Acute Coronary SyndromePhase 3ACUTENCT00910065
BAY81-8781, I.V. Aspirin in the Indication of Acute Coronary Syndrome (ACS)
A Phase 3 study testing D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV, D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV and Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet in people with Acute Coronary Syndrome, run by Bayer at 37 sites in 4 countries.
Trial summary
The objective of this study is to investigate whether intravenous administration (injected into a vein) of acetylsalicylic acid (Aspirin) in doses of 250 and 500 mg is superior to oral treatment of ACS with tablets containing 300 mg of Aspirin. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Coronary Syndrome
- What is being tested?
- D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV, D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV and Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 270 participants
- Where
- 37 sitesin 4 countries
- Study dates
- Mar 2011to Jul 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Angina pectoris lasting for more than 20 minutes within the last 24 hours before study drug treatment (or equivalent acute symptoms such as increasing dyspnea, diaphoresis, nausea, abdominal/epigastric pain, syncope etc.)
- ECG change suggestive for ischemia:
- ST elevation or T-wave change or ST depression, new or presumed left bundle-branch block (LBBB)
- Elevated troponin T level > 0.01 ng/ml, levels according to local laboratory reference values
- Risk factors for ACS such as known coronary artery disease (CAD), diabetes mellitus, impaired renal function, peripheral artery or cerebrovascular disease, current smoking.
Who cannot join
- Treatment with acetylsalicylic acid (ASA) within 48 hours prior to study drug treatment
- Treatment with glycoprotein IIa/IIIb inhibitors within 48 hours prior to study drug treatment and before the 20 minutes blood samples for thromboxane, prostacycline and platelet aggregation measurement have been taken
- Thrombolytic therapy within 24 hours before study drug treatment
- Obligation for tracheal intubation and mechanical ventilation
- Contraindications to ASA treatment
- Known haemorrhagic diathesis
Show all 11Show fewer
- Evidence of an active gastrointestinal or urogenital bleeding
- Stroke within 3 months prior to study drug treatment
- Major surgery including coronary artery bypass graft (CABG) within 6 weeks prior to study drug treatment
- Known severe hepatic or renal insufficiency
- Pregnant or breast-feeding women
Trial locations and contacts
37 sites in 4 countries.
37 sites in 4 countries
Germany15 sites
Study site
Bad Krozingen, Baden-Wurttemberg, 79189
Study site
Berlin, State of Berlin, 12351
Study site
Bonn, North Rhine-Westphalia, 53105
Study site
Coburg, Bavaria, 96450
Study site
Cologne, North Rhine-Westphalia, 50968
Study site
Dachau, Bavaria, 85221
Study site
Essen, North Rhine-Westphalia, 45147
Study site
Heidelberg, Baden-Wurttemberg, 69120
Study site
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
Study site
Magdeburg, Saxony-Anhalt, 39112
Study site
Mainz, Rhineland-Palatinate, 55131
Study site
Melsungen, Hesse, 34212
Study site
Mönchengladbach, North Rhine-Westphalia, 41063
Study site
Soest, North Rhine-Westphalia, 59494
Study site
Worms, Rhineland-Palatinate, 67550
China12 sites
Study site
Beijing, 100029
Study site
Beijing, 100037
Study site
Changsha, Hunan, 410013
Study site
Guangzhou, Guangdong, 510080
Study site
Guangzhou, Guangdong, 510100
Study site
Guangzhou, Guangdong, 510120
Study site
Guangzhou, Guangdong, 510405
Study site
Hangzhou, Zhejiang, 310016
Study site
Nanchang, Jiangxi, 330006
Study site
Shanghai, 200080
Study site
Shenyang, Liaoning, 110004
Study site
Shenyang, Liaoning, 110016
Russia6 sites
Study site
Moscow, 109263
Study site
Moscow, 115093
Study site
Moscow, 115516
Study site
Moscow, 117292
Study site
Moscow, 119881
Study site
Moscow, 125101
Spain4 sites
Study site
Alicante, Alicante, 03010
Study site
Sabadell, Barcelona, 08208
Study site
San Juan, Alicante, 03550
Study site
Valencia, Valencia, 46015
About this study
Official title: A Prospective, Randomized, Verum Controlled, Open Label, Parallel Group Multi-center Phase III Clinical Trial to Demonstrate the Superiority of 500 or 250 mg Aspirin® i.v. (BAY 81-8781) Treatment Versus 300 mg Aspirin® N Tablets p.o. (BAY e4465A) in Patients With Acute Coronary Syndrome, Measured by Time Dependent Thromboxane Inhibition
The objective of this study is to investigate whether intravenous administration (injected into a vein) of acetylsalicylic acid (Aspirin) in doses of 250 and 500 mg is superior to oral treatment of ACS with tablets containing 300 mg of Aspirin.
