ST Elevation Myocardial Infarction
Conditions
Brief summary
Patients with ST-segment elevation myocardial infarction (STEMI) that have suffered a major anterior wall infarction or where coronary blood flow is less than normal in spite of successful percutaneous coronary intervention (PCI) have a poor prognosis. There are today no medical treatments that specifically reduce risk in these patients. The acute inflammatory reaction in conjunction with a STEMI and reperfusion by PCI determines the final size of the infarction and the signals leading to left ventricular remodelling. This study is designed to assess the efficacy and safety of single intravenous injection with ATH3G10, a fully human IgG1 antibody against phosphorylcholine, in high-risk subjects with STEMI. ATH3G10 aims to reduce inflammation and thereby infarction size and remodeling.
Interventions
intravenous
intravenous
Sponsors
Study design
Eligibility
Inclusion criteria
* Acute myocardial infarction with ST elevation at the J-point in two contiguous leads * Start of PCI less than 4 hours after symptom onset.
Exclusion criteria
* Cardiogenic chock, non-compensated acute heart failure and/or pulmonary edema. * Previous major vascular intervention within the last 4 weeks. * History of an infarct in the same artery that is currently affected. * Conditions contraindicating MRI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular remodelling | From Visit2 (day 3) to visit 3 (day 90) | Change in Left Ventricular End-Diastolic Volume index (LV EDVi) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Myocardial Salvage index (MSi) | Visit 2 (day 3) | Effects on myocardial salvage index (MSi) measured by MRI |
Other
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events [Safety and tolerability] | From baseline (Visit 1, day 1) to visit 3 (day 90) | Assessment of Safety and Tolerability based on incidence of AEs/SAEs |
Countries
Sweden