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MEDI6012

Phase 2

Atherosclerosis | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Feb 9, 2022

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment32

FDA Designations

No designations recorded

Clinical trial landscape

MEDI6012 · 3 trials · 4 indications

Phase 2 3
NCT03578809A Study to Evaluate the Safety and Efficacy of MEDI6012 in Acute ST Elevation Myocardial InfarctionST Elevation Myocardial Infarction
COMPLETED593 Analytics
NCT03004638Multiple Ascending Doses of MEDI6012 in Subjects With Stable Atherosclerotic Cardiovascular DiseaseAtherosclerosis
COMPLETED32 Analytics
NCT02601560To Evaluate Safety, Pharmacokinetics and Pharmacodynamics of MEDI6012 in Subjects With Stable Coronary Artery DiseaseCoronary Artery Disease
COMPLETED48 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of MEDI6012 in Acute ST Elevation Myocardial Infarction
ST Elevation Myocardial InfarctionUnlock trial analytics
PHASE2COMPLETED
Multiple Ascending Doses of MEDI6012 in Subjects With Stable Atherosclerotic Cardiovascular Disease
AtherosclerosisUnlock trial analytics
PHASE2COMPLETED
To Evaluate Safety, Pharmacokinetics and Pharmacodynamics of MEDI6012 in Subjects With Stable Coronary Artery Disease
Coronary Artery DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Global Infarct Size
70 to 84 days post Day 1 dose

Global infarct size expressed as a percentage of left ventricle (LV) mass measured on delayed-enhanced cardiovascular magnetic resonance (CMR) imaging in 10-12 weeks post myocardial infarction (MI) is reported.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
From Day 1 to Day 56 after last dose of study drug (Day 66 for Cohort 4 and Placebo IV push arm and Day 71 for Cohorts 1 to 3 and placebo arm)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience(immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are the events between first dose of study drug and up to 56 days after last dose of study drug (Day 66 for Cohort 4 and placebo IV push arm and Day 71 for Cohorts 1 to 3 and placebo arm) that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With Abnormal Clinical Laboratory Evaluations Reported as TEAEs
From Day 1 to Day 56 after last dose of study drug (Day 66 for Cohort 4 and Placebo IV push arm and Day 71 for Cohorts 1 to 3 and placebo arm)

An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator as medically significant was reported as an AE. Laboratory evaluations included haematology, serum chemistry, and urinalysis.

Number of Participants With Abnormal Vital Signs Reported as TEAEs
From Day 1 to Day 56 after last dose of study drug (Day 66 for Cohort 4 and Placebo IV push arm and Day 71 for Cohorts 1 to 3 and placebo arm)

Treatment-emergent adverse events observed in participants with clinically significant vital signs abnormalities are reported. Vital sign parameters included blood pressure, respiration rate, heart rate, pulse oximetry, and body temperature.

Number of Participants With Abnormal Electrocardiogram Reported as TEAEs
From Day 1 to Day 56 after last dose of study drug (Day 66 for Cohort 4 and Placebo IV push arm and Day 71 for Cohorts 1 to 3 and placebo arm)

Treatment-emergent adverse events observed in participants with clinically significant ECG abnormalities are reported.

Baseline-adjusted Area Under the Curve From Time 0 to 96 Hour (hr) (AUC [0-96 hr]) Post Dose 3 for High-density Lipoprotein-cholesterol (HDL-C)
Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 15 dose (third dose) for Cohorts 1 to 3 and Placebo arm; Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 10 dose (third dose) for Cohort 4 and Placebo IV push arm.

The AUC (0-96 hr) is the area under the concentration-time curve from time 0 to 96 hrs of high-density lipoprotein-cholesterol.

Baseline-adjusted Area Under the Curve From Time 0 to 96 Hour (hr) (AUC [0-96 hr]) Post Dose 3 for High-density Lipoprotein-cholesterol Ester (HDL-CE)
Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 15 dose (third dose) for Cohorts 1 to 3 and Placebo arm; Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 10 dose (third dose) for Cohort 4 and Placebo IV push arm.

