跳至主要内容
临床试验/NCT00442234
NCT00442234已完成4 期

Pharmacokinetic/Pharmacodynamic Study of Monteplase ("Cleactor") in Acute Pulmonary Embolism

Eisai Inc.2 个研究点 分布在 1 个国家目标入组 5 人开始时间: 2007年5月1日最近更新:
适应症
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
Eisai Inc.
入组人数
5
试验地点
2
主要终点
Monteplase antigen levels in plasma; Monteplase activity in plasma; parameters of coagulating and fibrinolytic system (Plasminogen activity, a2-PI, PIC, fibrinogen, D-dimer).

研究概览

简要总结

To investigate PK and coagulating and fibrinolytic parameter profiles (PD) at the approved dose (13,750 - 27,500 IU/kg) in patients with acute pulmonary embolism accompanying hemodynamic instability.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients who consent for study participation and submit written informed consent with free will by patient or legally authorized representative.
  • Patients aged between 20 years or above and under 75 years old at the time of obtaining informed consent.
  • Patients with acute pulmonary embolism within 5 days after the onset.
  • Patients with acute pulmonary embolism with hemodynamic instability and fulfill all of the following 4 items:
  • Confirmed to have thrombi, emboli, or disorders in pulmonary circulation detected by pulmonary angiography or computed tomography.
  • Confirmed to have any of the following right ventricular overloads by echocardiography:
  • i) Dilation of right ventricular cavity or hypokinesis in ventricular wall
  • ii) Floating thrombi in pulmonary artery and right heart
  • iii) Paradoxical motion in the interventricular septum
  • iv) Disparity of tricuspid regurgitation pressure
  • v) Enlargement of pulmonary artery
  • Mean pulmonary arterial pressure (PAP) is 20 mmHg or above
  • PaO2 is 65 mmHg or below (confirmed by blood gas analysis)

排除标准

  • Patients with concurrent hemorrhage (e.g., gastrointestinal bleeding, urinary tract bleeding, retroperitoneal bleeding, intracranial bleeding, or hemoptysis).
  • Patients who underwent intracranial or spinal operation or injury within 2 months prior to study treatment.
  • Patients with intracranial tumor, arteriovenous malformation, or aneurysm
  • Patients with hemorrhagic diathesis (e.g., vascular purpura, thrombocytopenia, hemophilia)
  • Patients with hypertension of systolic blood pressure >=180 mmHg or diastolic pressure >= 110 mmHg.
  • Patients with a history of cerebrovascular disorder (e.g., cerebral infarction, intracerebral hemorrhage).
  • Patients with severe hepatic disorder (e.g., cirrhosis, severe hepatitis) or severe renal disorder (e.g., renal failure).
  • Patients received thrombolytic drug (t-PA or urokinase) within 7 days prior to study treatment.
  • Patients with pulmonary cardiac arrest (CPA).
  • Patients with a history of hypersensitivity to monteplase or protein preparations.
  • Pregnant women, women suspected of being pregnant, women who desire to become pregnant during a period between obtaining informed consent to the final observation, or lactating women.
  • Patients who are judged to be ineligible for study entry by the investigator or subinvestigator.

结局指标

主要结局

Monteplase antigen levels in plasma; Monteplase activity in plasma; parameters of coagulating and fibrinolytic system (Plasminogen activity, a2-PI, PIC, fibrinogen, D-dimer).

次要结局

  • Symptoms and signs of acute pulmonary embolism; pulmonary thrombosis; echocardiography; pulmonary arterial pressure; blood gas; vital signs; laboratory tests (e.g., hematology and blood chemistry); adverse events; concomitant therapies; dosing regimen.

研究者

发起方
Eisai Inc.
申办方类型
Industry
责任方
Sponsor

研究点 (2)

Loading locations...

相似试验