Acute Coronary SyndromePhase 3TAONCT01076764
Effect of Otamixaban Versus Unfractionated Heparin + Eptifibatide in Patients With Unstable Angina/Non ST Elevation Myocardial Infarction Undergoing Early Invasive Strategy
A Phase 3 study testing Otamixaban, UFH and Eptifibatide in people with Acute Coronary Syndrome, run by Sanofi at 607 sites in 55 countries.
Trial summary
Primary Objective: To demonstrate the superior efficacy (composite of all-cause death + Myocardial Infarction (MI)) of Otamixaban to Unfractionated Heparin (UFH) + Eptifibatide Secondary Objectives: To demonstrate the superior efficacy (composite of all-cause death + MI + any stroke) of Otamixaban as compared to UFH +… 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?
- Otamixaban, UFH and Eptifibatide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 13,220 participants
- Where
- 607 sitesin 55 countries
- Study dates
- Apr 2010to May 2013
- 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
- Patient with non-ST-segment elevation Acute Coronary Syndrome (NSTE-ACS) with:
- Ischemic symptoms (chest pain or equivalent) at rest ≥ 10 minutes within 24 hours of randomization,
- AND
- One of the two following criteria:
- New ST-segment depression ≥ 0.1 mV (≥1 mm), or transient (< 30 minutes) ST-segment elevation ≥ 0.1 mV (≥ 1 mm) in at least 2 contiguous leads on the electrocardiogram,
- Elevation of cardiac biomarkers within 24 hours of randomization, defined as elevated troponin T, troponin I, or CK-MB level above upper limit of normal,
Show all 10Show fewer
- AND
- Planned to have a coronary angiography (followed, when indicated, by PCI) as early as possible (after at least 2 hours of treatment with study drug) and within 36 hours (at the latest on Day 3, if justified),
- AND
- Informed consent obtained in writing.
Who cannot join
- Revascularization procedure already performed for the qualifying event Acute ST-segment elevation MI.
- Patient having received curative dose of anticoagulant treatment (including UFH, LMWH, or bivalirudin) for more than 24 hours prior to randomization or who have been treated by abciximab.
- Inability to discontinue current anticoagulation in order to transition to Investigational Products according to the specified transition timing.
- Patient who can not be treated by aspirin and clopidogrel (or any other oral antiplatelet agent) according to their local labeling.
- Patient who cannot be treated with eptifibatide according to the national labeling (when available). In countries where eptifibatide is not approved the reference label to be considered is either the European labeling or the US labeling
- Patient who cannot be treated with unfractionated heparin according to the national labeling.
- Allergy to otamixaban.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
607 sites in 55 countries.
607 sites in 55 countries
United States107 sites
Investigational Site Number 840534
Alexandria, Louisiana, 71301
Investigational Site Number 840023
Amarillo, Texas, 79106
Investigational Site Number 840904
Ames, Iowa, 50010
Investigational Site Number 840101
Anaheim, California, 92801
Investigational Site Number 840151
Anaheim, California, 92801
Investigational Site Number 840105
Aurora, Illinois, 60506
Investigational Site Number 840203
Austin, Texas, 78745
Investigational Site Number 840574
Austin, Texas, 78758
Investigational Site Number 840213
Beverly Hills, California, 90211
Investigational Site Number 840532
Boise, Idaho, 83712
Investigational Site Number 840551
Bridgeport, Connecticut, 06606
Investigational Site Number 840208
Bridgeton, Missouri, 63044
Investigational Site Number 840518
Brooklyn, New York, 11215
Investigational Site Number 840540
Chambersburg, Pennsylvania, 17201
Investigational Site Number 840585
Charlotte, North Carolina, 28204
Investigational Site Number 840190
Chicago, Illinois, 60612
Investigational Site Number 840205
Chicago, Illinois, 60637
Investigational Site Number 840060
Dallas, Texas, 75216
Investigational Site Number 840578
Dallas, Texas
Investigational Site Number 840517
Dearborn, Michigan, 48123
Investigational Site Number 840519
Doylestown, Pennsylvania, 18901
Investigational Site Number 840003
Erie, Pennsylvania, 16502-4604
Investigational Site Number 840206
Eugene, Oregon, 97401
Investigational Site Number 840185
Fort Lauderdale, Florida, 33322
Investigational Site Number 840715
Fort Worth, Texas, 76104
Investigational Site Number 840719
Gainesville, Georgia, 30501
Investigational Site Number 840515
Greenville, North Carolina, 27834
Investigational Site Number 840042
Hammond, Indiana, 46320
Investigational Site Number 840098
Harrisburg, Pennsylvania, 17110
Investigational Site Number 840521
Harvey, Illinois, 60426
Investigational Site Number 840090
Houston, Texas, 77030
Investigational Site Number 840207
Houston, Texas, 77030
Investigational Site Number 840559
Houston, Texas, 77096
Investigational Site Number 840586
Houston, Texas, 77096
Investigational Site Number 840572
Huntington Beach, California, 92648
Investigational Site Number 840015
Huntsville, Alabama, 35801
Investigational Site Number 840209
Independence, Missouri, 64057
Investigational Site Number 840554
Indianapolis, Indiana, 46202
Investigational Site Number 840028
Jacksonville, Florida, 32204
Investigational Site Number 840148
Joliet, Illinois, 60435
Investigational Site Number 840544
Kalamazoo, Michigan, 49007
Investigational Site Number 840529
Kalispell, Montana, 59901
Investigational Site Number 840194
Kansas City, Missouri, 64108
Investigational Site Number 840138
Kansas City, Missouri, 64114
Investigational Site Number 840056
Kansas City, Missouri, 64128
Investigational Site Number 840564
Lake Charles, Louisiana, 70601
Investigational Site Number 840047
Lake Mary, Florida, 32746
Investigational Site Number 840721
Littleton, Colorado, 80120
Investigational Site Number 840201
Long Beach, California, 90806
Investigational Site Number 840071
Los Angeles, California, 90024
Investigational Site Number 840557
Los Angeles, California, 90024
Investigational Site Number 840568
Louisville, Kentucky, 40207
Investigational Site Number 840513
Manitowoc, Wisconsin, 54220
Investigational Site Number 840500
Melbourne, Florida, 32901
Investigational Site Number 840706
Miami, Florida, 33133
