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Myocardial Infarction (MI)Phase 3NCT07146360

Efficacy and Safety Study of Proposed Biosimilar Product Reveliza vs Actilise in Patients With ST-segment Elevation Myocardial Infarction

A Phase 3 study testing Revelise (GENERIUM, Russia) and Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany) in people with Myocardial Infarction (MI), run by AO GENERIUM at 22 sites in Russia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Thi is is a multi-center, randomized, single-blind, parallel group clinical trial to evaluate the efficacy and safety of the intravenious thrombolysis with Revelise® (GENERIUM, Russia) in comparosin with the Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany) in patients with acute myocardial infarction… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Myocardial Infarction (MI)
What is being tested?
Revelise (GENERIUM, Russia) and Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
22 sitesRussia
Study dates
25 May 2014to 11 Dec 2017
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 18 and 80 years
  • Acute myocardial infarction with ST-segment elevation on ECG (point J) in 2 or more consecutive leads of more than 0.2 mV in men or more than 0.15 mV in women in leads V2-V3 or more than 0.1 mV in other leads after not more than 12 hours from pain onset (lasting at least 20 minutes) in chest (at the time of screening).
  • Written informed consent of the patient for participation in the trial and conduction of coronary angiography.

Who cannot join

  • 1. Significant bleeding at present or during the previous 6 months, hemorrhagic diathesis.
  • 4. Congenital-hereditary hemorrhagic coagulopathy (hemophilia, etc.) in medical history 5. Concomitant administration of oral anticoagulants, for example, warfarin (INR > 1.3).
  • 6. Surgery of the brain or spinal cord, neoplasms of the brain or spinal cord in past medical history, traumatic brain injury during the last 3 months.
  • 7. Intracranial (including subarachnoid) hemorrhage currently or in past medical history.
  • 8. Hemorrhagic stroke or stroke of unknown etiology in the anamnesis, suspected hemorrhagic stroke.
  • 9. Ischemic stroke or transient ischemic attack during the last 6 months. 10. Severe (systolic blood pressure higher than 185 mmHg or diastolic blood pressure higher than 110 mmHg) uncontrolled hypertension.
Show all 12Show fewer
  • 11. Extensive surgery or significant trauma during the previous 3 weeks (including any injury combined with this acute myocardial infarction).
  • 12. Long-term or traumatic cardiopulmonary resuscitation (>2 min), delivery during the previous 10 days; recently performed puncture of an incompressible blood vessel (for example, subclavian or jugular vein).
  • 13. Bacterial endocarditis, pericarditis. 14. Known arterial aneurysms, defects in arteries or veins' development, suspected aortic dissection.
  • 15. Confirmed gastric ulcer or duodenal ulcer during the last 3 months. 16. Known severe liver diseases, including liver failure, cirrhosis, portal hypertension (including esophageal varicose veins dilatation), active hepatitis.
  • 17. Acute pancreatitis. 18. Known neoplasm with an increased risk of bleeding. 19. Hypersensitivity to the components of the product, allergic reactions to gentamicin in past medical history.
  • 20. Pregnancy or lactation.

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

Russia22 sites
  • City Budgetary Healthcare Institution of Arkhangelsk Region "First City Clinical Hospital named after E.E. Volosevich"

    Arkhangelsk, Arkhangelskaya oblast, 163001

  • Regional State Budgetary Healthcare Institution "Altai Regional Cardiological Dispensary"

    Barnaul, Altayskiy Kray, 656055

  • Federal State Budgetary Scientific Institution "Scientific Research Institute for Complex Issues of Cardiovascular Diseases"

    Kemerovo, 650002

  • SBHI "State Budgetary Healthcare Institution of MHD"

    Moscow, 101000

  • Moscow City State Budgetary Healthcare Institution "Filatov City Clinical Hospital No. 15 of Moscow Healthcare Department"

    Moscow, 111539

  • State Budgetary Healthcare Institution of the city of Moscow "City Clinical Hospital No. 64 of Moscow Healthcare Department"

    Moscow, 117292

  • Federally Funded Higher Education Institution "Russian National Research Medical University named after N.I. Pirogov" of the Ministry of Health of the Russian Federation

    Moscow, 117997

  • Moscow City State Budgetary Healthcare Institution "Botkin City Clinical Hospital of Moscow Healthcare Department"

    Moscow, 125284

  • SBHI "CCH No. 81 MHD"

    Moscow, 127644

  • SBHI "Sklifosovsky Research Institute of Emergency Medicine of MHD"

    Moscow, 129090

  • State Budgetary Healthcare Institution of Novosibirsk "City Clinical Hospital No. 2"

    Novosibirsk, Novosibirsk Oblast, 630051

  • Novosibirsk Region State Budgetary Healthcare Institution "City Clinical Hospital No. 1"

