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Evaluation of BE1116 in Patients With Traumatic Injury and Acute Major Bleeding to Improve Survival ( TAP Study )

A Prospective, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Large Simple Trial Evaluating the Use of BE1116 (4-Factor Prothrombin Complex Concentrate [Kcentra® / Beriplex®]) to Improve Survival in Patients With Traumatic Injury and Acute Major Bleeding

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05568888
Enrollment
1366
Registered
2022-10-06
Start date
2023-03-28
Completion date
2024-10-29
Last updated
2025-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Traumatic Injury

Brief summary

This is a prospective, multicenter, randomized, double-blind, placebo-controlled, parallel-group, large simple trial to investigate the efficacy and safety of a single intravenous (IV) infusion of BE1116 in subjects who have traumatic injury, with confirmed or suspected acute major bleeding and / or predicted to receive a large volume blood product transfusion.

Interventions

DRUGBE1116

4-Factor Prothrombin Complex administered by intravenous (IV) infusion

DRUGPlacebo

Administered by IV infusion

Sponsors

CSL Behring
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* (a) Estimated age ≥ 15 years. Older minimum age is required in some locations. FOR United Kingdom: Estimated or actual age ≥ 16 years FOR Australia: Estimated or actual age ≥ 18 years AND (b) Estimated or actual weight ≥ 50 kg (110 lbs). * Traumatic injury with confirmed or suspected acute major bleeding and/or Revised Assessment of Bleeding and Transfusion (RABT) score ≥ 2 * Activation of massive transfusion protocol

Exclusion criteria

* Healthcare professional cardiopulmonary resuscitation including chest compressions for ≥ 5 consecutive minutes at any time before randomization * Isolated penetrating or blunt cranial injury, or exposed brain matter * Isolated burns estimated to be \> 20% total body surface area or suspected inhalational injury * Known anticoagulation treatment or a history of a TEE, within the past 3 months.

Design outcomes

Primary

MeasureTime frameDescription
Proportion of Participants With All-cause 6-hour MortalityUp to 6 hours after randomizationHere, the percentage of participants with all-cause mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

Secondary

MeasureTime frameDescription
Proportion of Participants With All-cause In-hospital Mortality Up to 30 Days After RandomizationUp to 30 days after randomizationIn-hospital mortality was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.
Proportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary InjuryUp to 24 hours after randomizationHere, the percentage of participants with who underwent surgical or interventional radiological procedures to stop bleeding related to the primary injury has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.
Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs)Up to 30 days after randomizationThe number of participants with treatment-emergent SAEs considered related to IP that occurred during primary hospitalization within the 30 days after randomization are summarized by treatment arm.
Proportion of Participants With All-cause 24-hour In-hospital MortalityUp to 24 hours after randomizationIn-hospital mortality up to 24 hours after randomization was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.
Number of Participants With Acute Respiratory Distress Syndrome (ARDS)Up to 30 days after randomizationARDS will be assessed using the Berlin definition based on four criteria: timing, chest imaging, origin of edema, oxygenation (mild, moderate or severe) and high-flow nasal oxygen.
Number of Participants With Multiple Organ FailureUp to 30 days after randomizationMultiple organ failure will be assessed using the Denver post injury multiple organ failure score. The Denver score rates the dysfunction of 4 organ systems (pulmonary, renal, hepatic, and cardiac), which are each graded on a scale from 0 to 3, where 0 represents mild and 3 was severe. Multiple organ failure is defined as a score \> 3.
Number of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement TherapyUp to 30 days after randomizationRenal replacement therapy included dialysis, hemofiltration, or hemodiafiltration. AKI according to the Kidney Disease Improving Global Outcomes (KDIGO) guidelines is diagnosed if any one of the following happens: • Serum creatinine increases by ≥ 0.3 mg/dL (≥ 26.5 μmol/L) within 48 hours • Serum creatinine increases to ≥ 1.5 times the baseline level, within the past 7 days • Urine levels drops to less than 0.5 mL/kg/hour for 6 hours
Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)Up to 30 days after randomizationThe TEEs may be symptomatic or asymptomatic, and arterial or venous (eg, deep vein thrombosis, pulmonary embolism, ischemic stroke \[including thromboembolic stroke\], myocardial infarction). The observed in-hospital overall and related to IP TEEs are reported here.

Countries

Australia, United Kingdom, United States

Participant flow

Recruitment details

This study was conducted from 28 Mar 2023 to 29 October 2024 .

Pre-assignment details

A total of 1366 participants were enrolled in this study. Of these, 1245 participants were treated as per their assigned treatment, either BE1116 or placebo.