Read the detailed description
In November 2009 it was the company's decision to cancel this study as an international trial. However, to support the local MA application of Aspirin i.v. for the indication "For the initial treatment in case of suspicion of acute coronary syndrome", Bayer decided to perform this trial in Germany as a domestic trial, with changed number of participants and study dates.
- Conditions
- Acute Coronary Syndrome
- Being tested
- D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV, D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV, Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet
- Keywords
- Acute Coronary Syndrome, ACS, Aspirin
- Medical subject headings
- Acute Coronary Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IVDrug
Single IV dose of aspirin at a dose of 500 mg as bolus infusion injection in approximately 30 seconds through the vein on Day 1.
D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IVDrug
Single IV dose of aspirin at a dose of 250 mg as bolus infusion injection in approximately 30 seconds through the vein on Day 1.
Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg TabletDrug
Single oral dose of aspirin tablet at a dose of 300 mg on Day 1.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | Not described Receives: Drug: D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV |
| Arm 2 | Experimental | Not described Receives: Drug: D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV |
| Arm 3 | Active comparator | Not described Receives: Drug: Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Concentration of Thromboxane B2 (TXB2) at 5 Minutes Post-dose
Measured: 5 minutes post-dose
Secondary outcomes (5)
Concentration of Thromboxane B2 (TXB2) at 20 Minutes Post-dose
Measured: 20 minutes post-dose
Platelet Aggregation Inhibition (PAI) at 5 Minutes and 20 Minutes After Single Dose of Study Drug Administration Measured as Response to Treatment
Measured: 5 and 20 minutes post-dose
Serum Concentration of Prostacyclin Metabolite at 5 and 20 Minutes Post-dose
Measured: 5 and 20 minutes post-dose
Incidence of the Composite Clinical Endpoint of Cardiovascular Death, Stroke and Myocardial Infarction up to Day 30 After Single Dose of Study Drug Administration
Measured: Post-randomization up to 30 days after single dose of study drug administration
Incidence of Post-randomization Deaths From all Causes, Cardiovascular Deaths, Myocardial Re/Infarctions and Ischemic Strokes Within 24 Hours, 7 Days And 30 Days After Single Dose of Study Drug Administration
Measured: Post-randomization up to 24 hours, 7 days and 30 days after single dose of study drug administration
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 May 2009 (estimated)
- Study startMar 2011
- Primary completionApr 2014
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Coronary SyndromeStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 270 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00910065
- Sponsor's protocol ID
- 12946
- Other IDs
- 2007-005163-94
- Acronym
- ACUTE
- Status last verified
- Jun 2015
- First submitted
- 28 May 2009
- Last updated
- 25 Jun 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Jun 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Randomized, Verum Controlled, Open Label, Parallel Group Multi-center Phase III Clinical Trial to Demonstrate the Superiority of 500 or 250 mg Aspirin® i.v. (BAY 81-8781) Treatment Versus 300 mg Aspirin® N Tablets p.o. (BAY e4465A) in Patients With Acute Coronary Syndrome, Measured by Time Dependent Thromboxane Inhibition
- ClinicalTrials.gov ID
- NCT00910065
- Acronym / sponsor ID
- ACUTE / 12946
- Conditions
- Acute Coronary Syndrome
- Keywords
- Acute Coronary Syndrome, ACS, Aspirin
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 270 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Mar 2011
- Primary completion
- Apr 2014 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 29 May 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to investigate whether intravenous administration (injected into a vein) of acetylsalicylic acid (Aspirin) in doses of 250 and 500 mg is superior to oral treatment of ACS with tablets containing 300 mg of Aspirin.
