UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031243
Receipt number R000035670
Scientific Title Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound
Date of disclosure of the study information 2018/04/01
Last modified on 2020/09/25 08:57:04

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Basic information

Public title

Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound

Acronym

ANTARES

Scientific Title

Effect of Alirocumab(proprotein convertase subtilisin/kexin type9 inhibitor) and Rosuvastatin or Rosuvastatin alone on lipid core plaques in coronary artery disease evaluated by near-infrared spectroscopy intravascular ultrasound

Scientific Title:Acronym

ANTARES

Region

Japan


Condition

Condition

angina pectoris

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to verify whether additional administration of Alirocumab exerts a stronger stabilizing effect on the vulnerable plaque in CAD, compared with statin alone administration in patients receiving PCI. Therefore, the change in maxLCBI (4 mm) of the coronary artery 9 months after administration by addition administration of Alirocumab is evaluated as the main evaluation item as compared with statin administration alone for patients who have CAD and received PCI. Also, change of plaque properties is compared with baseline and evaluated. This study is a single-center, randomized, open-label study, using alilocumab, rosuvastatin as test drugs. Based on the findings obtained in this study, it is possible to clarify the mechanism of stabilization of the plaque in a patient with coronary artery disease, which in turn suppresses the progress of plaque in coronary artery disease, resulting in primary or secondary There is a possibility that it can contribute to prevention.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

We investigate the change in the maxLCBI (4 mm) value calculated by NIRS-IVUS test at the time of PCI and treatment evaluation (week 36) in the group of Alirocumab and standard treatment (statin alone).

Key secondary outcomes

LCBI(lesion), Angle of lipid core, EEM CSA,
Lumen CSA, Minimum lumen diameter, Plaque burden, Lesion length


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Alirocumab 75mg/2week+Rosuvastatin 5mg/daily during 9 months

Interventions/Control_2

Rosuvastatin 10mg/daily alone during 9 months

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

In patients undergoing PCI with ACS or stable angina, stenosis of 25-75% on CAG remained after PCI and maxLCBI(4mm) was over 400 in patients who could analyze NIRS-IVUS images.

Key exclusion criteria

Patients who have received one or more doses of anti-PCSK9 monoclonal antibody.
Patients who experienced poorly controlled high blood pressure (systolic blood pressure>180 mmHg or diastolic blood pressure>110 mmHg measured more than once) between the time of PCI and randomization.
Patients with LDL-Chol value <70 mg/dl.
Patients with allergic drug hypersensitivity to drugs to be used.
Patients with a history of hemorrhagic stroke.
Patients receiving treatment for anticancer drugs.
Patients undergoing LDL apheresis.
Patients with serious liver and kidney dysfunction.
Patients who conflict with any of the warning contraindications listed in the Rosuvastatin national package insert.
Patients contradicting the contraindications listed in the Pralient's national package insert.
Pregnant women and pregnant or lactating patients.
Others Patients judged inappropriate by the doctor in charge of this exam.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Otake Hiromasa

Organization

Kobe University Hospital

Division name

cardiology

Zip code


Address

7-5-2, Kusunokicho, Chuouku, Kobe city, Hyogo prefecture

TEL

078-382-5846

Email

hotake@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tanimura Kosuke

Organization

Kobe University Hospital

Division name

Cardiology

Zip code


Address

7-5-2, Kusunokicho, Chuouku, Kobe city, Hyogo prefecture

TEL

078-382-5846

Homepage URL


Email

k.tanimura1006@gmail.com


Sponsor or person

Institute

Kobe University,department of cardiology

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

神戸大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2018 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2018 Year 03 Month 01 Day

Date of IRB

2020 Year 07 Month 06 Day

Anticipated trial start date

2018 Year 04 Month 01 Day

Last follow-up date

2020 Year 05 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 02 Month 10 Day

Last modified on

2020 Year 09 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035670


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name