Study to Evaluate the Effect on Parameters of Systemic Inflammation and Disease Outcomes and Safety of RPH-104 in Subjects With Acute ST-elevation Myocardial Infarction

Inclusion Criteria

• Subjects who gave voluntary written Informed consent to participate in the study and to follow all Protocol procedures.
• STEMI diagnosis defined as chest pain or its equivalent with ECG findings evidencing ST elevation (>1 mm) in two or more consecutive leads or acute left bunch branch block according the investigator's judgement.
• Percutaneous coronary intervention (PCI) with stenting was performed within no more than 12 hours after onset of chest pain or its equivalent and randomization was performed in no more than 12 hours after PCI (overall within 24 hours of onset of chest pain or equivalent).
• Consent of female subjects with childbearing potential defined as all female subjects with physiological potential to conceive, to use highly effective contraceptive methods throughout the study starting from screening (signing Informed Consent Form) and negative pregnancy test.

Highly effective contraceptive methods include combination of two of the following methods (a+b or a+c or b+c):

• oral, injection or implanted hormonal contraceptives; in case of oral contraceptives, the female subjects should administer the same product for at least 3 months prior to the study therapy;
• intrauterine device or contraceptive system;
• barrier methods: condom or occlusive cap (diaphragm or cervical cap / vaginal fornix cap) with spermicidal foam/gel/film/cream/vaginal suppository
• Ability and willingness of the subject, according to the reasonable investigator's judgment, to attend the study site at all scheduled visits, undergo the study procedures and follow the Protocol requirements including subcutaneous injections by qualified site personnel.

Exclusion Criteria

• Hypersensitivity to test product (RPH-104) and/or its ingredients/excipients.
• Pregnancy and breastfeeding.
• Verified chronic heart failure (The American Heart Association / The American College of Cardiology (AHA/ACC) C-D class, New York Heart Association (NYHA) Functional class (FC) III-IV)
• Pre-existing severe valvular heart disease according to the investigator's assessment.
• Pre-existing left ventricular (LV) dysfunction (ejection fraction (EF) 1 mg/kg of methylprednisolone equivalent, tumor necrosis factor-alfa (TNFα) blockers, Interleukin-1 (IL-1) and other biological drugs, cyclosporine and other immunosuppressants. Non-steroidal anti-inflammatory drugs (NSAIDs) are allowed.
• Immunization with live vaccines within 90 days prior to the study product administration.
• Chronic systemic autoimmune or autoinflammatory diseases
• Suspected necessity in cardiosurgery.
• Oncology (or diagnosis of oncology within the last 5 years).
• History of organ transplantation or necessity in transplantation at the screening initiation or scheduled transplantation during the study.
• Neutropenia (absolute neutrophil count <1800/mm^3).
• Participation in another clinical study within the previous 3 months prior to Screening visit.
• Other medical (including mental) conditions or abnormal laboratory findings which may increase the risk for the subject associated with the study participation or administration of the study products or which may affect interpretation of the study results and, according to the investigator, render the subject ineligible for the study.*

*If, in the Investigator's opinion, administration of a non-live COVID-19 (SARS-CoV-2) vaccine increases the risk for the patient related to his/her participation in the study, the Investigator can make a decision not to include this patient into the study.

• The subjects working at the study site or subjects working for Sponsor directly involved in this clinical study.