Participants by arm

ArmCount
BE1116
Participants received a single administration of BE1116 via IV administration on Day 1.
689
Placebo
Participants received IV administration of placebo matched to BE1116.
677
Total1,366

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyNo IP Administered/Subject Excluded14
Overall StudyPhysician Decision10
Overall StudyProtocol Deviation21
Overall StudyWithdrawal by Parent/Guardian1014
Overall StudyWithdrawal by Subject/Legally Authorized Representative4753

Baseline characteristics

CharacteristicPlaceboTotalBE1116
Age, Continuous39.8 years
STANDARD_DEVIATION 17.65
40.2 years
STANDARD_DEVIATION 17.33
40.7 years
STANDARD_DEVIATION 17
Ethnicity (NIH/OMB)
Hispanic or Latino
87 Participants184 Participants97 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
493 Participants983 Participants490 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
97 Participants199 Participants102 Participants
Race (NIH/OMB)
American Indian or Alaska Native
12 Participants21 Participants9 Participants
Race (NIH/OMB)
Asian
21 Participants34 Participants13 Participants
Race (NIH/OMB)
Black or African American
210 Participants411 Participants201 Participants
Race (NIH/OMB)
More than one race
5 Participants10 Participants5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants4 Participants3 Participants
Race (NIH/OMB)
Unknown or Not Reported
93 Participants201 Participants108 Participants
Race (NIH/OMB)
White
335 Participants685 Participants350 Participants
Sex: Female, Male
Female
141 Participants304 Participants163 Participants
Sex: Female, Male
Male
536 Participants1062 Participants526 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
146 / 689114 / 677
other
Total, other adverse events
32 / 61839 / 627
serious
Total, serious adverse events
203 / 618168 / 627

Outcome results

Primary

Proportion of Participants With All-cause 6-hour Mortality

Here, the percentage of participants with all-cause mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

Time frame: Up to 6 hours after randomization

Population: Analysis was performed on the ITT and modified ITT (mITT) population. The ITT population included all the randomized participants. The mITT population included all participants from ITT population who received at least one complete or partial dose of the investigational product (IP) (BE1116 or placebo). It also included participants with a missing or non-testable Glasgow Coma Score, or a score less than 15, as well as those who received blood product transfusions prior to randomization.

ArmMeasureGroupValue (NUMBER)
BE1116Proportion of Participants With All-cause 6-hour MortalityAll-cause Mortality in ITT Analysis Set7.3 Percentage of participants
BE1116Proportion of Participants With All-cause 6-hour MortalityAll-cause Mortality in mITT Analysis Set7.2 Percentage of participants
PlaceboProportion of Participants With All-cause 6-hour MortalityAll-cause Mortality in ITT Analysis Set4.6 Percentage of participants
PlaceboProportion of Participants With All-cause 6-hour MortalityAll-cause Mortality in mITT Analysis Set4.1 Percentage of participants
Comparison: Null hypotheses: The all-cause 6-hour mortality rates in BE1116 is no better than the control.p-value: 1.995% CI: [-5.02, -0.13]Regression, Logistic
Comparison: Null hypotheses: The all-cause 6-hour mortality rates in BE1116 is no better than the control.p-value: 3.195% CI: [-5.8, 0.13]Regression, Logistic
Secondary

Number of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement Therapy

Renal replacement therapy included dialysis, hemofiltration, or hemodiafiltration. AKI according to the Kidney Disease Improving Global Outcomes (KDIGO) guidelines is diagnosed if any one of the following happens: • Serum creatinine increases by ≥ 0.3 mg/dL (≥ 26.5 μmol/L) within 48 hours • Serum creatinine increases to ≥ 1.5 times the baseline level, within the past 7 days • Urine levels drops to less than 0.5 mL/kg/hour for 6 hours

Time frame: Up to 30 days after randomization

Population: Analysis was performed on the safety population. The safety population included of all the participants from ITT population who received at least one complete or partial dose of BE1116 or placebo, based on the treatment actually received.

ArmMeasureValue (NUMBER)
BE1116Number of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement Therapy52 Count of participants
PlaceboNumber of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement Therapy29 Count of participants
Secondary

Number of Participants With Acute Respiratory Distress Syndrome (ARDS)

ARDS will be assessed using the Berlin definition based on four criteria: timing, chest imaging, origin of edema, oxygenation (mild, moderate or severe) and high-flow nasal oxygen.

Time frame: Up to 30 days after randomization

Population: Analysis was performed on the safety population. The safety population included of all the participants from ITT population who received at least one complete or partial dose of BE1116 or placebo, based on the treatment actually received.

ArmMeasureValue (NUMBER)
BE1116Number of Participants With Acute Respiratory Distress Syndrome (ARDS)31 Count of participants
PlaceboNumber of Participants With Acute Respiratory Distress Syndrome (ARDS)28 Count of participants
Secondary

Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)

The TEEs may be symptomatic or asymptomatic, and arterial or venous (eg, deep vein thrombosis, pulmonary embolism, ischemic stroke \[including thromboembolic stroke\], myocardial infarction). The observed in-hospital overall and related to IP TEEs are reported here.