The AUC (0-96 hr) is the area under the concentration-time curve from time 0 to 96 hrs of high-density lipoprotein-cholesterol ester.

Baseline-adjusted Area Under the Curve From Time 0 to 96 Hour (hr) (AUC [0-96 hr]) Post Dose 3 for Cholesterol Ester
Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 15 dose (third dose) for Cohorts 1 to 3 and Placebo arm; Pre-dose, end of infusion, 12, 24, and 96 hrs post Day 10 dose (third dose) for Cohort 4 and Placebo IV push arm.

The AUC (0-96 hr) is the area under the concentration-time curve from time 0 to 96 hrs of cholesterol ester.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Baseline (Day 1) up to Day 57

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are the events between first dose of study drug and up to 57 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With TEAEs Related to Electrocardiogram (ECG) Evaluations
Baseline (Day 1) up to Day 57

TEAEs observed in participants with clinically significant ECG abnormalities were assessed. TEAEs are the events between first dose of study drug and up to 57 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With TEAEs Related to Vital Sign Parameters
Baseline (Day 1) up to Day 57

TEAEs observed in participants with clinically significant vital signs abnormalities were assessed. Vital signs parameters included blood pressure, respiration rate, pulse, pulse oximetry, and body temperature.

Number of Participants With TEAEs Related to Clinical Laboratory Evaluations
Baseline (Day 1) up to Day 57

An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.

Baseline-adjusted Area Under the Curve From Time 0 to 96 Hours (Hrs) (AUC [0-96 Hrs]) for High-Density Lipoprotein-Cholesterol (HDL-C)
Pre-dose, 12, 24, 48, 72 and 96 hrs post-dose Day 1 for IV and SC dose; additional within 5 minutes after completion of infusion, 4 and 8 hrs post-dose Day 1 (IV cohorts only)

The AUC (0-96 hrs) is the area under the concentration-time curve from time 0 to 96 hrs of HDL-C.

Secondary Endpoints

Left Ventricular Ejection Fraction (LVEF)
70 to 84 days post Day 1 dose
Change in Non-calcified Plaque Volume (NCPV) in the Coronary Arteries in Cohort B
Day 1 dose (48 to 72 hours post Dose 1) through 70 to 84 days post Day 1 dose
Left Ventricular Mass by Late Gadolinium Enhancement (LGE)
70 to 84 days post Day 1 dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A: PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to MEDI6012 on Day 1 prior to pPCI followed by a second inpatient dose on Day 3 by IV push.
Cohort A: MEDI6012EXPERIMENTALParticipants will receive loading dose of MEDI6012 300 mg on Day 1 prior to pPCI followed by a second inpatient dose of MEDI6012 150 mg on Day 3 by IV push.
Cohort B: PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to MEDI6012 on Day 1 prior to pPCI followed by a second inpatient dose on Day 3, and outpatient maintenance doses on Days 10, 17, 24, and 31 by IV push.
Cohort B: MEDI6012EXPERIMENTALParticipants will receive loading dose of MEDI6012 300 mg on Day 1 prior to pPCI followed by a second inpatient dose of MEDI6012 150 mg on Day 3, and outpatient maintenance doses of MEDI6012 100 mg on Days 10, 17, 24, and 31 by IV push.
MEDI6012 40 mgEXPERIMENTALParticipants received 3 doses of 40 milligram (mg) MEDI6012 IV on Days 1, 8, and 15.
PlaceboPLACEBO_COMPARATORParticipants received 3 doses of placebo matching with MEDI6012 intravenously (IV) on Days 1, 8, and 15.
MEDI6012 120 mgEXPERIMENTALParticipants received 3 doses of 120 mg MEDI6012 IV on Days 1, 8, and 15.
MEDI6012 300 mgEXPERIMENTALParticipants received 3 doses of 300 mg MEDI6012 IV on Days 1, 8, and 15.
MEDI6012 IV PushEXPERIMENTALParticipants received 3 doses of MEDI6012 by IV push as 300 mg loading dose on Day 1, and maintenance doses of 150 mg and 100 mg on Day 3 and Day 10, respectively.
Placebo IV PushPLACEBO_COMPARATORParticipants received 3 doses of placebo matching with MEDI6012 by IV push. A loading dose on Day 1 and maintenance doses on Days 3 and 10.
MEDI6012 24 mg IVEXPERIMENTALParticipants received a single IV dose of 24 mg MEDI6012 on Day 1.
MEDI6012 80 mg IVEXPERIMENTALParticipants received a single IV dose of 80 mg MEDI6012 on Day 1.
MEDI6012 240 mg IVEXPERIMENTALParticipants received a single IV dose of 240 mg MEDI6012 on Day 1.
MEDI6012 800 mg IVEXPERIMENTALParticipants received a single IV dose of 800 mg MEDI6012 on Day 1.
MEDI6012 80 mg SCEXPERIMENTALParticipants received a single SC dose of 80 mg MEDI6012 on Day 1.
Placebo Intravenous (IV)PLACEBO_COMPARATORParticipants received a single IV dose of placebo matched to MEDI6012 on Day 1 of the study.
MEDI6012 600 mg SCEXPERIMENTALParticipants received a single SC dose of 600 mg MEDI6012 on Day 1.
Placebo Subcutaneous (SC)PLACEBO_COMPARATORParticipants received a single SC dose of placebo matched to MEDI6012 on Day 1 of the study.

