Last updated:  11/07/2018 14:28:00
Study to determine the effect of 14 days dosing with darapladib (SB-480848) on carotid plague composition in patients with planned carotid endarterectomy
Clinicaltrials.gov ID 
EudraCT ID 
Not applicable
EU CT Number 
Not applicable
Trial status 
                  Study complete
                
Study complete
Trial overview
Official 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
Trial description: 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.
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Allocation:
Randomized
Primary outcomes:
Lp-PLA2 activity in the atherosclerotic plaque removed during carotid endarterectomy
Timeframe: 14 +/- 4 days
Secondary outcomes: 
Lp-PLA2 mass in plaque removed during the carotid endarterectomy
Timeframe: 14 +/- 4 days
Lp-PLA2 mass and activity in blood
Timeframe: 14 +/- days
Lipid and Non-Lipid Biomarkers in Plasma
Timeframe: 14 +/- days
Oxidised Lipids and Their Metabolites, and Biomarkers in Plaque
Timeframe: 14 +/- 4 days
Interventions:
Enrollment:
103
Primary completion date:
2003-31-07
Observational study model:
Not applicable
Time perspective:
Not applicable
Clinical publications:
Not applicable
- Male or female, >35 years of age
 - Females of childbearing potential must be using approved contraceptive measures
 
- Recent myocardial infarction (within the previous 4 weeks)
 - Currently taking corticosteroids, warfarin, digoxin or a potent CYP3A4 inhibitor
 
Inclusion and exclusion criteria
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
 
Trial location(s)
This study does not involve prospective enrollment of participants.
Study documents
Clinical study report
Available language(s): English
Scientific result summary
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Refer to study documents
Recruitment status
Study complete
Actual primary completion date
2003-31-07
Actual study completion date
2003-31-07
Plain language summaries
Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.
Additional information about the trial
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Additional information
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