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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Norwich, Connecticut 06360
582
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Norwich, CT
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Abington, Pennsylvania 19001
417
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Akron, Ohio 44308
110
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Albuquerque, New Mexico 87108
1330
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Albuquerque, New Mexico 87108
1330
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Allen, Texas 75002
892
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Altoona, Pennsylvania 16602
247
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Ames, Iowa 50010
570
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Anchorage, Alaska 99508
3103
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Anderson, South Carolina 29621
377
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Ann Arbor, Michigan 48109
164
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Asheboro, North Carolina 27204
341
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Athens, Alabama 35611
417
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Athens, Georgia 30606
416
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Augusta, Georgia 30904
451
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Augusta, Georgia 30904
451
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Aurora, Colorado 80010
1155
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Bahia Blanca, Buenos Aires
5592
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Baltimore, Maryland 21287
345
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Baltimore, Maryland 21287
345
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Baltimore, Maryland 21287
345
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Baltimore, Maryland 21287
345
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Bartlesville, Oklahoma 74006
735
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Baton Rouge, Louisiana 70808
802
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Baton Rouge, Louisiana 70808
802
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Baton Rouge, Louisiana 70808
802
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Beaumont, Texas 77702
926
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Beaumont, Texas 77702
926
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Beaver, Pennsylvania 15009
151
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Beaver, Pennsylvania 15009
151
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Bedford, Texas 76021
924
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Beltsville, Maryland 20705
332
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Bend, Oregon 97701
1967
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Beverly Hills, California 90211
1979
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Binghamton, New York 13901
398
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Birmingham, Alabama 35209
495
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Birmingham, Alabama 35209
495
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Birmingham, Alabama 35209
495
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Birmingham, Alabama 35209
495
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Bloomington, Minnesota 55420
622
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Bountiful, Utah 84010
1512
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Bridgeville, Pennsylvania 15017
156
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Brownsville, Texas 78520
1278
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Burke, Virginia 22015
317
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Burlington, Massachusetts 01805
637
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Camden, New Jersey 08103
418
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Camp Hill, Pennsylvania 17011
323
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Carmichael, California 95608
2034
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Chandler, Arizona 85224
1655
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Charlotte, North Carolina 28277
360
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Charlotte, North Carolina 28277
360
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Charlotte, North Carolina 28277
360
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Charlotte, North Carolina 28277
360
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Chelsea, Michigan 48118
170
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Chicago, Illinois 60612
277
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Cincinnati, Ohio 45229
95
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Cincinnati, Ohio 45229
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Cincinnati, Ohio 45229
95
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Clearwater, Florida 33756
830
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Cleveland, Ohio 44109
123
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Coeur d'Alene, Idaho 83814
1749
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Colorado Springs, Colorado 80907
1162
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Columbia, Maryland 21044
331
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Columbia, Missouri 65212
501
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Columbia, South Carolina 29201
427
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Columbia, South Carolina 29201
427
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Columbus, Ohio 43205
3
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Coral Springs, Florida 33065
959
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Covington, Georgia 30014
442
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Covington, Louisiana 70433
767
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Cumberland, Rhode Island 02864
619
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Cumming, Georgia 30041
402
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Dallas, Texas 75216
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Dallas, Texas 75216
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Dallas, Texas 75216
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Danville, Virginia 24541
305
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Davie, Florida 33324
970
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Dayton, Ohio 45402
64
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Daytona Beach, Florida 32117
749
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Decatur, Georgia 30030
433
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Decatur, Georgia 30030
433
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Defuniak Springs, Florida 32435
661
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Defuniak Springs, Florida 32435
661
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Denver, Colorado 80262
1159
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Denver, Colorado 80262
1159
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Denver, Colorado 80262
1159
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Denver, Colorado 80262
1159
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Detroit, Michigan 48202
165
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Doral, Florida 33136
992
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Duluth, Georgia 30096
416
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Duluth, Minnesota 55805
655
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Edina, Minnesota 55435
624
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Endwell, New York 13760
393
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Erie, Pennsylvania 16506
208
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Erie, Pennsylvania 16506
208
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Erie, Pennsylvania 16506
208
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Erie, Pennsylvania 16506
208
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Erie, Pennsylvania 16506
208
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Escondido, California 92025
1935
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Evansville, Indiana 47713
280
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Evansville, Indiana 47713
280
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