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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Cumberland, Rhode Island 02864
2560
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Cumberland, RI
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Abington, Pennsylvania 19001
2376
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Akron, Ohio 44308
2040
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Albuquerque, New Mexico 87108
653
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Albuquerque, New Mexico 87108
653
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Allen, Texas 75002
1228
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Allen, TX
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Altoona, Pennsylvania 16602
2203
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Ames, Iowa 50010
1429
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Ames, IA
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Anchorage, Alaska 99508
2343
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Anchorage, AK
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Anderson, South Carolina 29621
2008
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Anderson, SC
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Ann Arbor, Michigan 48109
1932
mi
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Ann Arbor, MI
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Asheboro, North Carolina 27204
2153
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Asheboro, NC
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Athens, Alabama 35611
1762
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Athens, AL
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Athens, Georgia 30606
1970
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Athens, GA
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Augusta, Georgia 30904
2057
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Augusta, GA
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Augusta, Georgia 30904
2057
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Aurora, Colorado 80010
824
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Bahia Blanca, Buenos Aires
6165
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Baltimore, Maryland 21287
2302
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Baltimore, Maryland 21287
2302
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Baltimore, Maryland 21287
2302
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Baltimore, Maryland 21287
2302
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Bartlesville, Oklahoma 74006
1251
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Baton Rouge, Louisiana 70808
1585
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Baton Rouge, Louisiana 70808
1585
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Baton Rouge, Louisiana 70808
1585
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Beaumont, Texas 77702
1421
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Beaumont, Texas 77702
1421
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Beaver, Pennsylvania 15009
2103
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Beaver, Pennsylvania 15009
2103
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Bedford, Texas 76021
1203
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Beltsville, Maryland 20705
2287
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Bend, Oregon 97701
712
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Beverly Hills, California 90211
21
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Binghamton, New York 13901
2330
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Birmingham, Alabama 35209
1785
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Birmingham, Alabama 35209
1785
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Birmingham, Alabama 35209
1785
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Birmingham, Alabama 35209
1785
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Bloomington, Minnesota 55420
1505
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Bountiful, Utah 84010
578
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Bridgeville, Pennsylvania 15017
2113
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Brownsville, Texas 78520
1340
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Burke, Virginia 22015
2268
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Burke, VA
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Burlington, Massachusetts 01805
2570
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Camden, New Jersey 08103
2377
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Camp Hill, Pennsylvania 17011
2281
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Carmichael, California 95608
364
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Chandler, Arizona 85224
356
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Charlotte, North Carolina 28277
2104
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Charlotte, North Carolina 28277
2104
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Charlotte, North Carolina 28277
2104
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Charlotte, North Carolina 28277
2104
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Chelsea, Michigan 48118
1917
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Chicago, Illinois 60612
1726
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Cincinnati, Ohio 45229
1881
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Cincinnati, Ohio 45229
1881
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Cincinnati, Ohio 45229
1881
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Clearwater, Florida 33756
2117
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Cleveland, Ohio 44109
2031
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Coeur d'Alene, Idaho 83814
942
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Colorado Springs, Colorado 80907
804
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Columbia, Maryland 21044
2287
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Columbia, Missouri 65212
1459
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Columbia, South Carolina 29201
2105
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Columbia, South Carolina 29201
2105
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Columbus, Ohio 43205
1962
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Coral Springs, Florida 33065
2304
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Covington, Georgia 30014
1951
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Covington, Louisiana 70433
1644
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Cumming, Georgia 30041
1927
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Dallas, Texas 75216
1225
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Dallas, Texas 75216
1225
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Dallas, Texas 75216
1225
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Danville, Virginia 24541
2169
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Davie, Florida 33324
2308
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Dayton, Ohio 45402
1896
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Daytona Beach, Florida 32117
2186
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Decatur, Georgia 30030
1924
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Decatur, Georgia 30030
1924
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Defuniak Springs, Florida 32435
1867
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Defuniak Springs, Florida 32435
1867
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Denver, Colorado 80262
820
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Denver, Colorado 80262
820
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Denver, Colorado 80262
820
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Denver, Colorado 80262
820
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Detroit, Michigan 48202
1965
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Doral, Florida 33136
2321
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Duluth, Georgia 30096
1930
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Duluth, Minnesota 55805
1610
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Edina, Minnesota 55435
1504
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Endwell, New York 13760
2325
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Erie, Pennsylvania 16506
2113
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Erie, Pennsylvania 16506
2113
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Erie, Pennsylvania 16506
2113
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Erie, Pennsylvania 16506
2113
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Erie, Pennsylvania 16506
2113
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Escondido, California 92025
87
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Evansville, Indiana 47713
1715
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Evansville, Indiana 47713
1715
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Fairhope, Alabama 36532
1769
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Fairhope, AL
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