Cardiovascular Risk Reduction Study (Reduction in Recurrent Major CV Disease Events)



Status:Active, not recruiting
Conditions:Peripheral Vascular Disease, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:1/27/2019
Start Date:April 11, 2011
End Date:April 1, 2020

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A Randomized, Double-blind, Placebo-controlled, Event-driven Trial of Quarterly Subcutaneous Canakinumab in the Prevention of Recurrent Cardiovascular Events Among Stable Post-myocardial Infarction Patients With Elevated hsCRP

Main Study (CACZ885M2301): The purpose of the pivotal phase of this trial was to test the
hypothesis that canakinumab treatment of patients with myocardial infarction (MI) at least
one month prior to study entry and elevated hsCRP could prevent recurrent cardiovascular
events.

The purpose of the extension phase of the main study is to collect additional long-term
safety data on continued exposure to canakinumab in patients who participated in the pivotal
phase.

Sub-study 1 (CACZ885M2301S1): The purpose of this sub-study was to evaluate the effect of
quarterly subcutaneous canakinumab treatment for 24 months comparted with placebo on the
carotid plaque burden measured by integrated vascular MRI in patients enrolled in the
CACZ885M2301 study (CANTOS).

Sub-study 2 (CACZ885M2301S2): The purpose of this CANTOS sub-study was to determine whether,
in patients with type 2 diabetes participating in the CANTOS main study, canakinumab compared
to placebo, on top of standard of care could increase insulin secretion and insulin
sensitivity.

Sub-study 1 and 2 were terminated prior to data collection from subjects. However, there is
an ongoing extension trial where patients are receiving open-drug label.

Main Study Inclusion Criteria:

- Written informed consent

- Male, or Female of non-child-bearing potential

- Age ≥ 18 years.

- Spontaneous MI at least 30 days before randomization. hsCRP ≥ 2 mg/L

Substudy 1 Inclusion:

- All Inclusion from Main Study

- Acquisition of evaluable baseline MRI images of bilateral carotid arteries by the
imaging core laboratory

Substudy 2 Inclusion:

- All inclusion from Main Study

- T2D at baseline per Main protocol criteria and be on a stable anti-hyperglycemic
medication for at least 4 weeks prior to the baseline OGTT test

- Willing to have the OGTT assessment started before 10 am

Main Study Exclusion Criteria:

- Pregnant or nursing (lactating) women

- Women of child-bearing potential

- Any of the following concomitant diseases

- Planned coronary revascularization (PCI or CABG)

- Major non-cardiac surgical or endoscopic procedure within past 6 months

- Multi-vessel CABG surgery within the past 3 years

- Symptomatic patients with Class IV heart failure (HF) (New York Heart Association
[NYHA].

- Uncontrolled hypertension

- Uncontrolled diabetes

- History or evidence of active tuberculosis (TB) infection Substudy 1 Exclusion

- All Main exclusion

- Patients with prior history of carotid angioplasty, stenting, or carotid atherectomy

- Patients with contraindications to MRI examination (brain aneurysm clip, implanted
neural stimulator, implanted cardiac pacemaker, pacemaker wires or defibrillator,
prosthetic heart valves, cochlear implant, ocular foreign body or other implanted
body, tattoos, implanted insulin pump, metal shrapnel or bullet)

- Patients prone to claustrophobia or known anxiety disorders

- BMI > 40 kg/m2 Substudy 2 Exclusion

- This sub-study does not have any additional exclusion criteria.
We found this trial at
395
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Saint Louis, Missouri 63128
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Abington, Pennsylvania 19001
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Allen, Texas 75002
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Altoona, Pennsylvania 16602
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Ames, Iowa 50010
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Anderson, South Carolina 29621
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Ann Arbor, Michigan 48109
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Asheboro, North Carolina 27204
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Athens, Alabama 35611
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Baltimore, Maryland 21287
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Bartlesville, Oklahoma 74006
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Beaumont, Texas 77702
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Bedford, Texas 76021
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Beltsville, Maryland 20705
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Chandler, Arizona 85224
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Charlotte, North Carolina 28277
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Chelsea, Michigan 48118
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Clearwater, Florida 33756
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Cumming, Georgia 30041
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Dallas, Texas 75216
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Defuniak Springs, Florida 32435
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