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A open label, phase IV clinical trial examining the efficacy of Prothrombinex alone verses Prothrombinex combined with fresh frozen plasma in patients who require Warfarin reversal.

Phase 4
Recruiting
Conditions
The efficacy to reverse the effect of warfarin by prothrombinex alone
Blood - Clotting disorders
Registration Number
ACTRN12607000567426
Lead Sponsor
Frankston Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
40
Inclusion Criteria

1. Patients who are on Warfarin therapy with an asymptomatic INR >9 where the treating clinician wishes to reverse the effects of the drug
2. Any clinically significant bleeding where Warfarin induced coagulopathy is considered a contributing factor and an INR of >2.5 where Warfarin reversal is considered important by the clinician
3. Pre surgery if INR >2.5 on the day of surgery and the clinician requires reversal of the effects of Warfarin
4. Patient is = 18 years of age.
5. Patients that are able to understand and apply with study protocol requirements and instructions and intends to complete the study as planned.
6. Patient signs and dates written informed consent.

Exclusion Criteria

1.Active bleeding requiring blood transfusion.
2.Patients with a known allergy to prothrombin complex concentrates or fresh frozen plasma.
3.Participation in another pharmacotherapeutic study within 30 days.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The rapid reversal of Warfarin and defined by INR<2 (internationalised ratio reflects the level of warfarin)[30 minutes post administration of prothrombinex-VF]
Secondary Outcome Measures
NameTimeMethod
Safety outcomes:<br>allergic reaction to Prothrombinex<br>the development of a complication with prothrombinex-VF namely thrombosis[day 30 post administration of prothrombinex]
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