Interventions

NameTypeDescription
MEDI6012BIOLOGICALMEDI6012
PlaceboOTHERPlacebo
MEDI6012 40 mgDRUGParticipants received 3 doses of 40 milligram (mg) MEDI6012 IV on Days 1, 8, and 15.
MEDI6012 120 mgDRUGParticipants received 3 doses of 120 mg MEDI6012 IV on Days 1, 8, and 15.
MEDI6012 300 mgDRUGParticipants received 3 doses of 300 mg MEDI6012 IV on Days 1, 8, and 15.
Placebo IV PushDRUGParticipants received 3 doses of placebo matching with MEDI6012 by IV push. A loading dose on Day 1 and maintenance doses on Days 3 and 10.
MEDI6012 IV PushDRUGParticipants received 3 doses of MEDI6012 by IV push as 300 mg loading dose on Day 1, and maintenance doses of 150 mg and 100 mg on Day 3 and Day 10, respectively.
Placebo SCBIOLOGICALParticipants received a single SC dose of placebo matched to MEDI6012 on Day 1 of the study.
Placebo IVBIOLOGICALParticipants received a single IV dose of placebo matched to MEDI6012 on Day 1 of the study.
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Eligibility Criteria

Age Range30 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: * Acute STEMI (ST segment elevation myocardial infarction) diagnosed by ST elevation * Planned for primary PCI (percutaneous coronary intervention) * Men and women without child-bearing potential aged 30-80 years of age * Capable and willing to provide informed consent. * Capabl...

Countries:BrazilCzechiaHungaryIsraelNetherlandsPolandRussiaSlovakiaSpainUnited KingdomUnited States
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Frequently asked questions about MEDI6012

What is MEDI6012 used for?

MEDI6012 is an investigational small molecule being studied for cardiovascular conditions, including atherosclerosis, coronary artery disease, and ST elevation myocardial infarction. It has been evaluated in Phase 2 clinical trials for these indications.

Who makes MEDI6012?

MEDI6012 is being developed by AstraZeneca PLC, a biopharmaceutical company traded on the stock exchange under the ticker symbol AZN.

What phase is MEDI6012 in?

MEDI6012 is in Phase 2 clinical development. It has completed multiple Phase 2 trials, but it is not yet approved and remains an investigational drug.

What clinical trials is MEDI6012 in?

MEDI6012 has been studied in three completed Phase 2 trials: NCT02601560 in stable coronary artery disease, NCT03004638 in stable atherosclerotic cardiovascular disease, and NCT03578809 in acute ST elevation myocardial infarction.

Is MEDI6012 the same as any other drug?

No alternative names for MEDI6012 have been disclosed. It is identified solely by its code name MEDI6012 in clinical trial registries and development records.