    Novosibirsk, 630047

  • Novosibirsk Region State Budgetary Healthcare Institution "City Clinical Hospital No. 34"

    Novosibirsk, 630054

  • Municipal Health Care Institution City Clinical Hospital No.4

    Perm, Perm Krai, 614107

  • Municipal Budgetary Healthcare Institution "City Emergency Medical Hospital of Rostov-on-Don"

    Rostov-on-Don, 344068

  • SI "St. Petersburg Dzhanelidze Research Institute of Emergency Medicine"

    Saint Petersburg, 192242

  • St. Petersburg State Budgetary Healthcare Institution "Pokrovskaya City Hospital"

    Saint Petersburg, 199106

  • FSBEI of HVE Mordovia State University named after N.P. Ogarev, Medical Institute, SBHI MR "City Clinical Hospital No. 3"

    Saransk, Respublika Mordoviya, 430005

  • FSI Saratov Research Institute of Cardiology of Russian medical Technologies

    Saratov, 410028

  • State Healthcare Institution "City Clinical Hospital No. 12"

    Saratov, 410039

  • SBHI SC "Stavropol Regional Clinical Hospital"

    Stavropol, 355000

  • SBHI Republican Cardiology Center

    Ufa, Bashkortostan Republic, 450106

Other trials in Russia

About this study

Official title: A Multi-center, Randomized, Single-blind, Parallel Group Clinical Trial to Evaluate the Efficacy and Safety of the Revelise® (GENERIUM, Russia) as Compared With the Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany) in Patients With Acute Myocardial Infarction With ST-segment Elevation on ECG

Thi is is a multi-center, randomized, single-blind, parallel group clinical trial to evaluate the efficacy and safety of the intravenious thrombolysis with Revelise® (GENERIUM, Russia) in comparosin with the Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany) in patients with acute myocardial infarction (MI) with ST-segment elevation on the electrocardiogram (ECG). The thrombolisis was performed within the period of up to 6 hours and from 6 to 12 hours from the MI symptoms onset.

Read the detailed description

Revelise®, lyophilizate for solution for infusion, 50 mg, is the proposed biosimilar recombinant human tissue plasminogen activator developed by GENERIUM JSC (Russia).

All the patients with acute myocardial infurction, enrolled into the study, have been randomised to receive either biosimilar product or a reference produc. The stratification factor was the time from the MI symptoms onset: 1) within the 6 hours and 2) from 6 to 12 hours. Each patient was then followed-up for 3 months, including up to 14 days in an inpatient facility. Coronary angiography was to be performed within the first 24 hours after the administration of the study products, but not earlier than 3 hours after beginning of infusion in case of confirmed thrombolysis (onset of myocardial reperfusion) and immediately - in the absence of reperfusion according to ECG data (ST-segment reduction by less than 50% afterthe infusion start). The patients' condition will be assessed at the scheduled visits.

Being tested
Revelise (GENERIUM, Russia), Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany)
Keywords
Acute Myocardial Infarction, Thrombosis, Recombinant tissue plasminogen activator, Acute Coronary Syndrome, Coronary Syndrome, Chronic heart failure, Activated partial thromboplastin time, New York Heart Association, Thrombolytic therapy
Medical subject headings
Myocardial Infarction, Thrombosis, Acute Coronary Syndrome, Angina, Unstable

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Revelise (GENERIUM, Russia)Biological

    1. 90-minute accelerated dosing regimen for patients who can start treatment within 6 hours after the onset of symptoms of acute myocardial infarction (AMI): Initial bolus injection: 15 mg intraveniously (IV) followed by an infusion of 50 mg over 30 minutes and then a subsequent infusion of 35 mg over 60 minutes to reach a maximum total dose of 100 mg.
    • For patients less than 65 kg: Initial bolus injection: 15 mg IV - 0.75 mg/kg (maximum 50 mg) over 30 minutes followed by an additional infusion of 0.5 mg/kg (maximum 35 mg) over 60 minutes.
    1. 3-hour dosing regimen for patients who can start treatment between 6 and 12 hours after symptom onset of AMI: Initial bolus injection: 10 mg IV followed by an infusion of 50 mg over 60 minutes and then a subsequent infusion of 40 mg over 120 minutes to achieve a maximum total dose of 100 mg.
    • For patients less than 65 kg: The cumulative dose should not exceed 1.5 mg/kg.
  • Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany)Biological

