LATITUDE-TIMI 60 Trial design: Patients hospitalized with AMI on guideline-recommended therapy were randomized in a 1:1 fashion to either losmapimod 7.5.

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LATITUDE-TIMI 60 Trial design: Patients hospitalized with AMI on guideline-recommended therapy were randomized in a 1:1 fashion to either losmapimod 7.5 mg BID or placebo. They were followed for 12 weeks. Results (p = 0.24) Primary outcome, CV death/MI/recurrent ischemia requiring revascularization at 12 weeks, for losmapimod vs. placebo: 8.1% vs. 7.0%, p = 0.24 CV death: 2.1% vs. 2.5%; MI: 5.3% vs. 4.3%, stroke: 0.8% vs. 0.9% Definite or probable stent thrombosis: 0.9% vs. 1.5% % Conclusions Losmapimod, a selective and reversible p38 MAP kinase inhibitor, was not superior to placebo in reducing adverse CV events at 12 weeks in patients hospitalized with an AMI and on OMT; the trial had to be terminated early due to futility Losmapimod reduced hs-CRP levels, but this did not translate into a clinical benefit at 12 weeks Primary outcome Losmapimod (n = 1,738) Placebo (n = 1,765) Presented by Dr. O’Donoghue at ACC 2016