Table 1.
Selected clinical studies targeting immune inflammatory pathways in myocardial infarction.
Trial | Conditions | Interventions | Outcomes | Ref. |
---|---|---|---|---|
ASSAIL-MI | First-time STEMI | Single dose of tocilizumab (IL-6R antibody) vs. placebo | Improved myocardial salvage with tocilizumab |
NCT03004703 [125] |
CLEAR-SYNERGY | STEMI treated with primary PCI | SYNERGY stent plus colchicine and spironolactone or placebo | Ongoing | NCT03048825 |
COVERT-MI | First STEMI treated with primary PCI | 5-day administration of colchicine vs. placebo | Colchicine did not reduce infarct size |
NCT03156816 [120] |
LILACS | Stable CAD and ACS | Low-dose aldesleukin (recombinant IL-2) | This phase I/II trial showed safety and tolerability of aldesleukin |
NCT03113773 [128] |
RITA-MI | Acute anterior STEMI treated with primary PCI | Single intravenous injection of rituximab (anti-CD20 monoclonal antibody) | This phase I/IIa trial showed safety and tolerability of rituximab |
NCT03072199 [129] |
VCUART3 | Acute STEMI | Anakinra (IL-1R antagonist) vs. placebo | Anakinra significantly reduced systemic inflammatory response |
NCT01950299 [122] |
VCUART4 | Acute STEMI | Anakinra (IL-1R antagonist) vs. placebo | Not yet recruiting. Planned to assess how well anakinra can protect participants from developing heart failure |
NCT05177822 |