Investigational Site Number 840025
Midwest City, Oklahoma, 73110
Investigational Site Number 840525
Minneapolis, Minnesota, 55404
Investigational Site Number 840510
Minneapolis, Minnesota, 55433
Investigational Site Number 840136
Minot, North Dakota, 58701
Investigational Site Number 840560
Muncie, Indiana, 47303-3400
Investigational Site Number 840166
New Haven, Connecticut, 06511
Investigational Site Number 840533
New Orleans, Louisiana, 70112
Investigational Site Number 840539
New York, New York, 10021
Investigational Site Number 840903
Northridge, California, 91328
Investigational Site Number 840072
Oak Ridge, Tennessee, 37830
Investigational Site Number 840009
Ocala, Florida, 34471
Investigational Site Number 840146
Ocala, Florida, 34471
Investigational Site Number 840049
Oklahoma City, Oklahoma, 73112
Investigational Site Number 840905
Oklahoma City, Oklahoma, 73112
Investigational Site Number 840193
Oklahoma City, Oklahoma, 73135
Investigational Site Number 840059
Omaha, Nebraska, 68122
Investigational Site Number 840727
Omaha, Nebraska, 68122
Investigational Site Number 840079
Omaha, Nebraska, 68131
Investigational Site Number 840577
Orlando, Florida, 32803
Investigational Site Number 840912
Overland, Kansas, 66209
Investigational Site Number 840573
Philadelphia, Pennsylvania, 19104
Investigational Site Number 840569
Phoenix, Arizona, 85008
Investigational Site Number 840703
Phoenix, Arizona, 85054
Investigational Site Number 840075
Pittsburgh, Pennsylvania, 15224
Investigational Site Number 840911
Pittsburgh, Pennsylvania, 15240
Investigational Site Number 840566
Raleigh, North Carolina, 27610
Investigational Site Number 840157
Reno, Nevada, 89502
Investigational Site Number 840553
Richmond, Virginia, 23249
Investigational Site Number 840188
Richmond, Virginia, 23298
Investigational Site Number 840531
Saginaw, Michigan, 48602
Investigational Site Number 840165
Salem, Virginia, 24153
Investigational Site Number 840065
San Francisco, California, 94143
Investigational Site Number 840561
Santa Rosa, California, 95405
Investigational Site Number 840021
Sarasota, Florida, 34239
Investigational Site Number 840210
St Louis, Missouri, 63128
Investigational Site Number 840530
St Louis, Missouri, 63128
Investigational Site Number 840580
St Louis, Missouri, 63128
Investigational Site Number 840052
St Louis, Missouri, 63131
Investigational Site Number 840902
St. Petersburg, Florida, 33701
Investigational Site Number 840121
Tacoma, Washington, 98405
Investigational Site Number 840508
Tampa, Florida, 33613
Investigational Site Number 840082
Toledo, Ohio, 43608
Investigational Site Number 840901
Tulsa, Oklahoma, 74104
Investigational Site Number 840527
Tupelo, Mississippi, 38801
Investigational Site Number 840087
Tyler, Texas, 75701
Investigational Site Number 840910
Victoria, Texas, 77901
Investigational Site Number 840211
Washington, Pennsylvania, 15301
Investigational Site Number 840520
Washington D.C., District of Columbia, 20010
Investigational Site Number 840058
West Des Moines, Iowa, 50266
Investigational Site Number 840555
Wichita Falls, Texas, 76310
Investigational Site Number 840565
Winchester, Virginia, 22601
Investigational Site Number 840908
Winston-Salem, North Carolina, 27157-1071
Argentina33 sites
Investigational Site Number 032048
Adrogué, B1846DSK
Investigational Site Number 032013
Avellaneda, 1870
Investigational Site Number 032046
Buenos Aires, 1118
Investigational Site Number 032043
Buenos Aires, C1118AAE
Investigational Site Number 032003
Buenos Aires, C1181ACH
Investigational Site Number 032032
Buenos Aires, C1425FSD
Investigational Site Number 032014
Caba, B7400XAC
Investigational Site Number 032007
Capital Federal, 1181
Investigational Site Number 032039
Capital Federal, C1093AAS
Investigational Site Number 032045
Capital Federal
Investigational Site Number 032029
Ciudad Autonoma de Bs.As, 1428
Investigational Site Number 032036
Ciudad de Buenos Aires, C1426BOR
Investigational Site Number 032044
Córdoba, X5004BCL
Investigational Site Number 032010
Córdoba, X5119XAA
Investigational Site Number 032001
Corrientes, 3400
Investigational Site Number 032018
La Plata, (B1900AXI)
Investigational Site Number 032027
La Plata
Investigational Site Number 032020
Mendoza, 5500
Investigational Site Number 032033
Olivos, 1638
Investigational Site Number 032022
Pilar, 1629
Investigational Site Number 032023
Resistencia, 3500
Investigational Site Number 032002
Resistencia
Investigational Site Number 032004
Rosario, 2000
Investigational Site Number 032005
Rosario, 2000
Investigational Site Number 032021
Rosario, 2000
Investigational Site Number 032028
Rosario, 2000
Investigational Site Number 032040
Rosario, 2000
Investigational Site Number 032035
San Juan Bautista, B1888AAE
Investigational Site Number 032025
San Luis, 5700
Investigational Site Number 032024
San Martin, 1650
Investigational Site Number 032008
San Miguel de Tucumán, T4000NIL
Investigational Site Number 032041
Santa Fe, 3000
Investigational Site Number 032006
Santa Fe, S3000FWO
India33 sites
Investigational Site Number 356019
Ahmedabad, 380014
Investigational Site Number 356004
Ahmedabad, 380054
Investigational Site Number 356007
Ahmedabad, 380060
Investigational Site Number 356012
Allahabād, 211003
Investigational Site Number 356008
Bangalore, 560054
Investigational Site Number 356020
Chandigarh, 160062
Investigational Site Number 356029
Gūrgaon, 122001
Investigational Site Number 356027
Gūrgaon
Investigational Site Number 356040
Hyderabad, 500001
Investigational Site Number 356046
Hyderabad, 500055
Investigational Site Number 356014
Jaipur
Investigational Site Number 356003
Karamsad, 388325
Investigational Site Number 356037
Kochi, 682018
Investigational Site Number 356034
Kolkata, 700027
Investigational Site Number 356039
Madurai, 625107
Investigational Site Number 356018
Mangalore
Investigational Site Number 356021
Mumbai, 400050
Investigational Site Number 356016
Mumbai
Investigational Site Number 356031
Mumbai
Investigational Site Number 356032
Mumbai
Investigational Site Number 356011
Mysore, 570020
Investigational Site Number 356022
Nagpur, 440012
Investigational Site Number 356035
Nagpur, 440012
Investigational Site Number 356023
Nagpur
Investigational Site Number 356036
Nashik, 422005
Investigational Site Number 356025
New Delhi, 110 070.