Detailed description
In November 2009 it was the company's decision to cancel this study as an international trial. However, to support the local MA application of Aspirin i.v. for the indication "For the initial treatment in case of suspicion of acute coronary syndrome", Bayer decided to perform this trial in Germany as a domestic trial, with changed number of participants and study dates.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV |
| Arm 2 | Experimental | Drug: D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV |
| Arm 3 | Active comparator | Drug: Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Angina pectoris lasting for more than 20 minutes within the last 24 hours before study drug treatment (or equivalent acute symptoms such as increasing dyspnea, diaphoresis, nausea, abdominal/epigastric pain, syncope etc.)
- ECG change suggestive for ischemia:
- ST elevation or T-wave change or ST depression, new or presumed left bundle-branch block (LBBB)
- Elevated troponin T level > 0.01 ng/ml, levels according to local laboratory reference values
- Risk factors for ACS such as known coronary artery disease (CAD), diabetes mellitus, impaired renal function, peripheral artery or cerebrovascular disease, current smoking.
Key exclusion criteria (11 listed)
- Treatment with acetylsalicylic acid (ASA) within 48 hours prior to study drug treatment
- Treatment with glycoprotein IIa/IIIb inhibitors within 48 hours prior to study drug treatment and before the 20 minutes blood samples for thromboxane, prostacycline and platelet aggregation measurement have been taken
- Thrombolytic therapy within 24 hours before study drug treatment
- Obligation for tracheal intubation and mechanical ventilation
- Contraindications to ASA treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IVSingle IV dose of aspirin at a dose of 500 mg as bolus infusion injection in approximately 30 seconds through the vein on Day 1. | Drug | Arm 1 |
| D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IVSingle IV dose of aspirin at a dose of 250 mg as bolus infusion injection in approximately 30 seconds through the vein on Day 1. | Drug | Arm 2 |
| Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg TabletSingle oral dose of aspirin tablet at a dose of 300 mg on Day 1. | Drug | Arm 3 |
Primary outcome
Concentration of Thromboxane B2 (TXB2) at 5 Minutes Post-dose
Time frame: 5 minutes post-dose
5 secondary outcomes
Concentration of Thromboxane B2 (TXB2) at 20 Minutes Post-dose
Time frame: 20 minutes post-dose
Platelet Aggregation Inhibition (PAI) at 5 Minutes and 20 Minutes After Single Dose of Study Drug Administration Measured as Response to Treatment
Time frame: 5 and 20 minutes post-dose
Serum Concentration of Prostacyclin Metabolite at 5 and 20 Minutes Post-dose
Time frame: 5 and 20 minutes post-dose
Incidence of the Composite Clinical Endpoint of Cardiovascular Death, Stroke and Myocardial Infarction up to Day 30 After Single Dose of Study Drug Administration
Time frame: Post-randomization up to 30 days after single dose of study drug administration
Incidence of Post-randomization Deaths From all Causes, Cardiovascular Deaths, Myocardial Re/Infarctions and Ischemic Strokes Within 24 Hours, 7 Days And 30 Days After Single Dose of Study Drug Administration
Time frame: Post-randomization up to 24 hours, 7 days and 30 days after single dose of study drug administration
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jun 2015.
- Click here to find information about studies related to Bayer Healthcare products conducted in Europe.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
37 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 500 mg IV, D,L-lysine acetylsalicylate (Aspirin, BAY81-8781) 250 mg IV and Acetylsalicylic acid (Aspirin, BAYe4465) 300 mg Tablet in people with Acute Coronary Syndrome, run by Bayer at 37 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in Germany, China, Russia, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Concentration of Thromboxane B2 (TXB2) at 5 Minutes Post-dose (time frame: 5 minutes post-dose). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jun 2015.