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A multicenter randomized double-blind placebo parallel control design was used in this study.60 subjects eligible for inclusion will be randomly assigned to either a low-dose (0.25ug/kg) medium-dose (0.5ug/kg) high-dose (2.0ug/kg) experimental drug group or a control group (placebo) at a ratio of 1:1:1:1.After randomization, subjects received the experimental drug or placebo once a day, intravenously, on day 2 to 7, 12 hours and 4 hours after PCI.Ninety days after PCI were observed.
Subjects underwent cardiovascular magnetic resonance imaging (CMR) on the 90th day after PCI, which was used to evaluate the myocardial salvage index myocardial infarction area, microvascular occlusion area, left ventricular ejection fraction (LVEF), left ventricular end-systolic volume (LVESV), and left ventricular end-diastolic volume (LVEDV).Echocardiography was performed on the 5th and the 90th day after PCI to evaluate the left indoor diameter (LV) and left atrial diameter (LA) of LVEF.
Physical examination routine blood coagulation function was performed on the 30th and 90th day after PCI in the screening period (pre-screening results were acceptable);Electrocardiogram (ECG) was performed on the 30th and the 90th day after PCI on the 2nd day after the first administration;During the screening period (results before screening are acceptable), vital signs should be measured from day 1 to day 7 after PCI (during each dose, vital signs should be measured twice on day 7, including before and after administration), on day 30 and day 90;Blood biochemical examinations were performed from day 2 to day 4, day 7, day 30, and day 90 after PCI before the first administration;Creatine kinase isoenzyme (CK-MB) hypersensitive troponin I(HS-CTNI) or troponin I(cTnI) and amino-terminal B-type natriuretic peptide precursor (NT-probNP) or B-type natriuretic peptide (BNP) were detected on day 2, day 3, day 4 and day 7 after PCI before the first administration.Tumor markers were detected and immunogenicity blood samples were collected 30 days after PCI before the first administration.Routine urinalysis was performed 90 days after PCI before the first administration;Adverse drug events and cardiovascular events were continuously recorded during the trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Dose | Experimental | Patients in this treatment group will receive NL005 for 0.25 ug/kg respective.Continuous administration for 7 days. |
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| Middle Dose | Experimental | Patients in this treatment group will receive NL005 for 0.5 ug/kg respective.Continuous administration for 7 days. |
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| High Dose | Experimental | Patients in this treatment group will receive NL005 for 2.0 ug/kg respective.Continuous administration for 7 days. |
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| Placebo | Placebo Comparator | Patients in this treatment group will receive placebo respective. Continuous administration for 7 days. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low Dose | Drug | 12±4 hours after PCI: 0.25 ug/kg Recombinant Human Thymosin β4 (intravenous injection),Day2-Day7 after PCI:0.25 ug/kg Recombinant Human Thymosin β4 (intravenous injection) |
| Measure | Description | Time Frame |
|---|---|---|
| Change of myocardial infarction area on Day 5 and day 90 after PCI | Change of myocardial infarction area on Day 5 and day 90 after PCI. Myocardial infarction area day 5 and day 90 after PCI,and the change on day 90 compared to day 5. Myocardial infarction size was evaluated by late gadolinium enhanced cardiac magnetic resonance (LGE-CMR) imaging. | Day 5、Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Change of myocardial salvage index on Day 5 and day 90 after PCI | Myocardial salvage index day 5 and day 90 after PCI,and the change on day 90 compared to day 5. Myocardial salvage index (%) defifined as: (area at risk-infarct size)/ area at risk*100% measured by CMR. Higher scores mean a better outcome. | Day 5、Day 90 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| KeFei Dou | Chinese Academy of Medical Sciences, Fuwai Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fuwai Hospital, Chinese Academy of Medical Sciences | Beijing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20937304 | Background | Limana F, Capogrossi MC, Germani A. The epicardium in cardiac repair: from the stem cell view. Pharmacol Ther. 2011 Jan;129(1):82-96. doi: 10.1016/j.pharmthera.2010.09.002. Epub 2010 Oct 19. | |