Investigational Site Number 356001
New Delhi, 110060
Investigational Site Number 356026
New Delhi
Investigational Site Number 356010
Pune, 411004
Investigational Site Number 356033
Pune, 411004
Investigational Site Number 356024
Secunderabad, 500 003
Investigational Site Number 356002
Varanasi, 221010
Investigational Site Number 356044
Vijaywada, 520002
Poland29 sites
Investigational Site Number 616005
Bialystok, 15-276
Investigational Site Number 616038
Bialystok, 15-276
Investigational Site Number 616017
Bydgoszcz, 85-168
Investigational Site Number 616009
Bytom, 41-902
Investigational Site Number 616040
Elblag, 82-300
Investigational Site Number 616027
Ełk, 19-300
Investigational Site Number 616023
Gdansk, 80-952
Investigational Site Number 616032
Jelenia Góra, 58-506
Investigational Site Number 616037
Katowice, 40-635
Investigational Site Number 616046
Katowice, 40-635
Investigational Site Number 616034
Kłodzko, 57-300
Investigational Site Number 616045
Krakow, 31 -202
Investigational Site Number 616002
Krakow, 31-501
Investigational Site Number 616029
Lodz, 91-347
Investigational Site Number 616004
Łomża, 18-400
Investigational Site Number 616024
Lubin, 59-301
Investigational Site Number 616041
Lublin, 20-954
Investigational Site Number 616016
Ostrołęka, 07-400
Investigational Site Number 616003
Radom, 26-600
Investigational Site Number 616047
Radom, 26-610
Investigational Site Number 616033
Rybnik, 44-200
Investigational Site Number 616019
Tarnów, 33-100
Investigational Site Number 616022
Torun, 87-100
Investigational Site Number 616018
Wałbrzych, 58-309
Investigational Site Number 616014
Warsaw, 02-507
Investigational Site Number 616001
Warsaw, 04-628
Investigational Site Number 616031
Włocławek, 87-800
Investigational Site Number 616015
Wroclaw, 50-420
Investigational Site Number 616020
Zamość, 22-400
Italy28 sites
Investigational Site Number 380902
Bergamo, 24127
Investigational Site Number 380918
Bologna, 40138
Investigational Site Number 380904
Brescia, 25123
Investigational Site Number 380928
Brescia, 25124
Investigational Site Number 380929
Castellanza, 21053
Investigational Site Number 380930
Catania, 95123
Investigational Site Number 380912
Catania, 95124
Investigational Site Number 380932
Cittadella, 35013
Investigational Site Number 380926
Conegliano, 31015
Investigational Site Number 380909
Empoli, 50053
Investigational Site Number 380924
Forlì, 47100
Investigational Site Number 380908
Livorno, 57123
Investigational Site Number 380923
Massa, 54100
Investigational Site Number 380935
Massa, 54100
Investigational Site Number 380933
Messina, 98100
Investigational Site Number 380910
Milan, 20138
Investigational Site Number 380905
Modena, 41041
Investigational Site Number 380936
Naples, 88100
Investigational Site Number 380901
Perugia, 06132
Investigational Site Number 380907
Pescara, 65100
Investigational Site Number 380919
Pordenone, 33170
Investigational Site Number 380916
Reggio Emilia, 42100
Investigational Site Number 380931
Roma, 00168
Investigational Site Number 380917
Roma, 00189
Investigational Site Number 380927
Rovigo, 45100
Investigational Site Number 380921
Rozzano, 20089
Investigational Site Number 380914
Seriate, 24068
Investigational Site Number 380925
Treviso, 31100
Spain24 sites
Investigational Site Number 724013
Alcorcón, 28992
Investigational Site Number 724001
Alicante, 03010
Investigational Site Number 724014
Badalona, 08916
Investigational Site Number 724022
Barcelona, 08003
Investigational Site Number 724021
Barcelona, 08025
Investigational Site Number 724025
Barcelona, 08035
Investigational Site Number 724002
Barcelona, 08036
Investigational Site Number 724901
Barcelona, 08907
Investigational Site Number 724007
Cáceres, 10003
Investigational Site Number 724026
Elche, 03293
Investigational Site Number 724016
Galdakao, 48960
Investigational Site Number 724023
Girona, 17007
Investigational Site Number 724003
Madrid, 28035
Investigational Site Number 724902
Madrid, 28040
Investigational Site Number 724027
Madrid, 28041
Investigational Site Number 724017
Málaga, 29010
Investigational Site Number 724904
Murcia, 30120
Investigational Site Number 724006
San Cristóbal de La Laguna, 38320
Investigational Site Number 724018
Sant Joan d'Alacant, 03550
Investigational Site Number 724005
Santander, 39008
Investigational Site Number 724012
Santiago de Compostela, 15706
Investigational Site Number 724903
Terrassa, 08221
Investigational Site Number 724010
Torrevieja
Investigational Site Number 724024
Valencia, 46010
Turkey (Türkiye)24 sites
Investigational Site Number 792010
Adana, 01339
Investigational Site Number 792023
Ankara, 06100
Investigational Site Number 792009
Antalya, 07059
Investigational Site Number 792008
Bursa, 16100
Investigational Site Number 792022
Bursa, 16509
Investigational Site Number 792030
Edirne, 22030
Investigational Site Number 792006
Erzurum, 25070
Investigational Site Number 792020
Eskişehir, 26480
Investigational Site Number 792004
Gaziantep, 27060
Investigational Site Number 792018
Istanbul, 34034
Investigational Site Number 792032
Istanbul, 34093
Investigational Site Number 792028
Istanbul, 34390
Investigational Site Number 792016
Istanbul, 34846
Investigational Site Number 792029
Istanbul
Investigational Site Number 792011
Izmir, 35100
Investigational Site Number 792001
Izmir, 35340
Investigational Site Number 792003
Izmir, 35360
Investigational Site Number 792012
Kayseri, 38039
Investigational Site Number 792014
Kocaeli, 41300
Investigational Site Number 792015
Konya, 42080
Investigational Site Number 792025
Malatya
Investigational Site Number 792019
Mersin, 33169
Investigational Site Number 792021
Samsun, 55200
Investigational Site Number 792026
Sivas, 58140
Russia21 sites
Investigational Site Number 643018
Barnaul, 656055
Investigational Site Number 643011
Kemerovo, 650002
Investigational Site Number 643014
Krasnodar, 350086
Investigational Site Number 643021
Krasnoyarsk, 660022
Investigational Site Number 643005
Moscow, 105229
Investigational Site Number 643004
Moscow, 111539
Investigational Site Number 643020
Moscow, 115446
Investigational Site Number 643003
Moscow, 121359
Investigational Site Number 643001
Moscow, 121552
Investigational Site Number 643016
Nizniy Novgorod, 603005
Investigational Site Number 643024
Novosibirsk, 630055
Investigational Site Number 643006
Saint Petersburg, 192242
Investigational Site Number 643019
Saint Petersburg, 194156
Investigational Site Number 643025
Saint Petersburg, 195067
Investigational Site Number 643007
Saint Petersburg, 197341
Investigational Site Number 643008
Saint-Peterburg, 196105
Investigational Site Number 643013
Samara, 443070
Investigational Site Number 643012
Tomsk, 634012
Investigational Site Number 643023
Volgograd, 400008
Investigational Site Number 643017
Yaroslavl, 150062
Investigational Site Number 643015
Yekaterinburg, 620109
Brazil20 sites
Investigational Site Number 076025
Campinas, 13015-001
Investigational Site Number 076011
Fortaleza, 60864190
