ClinicalTrials.gg
RecruitingNCT07362446PROTECT-MIUpdated Nov 4, 2026

Prevention of Reperfusion Injury Outcomes Through Effective Cardioprotection Targeting Myocardial Infarction

A Phase 2 interventional study of Xolatryp and Placebo in Myocardial Infarction, Reperfusion Injury and AMI, sponsored by Nyrada Pty Ltd. Recruiting at 8 sites in Australia. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Primary conditionST Elevation Myocardial InfarctionRegistry: Myocardial InfarctionReclassifiedWhy we changed it
Registry
Myocardial Infarction — the first condition term the registry derived for this study.
ClinicalTrials.gg
ST Elevation Myocardial Infarction
Why
  1. The study's listed conditions name ST Elevation Myocardial Infarction, a narrower term within Myocardial Infarction.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Nyrada Pty Ltd · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Updated Nov 4, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

This study is open to adults with ST elevation myocardial infarction (heart attack) undergoing primary percutaneous coronary intervention (PCI). The purpose of this study is to determine whether a medicine called Xolatryp is safe and effective in improving cardiac outcomes. One dose of Xolatryp will be tested in this study.

Participants are put into two groups randomly, which means by chance. One group receives a single 6-hour continuous intravenous infusion of Xolatryp and one group receives placebo. Participants are in the study for about 30 days.

Placebo infusion looks like Xolatryp but do not contain any medicine. Participants are followed up via telephone and there is one visit to the study site on day 30.

Heart health is assessed based on the analysis of blood samples, which are collected at the study site, via electrocardiogram (ECG), echocardiogram and cardiac magnetic resonance (CMR) imaging. At the end of the study, the results are compared between the two groups. During the study, the doctors also regularly check the general health of the participants.

02

Conditions studied

  • Myocardial Infarction
  • Reperfusion Injury
  • AMI
  • STEMI (ST Elevation MI)

Browse trials for

Keywords

  • STEMI
  • PCI
03

In context

ST Elevation Myocardial Infarction Reclassified

850 studies on the registry are indexed under ST Elevation Myocardial Infarction; 197 are open to participants now.

This study's planned enrollment of 300 is above the median of 194 across 527 interventional studies indexed under ST Elevation Myocardial Infarction.

Browse ST Elevation Myocardial Infarction studies →

Lead sponsor

Nyrada Pty Ltd is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within ST Elevation Myocardial Infarction, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Myocardial Infarction. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
40 Years to 75 Years
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

  • Have provided .
  • Male patients aged 40 to 75 years of age.- Female patients aged 55 to 75 years of age, or women aged 40 to 55 years that have no possibility of being pregnant.
  • Patient presents with first-time STEMI, scheduled to undergo primary PCI within 6 h of symptom onset and anticipated door to balloon time \< 2 h.
  • In combination with symptoms consistent with acute MI, patient must demonstrate ST-elevation at the J-point in two contiguous leads.
  • Hemodynamically stable including: systolic BP ≥ 90 mmHg, HR 50-120 bpm.
  • Killip Class I or II.
  • Oxygen saturation ≥ 92% on room air or low-flow oxygen.
  • No ongoing VT/VF at enrolment.
  • Male participants with female partners of must be ready and able to use highly effective methods of for at least 7 days following IP administration.

Exclusion criteria

Exclusion Criteria:

  • History or evidence of myocardial infarction or cardiomyopathy.
  • Prior major cardiac surgery, including but not limited to coronary artery bypass graft surgery (CABG).
  • Known to CMR (e.g. pacemakers, cochlear implants, aneurism clips, claustrophobia, allergy to contrast medium).
  • History of renal impairment requiring dialysis or an estimated \<30 mL/min.
  • Estimated or known body weight \< 50 kg, > 120 kg at screening.
  • Concurrent enrolment in another device or drug trial, or less than 30 days or 5 half-lives of investigational device or drug (whichever is longer), since ending another investigational device or drug trial(s) or receiving other investigational treatment(s). Patients who are participating in non-interventional, purely observational trials can be included.
  • of less than 1 year due to non-cardiac pathology in the opinion of the Investigator.
  • Any condition or significant clinical abnormality identified at the time of screening that in the judgment of the Investigator or any sub-Investigator would preclude safe completion of the study.
  • Known history of to the investigational drug, or , or do not want to be exposed to soy or egg (including products and derivatives).
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    Xolatryp intravenous infusion

    After randomization, patients receive primary PCI and standard therapy. Patients assigned to the experimental arm also receive Xolatryp, administered as a single, continuous intravenous infusion (i.v.) for 6 hours.

