SB-480848 In Subjects With Coronary Heart Disease



Status:Completed
Conditions:Peripheral Vascular Disease, Cardiology, Cardiology, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - 80
Updated:8/5/2016
Start Date:November 2005
End Date:September 2006

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A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study of SB-480848, an Oral Lipoprotein-associated Phospholipase A2 (Lp-PLA2) Inhibitor, in Subjects With Stable Coronary Heart Disease (CHD) or CHD-risk Equivalent to Examine Chronic Inhibition of Lp-PLA2 Effects on Circulating Biomarkers Associated With Cardiovascular Risk, Safety and Tolerability Over 12 Weeks

This trial of SB-480848 in approximately 920 subjects with Coronary Heart Disease (CHD) or
CHD-risk equivalent will examine whether SB-480848 produces sustained inhibition of plasma
Lp-PLA2 activity, explore the effects of SB-480848 on other circulating biomarkers
associated with cardiovascular risk, and evaluate the pharmacokinetics, safety and
tolerability of SB-480848 over 12 weeks of once-daily oral dosing. Subjects will first be
randomized 1:1 to double-blind atorvastatin 20 mg or 80 mg once daily for a minimum of 3
weeks. Subjects will then be randomized 1:1:1:1 to oral doses of SB-480848 40 mg, 80 mg, 160
mg or placebo once daily for 12 weeks. Blood samples will be collected at various
timepoints. Vital signs, electrocardiograms, clinical laboratory safety tests and adverse
event assessments will be performed to evaluate the safety and tolerability of SB-480848.

A multicenter, randomized, double-blind, placebo-controlled, parallel-group, dose-ranging
study of SB-480848, an oral lipoprotein-associated phospholipase A2 (Lp-PLA2) inhibitor, in
subjects with stable coronary heart disease (CHD) or CHD-risk equivalent to examine chronic
inhibition of Lp-PLA2, effects on circulating biomarkers associated with cardiovascular
risk, safety and tolerability over 12 weeks

Inclusion criteria:

- Female subjects must be of non-childbearing potential.

- Stable CHD or CHD-risk equivalent.

- Must have been on a stable dose of a statin for =4 weeks with LDL <130 mg/dL (3.4
mmol/L) or off statin therapy for =4 weeks with LDL <160 mg/dL (4.1 mmol/L).

- On a stable dose of at least one oral antiplatelet agent (e.g., aspirin, clopidogrel,
or ticlopidine).

Exclusion criteria:

- Recent cardiovascular event and / or vascular procedure.

- History of difficult to manage dyslipidemia.

- Planned cardiac surgery or PCI (percutaneous coronary intervention) or planned major
non-cardiac surgery.

- Inadequately controlled hypertension.

- Poorly controlled diabetes mellitus.

- Serum triglycerides >400 mg/dL (4.52 mmol/L).

- Recent or ongoing acute infection.

- History of chronic inflammatory disease.

- Receiving topical, oral, inhaled or injectable corticosteroids.

- History of chronic viral hepatitis, or other chronic hepatic disorders.

- History of kidney transplant.

- History of myopathy or inflammatory muscle disease, or elevated total serum CK (3 x
ULN).

- Severe heart failure (NYHA class III or IV), or severe left ventricular dysfunction
(ejection fraction <30%).

- Asthma manifested by bronchospasm in the past 6 months, or currently taking inhaled
bronchodilator on regular basis.

- History of anaphylaxis, anaphylactoid reactions or severe allergic responses within
the past 6 months.

- Malignancy within the past 2 years, other than non-melanoma skin cancer.

- Current life-threatening condition other than vascular disease that may prevent a
subject from completing the study.

- QTc interval >440 msec (males) or >450 msec (females).

- Alcohol or drug abuse within the past 6 months.

- Previous exposure to SB-480848.

- Use of an investigational drug within 30 days or 5 half-lives (whichever is the
longer) preceding the first dose of study medication (blinded atorvastatin).
We found this trial at
28
sites
Fort Lauderdale, Florida 33308
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Auburn, Maine 04210
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Birmingham, Alabama 35249
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Birmingham, AL
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Bryan, Texas 77802
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Bryan, TX
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Buenos Aires,
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Buenos Aires,
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Camp Hill, Pennsylvania 17011
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Camp Hill, PA
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Chicago, Illinois 60611
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Chicago, IL
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Cincinnati, Ohio 45229
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Cincinnati, OH
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Houston, Texas 77030
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Houston, TX
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Indianapolis, Indiana 46202
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Indianapolis, IN
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Jacksonville, Florida 32207
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Jacksonville, FL
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Lacombe, Louisiana 70445
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Lacombe, LA
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New York, New York 10032
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New York, NY
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Norfolk, Virginia 23502
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Norfolk, VA
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Northport, Alabama 35476
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Northport, AL
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Oklahoma City, Oklahoma 73112
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Oklahoma City, OK
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Pembroke Pines, Florida 33028
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Philadelphia, Pennsylvania 19104
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Philadelphia, PA
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Phoenix, Arizona 85012
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Phoenix, AZ
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Richmond, Virginia 23298
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Richmond, VA
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Salt Lake City, Utah 84132
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Salt Lake City, UT
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San Antonio, Texas 78258
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Slidell, Louisiana 70458
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Slidell, LA
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Spring Valley, California 91978
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Spring Valley, CA
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Statesville, North Carolina 28625
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Statesville, NC
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Torrance, California 90502
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Torrance, CA
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Tucson, Arizona 85724
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Walnut Creek, California 94596
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Walnut Creek, CA
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