Time frame: Up to 30 days after randomization

Population: Analysis was performed on the safety population. The safety population included of all the participants from ITT population who received at least one complete or partial dose of BE1116 or placebo, based on the treatment actually received.

ArmMeasureGroupValue (NUMBER)
BE1116Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)Overall TEEs133 Count of participants
BE1116Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)Related TEEs46 Count of participants
PlaceboNumber of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)Overall TEEs139 Count of participants
PlaceboNumber of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)Related TEEs51 Count of participants
Secondary

Number of Participants With Multiple Organ Failure

Multiple organ failure will be assessed using the Denver post injury multiple organ failure score. The Denver score rates the dysfunction of 4 organ systems (pulmonary, renal, hepatic, and cardiac), which are each graded on a scale from 0 to 3, where 0 represents mild and 3 was severe. Multiple organ failure is defined as a score \> 3.

Time frame: Up to 30 days after randomization

Population: Analysis was performed on the safety population. The safety population included of all the participants from ITT population who received at least one complete or partial dose of BE1116 or placebo, based on the treatment actually received.

ArmMeasureValue (NUMBER)
BE1116Number of Participants With Multiple Organ Failure59 Count of participants
PlaceboNumber of Participants With Multiple Organ Failure53 Count of participants
Secondary

Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs)

The number of participants with treatment-emergent SAEs considered related to IP that occurred during primary hospitalization within the 30 days after randomization are summarized by treatment arm.

Time frame: Up to 30 days after randomization

Population: Analysis was performed on the safety population. The safety population included of all the participants from ITT population who received at least one complete or partial dose of BE1116 or placebo, based on the treatment actually received.

ArmMeasureValue (NUMBER)
BE1116Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs)34 Count of participants
PlaceboNumber of Participants With Treatment-Emergent Serious Adverse Events (SAEs)46 Count of participants
Secondary

Proportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary Injury

Here, the percentage of participants with who underwent surgical or interventional radiological procedures to stop bleeding related to the primary injury has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

Time frame: Up to 24 hours after randomization

Population: As planned, analysis was performed on the mITT population. The mITT population included all participants from ITT population who received at least one complete or partial dose of BE1116 or placebo. It also included participants with a missing or non-testable Glasgow Coma Score, or a score less than 15, as well as those who received blood product transfusions prior to randomization.

ArmMeasureValue (NUMBER)
BE1116Proportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary Injury78.0 Percentage of participants
PlaceboProportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary Injury75.5 Percentage of participants
Comparison: Null hypotheses: The proportion of subjects who undergo surgical or interventional radiological procedures to stop bleeding related to the primary injury up to 24 hours in BE1116 is no better than the control.p-value: 18.995% CI: [-7.98, 3.05]Regression, Logistic
Secondary

Proportion of Participants With All-cause 24-hour In-hospital Mortality

In-hospital mortality up to 24 hours after randomization was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

Time frame: Up to 24 hours after randomization

Population: As planned, analysis was performed on the mITT population. The mITT population included all participants from ITT population who received at least one complete or partial dose of BE1116 or placebo. It also included participants with a missing or non-testable Glasgow Coma Score, or a score less than 15, as well as those who received blood product transfusions prior to randomization.

ArmMeasureValue (NUMBER)
BE1116Proportion of Participants With All-cause 24-hour In-hospital Mortality11.1 Percentage of participants
PlaceboProportion of Participants With All-cause 24-hour In-hospital Mortality7.3 Percentage of participants
Comparison: Null hypotheses: The all-cause 24-hour in-hospital mortality rates in BE1116 is no better than the control.p-value: 395% CI: [-7.35, 0.15]Regression, Logistic
Secondary

Proportion of Participants With All-cause In-hospital Mortality Up to 30 Days After Randomization

In-hospital mortality was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

Time frame: Up to 30 days after randomization

Population: As planned, analysis was performed on the mITT population. The mITT population included all participants from ITT population who received at least one complete or partial dose of BE1116 or placebo. It also included participants with a missing or non-testable Glasgow Coma Score, or a score less than 15, as well as those who received blood product transfusions prior to randomization.

ArmMeasureValue (NUMBER)
BE1116Proportion of Participants With All-cause In-hospital Mortality Up to 30 Days After Randomization24.8 Percentage of participants
PlaceboProportion of Participants With All-cause In-hospital Mortality Up to 30 Days After Randomization18.6 Percentage of participants
Comparison: Null hypotheses: The all-cause 30 days in-hospital mortality rates in BE1116 is no better than the control.p-value: 1.495% CI: [-11.42, -0.68]Regression, Logistic

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026