Coronary Artery Disease Clinical Trial
Official title:
Phase 2a, Multi-Center, Open Label, Randomized, Feasibility/Safety Study Comparing REG1 Anticoagulation System With Unfractionated Heparin in Subjects Undergoing Elective PCI After Pretreatment With Clopidogrel and Aspirin
The purpose of this study is to determine if it is feasible and safe to use the REG1 Anticoagulation System instead of unfractionated heparin during percutaneous coronary intervention (PCI) in subjects with coronary artery disease (CAD).
The study drug, REG1, is the first specific, direct-acting, antidote-controlled
anticoagulant ever described. Regado is developing REG1 for use in patients suffering from
acute coronary syndrome who undergo coronary revascularization procedures. These procedures,
which include coronary artery bypass grafting (CABG) and percutaneous coronary intervention
(PCI), put patients at high risk for therapy-related bleeding complications. REG1 is being
developed initially to increase therapeutic flexibility and improve patient outcomes in
coronary revascularization procedures.
REG1 is a two-component system, consisting of an aptamer-based anticoagulant and its matched
antidote. The REG1 anticoagulant component (RB006) is a single-stranded, nucleic acid
aptamer. RB006 selectively and potently binds to and inhibits Factor IXa, a protein critical
to blood coagulation. The antidote component, RB007, is a complementary nucleic acid that
binds to and neutralizes RB006. The binding of RB007 to RB006 causes the predictable and
rapid reversal of the RB006 effect and allows the patient's blood to return to normal.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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