Investigational Site Number 076015
Marília, 17515-460
Investigational Site Number 076016
Maringá, 87015-290
Investigational Site Number 076013
Passo Fundo, 99010-080
Investigational Site Number 076009
Porto Alegre, 90035-001
Investigational Site Number 076001
Porto Alegre, 90610-000
Investigational Site Number 076022
Porto Alegre, 90620-001
Investigational Site Number 076004
Porto Alegre, 91350-250
Investigational Site Number 076023
Recife, 50100-060
Investigational Site Number 076030
Recife, 52051-380
Investigational Site Number 076027
Rio de Janeiro, 20221903
Investigational Site Number 076029
Salvador, 41148-900
Investigational Site Number 076014
São José do Rio Preto, 15015-210
Investigational Site Number 076002
São José do Rio Preto, 15090-000
Investigational Site Number 076012
São Paulo, 01323-001
Investigational Site Number 076020
São Paulo, 04012-180
Investigational Site Number 076007
São Paulo, 05403-000
Investigational Site Number 076008
Uberlândia, 38400-368
Investigational Site Number 076024
Votuporanga, 15500-003
South Korea18 sites
Investigational Site Number 410005
Busan, 602-715
Investigational Site Number 410006
Busan, 614-735
Investigational Site Number 410002
Daegu, 700-712
Investigational Site Number 410014
Daegu, 705-717
Investigational Site Number 410017
Daejeon
Investigational Site Number 410004
Goyang, 410-773
Investigational Site Number 410018
Guri-si, 471-020
Investigational Site Number 410016
Gwangju, 501-757
Investigational Site Number 410007
Seongnam, 463-707
Investigational Site Number 410008
Seoul, 110-744
Investigational Site Number 410012
Seoul, 120-752
Investigational Site Number 410011
Seoul, 130-709
Investigational Site Number 410001
Seoul, 134-727
Investigational Site Number 410009
Seoul, 137-701
Investigational Site Number 410010
Seoul, 138-736
Investigational Site Number 410003
Seoul, 152-703
Investigational Site Number 410013
Suwon, 443-721
Investigational Site Number 410015
Wŏnju, 220-701
Chile17 sites
Investigational Site Number 152003
Antofagasta
Investigational Site Number 152906
Concepción, 4070038
Investigational Site Number 152005
Iquique
Investigational Site Number 152004
Santiago, 751-0009
Investigational Site Number 152001
Santiago, 756-0171
Investigational Site Number 152902
Santiago, 820-7257
Investigational Site Number 152901
Santiago, 8380456
Investigational Site Number 152903
Santiago, 890-0085
Investigational Site Number 152010
Santiago
Investigational Site Number 152012
Santiago
Investigational Site Number 152011
Talcahuano, 427-0918
Investigational Site Number 152908
Temuco
Investigational Site Number 152913
Temuco
Investigational Site Number 152016
Valdivia
Investigational Site Number 152912
Valparaíso, 234-0207
Investigational Site Number 152907
Viña del Mar
Investigational Site Number 152910
Viña del Mar
Germany16 sites
Investigational Site Number 276022
Berlin, 12559
Investigational Site Number 276004
Berlin, 13347
Investigational Site Number 276024
Berlin, 13353
Investigational Site Number 276023
Bonn, 53115
Investigational Site Number 276006
Frankfurt am Main, 65929
Investigational Site Number 276901
Freiburg im Breisgau, 79106
Investigational Site Number 276003
Hamburg, 22041
Investigational Site Number 276902
Hamburg, 22527
Investigational Site Number 276009
Heidelberg, 69120
Investigational Site Number 276904
Heidenheim, 89522
Investigational Site Number 276002
Kassel, 34121
Investigational Site Number 276013
Langen, 63225
Investigational Site Number 276001
Mainz, 55131
Investigational Site Number 276905
Mönchengladbach, 41063
Investigational Site Number 276005
München, 81377
Investigational Site Number 276018
Rostock, 18057
France15 sites
Investigational Site Number 250016
Avignon, 84082
Investigational Site Number 250010
Bayonne, 64100
Investigational Site Number 250002
Belfort, 90016
Investigational Site Number 250001
Besançon, 25030
Investigational Site Number 250006
Créteil, 94010
Investigational Site Number 250003
Dijon, 21034
Investigational Site Number 250013
Le Chesnay, 78187
Investigational Site Number 250012
Montfermeil, 93370
Investigational Site Number 250005
Mulhouse, 68067
Investigational Site Number 250015
Mulhouse, 68070
Investigational Site Number 250009
Paris, 75018
Investigational Site Number 250011
Pau, 64046
Investigational Site Number 250007
Rouen, 76031
Investigational Site Number 250014
Strasbourg, 67091
Investigational Site Number 250008
Toulouse, 31059
Mexico15 sites
Investigational Site Number 484009
Aguascalientes, 20230
Investigational Site Number 484907
Aguascalientes, 20230
Investigational Site Number 484902
Guadalajara, 44100
Investigational Site Number 484015
Guadalajara, 44670
Investigational Site Number 484901
Guadalajara, CP 64630
Investigational Site Number 484019
Mérida, 97000
Investigational Site Number 484003
Mexico City, 14000
Investigational Site Number 484914
México Df, 14080
Investigational Site Number 484004
Monterrey, 64460
Investigational Site Number 484910
Morelia, Michoacan, 58070
Investigational Site Number 484020
Puebla City, 72460
Investigational Site Number 484017
Querétaro, 76000
Investigational Site Number 484012
San Luis Potosí City, 72244
Investigational Site Number 484911
San Luis Potosí City, 78200
Investigational Site Number 484013
Xalapa, 91020
Bulgaria12 sites
Investigational Site Number 100511
Blagoevgrad, 2700
Investigational Site Number 100508
Kazanlak, 6100
Investigational Site Number 100512
Pazardzhik, 4400
Investigational Site Number 100505
Pleven, 5800
Investigational Site Number 100509
Rousse
Investigational Site Number 100510
Sandanski, 2800
Investigational Site Number 100501
Sofia, 1202
Investigational Site Number 100502
Sofia, 1407
Investigational Site Number 100503
Sofia, 1431
Investigational Site Number 100507
Varna, 9000
Investigational Site Number 100504
Veliko Tarnovo, 5000
Investigational Site Number 100506
Yambol, 8600
Israel12 sites
Investigational Site Number 376005
Afula, 18101
Investigational Site Number 376003
Ashkelon, 78278
Investigational Site Number 376011
Hadera, 38100
Investigational Site Number 376004
Haifa, 31048
Investigational Site Number 376009
Haifa, 31096
Investigational Site Number 376010
Holon, 58100
Investigational Site Number 376002
Jerusalem, 91031
Investigational Site Number 376013
Jerusalem, 91120
Investigational Site Number 376007
Safed, 13100
Investigational Site Number 376008
Tel Aviv, 64239
Investigational Site Number 376001
Tel HaShomer, 52621
Investigational Site Number 376012
Tzrifin, 70300
Czechia11 sites
Investigational Site Number 203005
Brno, 62500
Investigational Site Number 203903
Hradec Králové, 50005
Investigational Site Number 203902
Liberec, 46063
Investigational Site Number 203009
Olomouc, 77520
Investigational Site Number 203010
Ostrava - Poruba, 70852
Investigational Site Number 203001
Prague, 10034
Investigational Site Number 203901
Prague, 12808
Investigational Site Number 203007
Prague, 15006
Investigational Site Number 203003
Prague, 15030
Investigational Site Number 203002
