MedPath

Bivalirudin as a Procedural Anticoagulant in Pediatrics

Phase 2
Completed
Conditions
Cardiology
Registration Number
NCT00503126
Lead Sponsor
The Medicines Company
Brief Summary

Pharmacokinetics and safety of weight based bivalirudin in children

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
110
Inclusion Criteria
  • Male and non-pregnant females, with an age range of birth to 16 years of age.
  • Expected to undergo a percutaneous intravascular procedure for the management of congenital heart disease.
  • Written informed consent from a legal guardian/parent.
  • Life expectancy of at least 15 days at study entry.
  • Assent of the patient if older than 8 years, whenever possible.
Exclusion Criteria
  • History of intracerebral bleed (neonates confirmed by an ultrasound head scan prior to procedure), or cerebral arteriovenous malformation or any prior bleed with neurological deficit.
  • Gastrointestinal or genitourinary bleeding within the last 2 weeks excluding normal menstrual cycles.
  • Cerebrovascular accident within 6 months, or any cerebrovascular accident with a residual neurological deficit.
  • Known congenital or acquired bleeding or clotting disorder.
  • Patients undergoing renal dialysis.*
  • Weight < 2.5 kg.
  • Confirmed pregnancy at time of enrollment or breast feeding (females of child-bearing potential).
  • Known allergy to bivalirudin or hirudin-derived drugs, or known sensitivity to any component of bivalirudin (Angiomax®).
  • Any condition that in the investigator's opinion would constitute a contraindication to participation in the study, or cause inability to comply with the study requirements.
  • Participation in another investigational therapeutic drug or therapeutic device trial within 30 days of starting study.
  • Patients who have been receiving warfarin (Coumadin®) therapy and whose INR is > 1.5.
  • Patients who cannot be discontinued from UFH at least 30 minutes prior to study drug bolus.
  • Patients who have received a dose of LMWH within 8 hours prior to study drug bolus.
  • Patients previously enrolled in the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
PK/PD and safety30 days
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath