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Heart drug trial pulled before it even started

NCT ID NCT04306237

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled This study
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This was a planned Phase 2 study to test whether the drug IMB-1018972 could safely help people with refractory angina—chest pain that doesn't improve with standard treatments. The study aimed to measure exercise capacity, angina symptoms, and activity levels. However, the trial was withdrawn before enrolling any participants, so no data were collected.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
IMB-1018972
What this could lead to
If it worked, this drug could improve exercise ability and reduce chest pain for people with refractory angina.
What could go wrong
The trial was withdrawn before enrolling anyone, so no results exist. Even if tested, it was an early Phase 2 study with uncertain benefits and potential side effects.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 2

Tests whether the treatment actually works, and watches for side effects, in a larger group.

Started

May 2020

Expected to finish

Apr 2025

An estimate. End dates often move.

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 85 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Is between the ages of 18 and 85 years, inclusive. 2. Is capable of understanding the written informed consent, and providing signed, dated, and witnessed written informed consent. 3. Has complied with and is willing to continue to comply with the specified procedures (eg, angina diary during screening) and complete specific follow-up evaluations. 4. Has coronary artery disease confirmed by at least one of the following: * Documented prior MI, CABG surgery, or PCI -OR- * Angiography performed within the 24 months prior to Visit 1 confirming CAD (eg, evidence of ≥70% stenosis of at least one major coronary artery or diffuse CAD). 5. Has evidence of stress induced ischemia documented by either: * Protocol-specified ETT ECG demonstrating at least 0.5 mm exercise-induced ST segment depression with onset \<9 minutes on at least 1 of the screening ETTs -OR- * Prior evidence of stress-induced reversible perfusion defect in the last 24 months (without intervening revascularization) identified by at least one of the following: * Radionuclide imaging study * Echocardiographic imaging study * FFR \<0.8 * IFR \<0.89 * FFR CT \<0.8 * CFR \<2.5 6. Has a minimum 3 month history of exertional angina, including angina with a minimum frequency of 2 anginal episodes per week on average for the 2 weeks prior to enrolling in the study while on optimal guideline directed medical therapy for their angina. 7. Is on optimal, dual agent, antianginal therapy for their angina for at least 1 month prior to the first screening ETT. Consistent with ACC/AHA and ESC Class I guideline directed medical therapy (GDMT), criteria for optimal therapy include treatment with both: (a) a beta-adrenergic blocking agent and treatment with (b) a calcium channel blocker OR a long-acting nitrate. If unacceptable side effects are intolerable and documented with a therapy listed in (a) or (b), treatment with only 1 antianginal medication is acceptable. Additionally, patients should be treated with short-acting nitrates per GDMT. 8. Is currently not clinically indicated for coronary revascularization (ie, PCI or CABG) in the opinion of the principle investigator at the time of screening through 6 months after randomization. 9. Has a CCS score of II, III or stabilized IV for 1 month prior to screening. 10. Meets the following requirements after 2 screening modified Bruce protocol ETTs: a. Stopping the treadmill test due to angina on each test b. Total exercise duration must fall between 3 and 9 minutes on each test c. To document inducible myocardial ischemia: i. For those patients with interpretable ECGs, at least 0.5 mm exercise induced ST segment depression must occur with onset \<9 minutes on at least 1 of the screening ETTs. d. Difference in TED between the 2 qualifying ETTs must not exceed 20% of the longer test or 1 minute, whichever limit is smaller. e. Consideration of a third ETT may be discussed by the investigator with the study medical monitor, who may authorize the performance of a third ETT a minimum of 5 days and no more than 10 days after the second ETT Exclusion Criteria: 1. If any of the following have occurred: * Use of TMZ anytime in prior history * In the prior 6 months: * Diagnosis of NYHA Class 3 or 4 (heart failure) * Hospitalization for heart failure * Coronary artery bypass graft surgery * Cardiac resynchronization therapy placement or adjustments to CRT parameters * Implantable cardioverter defibrillator or biventricular pacemaker placement * In the prior 3 months: * Hospitalization for a cardiovascular indication * Cerebral vascular accident * Transient ischemic attack * Percutaneous coronary intervention * In the prior 1 month: * Use of perhexiline or meldonium. 2. Has a history of moderate to severe valvular heart disease defined as aortic stenosis (valve area \<1.5 cm2), aortic insufficiency, mitral stenosis (valve area \<1.5 cm2), or mitral valve regurgitation of grade 3 or worse. 3. Has significant hepatic disease, with increased liver function tests such as total bilirubin, aspartate aminotransferase, or alanine aminotransferase more than 2 times of ULN at baseline (excluding patients with documented history of Gilbert syndrome). 4. Has severe renal impairment (ie, creatinine clearance \<30 mL/min at screening, measured using 4-variable modification of diet in renal disease equation). 5. Has a history of Parkinson disease, Parkinsonian symptoms, tremors, restless leg syndrome, or other related movement disorders. 6. Has a history of vasospastic angina or microvascular angina. 7. Has an exacerbating cause for angina (eg, anemia \[ie, hemoglobin \<10 g/dL\], uncontrolled hypertension \[ie, BP ≥160/90 mmHg\], hyperthyroid, or rapid AF \[ie, AF with average rate \>120 beats per minute\]) at screening. 8. Has long-QT and life-threatening LV arrhythmia. 9. Has comorbidities limiting life expectancy to less than 3 years. 10. Is pregnant, planning pregnancy, or lactating. 11. Has a history of alcohol abuse or drug addiction. 12. Has a positive test for drugs (eg, opiates, methadone, cocaine, amphetamines \[including ecstasy\], or barbiturates) at screening. 13. Has a positive test for HBsAg, HCV antibodies, or HIV1/2 antibodies at screening. 14. Is participating in another research study. 15. Is an employee or family member of the investigator or study site personnel.

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Conditions

The condition(s) this trial relates to.

Angina Pectoris

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Imbria Investigational Site

    Boston, Massachusetts, 02110, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.