Evaluating the Impact of Maridebart Cafraglutide on Cardiovascular Outcomes in Participants With Atherosclerotic Cardiovascular Disease and Overweight or Obesity
Purpose
The primary objective of this trial is to demonstrate that maridebart cafraglutide is superior to placebo when given as an adjunct to standard of care with respect to reducing cardiovascular (CV) morbidity and mortality.
Conditions
- Atherosclerotic Cardiovascular Disease
- Overweight
- Obesity
Eligibility
- Eligible Ages
- Between 45 Years and 99 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age ≥ 45 years at screening. - BMI of ≥ 27.0 kg/m^2 at screening. - History of Atherosclerotic Cardiovascular Disease (ASCVD) with a documented history of at least one of the following: - Prior MI (presumed atherothrombotic event due to plaque rupture/erosion). - Prior ischemic stroke (presumed due to atherosclerosis; may include ischemic stroke with hemorrhagic transformation). - Symptomatic peripheral arterial disease (PAD), as evidenced by intermittent claudication with ankle-brachial index (ABI) < 0.9 (at rest), or peripheral arterial revascularization procedure, or amputation due to atherosclerotic disease.
Exclusion Criteria
- History of any of the following within 60 days before screening or between screening and randomization: MI, hospitalization for unstable angina, arterial revascularization (eg, coronary, cerebrovascular or peripheral) major cardiovascular surgery, stroke, or transient ischemic attack (TIA). - New York Heart Association (NYHA) class IV HF during screening or hospitalization for HF within 60 days before screening or between screening and randomization. - Type 1 DM, or any other type of diabetes with the exception of T2DM or prior gestational diabetes. Participants with a history of gestational diabetes should be stratified according to their current diabetes classification. - For participants with T2DM (including those without a prior history of T2DM but with a HbA1c ≥ 6.5% during screening): - HbA1c > 10.0% (86 mmol/mol) at screening. - History of diabetic ketoacidosis or hyperosmolar state/coma within 12 months before randomization. - One or more episodes of severe hypoglycemia within 6 months before randomization and/or history of hypoglycemia unawareness. - History of proliferative diabetic retinopathy, diabetic maculopathy, severe non-proliferative diabetic retinopathy, or currently receiving or planning to receive treatment for diabetic retinopathy and/or diabetic macular edema. - Use of any glucagon-like peptide-1 receptor agonist (GLP-1 RA), glucose-dependent insulinotropic polypeptide (GIP) agonists or antagonists, or amylin analogs within 90 days before randomization or planned use during the conduct of the trial. - History of chronic pancreatitis or history of acute pancreatitis in the 180 days before screening or between screening and randomization. - Family (first-degree relative[s]), or personal history of medullary thyroid carcinoma (MTC), or multiple endocrine neoplasia syndrome type 2 (MEN-2). - Calcitonin ≥ 50 ng/L (pg/mL) at screening. - Acute or chronic hepatitis; signs and symptoms of any liver disease other than metabolic dysfunction-associated steatotic liver disease, or alanine aminotransferase (ALT) > 3.0 x the upper limit of normal (ULN) during screening, or total bilirubin (TBL) > 1.8 x ULN during screening (for participants with a known diagnosis of Gilbert syndrome, direct bilirubin should be used instead of TBL). - History of malignancy within the last 5 years before screening or between screening and randomization (except for the following treated with curative intent: non-melanoma skin cancer, breast ductal carcinoma in situ, cervical carcinoma in situ, or prostate cancer in situ). - Participants of childbearing potential planning to become pregnant while on study or unwilling to use protocol-specified methods of contraception during treatment.