    Drug: Xolatryp

  • Placebo comparator
    Placebo intravenous infusion

    After randomization, patients receive primary PCI and standard therapy. Patients assigned to the placebo arm also recieve a placebo comparator, administered as a single, continuous intravenous (i.v.) infusion for 6 hours.

    Drug: Placebo

Interventions

  • DrugXolatryp

    Patients assigned to the treatment arm recieve Xolatryp administered as a continuous intravenous (i.v) infusion for 6 hours.

  • DrugPlacebo

    Patients assigned to the placebo comparator arm receive 0.1% of 20% Intralipid in 0.9% normal saline, administered via continuous intravenous (i.v.) infusion for 6 hours.

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events

    Incidence of adverse events (AE) and serious adverse events (SAE) overall. Incidence of AEs and SAEs deemed related to Xolatryp. Incidence of AEs and SAEs deemed cardiac related.

    Time frame: From enrollment up to and including follow-up assessments on Day 30 (end of study)

Secondary outcomes

  1. Plasma concentration of Xolatryp during the infusion

    Blood sample(s) taken at 4 hours post the start of infusion

    Time frame: Blood samples will be taken for pharmacokinetic (PK) assessment at 4 hours after start of infusion. Where feasible, a sample should be taken at 10 minutes into the infusion.

  2. ST-segment elevation resolution

    Comparison between treatment groups of ST-segment elevation resolution calculated from pre-PCI ECG and first post procedural ECG

    Time frame: pre-PCI ECG and first post procedural ECG

  3. Cardiac Injury Biomarkers

    Plasma Troponin I levels calculated as area under the curve (AUC) over 48 hours post PCI

    Time frame: 48 hours post PCI

  4. Incidence of Arrhythmias

    Comparison of number of arrhythmias of interest recorded on telemetry (48 hours) between patients treated with Xolatryp vs Placebo. Arrhythmias of interest are sustained ventricular tachycardia (VT), non-sustained ventricular tachycardia (NSVT), and high degree- atrioventricular (AV) block.

    Time frame: Telemetry to 48 hours

Other outcomes

  1. Cardiac Infarct Size

    Volumetric quantification comparison between treatment groups of cardiac infarct size parameters: Acute myocardial infarct size indexed to left ventricular mass, and Myocardial Salvage Index (MSI).

    Time frame: Day 5 (+/- 2 days)

  2. Left Ventricular End-diastolic volume

    Left Ventricular End-diastolic volume measurement from CMR will be used to assess cardiac function on Day 5 (+/- 2 days)

    Time frame: Day 5

  3. Patient Reported Outcomes (PRO) Questionnaire

    36-Item Short Form Health Survey (SF-36)

    Time frame: Day 30 (end of study)

  4. Left Ventricular Ejection fraction

    Left ventricular ejection fraction measurement from echocardiogram will be used to assess cardiac function prior to discharge and 30 days post primary PCI

    Time frame: Day 2 and Day 30

  5. Left Ventricular End-systolic Volume

    Left Ventricular Volume measurement from echocardiogram will be used to assess cardiac function prior to discharge and 30 days post primary PCI

    Time frame: Day 2 and Day 30

  6. Left Ventricular Function

    Left Ventricular Function measurement from echocardiogram will be used to assess cardiac function prior to discharge and 30 days post primary PCI

    Time frame: Day 2 and Day 30

  7. Fractional shortening

    Fractional shortening will be assessed via echocardiogram prior to discharge and at Day 30.

    Time frame: Day 2 and 30

07

Study locations

5 of 8 sites recruiting
08

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Jun 2027, 11 months after the start.

Of 31 phase 2 interventional studies under ST Elevation Myocardial Infarction, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 39. This study's planned 11 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 8, 2026
First posted
Jan 23, 2026
StartActual
Jul 2, 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Sep 30, 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Royal Perth Hospital · Perth, AustraliaNot yet recruiting→Recruiting
  • Liverpool Hospital · Liverpool, AustraliaNot yet recruiting→Recruiting
across 2 updates, Oct 6, 2026 – Nov 4, 2026
Show all 2 updates
  1. Nov 4, 2026
    Liverpool Hospital is now Recruiting
    + 1 other change: verification date
  2. Oct 6, 2026
    Royal Perth Hospital is now Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07362446
Lead sponsor
Nyrada Pty Ltd
Responsible party
Sponsor
First posted
Jan 23, 2026
Start date
Jul 2, 2026
Primary completion
Jun 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Alexandra Suchowerska Director, Clinical Operations and Regulatory Affairs, PhD
Contact
Protect-MI@Nyrada.com
+61 294-983-390

Oversight

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

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