Ústí nad Labem, 40113
Investigational Site Number 203006
Zlín, 76275
Greece11 sites
Investigational Site Number 300009
Alexandroupoli, 68100
Investigational Site Number 300004
Athens, 10676
Investigational Site Number 300001
Athens, 11527
Investigational Site Number 300011
Athens, 11528
Investigational Site Number 300007
Chios, 82100
Investigational Site Number 300008
Larissa, 41110
Investigational Site Number 300003
Melíssia, 151 27
Investigational Site Number 300005
N. Ionia, 14233
Investigational Site Number 300002
Pátrai, 26500
Investigational Site Number 300010
Thessaloniki, 546 36
Investigational Site Number 300006
Thessaloniki, 57010
Hungary9 sites
Investigational Site Number 348003
Budapest, 1027
Investigational Site Number 348008
Budapest, 1096
Investigational Site Number 348002
Budapest, 1122
Investigational Site Number 348004
Budapest, 1134
Investigational Site Number 348009
Szeged, 6720
Investigational Site Number 348007
Székesfehérvár, 8000
Investigational Site Number 348001
Szolnok, 5000
Investigational Site Number 348005
Szombathely, 9700
Investigational Site Number 348006
Zalaegerszeg, 8900
Peru9 sites
Investigational Site Number 604005
Lambayeque
Investigational Site Number 604002
Lima, 051
Investigational Site Number 604011
Lima, 051
Investigational Site Number 604014
Lima, LIMA 01
Investigational Site Number 604003
Lima, LIMA 11
Investigational Site Number 604017
Lima, LIMA 13
Investigational Site Number 604006
Lima, LIMA 27
Investigational Site Number 604012
Lima, LIMA 31
Investigational Site Number 604008
Lima
Colombia8 sites
Investigational Site Number 170016
Barranquilla
Investigational Site Number 170009
Bogotá
Investigational Site Number 170011
Bogotá
Investigational Site Number 170002
Bucaramanga
Investigational Site Number 170012
Cali
Investigational Site Number 170001
Medellín
Investigational Site Number 170003
Medellín
Investigational Site Number 170017
Medellín
Portugal8 sites
Investigational Site Number 620010
Almada, 2801-951
Investigational Site Number 620006
Amadora, 2720
Investigational Site Number 620001
Coimbra, 3000-075
Investigational Site Number 620002
Coimbra, 3041-801
Investigational Site Number 620011
Evora, 7000
Investigational Site Number 620003
Lisbon, 1169-024
Investigational Site Number 620015
Ponta Delgada, 9500-370
Investigational Site Number 620004
Setúbal, 2910-446
Australia7 sites
Investigational Site Number 036008
Adelaide, 5000
Investigational Site Number 036004
Ballarat, 3353
Investigational Site Number 036010
Concord, 2137
Investigational Site Number 036001
Herston, 4029
Investigational Site Number 036913
Hobart, 7001
Investigational Site Number 036011
Liverpool, 2170
Investigational Site Number 036003
Prahran, 3004
Canada7 sites
Investigational Site Number 124005
Gatineau, J8Y 1W7
Investigational Site Number 124006
Hamilton, L8L 2X2
Investigational Site Number 124004
Montreal, H2W 1T8
Investigational Site Number 124001
Québec, G1V 4G5
Investigational Site Number 124007
Sherbrooke, J1H 5N4
Investigational Site Number 124009
St. John's, E2L 4L2
Investigational Site Number 124002
Toronto, M5B 1W8
Taiwan7 sites
Investigational Site Number 158007
Kaohsiung City, 807
Investigational Site Number 158002
Kaohsiung City, 833
Investigational Site Number 158003
Linkou District
Investigational Site Number 158008
Taichung, 40447
Investigational Site Number 158904
Taipei, 100
Investigational Site Number 158001
Taipei, 104
Investigational Site Number 158009
Taipei, 220
Thailand7 sites
Investigational Site Number 764002
Bangkok, 10330
Investigational Site Number 764901
Bangkok, 10400
Investigational Site Number 764005
Bangkok, 10700
Investigational Site Number 764004
Khon Kaen, 40002
Investigational Site Number 764007
Klong Luang, 12120
Investigational Site Number 764903
Muang, 50200
Investigational Site Number 764006
Rajathavee, 10400
United Kingdom7 sites
Investigational Site Number 826008
Bournemouth, BH7 7DW
Investigational Site Number 826007
Bradford, BD9 6RJ
Investigational Site Number 826001
Craigavon, BT63 5QQ
Investigational Site Number 826005
East Kilbride, G75 8RG
Investigational Site Number 826002
Hull, HU16 5JQ
Investigational Site Number 826006
Manchester, M13 9WL
Investigational Site Number 826003
St Leonards, TN37 7RD
Serbia6 sites
Investigational Site Number 688505
Belgrade, 11040
Investigational Site Number 688502
Kamenitz, 21204
Investigational Site Number 688501
Kragujevac, 34000
Investigational Site Number 688503
Niš, 18000
Investigational Site Number 688504
Zemun, 11080
Investigational Site Number 688506
Zemun, 11080
South Africa6 sites
Investigational Site Number 710004
Alberton, 1450
Investigational Site Number 710005
Cape Town, 7500
Investigational Site Number 710001
Cape Town, 7925
Investigational Site Number 710003
Centurion, 181
Investigational Site Number 710002
Kuils River, 7580
Investigational Site Number 710007
Pretoria
Belgium5 sites
Investigational Site Number 056001
Bonheiden, 2820
Investigational Site Number 056007
Bruges, 8000
Investigational Site Number 056003
Brussels, 1020
Investigational Site Number 056006
Haine-Saint-Paul, 7100
Investigational Site Number 056008
Leuven, 3000
Indonesia5 sites
Investigational Site Number 360505
Bandung, 40161
Investigational Site Number 360501
Depok, 16514
Investigational Site Number 360506
Jakarta, 10430
Investigational Site Number 360503
Jakarta, 11420
Investigational Site Number 360502
Jakarta, 12950
Netherlands5 sites
Investigational Site Number 528003
Alkmaar, 1815 JD
Investigational Site Number 528005
Arnhem, 6815 AD
Investigational Site Number 528007
Leeuwarden, 8934 AD
Investigational Site Number 528004
Nieuwegein, 3435 CM
Investigational Site Number 528002
Rotterdam, 3079 DZ
Romania5 sites
Investigational Site Number 642002
Brasov, 500059
Investigational Site Number 642004
Bucharest, 011461
Investigational Site Number 642001
Bucharest, 014461
Investigational Site Number 642005
Cluj-Napoca, 400001
Investigational Site Number 642003
Târgu Mureş, 20475
Tunisia5 sites
Investigational Site Number 788002
Aryanah, 2080
Investigational Site Number 788005
Monastir, 5000
Investigational Site Number 788006
Monastir, 5000
Investigational Site Number 788001
Tunis, 1008
Investigational Site Number 788004
Tunis, 1008
Vietnam5 sites
Investigational Site Number 704006
Hanoi
Investigational Site Number 704001
Ho Chi Minh City
Investigational Site Number 704003
Ho Chi Minh City
Investigational Site Number 704004
Ho Chi Minh City
Investigational Site Number 704005
Ho Chi Minh City
Belarus4 sites
Investigational Site Number 112004
Homyel, 246012
Investigational Site Number 112003
Minsk, 220013
Investigational Site Number 112002
Minsk, 220016
Investigational Site Number 112001
Minsk, 220036
Croatia4 sites
Investigational Site Number 191502
Slavonski Brod, 35000
Investigational Site Number 191503
Zagreb, 10000
Investigational Site Number 191505
Zagreb, 10000
Investigational Site Number 191506
Zagreb, 10000
Egypt4 sites
Investigational Site Number 818504
Cairo, 11451
