ZEUS - A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Cardiovascular Disease, Chronic Kidney Disease and Inflammation
Purpose
This study is conducted to see if ziltivekimab reduces the risk of having cardiovascular events (for example heart attack and stroke) in people with cardiovascular disease, chronic kidney disease and inflammation. Participants will either get ziltivekimab (active medicine) or placebo (a dummy medicine which has no effect on the body). This is known as the study medicine. Which treatment participants get is decided by chance. Participants chance of getting ziltivekimab or placebo is the same. Ziltivekimab is not yet approved in any country or region in the world. It is a new medicine doctors cannot prescribe. Participants will get the study medicine in a pre filled syringe. Participants will need to use the pre filled syringe to inject the study medicine into a skinfold once-monthly. The study is expected to last for up to 4 years. Participants will have up to 20 clinic visits. Participants will have blood and urine samples taken at most of the clinic visits. Participants will have their heart examined using sound waves (echocardiography) and electrodes (electrocardiogram). Women cannot take part if pregnant, breast-feeding or planning to get pregnant during the study period.
Conditions
- Cardiovascular Risk
- Chronic Kidney Disease
- Inflammation
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Chronic kidney disease defined by one of the below: 1. Estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 15 and below 60 mL/min/1.73 m^2 (using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation) 2. Urinary albumin-to-creatinine ratio (UACR) >= 200 milligrams per gram (mg/g) and eGFR >= 60 mL/min/1.73 m2 (using the CKD-EPI creatinine equation) - Serum high-sensitivity C-reactive protein (hs-CRP) greater than or equal to 2 milligram per liter (mg/L) - Evidence of atherosclerotic cardiovascular disease (ASCVD) by one or more of the following: a) Coronary heart disease defined as at least one of the following: i. Documented history of MI ii. Prior coronary revascularisation procedure iii. greater than or equal to 50% stenosis in major epicardial coronary artery documented by cardiac catheterisation or CT coronary angiography b) Cerebrovascular disease defined as at least one of the following: i. Prior stroke of atherosclerotic origin ii. Prior carotid artery revascularisation procedure iii. greater than or equal to 50% stenosis in carotid artery documented by X-ray angiography, MR angiography, CT angiography or Doppler ultrasound. c) Symptomatic peripheral artery disease (PAD) defined as at least one of the following: i. Intermittent claudication with an ankle-brachial index (ABI) below or equal to 0.90 at rest ii. Intermittent claudication with a greater than or equal to 50% stenosis in peripheral artery (excluding carotid) documented by X-ray angiography, MR angiography, CT angiography or Doppler ultrasound iii. Prior peripheral artery (excluding carotid) revascularisation procedure iv. Lower extremity amputation at or above ankle due to atherosclerotic disease (excluding e.g. trauma or osteomyelitis).
Exclusion Criteria
- Clinical evidence of, or suspicion of, active infection at the discretion of the investigator. - Myocardial infarction, stroke, hospitalisation for unstable angina pectoris, or transient ischaemic attack within 60 days prior to randomisation (visit 2). - Planned coronary, carotid or peripheral artery revascularisation known on the day of randomisation (visit 2). - Major cardiac surgical, non-cardiac surgical, or major endoscopic procedure (thoracoscopic or laparoscopic) within the past 60 days prior to randomisation (visit 2) or any major surgical procedure planned at the time of randomisation (visit 2).