| 21952932 | Background | Wrigley BJ, Lip GY, Shantsila E. The role of monocytes and inflammation in the pathophysiology of heart failure. Eur J Heart Fail. 2011 Nov;13(11):1161-71. doi: 10.1093/eurjhf/hfr122. Epub 2011 Sep 27. |
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| Related info | View source |
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| ID | Term |
|---|---|
| D003276 | Contraceptives, Oral |
| ID | Term |
|---|---|
| D003271 | Contraceptive Agents, Female |
| D003270 | Contraceptive Agents |
| D012102 | Reproductive Control Agents |
| D045505 | Physiological Effects of Drugs |
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|
| Middle Dose | Drug | 12±4 hours after PCI: 0.5 ug/kg Recombinant Human Thymosin β4 (intravenous injection),Day2-Day7 after PCI:0.5 ug/kg Recombinant Human Thymosin β4 (intravenous injection) |
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| High Dose | Drug | 12±4 hours after PCI: 2.0 ug/kg Recombinant Human Thymosin β4 (intravenous injection),Day2-Day7 after PCI:2.0 ug/kg Recombinant Human Thymosin β4 (intravenous injection) |
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| Placebo | Other | 15 subjects will be randomly assigned to the placebo for 7 days |
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| Change of microvascular obstruction area on Day 5 and day 90 after PCI |
Area of microvascular obstruction day 5 and day 90 after PCI,and the change on day 90 compared to day 5. Microvascular obstruction is one of the risk factors affecting the prognosis of AMI patients. The occurrence of MVO is related to the release of cytotoxic factors caused by distal microvascular embolization and reperfusion injury. Studies have shown a significantly increased risk of heart failure, adverse cardiovascular events, and death. late gadolinium enhancement (LGE) was performed to identify areas of microvascular obstruction (MVO), the typical MVO is the low signal area in the high signal area of infarction. |
| Day 5、Day 90 |
| Change of LA on Day 5 and day 90 after PCI | Change of left atrium (LA) on Day 5 and day 90 after PCI, The data of LA after PCI were measured by CMR at Day 5 and day 90, and calculate changes in data day 90 and day 5. | Day 5、Day 90 |
| Changeof LV on Day 5 and day 90 after PCI | Change of left ventricle (LV) on Day 5 and day 90 after PCI, Day 5 and day 90 LV after PCIwere measured by CMR at Day 5 and day 90, and calculate changes in data day 90 and day 5. | Day 5、Day 90 |
| Change of LVEF on Day 5 and day 90 after PCI | Change of Left Ventricular Ejection Fractions (LVEF) on Day 5 and day 90 after PCI, Day 5 and day 90 LVEF after PCIwere measured by CMR at Day 5 and day 90, and calculate changes in data day 90 and day 5. | Day 5、Day 90 |
| Change of LVESV on Day 5 and day 90 after PCI | Change of Left Ventricular end-systolic volume (LVESV) on Day 5 and day 90 after PCI, Day 5 and day 90 LVESV after PCI were measured by CMR at Day 5 and day 90, and calculate changes in data day 90 and day 5. | Day 5、Day 90 |
| Change of LVEDV on Day 5 and day 90 after PCI | Change of Left Ventricular end-diastolic volume (LVEDV) on Day 5 and day 90 after PCI, Day 5 and day 90 LVEDV after PCI were measured by CMR at Day 5 and day 90, and calculate changes in data day 90 and day 5. | Day 5、Day 90 |
| Number of participants with treatment-related adverse events as assessed by NCI-CTCAE v5.0 | Number of participants with adverse events (AE), treatment-related adverse events, abnormal vital signs, abnormal physical examination findings, abnormal laboratory test results, abnormal electrocardiograms | Day0、Day1、Day2、Day3、Day4、Day5、Day6、Day7、Day30、Day90 |
| Incidence of anti-drug antibody (ADA) | Blood samples were collected before administration and 30 days after PCI to evaluate the immunogenicity of NL005 | Day 0、Day 30 |
| 18537603 | Background | Gutierrez SH, Kuri MR, del Castillo ER. Cardiac role of the transcription factor NF-kappaB. Cardiovasc Hematol Disord Drug Targets. 2008 Jun;8(2):153-60. doi: 10.2174/187152908784533702. |
| 21527742 | Background | Gordon JW, Shaw JA, Kirshenbaum LA. Multiple facets of NF-kappaB in the heart: to be or not to NF-kappaB. Circ Res. 2011 Apr 29;108(9):1122-32. doi: 10.1161/CIRCRESAHA.110.226928. |
| 23050819 | Background | Srivastava D, Ieda M, Fu J, Qian L. Cardiac repair with thymosin beta4 and cardiac reprogramming factors. Ann N Y Acad Sci. 2012 Oct;1270:66-72. doi: 10.1111/j.1749-6632.2012.06696.x. |
| 22236126 | Result | Dube KN, Bollini S, Smart N, Riley PR. Thymosin beta4 protein therapy for cardiac repair. Curr Pharm Des. 2012;18(6):799-806. doi: 10.2174/138161212799277699. |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D045506 | Therapeutic Uses |