    1. 90-minute accelerated dosing regimen for patients who can start treatment within 6 hours after the onset of symptoms of acute myocardial infarction (AMI): Initial bolus injection: 15 mg intraveniously (IV) followed by an infusion of 50 mg over 30 minutes and then a subsequent infusion of 35 mg over 60 minutes to reach a maximum total dose of 100 mg.
    • For patients less than 65 kg: Initial bolus injection: 15 mg IV - 0.75 mg/kg (maximum 50 mg) over 30 minutes followed by an additional infusion of 0.5 mg/kg (maximum 35 mg) over 60 minutes.
    1. 3-hour dosing regimen for patients who can start treatment between 6 and 12 hours after symptom onset of AMI: Initial bolus injection: 10 mg IV followed by an infusion of 50 mg over 60 minutes and then a subsequent infusion of 40 mg over 120 minutes to achieve a maximum total dose of 100 mg.
    • For patients less than 65 kg: The cumulative dose should not exceed 1.5 mg/kg.
Study groups in NCT07146360
Study groupRoleWhat they receive
Revelise® (GENERIUM, Russia)Experimentalаlteplase
Receives: Biological: Revelise (GENERIUM, Russia)
Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany)Active comparatorаlteplase
Receives: Biological: Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Myocardial reperfusion rate confirmed by the coronary angiography (CAG)

    Myocardial reperfusion confirmed by the CAG: coronary blood flow TIMI 3 or 2 degrees are considered to be myocardial reperfusion. Grade 3 - normal coronary perfusion: antegrade blood flow and contrast washout distal to the site of obstruction do not differ from those in an unaffected vessel; grade 2 - incomplete coronary perfusion: complete contrasting of the coronary artery distal to the site of obstruction, however, there is a delay in filling of the distal bed or slowdown in contrast washout).

    Measured: In 3 hours after the beginning of IV thrombolysis in case of ECG data of successful reperfusion and immediately - if there is no effect of thrombolysis based on ECG data.

Secondary outcomes (9)
  1. Frequency of percutaneous coronary intervention (PCI)

    Frequency of performing PCI after the intravenous thrombolysis results.

    Measured: During the first day after the intravenous thrombolysis, but not earlier than 3 hours after the start of the infusion in case of coronary reperfusion and immediately in case of nocoronary thrombolysis based on ECG data

  2. Cardiovascular mortality

    Cardiovascular mortality in the period up to 30 days after acute myocardial infarction

    Measured: Up to 30 days after acute myocardial infarction

  3. Myocardial reperfusion rate according to ECG data.

    Myocardial reperfusion rate according to ECG data - by ST-segment resolution (reduction) by 30%, 50%, 70% or more than 90 minutes after the beginning of the product administration in patients with acute myocardial infarction for up to 6 hours and by ST-segment resolution (reduction) by 50% or more than 180 minutes after the beginning of the product administration in patients with acute myocardial infarction during the period from 6 to 12 hours from the disease onset. (Resolution of ST segment elevation is calculated as follows: the amount (by leads) of ST segment elevation before therapy (at point J) minus the amount of ST segment elevation after therapy (90 or 180 minutes after the beginning of the product administration) divided by the amount of ST segment elevation before therapy and expressed as a percentage.)

    Measured: 90 or 180 minutes after the beginning of the IV thrombolysis.

  4. Overall mortality

    Any cause mortality after acute myocardial infarction

    Measured: Up to 90 days

  5. Incidence of post-infarction complications

    Incidence of post-infarction complications (true cardiogenic shock, clinical signs of congestive heart failure, acute left ventricular aneurysm, cardiac rupture, early post-infarction angina, recurrent myocardial infarction, brain infarction) during the first 30 days, except the rhythm disturbances

    Measured: 30 days

  6. Incidence of the combined cardiovascular events

    Incidence of the combined cardiovascular events "death from cardiovascular diseases + recurrence of myocardial infarction + stroke" and "death from cardiovascular diseases + recurrence of myocardial infarction + stroke + heart failure" within 30 and 90 days after the acute myocardial infarction

    Measured: Within 30 and 90 days

  7. Troponin changes

    Troponin concentration changes during the first 14 days after acute myocardial infarction

    Measured: 14 days

  8. Fibrinogen concentration

    Concentration of fibrinogen in plazma sample

    Measured: Days 1, 2 and 3

  9. D-dimer concentration

    Concentration of the D-dimer in plazma sample

    Measured: Days 1, 2 and 3

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2025
  2. Study start25 May 2014
  3. Primary completion21 Nov 2017
  4. Study completion11 Dec 2017

Resources

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
Single blind
Who is masked
Participant
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07146360
Sponsor's protocol ID
REV-STEMI-III
Status last verified
Aug 2025
First submitted
15 Aug 2025
Last updated
28 Aug 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Revelise (GENERIUM, Russia) and Actilyse® (Boehringer Ingelheim Pharma GmbH and Co.KG, Germany) in people with Myocardial Infarction (MI), run by AO GENERIUM at 22 sites in Russia.

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 3 inclusion and 12 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 28 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Russia. 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?

Myocardial reperfusion rate confirmed by the coronary angiography (CAG) (time frame: In 3 hours after the beginning of IV thrombolysis in case of ECG data of successful reperfusion and immediately - if there is no effect of thrombolysis based on ECG data.). 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 28 Aug 2025.

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