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CTRI Number  CTRI/2010/091/002926 [Registered on: 23/11/2010]
Last Modified On: 22/02/2013
Post Graduate Thesis   
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study
Modification(s)  
Study to demonstrate the safety and effects of GW856553 on inflammatory markers, infarct size and cardiac Function in subjects with myocardial infarction without ST segment elevation. 
Scientific Title of Study
Modification(s)  
A randomized, double-blind, placebo-controlled study to evaluate the safety of 12 weeks of dosing with GW856553 and its effects on inflammatory markers, infarct size, and cardiac function in subjects with myocardial infarction without ST segment elevation 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NCT00910962  ClinicalTrials.gov 
PM1111810  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Srikant KV 
Designation  Principal Investigator 
Affiliation   
Address  Bhagwan Mahaveer Jain heart centre, Miller’s road, Vasanthnagar, Bangalore

Bangalore
KARNATAKA
560052
India 
Phone  08041999300  
Fax    
Email  srikanth_kv@rediffmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anand Eshwariah 
Designation   
Affiliation   
Address  Clinigene International Limited Hosur Road, Tower 1, Phase II, Electronics city, Bangalore

Bangalore
KARNATAKA
560100
India 
Phone  08028082728  
Fax    
Email  Anand.Eswaraiah@clinigeneintl.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Anand Eshwariah 
Designation   
Affiliation   
Address  Clinigene International Limited Hosur Road, Tower 1, Phase II, Electronics city, Bangalore

Bangalore
KARNATAKA
560100
India 
Phone  08028082728  
Fax    
Email  Anand.Eswaraiah@clinigeneintl.com  
 
Source of Monetary or Material Support
Modification(s)  
GlaxoSmithKline Research & Development Limited 980 Great West Road Brentford Middlesex, TW8 9GS UK  
 
Primary Sponsor
Modification(s)  
Name  GlaxoSmithKline Research Development Limited 
Address  980 Great West Road, Brentford, Middlesex, TW8 9,GS, UK. 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Clinigene International Ltd  Tower I, Semicon Park, Electronics City, Phase II, Hosur Road, Bangalore 560 100, India 
 
Countries of Recruitment
Modification(s)  
  India
Australia
Canada
Germany
Netherlands
Spain
United Kingdom
United States of America  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ramesh S S  Bhagwan Mahaveer Jain heart centre  Bhagwan Mahaveer Jain heart centre, Millers road,Vasanthnagar,Bangalore
Bangalore
KARNATAKA 
080-41999329
080-41538708
ssramesh@vivushealth.net 
Dr Keyur Parikh  Care Institute of Medical Sciences  Care Institute of Medical Sciences, Off Science City Road,Near Shukan Mall, Sola, Ahmedabad- 380060
Ahmadabad
GUJARAT 
079-27712771

keyur.parikh@heartcareclinic.org 
Dr Kulkarni Ravindra Laxman  Deendayal Memorial Hospital  Deendayal Memorial Hospital, 926, F.C. Road, Shivaji Nagar,Pune-411004
Pune
MAHARASHTRA 
02025652497

drravindrakulkarni@gmail.com 
Dr VS Prakash  M.S. Ramaiah Narayana Hrudayalaya Heart Center  Professor & Head department of Cardiology, M.S. Ramaiah Narayana Hrudayalaya Heart Center, Gokula Metropolis Clinical Research Center, MSR Hospital, MSRIT Post, New BEL Road Bangalore- 560054
Bangalore
KARNATAKA 
9844033964

drprakashvs@gmail.com 
Dr Sanjay Mehrotra  Narayana Hrudayalaya Hospital,  Dept. of Cardiology Narayana Hrudayalaya Hospital, 258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore-560099
Bangalore
KARNATAKA 
08027835000

sanjay.m@gmail.com 
Dr KPBalakrishnan  PVS Hospital Pvt Ltd  Consultant Interventional Cardiologist PVS Hospital Pvt Ltd Railway Station Road Calicut, Kerala Pin -673002
Kozhikode
KERALA 
0495-2705045

pvscalicut.cr@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethical Review Board M.S Ramaiah Medical College And Teaching Hospital, MSR Nagar  Approved 
Ethics Committee of Care Institute of Medical Sciences  Approved 
Institutional Review Board, Cardiac Research Academy & Srinivasa Cardiology Centre Pvt Ltd  Approved 
Medical Ethics Committee Narayana Hrudayalaya Hospitals   Approved 
Penta-Med Ethics Committee  Approved 
PVS Hospital Pvt Ltd  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Subjects with myocardial infarction without ST segment elevation,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  GW856553X  7.5 mg and 15 mg  
Comparator Agent  Placebo  7.5 mg and 15 mg 
 
