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A PHASE 2, RANDOMIZED, OPEN-LABEL (WITH BLINDED PLASMINOGEN ACTIVATOR AND PLACEBO CONTROL GROUPS) STUDY TO EVALUATE THE EFFECTS OF DIFFERENT INTRA-THROMBUS INFUSION REGIMENS OF PLASMIN (HUMAN) COMPARED TO PLASMINOGEN ACTIVATOR AND PLACEBO IN PATIENTS WITH ACUTE LOWER EXTREMITY NATIVE ARTERY OR BYPASS GRAFT OCCLUSION

A PHASE 2, RANDOMIZED, OPEN-LABEL (WITH BLINDED PLASMINOGEN ACTIVATOR AND PLACEBO CONTROL GROUPS) STUDY TO EVALUATE THE EFFECTS OF DIFFERENT INTRA-THROMBUS INFUSION REGIMENS OF PLASMIN (HUMAN) COMPARED TO PLASMINOGEN ACTIVATOR AND PLACEBO IN PATIENTS WITH ACUTE LOWER EXTREMITY NATIVE ARTERY OR BYPASS GRAFT OCCLUSION

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REPEC
Registry ID
PER-100-10
Enrollment
6
Registered
2011-02-18
Start date
Unknown
Completion date
Unknown
Last updated
2023-09-04

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

Conditions

None listed

Interventions

Group A Type of group
150 mg of Plasmin in 75 ml Group name:Group F Type of group
Blind placebo (0.9% NaCl for injection, USP or equivalent, not supplied): the volume should match the equivalent volume of BP according to the clinical criteria of the researcher

Sponsors

TALECRIS BIOTHERAPEUTICS, INC,
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: • Unilateral limb ischemia: symptomatic. Categories I and IIa of Acute Ischemia SCV • onset of symptoms 10cm in length are eligible. • Diagnosis of thrombus with occlusion in the graft or artery by means of an arteriography after informed consent has been obtained • Ability to access the thrombus with the infusion catheter and successfully insert the infusion segment of the infusion catheter. • The subject must be able to sign their informed consent before participating in the study. • Age> 18 years • In the case of women of childbearing age, they must use an appropriate method of contraception during the study period and must have a negative pregnancy outcome before participating in the study.

Exclusion criteria

Exclusion criteria: • Any medical or social condition that may interfere with the completion of the study by the subject. • Pregnant or nursing women, or who are in the first 10 days of postpartum. • Cardiopulmonary resuscitation in the previous year • Previous systemic or anaphylactoid allergies to contrast agent, streptokinase or blood components (those allergic to shellfish or iodine may enter the study). • Not eligible for thrombolytic treatment for any reason • Active graft infection • Occlusion occurred within the first month of placement of the synthetic graft • Occlusion occurred within the first six months of autologous graft placement • A sequential mixed dual-exit graft to correct multiple occlusions • In the opinion of the Researcher, he is clinically unable to tolerate an open vascular procedure • History of prothrombotic state, such as anticardiopillin antibody, peripheral vascular disease associated with acquired immunodeficiency virus (HIV) • History of contraindication to heparin (eg, history of heparin-induced thrombocytopenia) • Hemoglobin 2.0 mg / dL in the baseline selection / evaluation. The creatinine test can be taken again after hydration by prerenal azotemia.

Design outcomes

Primary

MeasureTime frame
Outcome name:Percentage of subjects with a thrombolysis of 90%. Measure:Thrombolysis at the end of treatment compared to baseline evaluation Timepoints:90 days

Secondary

MeasureTime frame
Outcome name:Avoid major surgical revascularization, mechanical thrombectomy, and CDT with additional BP in the affected limb from the end of treatment until Day 30. Measure:Avoid major surgical revascularization, mechanical thrombectomy, and CDT with additional BP in the affected limb from the end of treatment until Day 30. Timepoints:90 days ; Outcome name:Blood flow in the native artery or graft under treatment, by ultrasound at the end of the treatment or post intervention and Day 30. Measure:Blood flow in the native artery or graft under treatment, by ultrasound at the end of the treatment or post intervention and Day 30. Timepoints:Day 30 ; Outcome name:Ischemic signs or symptoms of pain, paraesthesia, paralysis, poikilothermia, paleness and absence of pulse from baseline evaluation to the end of treatment Measure:Appearance of signs or symptoms Timepoints:During treatment

Countries

Australia, Austria, France, Germany, Serbia, Slovakia, Spain, United Kindgdom

Contacts

Public ContactMarcela Toledo

SYNEOS HEALTH PERU S.R.L.

toledo.marcela@kendle.com2734211 anexo 217

Outcome results

None listed

Source: REPEC (via WHO ICTRP)