E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Cardiovascular disease |
Sydän- ja verisuonisairaudet |
|
E.1.1.1 | Medical condition in easily understood language |
Heart diseases |
Sydän- ja verisuonisairaudet |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To study the effect of hydroxychloroquine on cardiovascular risk factors in high risk cardiovascular patients |
Tutkia hydroksiklorokiinin vaikutusta sydän- ja verisuonitauitien riskitekijöihin, sekä selvittää estääkö hydroksiklorokiini tulevia sydäntapahtumia korkean riskin potilailla |
|
E.2.2 | Secondary objectives of the trial |
The effect of hydroxychloroquine in the prevention of future cardiovascular events in high risk cardiovascular patients |
Tutkia estääkö hydroksiklorokiin sydän- ja verisuonitauti tapahtumia korkean riskin potilailla |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1 Anginal Presentation
Patients of either gender who enter the hospital with prolonged or repetitive chest pain together with clearly documented ST- T wave changes indicating either unstable angina, NSTEMI or STEMI. All patients must have anginal symptoms suggestive of cardiac ischemia with one of the clinical presentations which are given in research plan
2 ECG Criteria (given in research plan; patient must have at least one)
3 Biochemical markers of myocardial damage
|
1 Angiina
Potilaalla joka tulee päivystykseen pitkittynyt rintakipu tai toistuva rintakipu ja EKG muutoksia sopien joko epästabiiliin angiinaan. NSTEMI tai STEMI.ö Kaikilla täytyy olla angiina oireita sopien iskemiaan (oireet lueteltu tutkimussuunnitelmassa).
2 EKG kriteerit täyttyvät (annettu tutkimussuunnitelmassa
3. Biokemialliset markkerit viittaavat myokardi vaurioon |
|
E.4 | Principal exclusion criteria |
1) Hypersensitivity to HCQ
2) Porfyria
3) Rheumatoid arthritis or other rheumatic disease
4) Retinopathy of any cause, or other eye diseases that could worsen by the use of HCQ
5) Significant neuropathy of any cause
6) Cardiomyopathy (dignosed before the onset of index hospitalization .i.e heart failure due to index myocardial infarction is not exclusion criteria)
7) Muscle disease (that could worsen by the use of HCQ)
8) Psoriasis
9) Any other disease or reason why investigator deems the patient not suitable for the study
|
1 Yliherkkyys hydroksiklorokiinille
2. porfyria
3. Nivelreuma tai muu reumaattinen sairaus
4. Retinopaatia tai muu merkittävä silmäsairaus mikä voi pahentua hydroksilorokiinin vaikutukssta
5. Merkittävä neuropatia
6. Kardiomyopatia
7. Lihassairaus
8. psoriaasi
9.Muu syy joka tutkijan mielestä estää osallistumisen tutkimukseen |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Does the HCQ therapy diminish major coronary complication (=death, acute myocardial infarctions, recurrent UAP [requiring hospitalization], urgent PCI, -CABG) event rate during six months HCQ course in ACS patients. |
Estääkö hydroksiklorokiini hoito merkittäviä koronaari tapahtumia 6 kuukauden seurannan aikana (kuolema, sydäninfarkti toistuva UAP, kiireinen ICP, CABG) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
1) The effect of HCQ on the blood lipi levels (LDL, HDL, TG)
2) The effect of 6 months treatment with HCQ on levels of inflammatory parameters i.e high sensitive CRP and erythrocyte sedimentation rate,
3) The effect of 6 months treatment with HCQ on incidence of type II diabetes and the level of HBA1c
4) The effect of HCQ treatment on other inflammation related parameters such as TNF-alfa, IL-6, IL-1beta, IL-18. In addition mRNA samples from serum mononuclear cells will be collected to assess the expression of key proinflammatory cytokines and genes related to inflammasome activation which has been implicated in the pathogenesis of atherosclerosis. These include the expression of NLRP3, ASC and caspase-1.
5) Composite endpoint of death, acute myocardial infarctions, reUAP [requiring hospitalization], urgenPCI, -CABG and stroke within nine months.
|
1. Kuuden kuukauden hydroksiklorokiinihoiodon vaikutus veren rasva-arvoihin (LDL, HDL TG)
2. Kuuden kuukauden hydroksiklorokiinihoiodon vaikutus tulehdusparametreihin (hcCRP,la)
3. Kuuden kuukauden hydroksiklorokiinihoiodon vaikutus tyyppi II diabeteksen ilmaantuvuuten ja HBA!c tasoihin
4. Kuuden kuukauden hydroksiklorokiinihoiodon vaikutus proinflammatoirisiin sytokiineihin, inflammasomin aktivaatioon jne.
5. Komposiitti end point; kuolema akuutti infarkti reUAP (sairaalahoitoa vaativa), kiireinen PCI, CABG, aivoinfarkti seuraavan 9 kuukauden aikana |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
6 months and 9 months |
6 ja 9 kuukautta |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 9 |