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Maridebart Cafraglutide |
Participants will receive maridebart cafraglutide subcutaneously (SC). |
|
|
Placebo Comparator Placebo |
Participants will receive placebo SC. |
|
Recruiting Locations
Daphne, Alabama 36526
Fairhope, Alabama 36532
Huntsville, Alabama 35801
Mobile, Alabama 36608
Sheffield, Alabama 35660
Phoenix, Arizona 85020
Phoenix, Arizona 85044
Covina, California 91726
Huntington Park, California 90255
La Mesa, California 91942
Lake Forest, California 92630
Redding, California 96001
San Diego, California 92120
Spring Valley, California 91978
Walnut Creek, California 94598
West Hills, California 91307
Wilmington, Delaware 19805
Boca Raton, Florida 33434
Edgewater, Florida 32132
Fort Myers, Florida 33912
Hialeah, Florida 33012
Hialeah, Florida 33013
Hialeah, Florida 33018
Hollywood, Florida 33021
Hollywood, Florida 33024
Jacksonville, Florida 32216
Lakeland, Florida 33805
Margate, Florida 33063
Miami, Florida 33126
Miami, Florida 33135
Miami, Florida 33165
Miami Lakes, Florida 33014
Miami Lakes, Florida 33014
Ocoee, Florida 34761
Palm Beach Gardens, Florida 33410
Port Charlotte, Florida 33952
Port Orange, Florida 32127
Saint Augustine, Florida 32086
Sarasota, Florida 34239
Winter Haven, Florida 33881
Canton, Georgia 30114
Macon, Georgia 31210
Savannah, Georgia 31419
Meridian, Idaho 83642
Chicago, Illinois 60621
Chicago, Illinois 60637
Oak Brook, Illinois 60523
Springfield, Illinois 62701
Munster, Indiana 46321
Valparaiso, Indiana 46383
Ames, Iowa 50010
Davenport, Iowa 52801
Topeka, Kansas 66606
Louisville, Kentucky 40213
Covington, Louisiana 70433
Marrero, Louisiana 70072
Baltimore, Maryland 21229
Oxon Hill, Maryland 20745
Rockville, Maryland 20854
New Bedford, Massachusetts 02740
Maplewood, Minnesota 55109
Minneapolis, Minnesota 55407
Jackson, Mississippi 39216
Tupelo, Mississippi 38801
City of Saint Peters, Missouri 63303
Kansas City, Missouri 64114
Kansas City, Missouri 64128
St Louis, Missouri 63136
Lincoln, Nebraska 68506
Omaha, Nebraska 68198
Papillion, Nebraska 68046
Las Vegas, Nevada 89109
Las Vegas, Nevada 89128
Somerset, New Jersey 08873
Binghamton, New York 13905
Poughkeepsie, New York 12601
Rochester, New York 14609
Saratoga Springs, New York 12866
West Seneca, New York 14224
Charlotte, North Carolina 28204
Durham, North Carolina 27701
Monroe, North Carolina 28112
Morehead City, North Carolina 28557
Morganton, North Carolina 28655
Raleigh, North Carolina 27609
Statesville, North Carolina 28625
Winston-Salem, North Carolina 27103
Beachwood, Ohio 44122
Canton, Ohio 44710
Cincinnati, Ohio 45219
Columbus, Ohio 43201
Lima, Ohio 45801
Norman, Oklahoma 73069
Beaver, Pennsylvania 15009
Camp Hill, Pennsylvania 17011
Horsham, Pennsylvania 19044
East Greenwich, Rhode Island 02818
Mt. Pleasant, South Carolina 29464
Rapid City, South Dakota 57701
Germantown, Tennessee 38138
Knoxville, Tennessee 37912
Powell, Tennessee 37849
Tullahoma, Tennessee 37388
Amarillo, Texas 79106
Austin, Texas 78705
Austin, Texas 78759
Dallas, Texas 75208
Dallas, Texas 75226
Dallas, Texas 75230
Dallas, Texas 75251
Dallas, Texas 75390
El Paso, Texas 79905
El Paso, Texas 79935
Houston, Texas 77043
Houston, Texas 77070
Houston, Texas 77079
Houston, Texas 77089
Humble, Texas 77338
Kingwood, Texas 77339
Lake Jackson, Texas 77566
Lewisville, Texas 75057
McAllen, Texas 78503
Mesquite, Texas 75149
North Richland Hills, Texas 76180
San Antonio, Texas 78249
Shavano Park, Texas 78231
Sugar Land, Texas 77479
Wichita Falls, Texas 76301
Provo, Utah 84604
West Jordan, Utah 84088
Fairfax, Virginia 22031
Spokane, Washington 99218
Crab Orchard, West Virginia 25827
Wausau, Wisconsin 54401
Ponce, Puerto Rico 00717
More Details
- NCT ID
- NCT07037433
- Status
- Recruiting
- Sponsor
- Amgen