Inclusion Criteria
Modification(s)  
Age From  45.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Subjects with a NSTEMI, defined as:
? symptoms (e.g. chest pain, dyspnea) consistent with acute coronary syndrome, lasting at least 10 minutes, with most recent symptoms occurring within the 24 hours prior to presentation,
? without persistent ST-segment elevation on admission 12-lead ECG, and
? with Troponin (T or I) above the upper limit of normal (ULN) for the local institution within 18 hours of presentation.

2. Subject able to be randomized within 18 hours of presentation.
3. Male or female subject who is 45 - 65 years of age, inclusive.
4. QTcB or QTcF ≤ 530 msec
 
 
ExclusionCriteria 
Details  1. History of severe heart failure defined as NYHA class III or IV or those with known severe LV dysfunction [ejection fraction (EF) < 30%] regardless of symptomatic status. 2. Suspected aortic dissection, Severe aortic stenosis or other severe valvular disease. 3. Current known life-threatening condition other than vascular disease (e.g. severe chronic airways disease) that may prevent a subject from completing the study. 4. Subjects with rheumatoid arthritis, connective tissue disorders and other conditions known to be associated with active chronic or acute inflammation (e.g. inflammatory bowel disease, osteomyelitis, pneumonia, sepsis etc.). Intermittent conditions treated with short-term oral antibiotics (e.g. typical URI), or conditions that are not currently exacerbated (e.g. gout with no current flair) may be included. 5. History of myopathy or rhabdomyolysis. 6. Current or chronic history of liver disease, known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). 7. Known to be Hepatitis B or Hepatitis C positive. 8. Current or anticipated use of systemic steroids (oral or IV). Inhaled, intranasal and topical steroids are allowed. A single prophylactic dose of systemic steroid is allowed at time of PCI for subjects with contrast allergy. 9. Current or anticipated use of BCRP substrates with a narrow therapeutic index 10. Previously diagnosed cancer that has not been in complete remission for at least 5 years. Localized carcinomas of the skin and carcinoma in situ of the cervix that havebeen resected or ablated for cure are not exclusionary. 11. Known alcohol or drug abuse within the past 6 months. 12. Previous exposure to GW856553  
 
Method of Generating Random Sequence
Modification(s)  
Other 
Method of Concealment
Modification(s)  
Centralized 
Blinding/Masking
Modification(s)  
Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
To assess the safety of GW856553 in subjects with NSTEMI.
To assess the effects of GW856553 on biomarkers of inflammation in subjects with NSTEMI over the 12 weeks of treatment.
To assess the effects of GW856553 on infarct size and cardiac function during the peri-infarct period and during the ensuing 12 weeks of treatment
 
Inflammatory Endpoints
Primary
hsCRP at Week 12
 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
hsCRP over hospitalization period and through Week 14

 
IL-6 at 24 hours post-randomization and at Weeks 2 and 12 
 
Target Sample Size
Modification(s)  
Total Sample Size="552"
Sample Size from India="12" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 2 
Date of First Enrollment (India)
Modification(s)  
17/01/2011 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  08/10/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This is a randomized, double-blind, placebo-controlled, parallel group, multicenter study is being conducted to evaluate the effects of GW856553X (where X indicates free base) in subjects with non-ST segment elevation myocardial infarction (NSTEMI). The primary objectives are assessments of safety, inflammatory markers and infarct size. Up to approximately 500 subjects will be randomized to ensure up to ~400 evaluable subjects complete 12 weeks of dosing. All subjects will continue to receive the local standard of care for the duration. Subjects will be assigned to:7.5 mg GW856553 starting dose, followed 12 (± 4) hours later by 7.5 mg BID GW856553 OR 15 mg GW856553 starting dose, followed 12 (± 4) hours later by 7.5 mg BID GW856553 OR placebo in the ration of 3:3:2. 
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