Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) versus Conventional Treatment in Acute Myocarditis: INFLAMA study

2024-513803-15-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 30 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 7 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 150
Countries 1
Sites 7

Acute myocarditis

The main objective is to assess the utility of ibuprofen therapy for 3 weeks versus conventional treatment with analgesics (paracetamol) in acute myocarditis with preserved left ventricular ejection fraction, in terms of reducing late gadolinium enhancement on cardiac magnetic resonance at 6-month follow-up.

Key facts

Sponsor
Centro Nacional De Investigaciones Cardiovasculares Carlos III, Fundacion Para La Investigacion Biomedica Del Hospital Universitario Puerta De Hierro Majadahonda
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
30 Jan 2025 → ongoing
Decision date (initial)
2024-09-16
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy

The main objective is to assess the utility of ibuprofen therapy for 3 weeks versus conventional treatment with analgesics (paracetamol) in acute myocarditis with preserved left ventricular ejection fraction, in terms of reducing late gadolinium enhancement on cardiac magnetic resonance at 6-month follow-up.

Conditions and MedDRA coding

Acute myocarditis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Aged 18 years or older.
  2. Patients hospitalized for confirmed acute myocarditis and left ventricular ejection fraction ventricular ≥50%.
  3. Absence of acute heart failure.
  4. Exclusion of ischemic heart disease.
  5. Diagnostic criteria for myocarditis by cardiac magnetic resonance imaging.
  6. Ability to provide informed consent.

Exclusion criteria 8

  1. Kidney disease stage 3b, 4 and 5 or severe liver failure.
  2. Uncontrolled hypertension.
  3. Diagnosis criteria for acute pericarditis.
  4. Moderate or severe pericardial effusion.
  5. Hypersensitivity to Non-steroidal anti-inflammatory drugs or previous use in the last seven days.
  6. Contraindication for cardiac magnetic resonance.
  7. Pregnancy, breastfeeding, or women of childbearing age unwilling to use appropriate contraception throughout the duration of the treatment of the study
  8. Known autoimmune disease that, in the investigator's opinion, could be the cause of myocarditis and requires immunosuppressive treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change in late gadolinium enhancement (measured in % relative to indexed myocardial mass) compared to baseline (cardiac magnetic resonance at admission) in each treatment group at 6 months after diagnosis.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Ibuprofen

SUB08098MIG · Substance

Active substance
Ibuprofen
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
1800 mg milligram(s)
Max total dose
25200 mg milligram(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centro Nacional De Investigaciones Cardiovasculares Carlos III

Sponsor organisation
Centro Nacional De Investigaciones Cardiovasculares Carlos III
Address
Calle De Melchor Fernandez Almagro 3
City
Madrid
Postcode
28029
Country
Spain

Scientific contact point

Organisation
Centro Nacional De Investigaciones Cardiovasculares Carlos III
Contact name
Antonio Quesada

Public contact point

Organisation
Centro Nacional De Investigaciones Cardiovasculares Carlos III
Contact name
Antonio Quesada

Fundacion Para La Investigacion Biomedica Del Hospital Universitario Puerta De Hierro Majadahonda

5 Total trials 5 Recruiting
Academic / Non-commercial
Sponsor organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Puerta De Hierro Majadahonda
Address
Calle De Joaquin Rodrigo 2
City
Majadahonda
Postcode
28222
Country
Spain

Scientific contact point

Organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Puerta De Hierro Majadahonda
Contact name
Fernando Domínguez Rodríguez

Public contact point

Organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Puerta De Hierro Majadahonda
Contact name
Fernando Domínguez Rodríguez

Locations

1 EU/EEA country · 7 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 150 7
Rest of world 0

Investigational sites

Spain

7 sites · Ongoing, recruiting
Hospital Universitario De Salamanca
Cardiology, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Universitario De Burgos
Cardiology, Avenida De Las Islas Baleares 3, 09006, Burgos
Hospital De La Santa Creu I Sant Pau
Cardiology, Carrer De San Quinti 89, 08041, Barcelona
Hospital Universitari Vall D Hebron
Cardiology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Puerta De Hierro De Majadahonda
Cardiology, Calle De Manuel De Falla 1, 28222, Majadahonda
University Clinical Hospital Virgen De La Arrixaca
Cardiology, Carretera Madrid Cartagena Sn, El Palmar, Murcia
Hospital Universitario Severo Ochoa
Cardiology, Avenida Orellana S/n, 28911, Leganes

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-01-30 2025-04-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513803-15-00 v3 3
Protocol (for publication) D1_Protocol 2024-513803-15-00 2
Recruitment arrangements (for publication) K1_Recruitment arrangement 1
Subject information and informed consent form (for publication) L1_SIS and ICF participants 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC ibuprofeno 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2024-513803-15-00 2

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-06 Spain Acceptable
2024-09-10
2024-09-16
2 SUBSTANTIAL MODIFICATION SM-2 2025-03-20 Spain Acceptable
2025-03-21
2025-03-21
3 SUBSTANTIAL MODIFICATION SM-5 2025-11-20 Spain Acceptable 2025-12-02