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A study to find the appropriate dose of S62798 to treat patients with pulmonary circulation blocked by a clot

Phase 1
Conditions
Acute intermediate high risk pulmonary embolism (PE)
MedDRA version: 21.0Level: PTClassification code 10037377Term: Pulmonary embolismSystem Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2019-003514-14-IT
Lead Sponsor
INSTITUT DE RECHERCHES INTERNATIONALES SERVIER
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
370
Inclusion Criteria

1. Acute pulmonary embolism and categorized as intermediate-high risk and documented by CT pulmonary angiography (CTPA), V/Q scan, V/Q SPECT or pulmonary angiography with emboli in at least one segmental or more proximal artery
2. Troponin I or high sensitivity Troponin T elevated as per local lab
3. Evidence of right ventricular dysfunction (RVD) on echocardiography or CTPA
4. With at least one of the following clinical criteria:
- SBP lower than 110 mmHg for > 15 min or,
- Respiratory rate > 20 per min or SaO2 < 90% on room air or,
- Sinus tachycardia >= 110 bpm sustained over 30 seconds.
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 185
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 185

Exclusion Criteria

1. Presence of right heart thrombus
2. Reperfusion therapy planned.
3. Patients with forbidden previous or concomitant treatment
4. Known or pre-existing chronic pulmonary hypertension
5. Uncontrolled hypertension defined as SBP>180 mm Hg and/or DBP >110 mm Hg
6. Patients with a high risk of haemorrhage
7. Patients with less than 3 months of life expectancy
8. Platelet count lower than 100 G/L (100 000 platelets/µL), INR above 1.5 or abnormal aPTT not explained by concomitant anticoagulation therapy
9. Positive results of pregnancy test or lacting women

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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