Investigational Site Number 818501
Cairo, 11566
Investigational Site Number 818502
Cairo
Investigational Site Number 818503
Giza
Latvia4 sites
Investigational Site Number 428004
Daugavpils, LV-5417
Investigational Site Number 428002
Liepāja, LV-3414
Investigational Site Number 428001
Riga, LV-1002
Investigational Site Number 428003
Riga, LV-1038
Ukraine4 sites
Investigational Site Number 804004
Cherkasy, 18000
Investigational Site Number 804001
Kharkiv, 61018
Investigational Site Number 804005
Lviv, 79015
Investigational Site Number 804003
Zaporozhie, 69600
Lithuania3 sites
Investigational Site Number 440003
Kaunas, LT-50009
Investigational Site Number 440001
Šiauliai, LT-76231
Investigational Site Number 440904
Vilnius, LT-08661
New Zealand3 sites
Investigational Site Number 554004
Auckland
Investigational Site Number 554001
Hamilton, 3200
Investigational Site Number 554002
Nelson, 7040
Norway3 sites
Investigational Site Number 578903
Arendal, 4809
Investigational Site Number 578901
Bergen, 5021
Investigational Site Number 578902
Stavanger, 4011
Slovakia3 sites
Investigational Site Number 703003
Banská Bystrica, 97401
Investigational Site Number 703002
Martin, 03659
Investigational Site Number 703001
Nitra, 950 01
Austria2 sites
Investigational Site Number 040002
Vienna, 1090
Investigational Site Number 040001
Vienna, 1160
Estonia2 sites
Investigational Site Number 233001
Tallinn, 10138
Investigational Site Number 233901
Tallinn, 13419
Jordan2 sites
Investigational Site Number 400501
Amman, 520248
Investigational Site Number 400502
Irbid, 360001
Lebanon2 sites
Investigational Site Number 422502
Beirut, Beirut
Investigational Site Number 422505
Beirut
Panama2 sites
Investigational Site Number 591502
Panama City
Investigational Site Number 591504
Panama City
Singapore2 sites
Investigational Site Number 702001
Singapore, 168752
Investigational Site Number 702002
Singapore, 529889
Switzerland2 sites
Investigational Site Number 756001
Lugano, 6900
Investigational Site Number 756002
Zurich, 8091
About this study
Official title: Randomized, Double-blind, Triple-dummy Trial to Compare the Efficacy of Otamixaban With Unfractionated Heparin + Eptifibatide, in Patients With Unstable Angina/Non ST Segment Elevation Myocardial Infarction Scheduled to Undergo an Early Invasive Strategy
Primary Objective:
- To demonstrate the superior efficacy (composite of all-cause death + Myocardial Infarction (MI)) of Otamixaban to Unfractionated Heparin (UFH) + Eptifibatide
Read more
Secondary Objectives:
- To demonstrate the superior efficacy (composite of all-cause death + MI + any stroke) of Otamixaban as compared to UFH + Eptifibatide
- To document the effect of Otamixaban on rehospitalization or prolongation of hospitalization due to a new episode of myocardial ischemia/myocardial infarction as compared to UFH + eptifibatide
- To document the effect on mortality (all cause death) of Otamixaban as compared to UFH + eptifibatide
- To document the safety of Otamixaban as compared to UFH + eptifibatide
- To document the effect of Otamixaban on thrombotic procedural complications during the index Percutaneous Coronary Intervention (PCI) as compared to UFH + eptifibatide
Read the detailed description
Up to the interim analysis, patients are randomized to one of the Otamixaban arms or the control arm (UFH + Eptifibatide). Then after interim analysis, patients will be randomized to the continued Otamixaban arm (per Data Monitoring Committee (DMC) decision based on interim analysis results) or the control arm (UFH + Eptifibatide). Except the DMC, all participants will remain blinded to this decision until the end of study.
The total duration of the study period per subject will range between 30 days and 180 days. Study end date being the Day 30 visit of the last randomized patient, follow up will be until Day 180 or study end date whichever comes first.
- Conditions
- Acute Coronary Syndrome
- Being tested
- Otamixaban, Placebo (for Otamixaban), UFH, Placebo (for UFH), Eptifibatide
- 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.
OtamixabanDrug
Also called XRP0673
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
Placebo (for Otamixaban)Drug
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
UFHDrug
Also called Unfractionated Heparin
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
Placebo (for UFH)Drug
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
EptifibatideDrug
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
Placebo (for Eptifibatide)Drug
Pharmaceutical form: Intravenous (IV) solution
Route of administration: IV bolus followed by continuous IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusion | Experimental | From randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first:
* Drug A: Otamixaban (0.080 mg/kg bolus followed by 0.100 mg/kg/h infusion)
* Drug B: Placebo (for UFH)
From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first:
* Drug C: Placebo (for Eptifibatide) Receives: Drug: Otamixaban; Drug: Placebo (for UFH); Drug: Placebo (for Eptifibatide) |
| Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusion | Experimental | From randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first:
* Drug A: Otamixaban 0.080 mg/kg bolus followed by 0.140 mg/kg/h infusion)
* Drug B: Placebo (for UFH)
From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first:
* Drug C: Placebo (for Eptifibatide) Receives: Drug: Otamixaban; Drug: Placebo (for UFH); Drug: Placebo (for Eptifibatide) |
| UFH + Eptifibatide | Active comparator | From randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first:
* Drug A: Placebo (for Otamixaban)
* Drug B: UFH (60 IU/kg bolus followed by 12 IU/kg/h infusion)
From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first:
* Drug C: Eptifibatide (180 mcg/kg bolus followed by 2 mcg/kg/min infusion) Receives: Drug: Placebo (for Otamixaban); Drug: UFH; Drug: Eptifibatide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy: Adjudicated double composite of all-cause of death and new myocardial infarction
Measured: from randomization (day 1) to day 7
Safety: Adjudicated Thrombolysis In Myocardial Infarction (TIMI) significant bleeding (composite of TIMI major and minor)
Measured: from day 1 to day 7
Secondary outcomes (4)
Adjudicated Triple efficacy composite of all-cause death, new myocardial infarction and any stroke
Measured: from day 1 to day 7
Rehospitalization or prolongation of hospitalization due to a new episode of myocardial ischemia/myocardial infarction
Measured: from day 1 to day 30
Adjudicated all-cause death
Measured: from day 1 to day 30
Adjudicated Procedural thrombotic complications during the index PCI
Measured: during index PCI
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2010 (estimated)
- Study startApr 2010
- Primary completionMay 2013
- Study completionMay 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Acute Coronary SyndromeStudies of the same condition, open and under way.
