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Phase III Trial Initiated for Immune Modulating Therapy in Chronic Heart Failure
The ACCLAIM trial will further evaluate the impact of Vasogen's immune modulation therapy on reducing mortality and morbidity in advanced chronic heart failure patients. The phase III trial will enroll up to 2,000 patients at 100 leading cardiac centers in the United States and Canada. The Cleveland Clinic Foundation, Baylor College of Medicine and the DeBakey Heart Center of The Methodist Hospital in Houston, and l'Hopital Notre-Dame du CHUM (University of Montreal), have enrolled the first patients in the study.
"Data from our phase II trial of Vasogen's immune modulation therapy demonstrated a significant reduction in the risk of death and hospitalization in patients with advanced heart failure - the first immune modulation therapy targeting chronic inflammation in heart failure to demonstrate such an impact," commented Dr. Guillermo Torre-Amione, Medical Director of the Heart Transplant Service at Baylor College of Medicine and the DeBakey Heart Center of The Methodist Hospital in Houston, Texas, and Principal Investigator for the U.S. arm of the trial. "Vasogen's immune modulation therapy has the potential to become a first-in-class main-line treatment for millions of heart failure patients who need improved treatment options - and the initiation of enrollment in the ACCLAIM trial is an important step towards achieving this goal."
Results from a double-blind, placebo-controlled phase II clinical trial, presented last fall at the annual scientific conferences of the Heart Failure Society of America and the American Heart Association, demonstrated a significant reduction in the risk of death and hospitalization, improvements in a clinical composite score, and improvements in key electrocardiogram (ECG) measures among chronic heart failure patients receiving Vasogen's immune modulation therapy.
The primary outcome measure of the ACCLAIM trial is the composite endpoint of all-cause mortality or hospitalization for cardiovascular causes (time to first event). The trial will conclude when a minimum of 701 events have occurred and all patients have been followed for at least six months. The study is enrolling patients with advanced heart failure, a left ventricular ejection fraction (LVEF) of less than 30%, and a hospitalization or outpatient treatment with intravenous medication for heart failure within the previous 12 months. All patients enrolled in the trial will be on stable doses of the standard-of-care medications for heart failure.
James Young, MD is the Global Principal Investigator and Chairman of the Steering Committee for the ACCLAIM trial and is Medical Director of the Kaufman Center for Heart Failure and Head of the Section of Heart Failure and Cardiac Transplant Medicine at The Cleveland Clinic, a world renowned heart center. Dr. Young has played a leading role in numerous multi-center clinical trials focusing on heart failure and transplantation and he is the author and co-author of several book chapters and of many articles appearing in scientific journals such as The New England Journal of Medicine, Chest, and the American Journal of Cardiology.
Dr. Guillermo Torre-Amione, Medical Director of the Heart Transplant Service at Baylor College of Medicine and the DeBakey Heart Center of The Methodist Hospital in Houston, Texas, is Principal Investigator for the U.S. arm of the trial and Jean L. Rouleau, MD, Dean, Faculty of Medicine at the University of Montreal, is the Principal Investigator for the Canadian arm of the trial. Dr. Torre-Amione, a cardiologist with a PhD in immunology, has extensive experience in the management of patients with heart failure, has published widely on the role of the immune system in chronic heart failure, and has received a number of awards in recognition of his research. Dr. Rouleau, who received the 1997 Career Research Achievement Award of the Canadian Cardiovascular Society, is an international leader in cardiovascular research and has been involved in a number of landmark clinical trials that have helped define current therapy. He has published 200 articles in high impact peer-reviewed journals and currently serves on the editorial board of Circulation (Journal of the American Heart Association).
Heart failure is a debilitating condition in which the heart's ability to function as a pump is impaired. Patients with heart failure experience a continuing decline in their health, resulting in an increased frequency of hospitalization and premature death. The average five-year survival rate for all patients with heart failure is approximately 50%. In North America each year, there are more than 300,000 deaths associated with chronic heart failure and the cost of medical care, primarily resulting from hospitalization, exceeds $19 billion annually. Hospital admission rates for chronic heart failure have increased in the last 20 years to the point that it now accounts for 5% of all medical admissions and is the leading cause of hospital admissions in patients over 65 years of age.
Source: Vasogen Inc.