Bleeding i patients with acute myeloid leukemia MedDRA version: 20.0 Level: LLT Classification code 10005103 Term: Bleeding System Organ Class: 100000004866
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients treated for non-promyelocyte AML with intensive chemotherapy at the Department of Haematology, Aarhus University Hospital. 2. Able to give written informed consent 3. Above 18 years old 4. Fertile women must have a negative pregnancy test and agree to use safe anti-conception(hormonal anti-conception or intrauterine device) for 30 days after receiving the study treatment. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: 1. Known inherited bleeding disorder 2. Known serious thrombophilia(antithrombin deficiency, protein C or S deficiency, homozygous factor V Leiden) 3. Thromboembolic disease within the past 3 months 4. Known allergy to Riastap
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The purpose of this study is to investigate the efficacy of fibrinogen concentrate as bleeding prophylaxis in patients with thrombocytopenia suffering from AML Primary objectives The specific objectives are to investigate: a) Whether administration of fibrinogen concentrate beyond platelet transfusions increases clot initiation and clot strength. b) If there is a difference in the fibrin network structure between: 1. Healthy individuals with in vitro induced thrombocytopenia and leukaemia patients with thrombocytopenia undergoing chemotherapy. 2. Baseline, after platelet transfusion and after administration of fibrinogen concentrate in leukaemia patients with thrombocytopenia undergoing chemotherapy. ;Secondary Objective: not applicable;Primary end point(s): Improvement in clot initiation (ROTEM, low tissue factor assay) determined as shorter clotting time after in vivo administration of fibrinogen concentrate subsequent to platelet transfusion.; Timepoint(s) of evaluation of this end point: The primary end point will be evaluated after the collection of all data. No interim analyses will be performed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • 30 days mortality • Thromboembolic events ; Timepoint(s) of evaluation of this end point: The Secondary end points will be evaluated after the collection of all data. No interim analyses will be performed. | — |
Countries
Denmark
Contacts
Aarhus University Hospital