- More trials run by SanofiThe 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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 13,220 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01076764
- Sponsor's protocol ID
- EFC6204
- Other IDs
- 2009-016568-36, 2009
- Acronym
- TAO
- Status last verified
- Apr 2016
- First submitted
- 25 Feb 2010
- Last updated
- 4 May 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Steg PG, Mehta SR, Pollack CV Jr, Bode C, Gaudin C, Fanouillere K, Moryusef A, Wiviott SD, Sabatine MS. Design and rationale of the treatment of acute coronary syndromes with otamixaban trial: a double-blind triple-dummy 2-stage randomized trial comparing otamixaban to unfractionated heparin and eptifibatide in non-ST-segment elevation acute coronary syndromes with a planned early invasive strategy. Am Heart J. 2012 Dec;164(6):817-24.e13. doi: 10.1016/j.ahj.2012.10.001. Epub 2012 Nov 7.
PubMed 23194481Steg PG, Mehta SR, Pollack CV Jr, Bode C, Cohen M, French WJ, Hoekstra J, Rao SV, Ruzyllo W, Ruiz-Nodar JM, Sabate M, Widimsky P, Kiss RG, Navarro Estrada JL, Hod H, Kerkar P, Guneri S, Sezer M, Ruda M, Nicolau JC, Cavallini C, Ebrahim I, Petrov I, Kim JH, Jeong MH, Ramos Lopez GA, Laanmets P, Kovar F, Gaudin C, Fanouillere KC, Minini P, Hoffman EB, Moryusef A, Wiviott SD, Sabatine MS; TAO Investigators. Anticoagulation with otamixaban and ischemic events in non-ST-segment elevation acute coronary syndromes: the TAO randomized clinical trial. JAMA. 2013 Sep 18;310(11):1145-55. doi: 10.1001/jama.2013.277165.
PubMed 23995608Abtan J, Wiviott SD, Sorbets E, Popovic B, Elbez Y, Mehta SR, Sabatine MS, Bode C, Pollack CV, Cohen M, Moccetti T, Laanmets P, Faxon D, Okreglicki A, Ducrocq G, Steg PG; TAO investigators. Prevalence, clinical determinants and prognostic implications of coronary procedural complications of percutaneous coronary intervention in non-ST-segment elevation myocardial infarction: Insights from the contemporary multinational TAO trial. Arch Cardiovasc Dis. 2021 Mar;114(3):187-196. doi: 10.1016/j.acvd.2020.09.005. Epub 2021 Jan 29.
PubMed 33518473Dillinger JG, Ducrocq G, Elbez Y, Cohen M, Bode C, Pollack C Jr, Petrauskiene B, Henry P, Dorobantu M, French WJ, Wiviott SD, Sabatine MS, Mehta SR, Steg PG. Sex Differences in Ischemic and Bleeding Outcomes in Patients With Non-ST-Segment-Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention: Insights From the TAO Trial. Circ Cardiovasc Interv. 2021 Jan;14(1):e009759. doi: 10.1161/CIRCINTERVENTIONS.120.009759. Epub 2021 Jan 12.
PubMed 33430604Dillinger JG, Ducrocq G, Elbez Y, Cohen M, Bode C, Pollack C Jr, Nicolau JC, Henry P, Kedev S, Wiviott SD, Sabatine MS, Mehta SR, Steg PG. Activated Clotting Time to Guide Heparin Dosing in Non-ST-Segment-Elevation Acute Coronary Syndrome Patients Undergoing Percutaneous Coronary Intervention and Treated With IIb/IIIa Inhibitors: Impact on Ischemic and Bleeding Outcomes: Insights From the TAO Trial. Circ Cardiovasc Interv. 2018 Jun;11(6):e006084. doi: 10.1161/CIRCINTERVENTIONS.118.006084.
PubMed 29895599
Study at a glance
From the registry record, last updated by the sponsor on 4 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Double-blind, Triple-dummy Trial to Compare the Efficacy of Otamixaban With Unfractionated Heparin + Eptifibatide, in Patients With Unstable Angina/Non ST Segment Elevation Myocardial Infarction Scheduled to Undergo an Early Invasive Strategy
- ClinicalTrials.gov ID
- NCT01076764
- Acronym / sponsor ID
- TAO / EFC6204
- Conditions
- Acute Coronary Syndrome
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13,220 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Apr 2010
- Primary completion
- May 2013 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 26 Feb 2010 (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.
Primary Objective:
- To demonstrate the superior efficacy (composite of all-cause death + Myocardial Infarction (MI)) of Otamixaban to Unfractionated Heparin (UFH) + Eptifibatide
Secondary Objectives:
- To demonstrate the superior efficacy (composite of all-cause death + MI + any stroke) of Otamixaban as compared to UFH + Eptifibatide
- To document the effect of Otamixaban on rehospitalization or prolongation of hospitalization due to a new episode of myocardial ischemia/myocardial infarction as compared to UFH + eptifibatide
- To document the effect on mortality (all cause death) of Otamixaban as compared to UFH + eptifibatide
- To document the safety of Otamixaban as compared to UFH + eptifibatide
- To document the effect of Otamixaban on thrombotic procedural complications during the index Percutaneous Coronary Intervention (PCI) as compared to UFH + eptifibatide
Detailed description
Up to the interim analysis, patients are randomized to one of the Otamixaban arms or the control arm (UFH + Eptifibatide). Then after interim analysis, patients will be randomized to the continued Otamixaban arm (per Data Monitoring Committee (DMC) decision based on interim analysis results) or the control arm (UFH + Eptifibatide). Except the DMC, all participants will remain blinded to this decision until the end of study.