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Ziltivekimab |
Participants will receive 15 milligrams (mg) of either Ziltivekimab B or Ziltivekimab C subcutaneously using single-use pre-filled DV3430-C1 manual syringe or single-dose DV3430-C3 pen-injector respectively once monthly for up to 4 years. |
|
Placebo Comparator Placebo |
Participants will receive 15 mg of either placebo (Ziltivekimab B) or placebo (Ziltivekimab C) subcutaneously using single-use pre-filled DV3430-C1 manual syringe or single-dose DV3430-C3 pen-injector respectively once monthly for up to 4 years. |
|
Recruiting Locations
Birmingham, Alabama 35294
Montgomery, Alabama 36106
Mesa, Arizona 85206
Searcy, Arkansas 72143
Beverly Hills, California 90211
Covina, California 91723
Huntington Park, California 90250
La Mesa, California 91942
Lancaster, California 93534
Loma Linda, California 92357
Los Alamitos, California 90720
Los Angeles, California 90010
Lynwood, California 90262
Newport Beach, California 92663
Northridge, California 91325
Palm Springs, California 92262
Riverside, California 92503
San Dimas, California 91773
Torrance, California 90502
Bridgeport, Connecticut 06610
West Haven, Connecticut 06516
Washington, District of Columbia 20037
Boca Raton, Florida 33434
Clearwater, Florida 33756
Delray Beach, Florida 33445
Fleming Island, Florida 32003
Hollywood, Florida 33021
Hollywood, Florida 33024
Jacksonville, Florida 32204
Jacksonville, Florida 32216
Jacksonville, Florida 32258
Miami Lakes, Florida 33014
Miami, Florida 33130
Miramar, Florida 33027
Palm Harbor, Florida 34684
Port Charlotte, Florida 33952
Port Charlotte, Florida 33952
Saint Augustine, Florida 32080
Saint Augustine, Florida 32086
Winter Haven, Florida 33880
Albany, Georgia 31707
Augusta, Georgia 30904
Conyers, Georgia 30094
Fayetteville, Georgia 30214
Johns Creek, Georgia 30024
Roswell, Georgia 30076
Savannah, Georgia 31406
Arlington Heights, Illinois 60005
Chicago, Illinois 60643
Gurnee, Illinois 60031
Hazel Crest, Illinois 60429
Skokie, Illinois 60077
Springfield, Illinois 62711
Evansville, Indiana 47714
Valparaiso, Indiana 46383
Overland Park, Kansas 66211
Topeka, Kansas 66606
Lexington, Kentucky 40503
Bossier City, Louisiana 71111
Monroe, Louisiana 71201
Monroe, Louisiana 71201
Shreveport, Louisiana 71105
Slidell, Louisiana 70458
Clinton, Maryland 20735
Boston, Massachusetts 02115-5804
Haverhill, Massachusetts 01830
Detroit, Michigan 48202
Flint, Michigan 48532
Grand Rapids, Michigan 49546
Petoskey, Michigan 49770
Minneapolis, Minnesota 55407
Minneapolis, Minnesota 55455
Kansas City, Missouri 64111
Saint Louis, Missouri 63136
Lincoln, Nebraska 68526
Omaha, Nebraska 68198-3020
Las Vegas, Nevada 89102
Las Vegas, Nevada 89128
Bridgewater, New Jersey 08807-3064
Albuquerque, New Mexico 87106
Mineola, New York 11501
New York, New York 10016
New York, New York 10019
Ridgewood, New York 11385
Saratoga Springs, New York 12866
West Seneca, New York 14224
Westfield, New York 14787
Asheville, North Carolina 28801
Chapel Hill, North Carolina 27599
Charlotte, North Carolina 28208
Charlotte, North Carolina 28210
Greensboro, North Carolina 27408
Greenville, North Carolina 27834
Morehead City, North Carolina 28557
Fargo, North Dakota 58104
Cincinnati, Ohio 45219
Cleveland, Ohio 44106
Maumee, Ohio 43537
Bethlehem, Pennsylvania 18017
Philadelphia, Pennsylvania 19114
Fort Mill, South Carolina 29707
Greenville, South Carolina 29615
Chattanooga, Tennessee 37411
Greeneville, Tennessee 37745
Knoxville, Tennessee 37934
Memphis, Tennessee 38119
Powell, Tennessee 37849
Arlington, Texas 76002
Arlington, Texas 76012-4637
Bellaire, Texas 77401
Corpus Christi, Texas 78414
Cypress, Texas 77429
Dallas, Texas 75208
Dallas, Texas 75230
Dallas, Texas 75235
El Paso, Texas 79935
Forney, Texas 75126
Fort Worth, Texas 76132
Fort Worth, Texas 76133
Houston, Texas 77024
Houston, Texas 77030
Houston, Texas 77043
Houston, Texas 77054
Houston, Texas 77070
Houston, Texas 77079
Houston, Texas 77084
Longview, Texas 75605
Lufkin, Texas 75904
McAllen, Texas 78503
San Antonio, Texas 78207-5209
San Antonio, Texas 78212
San Antonio, Texas 78215
San Antonio, Texas 78230
San Antonio, Texas 78233
San Marcos, Texas 78666
Sugar Land, Texas 77478
Waco, Texas 76708
Norfolk, Virginia 23504
Richmond, Virginia 23298
Salem, Virginia 24153-6404
Winchester, Virginia 22601-3834
Spokane, Washington 99204
Wausau, Wisconsin 54401
More Details
- NCT ID
- NCT05021835
- Status
- Recruiting
- Sponsor
- Novo Nordisk A/S