Coronary Artery Disease, Ischemia
Conditions
Brief summary
The purpose of this study is to assess the safety and tolerability of IMB-1018972 in subjects with obstructive CAD and inducible ischemia.
Interventions
DRUGIMB-1018972
Modified release (MR) oral tablet
DRUGPlacebo
Matching oral tablet
Sponsors
Imbria Pharmaceuticals, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
35 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Documented history of stable angina (CCS grading I-III) or anginal equivalent for ≥1 month prior to screening * Ability to safely abstain from beta blockers for 48 hours prior to echo examinations in the opinion of the Investigator * Preserved LV systolic function, defined as LVEF≥50% by any imaging modality * Obstructive CAD and recent evidence of stress-induced myocardial ischemia
Exclusion criteria
* Women of childbearing potential or who are currently pregnant or breast-feeding * Clinically indicated for coronary revascularization (PCI/CABG) at time of screening or clinically significant LMS or proximal LAD stenosis likely to warrant revascularization during the study period in the opinion of the investigator. * Type 1 insulin dependent diabetes mellitus (IDDM) * Presence of pacemaker, cardiac resynchronization therapy and/or implantable cardioverter defibrillator * Severe or clinically significant valvular heart disease * Clinically significant concurrent condition which could prevent the patient from performing any of the protocol-specified assessments, represent a safety concern if the patient participates in the trial or could confound trial assessments of safety or tolerability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety and tolerability of IMB-1018972 as measured by incidence and severity of treatment emergent AEs (including AEs leading to study drug discontinuation and AEs leading to death), as well as incidence of treatment emergent SAEs | Randomization through Week 10 Safety Follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in number of ischemic segments during hyperemia (ischemia defined as absolute MBF ≤2.0 ml/kg/min) as measured by adenosine stress 15O-H2O PET | Baseline through Week 8 | Ischemia score defined on the basis of absolute hyperemic MBF as: (1) MBF 2.0-2.3 ml/g/min; (2) 1.7- 2.0 ml/g/min; (3) MBF \<1.7 ml/g/min |
| Change in total ischemia burden measured as ischemia score summed across all segments as measured by adenosine stress 15O-H2O PET | Baseline through Week 8 | — |
| Change in inducible perfusion defect expressed as % of myocardium as measured by adenosine stress 15O-H2O PET | Baseline through Week 8 | — |
Countries
Denmark, Finland, Sweden
Outcome results
None listed