The total duration of the study period per subject will range between 30 days and 180 days. Study end date being the Day 30 visit of the last randomized patient, follow up will be until Day 180 or study end date whichever comes first.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusion | Experimental | Drug: Otamixaban, Drug: Placebo (for UFH), Drug: Placebo (for Eptifibatide)From randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Otamixaban (0.080 mg/kg bolus followed by 0.100 mg/kg/h infusion) * Drug B: Placebo (for UFH) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Placebo (for Eptifibatide) |
| Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusion | Experimental | Drug: Otamixaban, Drug: Placebo (for UFH), Drug: Placebo (for Eptifibatide)From randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Otamixaban 0.080 mg/kg bolus followed by 0.140 mg/kg/h infusion) * Drug B: Placebo (for UFH) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Placebo (for Eptifibatide) |
| UFH + Eptifibatide | Active comparator | Drug: Placebo (for Otamixaban), Drug: UFH, Drug: EptifibatideFrom randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Placebo (for Otamixaban) * Drug B: UFH (60 IU/kg bolus followed by 12 IU/kg/h infusion) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Eptifibatide (180 mcg/kg bolus followed by 2 mcg/kg/min infusion) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Ischemic symptoms (chest pain or equivalent) at rest ≥ 10 minutes within 24 hours of randomization,
- AND
- One of the two following criteria:
- AND
- Planned to have a coronary angiography (followed, when indicated, by PCI) as early as possible (after at least 2 hours of treatment with study drug) and within 36 hours (at the latest on Day 3, if justified),
Key exclusion criteria (8 listed)
- Revascularization procedure already performed for the qualifying event Acute ST-segment elevation MI.
- Patient having received curative dose of anticoagulant treatment (including UFH, LMWH, or bivalirudin) for more than 24 hours prior to randomization or who have been treated by abciximab.
- Inability to discontinue current anticoagulation in order to transition to Investigational Products according to the specified transition timing.
- Patient who can not be treated by aspirin and clopidogrel (or any other oral antiplatelet agent) according to their local labeling.
- Patient who cannot be treated with eptifibatide according to the national labeling (when available). In countries where eptifibatide is not approved the reference label to be considered is either the European labeling or the US labeling
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 |
|---|---|---|
| OtamixabanAlso: XRP0673Pharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusion, Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusion |
| Placebo (for Otamixaban)Pharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | UFH + Eptifibatide |
| UFHAlso: Unfractionated HeparinPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | UFH + Eptifibatide |
| Placebo (for UFH)Pharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusion, Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusion |
| EptifibatidePharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | UFH + Eptifibatide |
| Placebo (for Eptifibatide)Pharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion | Drug | Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusion, Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusion |
Primary outcome
Efficacy: Adjudicated double composite of all-cause of death and new myocardial infarction
Time frame: from randomization (day 1) to day 7
Safety: Adjudicated Thrombolysis In Myocardial Infarction (TIMI) significant bleeding (composite of TIMI major and minor)
Time frame: from day 1 to day 7
4 secondary outcomes
Adjudicated Triple efficacy composite of all-cause death, new myocardial infarction and any stroke
Time frame: from day 1 to day 7
Rehospitalization or prolongation of hospitalization due to a new episode of myocardial ischemia/myocardial infarction
Time frame: from day 1 to day 30
Adjudicated all-cause death
Time frame: from day 1 to day 30
Adjudicated Procedural thrombotic complications during the index PCI
Time frame: during index PCI
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 4 May 2016.
- Background: PubMed 23194481Steg PG, Mehta SR, Pollack CV Jr, Bode C, Gaudin C, Fanouillere K, Moryusef A, Wiviott SD, Sabatine MS. Design and rationale of the treatment of acute coronary syndromes with otamixaban trial: a double-blind triple-dummy 2-stage randomized trial comparing otamixaban to unfractionated heparin and eptifibatide in non-ST-segment elevation acute coronary syndromes with a planned early invasive strategy. Am Heart J. 2012 Dec;164(6):817-24.e13. doi: 10.1016/j.ahj.2012.10.001. Epub 2012 Nov 7.
- Results publication: PubMed 23995608Steg PG, Mehta SR, Pollack CV Jr, Bode C, Cohen M, French WJ, Hoekstra J, Rao SV, Ruzyllo W, Ruiz-Nodar JM, Sabate M, Widimsky P, Kiss RG, Navarro Estrada JL, Hod H, Kerkar P, Guneri S, Sezer M, Ruda M, Nicolau JC, Cavallini C, Ebrahim I, Petrov I, Kim JH, Jeong MH, Ramos Lopez GA, Laanmets P, Kovar F, Gaudin C, Fanouillere KC, Minini P, Hoffman EB, Moryusef A, Wiviott SD, Sabatine MS; TAO Investigators. Anticoagulation with otamixaban and ischemic events in non-ST-segment elevation acute coronary syndromes: the TAO randomized clinical trial. JAMA. 2013 Sep 18;310(11):1145-55. doi: 10.1001/jama.2013.277165.
- Derived from this study: PubMed 33518473Abtan J, Wiviott SD, Sorbets E, Popovic B, Elbez Y, Mehta SR, Sabatine MS, Bode C, Pollack CV, Cohen M, Moccetti T, Laanmets P, Faxon D, Okreglicki A, Ducrocq G, Steg PG; TAO investigators. Prevalence, clinical determinants and prognostic implications of coronary procedural complications of percutaneous coronary intervention in non-ST-segment elevation myocardial infarction: Insights from the contemporary multinational TAO trial. Arch Cardiovasc Dis. 2021 Mar;114(3):187-196. doi: 10.1016/j.acvd.2020.09.005. Epub 2021 Jan 29.
- Derived from this study: PubMed 33430604Dillinger JG, Ducrocq G, Elbez Y, Cohen M, Bode C, Pollack C Jr, Petrauskiene B, Henry P, Dorobantu M, French WJ, Wiviott SD, Sabatine MS, Mehta SR, Steg PG. Sex Differences in Ischemic and Bleeding Outcomes in Patients With Non-ST-Segment-Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention: Insights From the TAO Trial. Circ Cardiovasc Interv. 2021 Jan;14(1):e009759. doi: 10.1161/CIRCINTERVENTIONS.120.009759. Epub 2021 Jan 12.
- Derived from this study: PubMed 29895599Dillinger JG, Ducrocq G, Elbez Y, Cohen M, Bode C, Pollack C Jr, Nicolau JC, Henry P, Kedev S, Wiviott SD, Sabatine MS, Mehta SR, Steg PG. Activated Clotting Time to Guide Heparin Dosing in Non-ST-Segment-Elevation Acute Coronary Syndrome Patients Undergoing Percutaneous Coronary Intervention and Treated With IIb/IIIa Inhibitors: Impact on Ischemic and Bleeding Outcomes: Insights From the TAO Trial. Circ Cardiovasc Interv. 2018 Jun;11(6):e006084. doi: 10.1161/CIRCINTERVENTIONS.118.006084.
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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.
Clinical Sciences & Operations study director
Sanofi
607 sites in 55 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Otamixaban, UFH and Eptifibatide in people with Acute Coronary Syndrome, run by Sanofi at 607 sites in 55 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 10 inclusion and 8 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 4 May 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 607 sites in United States, Argentina, India, Poland, Italy and 50 more countries. 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?
Efficacy: Adjudicated double composite of all-cause of death and new myocardial infarction (time frame: from randomization (day 1) to day 7). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01076764, which also lists 5 linked publications.
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 4 May 2016.