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Completed

NCT Number: NCT01916720

Study to Determine the Effect of 14 Days Dosing With Darapladib (SB-480848) on Carotid Plague Composition in Patients With Planned Carotid Endarterectomy

The primary objective is to determine Lp-PLA2 activity in atherosclerotic carotid plaques after 14 (+/-4) days treatment with darapladib, compared to placebo. Secondary objectives include determination of the change in Lp-PLA2 activity in blood, Lp-PLA2 mass in blood and plaque, specified biomarkers in blood and plaque and their respective correlation's with Lp-PLA2. In addition, the study aims to characterise the PK/PD of repeat oral doses of SB-480848, and safety and tolerability in this population.

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Key information

Age range

35 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female, >35 years of age
  • Females of childbearing potential must be using approved contraceptive measures
  • Male patients must be willing to abstain from sexual intercourse or use a form of contraception if engaging in sexual intercourse with a woman who could become pregnant
  • Planned carotid endarterectomy within a timeframe compatible with recruitment for the study and able to comply with the requirements of the study, as deemed by the investigator
  • Written, informed consent to participate

Exclusion criteria

  • Recent myocardial infarction (within the previous 4 weeks)
  • Currently taking corticosteroids, warfarin, digoxin or a potent CYP3A4 inhibitor
  • Recent (<3 months) or ongoing acute infection or significant trauma associated with bruising and/or taking antibiotics. Prophylactic antibiotics for surgery are allowed
  • Change in dose of lipid-lowering therapy during the previous 4 weeks from randomisation
  • History of chronic liver disease (e.g. cirrhosis, hepatitis) OR ALT OR AST ≥1.5 times the upper limit of normal (ULN) at screening
  • Diagnosis of systemic lupus erythematosis (SLE) or rheumatoid arthritis (RA)
  • Clinically significant anaemia
  • History of severe renal impairment (serum creatinine >1.8mg/dL)
  • Unstable angina
  • History of asthma , anaphylaxis or anaphylactoid reactions, severe allergic responses
  • Abuse of alcohol or drugs within the last 6 months
  • Any factor or clinical disease state that, in the investigator's opinion, would preclude completion of a safe surgical procedure and/or completion of the study
  • Use of an investigational drugs within 30 days or 5 half-lives of their last dose prior to starting the study, whichever is the longest

Treatment and study plan

SB-480848 40 mg

Drug

Study Drug

SB-480848 80 mg

Drug

Study Drug

Placebo

Drug

Study Drug

Primary outcomes

  1. Lp-PLA2 activity in the atherosclerotic plaque removed during carotid endarterectomy

    Time frame: 14 +/- 4 days

Secondary outcomes

  1. Lp-PLA2 mass in plaque removed during the carotid endarterectomy

    Time frame: 14 +/- 4 days

  2. Lp-PLA2 mass and activity in blood

    Time frame: 14 +/- days

  3. Lipid and Non-Lipid Biomarkers in Plasma

    Time frame: 14 +/- days

    Lipids: total cholesterol, HDL, LDL, and triglycerides Non-Lipids: hsCRP, CD40L, ICAM-1, E-selectin, PAI-1 antibody, PAI-1 antigen, and MMP-9

  4. Oxidised Lipids and Their Metabolites, and Biomarkers in Plaque

    Time frame: 14 +/- 4 days

    Oxidised Lipids and Their Metabolites: total lyso-PC, total phospholipid, and total phosphatidylcholine Biomarkers: CD68 (macrophages), CD3 (T cells), CD20 or CD22 (B cells), alpha-actin (smooth muscle cells), CD40L, MMP-2, MMP-9, PAI-1, ICAM-1, IL-6, and Lp-PLA2 (mRNA expression)

Sponsors and collaborators

Lead sponsor

GlaxoSmithKline

Industry

Registry information

Official study title

A Multi-centre, Randomised, Double-blind, Placebo-controlled, Parallel-group Study to Investigate the Effect of the Lp-PLA2 Inhibitor SB-480848 (40, 80mg od) on Carotid Plaque Composition in Patients With Carotid Artery Disease and Planned Carotid Endarterectomy, Stratified for Statin Use and Gender, After 14+/-4 Days Treatment

Important dates

Study start
2003
Primary completion
2003
Study completion
2003
First posted
Aug 6, 2013
Registry last updated
Dec 5, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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