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WithdrawnNCT04303377ExOTICUpdated Nov 21, 2024

Early Treatment With Evolocumab in Patients With ST-elevation Myocardial Infarction

A Phase 2 interventional study of Evolocumab in ST-elevation Myocardial Infarction, sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia. Withdrawn at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-21.

Sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia · Phase 2, Interventional, and Treatment

Why this study was withdrawn
The sponsor required early termination of the economic agreement due to a supposed extension of the enrollment period for bureaucracy reasons and for the concomitant Covid -19 Pandemic

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Nov 2019, registered Mar 2020).
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, multi-centre, open label, randomised study of Phase II that enrolls patients hospitalized with a diagnosis of ST-elevation myocardial infarction (STEMI), comparing Evolocumab versus Standard of Care.

Read the detailed description

Primary objective of the study is to assess whether early evolocumab administration reduces infarct size in patients with STEMI undergoing primary PCI.

At least 150 patients will be enrolled to investigate the efficacy and safety of evolocumab administration in the acute phase of STEMI.

Patients will be followed for 1 year after the enrollment.

02

Conditions studied

  • ST-elevation Myocardial Infarction

Keywords

  • Myocardial Infarction
  • Percutaneous Coronary Intervention
  • Evolocumab
  • Cardiac Magnetic Resonance
03

In context

ST Elevation Myocardial Infarction

688 studies on the registry are indexed under ST Elevation Myocardial Infarction; 184 are open to participants now.

Browse ST Elevation Myocardial Infarction studies →

Lead sponsor

Fondazione IRCCS Policlinico San Matteo di Pavia is the lead sponsor of 257 studies on the registry; 114 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years old
  • Chest pain or equivalent lasting > 20 minutes
  • ST elevation myocardial infarction scheduled for primary PCI
  • Signed written informed consent

Exclusion criteria

Exclusion Criteria:

  • Previous myocardial infarction
  • Previous percutaneous or surgical myocardial revascularization
  • Ongoing treatment with any statin or ezetimibe
  • History of congestive heart failure
  • Cardiogenic shock at presentation
  • Known Pregnancy
  • Women of Childbearing Age
  • Known major active infection or major hematologic, renal, hepatic, or endocrine dysfunction
  • Malignancy (except non-melanoma skin cancer, cervical in situ carcinoma, breast ductal carcinoma in situ, stage 1 prostate carcinoma) within the last 10 years
  • Patients with hypersensitivity to the active substance (evolocumab) or to any of its excipients
  • Inability to attend the scheduled clinical evaluation and laboratory tests
  • Inability to undergo the pharmacological treatment or other procedures of the study
  • Currently enrolled in another investigational drug study, or \< 30 days/\<5 half-life since ending another investigational drug study(s).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Evolocumab

    Evolocumab administration in the acute phase of ST elevation myocardial infarction

    Biological: Evolocumab

  • No intervention
    Standard of care

Interventions

  • BiologicalEvolocumab

    Evolocumab 140 mg every 2 weeks plus Standard of Care, including optimal lipid lowering treatment (high dose of statin ± ezetimibe)

    Also known as: Repatha

06

What researchers measure

Primary outcomes

  1. Infarct Size reduces infarct size in patients with STEMI undergoing primary PCI

    • Myocardial salvage index (MSI) at 6 months evaluated with cardiac magnetic resonance (CMR)

    Time frame: 6 months Visit

Secondary outcomes

  1. Inflammatory Cytokine Response

    Absolute changes of hs-C reactive protein, Interleukin 1, 6 and10, and alfa Tumor Necrosis Factor

    Time frame: 6 months Visit

  2. Cholesterol LDL levels

    Absolute and percentage changes in c-LDL levels

    Time frame: 6 months Visit

  3. Major adverse cardiovascular events

    Rate of composite cardiovascular death, MI or stroke

    Time frame: 12 months Visit

  4. Euroqol 5-dimension questionnaire

    Euroqol 5-dimension questionnaire (minimum value 0, and maximum value 100)

    Time frame: 12 months Visit

07

Study locations

1 site
  • IRCCS Policlinico San Matteo
    Pavia, PV 27100, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04303377
Collaborators
Centro Cardiologico Monzino, Ospedale Bassini Cinisello Balsamo, Azienda Ospedaliera Ordine Mauriziano di Torino, Ospedale Policlinico San Martino, Fondazione Poliambulanza Istituto Ospedaliero, Azienda Ospedaliera San Gerardo di Monza, Azienda Ospedaliera Sant'Anna e San Sebastiano, Azienda Ospedaliera, Ospedale Civile di Legnano
Responsible party
Marco Ferlini (Principal Investigator, Fondazione IRCCS Policlinico San Matteo di Pavia) — Principal investigator
First posted
Mar 11, 2020
Start date
Nov 18, 2019
Primary completion
Jan 2, 2020
Completion
Jul 24, 2020
Last update
Nov 21, 2024

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Evolocumab

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