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临床试验/EUCTR2010-019760-36-SK
EUCTR2010-019760-36-SK进行中(未招募)1 期

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

Grifols Therapeutics, Incorporated0 个研究点目标入组 100 人开始时间: 2010年7月19日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
100

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Unilateral limb ischemia: symptomatic, SVS acute ischemic Categories I and IIa
  • 2. Onset of symptoms = 14 days
  • 3. Thrombosed (non-embolic) infrainguinal graft (synthetic, autologous, or single outflow composite) or infrainguinal native artery. For native arteries, occlusions of = 10 cm in length are eligible.
  • 4. Diagnosis of occlusive thrombus in the graft or artery by arteriography after informed consent is obtained
  • 5. Ability to access the thrombus with the infusion catheter and successfully embed the infusion segment of the infusion catheter.
  • 6. Subject must be able to give written informed consent prior to study entry
  • 7. Age = 18 years
  • 8. Women of childbearing potential must use adequate contraception for the duration of the study and must have a negative pregnancy test prior to study entry
  • 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
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Any medical or social condition that may interfere with the subject successfully completing the study
  • 2. Women who are pregnant or lactating, or first 10 days post-partum
  • Past Medical History
  • 3. Cardiopulmonary resuscitation in the last year
  • 4. Previous systemic or anaphylactoid allergy to contrast agent, streptokinase, or blood products (subjects allergic to shellfish or iodine are permitted to enter the study).
  • 5. Ineligible for thrombolytic treatment for any reason
  • 6. Active graft infection
  • 7. Occlusion occurred within one month of synthetic graft placement
  • 8. Occlusion occurred within 6 months of autologous graft placement
  • 9. A sequential composite graft with dual outflows to correct multiple occlusions
  • 10. Deemed by the Investigator to be medically unable to tolerate open vascular procedure
  • 11. Known prothrombotic state, e.g., anti-cardiolipin antibody, human immunodeficiency virus (HIV)-associated peripheral vascular disease
  • 12. Known contraindication to heparin (e.g., history of heparin-induced thrombocytopenia)
  • 13. Hemoglobin <10.0 g/dL (low hemoglobin at screening in the absence of active bleeding may be corrected by transfusion). Hemoglobin testing can be repeated.
  • 14. Impaired renal function or renal disease that constitutes a contraindication to contrast arteriography, including a screen/baseline creatinine of >2.0 mg/dL. Creatinine may be repeated following hydration for prerenal azotemia.
  • 15. Previous treatment with Plasmin
  • 16. Treatment with full dose plasminogen activator (e.g., streptokinase (e.g., Streptase®, Kabikinase®), anistreplase (Eminase®), alteplase (e.g., Activase®), reteplase (e.g., Retavase®), tenecteplase (TNKase™), urokinase (UK, [Abbokinase®]) within the last 48 hours
  • 17. Treatment with a glycoprotein IIb/IIIa class of platelet inhibitor within 5 days prior to study entry or at any time during the study, e.g., abciximab (ReoPro®), eptifibatide (Integrilin®) or tirofiban (Aggrastat®)
  • 18. Treatment with oral anticoagulants (e.g., warfarin, acenocumarol), and with an international normalized ratio (INR) of >1.7 (elevated INR at screening may be corrected prior to study enrollment). INR testing can be repeated.

研究者

发起方
Grifols Therapeutics, Incorporated

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