation)

Exclusion criteria

Exclusion Criteria:

  • Contraindication to perform contrast-enhanced cardiac MRI
  • LVEF \< 20%
  • History of heart failure or LVEF \< 50% before occurrence of the first STEMI
  • Infarct size > 45% (g/g; LV mass) between 5 and 9 days after myocardial infarction
  • NYHA (New York Heart Association) class IV at randomization
  • Any planned cardiac intervention after baseline MRI or any other planned operations
  • Non-ischemic causes for cardiomyopathy
  • Diagnosis of atrial fibrillation
  • Systolic blood pressure \< 100 mm Hg or > 180 mm Hg; diastolic blood pressure \< 50 mm Hg or >110 mm Hg, heart rate \< 50 or >100 beat/minute; mean of triplicate values at randomization
  • Clinically relevant hepatic 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
107 participants (actual)

Study arms

  • Experimental
    Fulacimstat (BAY1142524)

    30 patients with left-ventricular dysfunction after acute myocardial infarction

    Drug: Fulacimstat (BAY1142524)

  • Placebo comparator
    Placebo

    30 patients with left-ventricular dysfunction after acute myocardial infarction

    Drug: Placebo

Interventions

  • DrugFulacimstat (BAY1142524)

    25 mg BAY 1142524 are given twice daily over a treatment period of 6 months

  • DrugPlacebo

    Matching placebo tablets are given twice daily over a treatment period of 6 months

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What researchers measure

Primary outcomes

  1. Change in left-ventricular ejection fraction (LVEF)

    Time frame: At 6 months

  2. Change in end diastolic volume index (EDVI)

    Time frame: At 6 months

  3. Change in end systolic volume index (ESVI)

    Time frame: At 6 months

Secondary outcomes

  1. Number of patients with adverse events

    Time frame: Up to 7 months

  2. Number of patients with serious adverse events

    Time frame: Up to 7 months

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Study locations

25 sites
  • Kladno, 27259, Czechia
  • Praha 10, 100 34, Czechia
  • Praha 4, 140 21, Czechia
  • Praha 5, 150 06, Czechia
  • Praha 5, 150 30, Czechia
  • Hannover, Niedersachsen 30625, Germany
  • Dortmund, Nordrhein-Westfalen 44137, Germany
  • Erfurt, Thüringen 99089, Germany
  • Berlin, 13353, Germany
  • Beer Sheva, 8410101, Israel
  • Haifa, 3109601, Israel
  • Jerusalem, 9103102, Israel
  • Jerusalem, 9112001, Israel
  • Petah Tikva, 4941492, Israel
  • Tel Aviv, 6423906, Israel
  • Bergamo, Lombardia 24127, Italy
  • Brescia, Lombardia 25123, Italy
  • Milano, Lombardia 20089, Italy
  • Milano, Lombardia 20138, Italy
  • Monza-Brianza, Lombardia 20090, Italy
  • Babio - Beade, Pontevedra 36312, Spain
  • Barcelona, 08036, Spain
  • Madrid, 28007, Spain
  • Madrid, 28040, Spain
  • Valencia, 46026, Spain
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References and documents

Publications

  • Duengen HD, Kim RJ, Zahger D, Orvin K, Kornowski R, Admon D, Kettner J, Shimony A, Otto C, Becka M, Kanefendt F, Romo AI, Hasin T, Ostadal P, Rojas GC, Senni M; GROUP investigators of the CHIARA MIA 2 trial. Effects of the chymase inhibitor fulacimstat on adverse cardiac remodeling after acute myocardial infarction-Results of the Chymase Inhibitor in Adverse Remodeling after Myocardial Infarction (CHIARA MIA) 2 trial. Am Heart J. 2020 Jun;224:129-137. doi: 10.1016/j.ahj.2020.01.012. Epub 2020 Jan 25. PubMed 32375104 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02976467
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 29, 2016
Start date
Dec 30, 2016
Primary completion
Jul 31, 2018
Completion
Sep 4, 2018
Last update
Sep 3, 2019

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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