MedPath

Octaplas Adult TTP Trial

Terminated
Conditions
Thrombotic Thrombocytopenic Purpura
Interventions
Biological: Octaplas
Drug: Standard Plasma
Registration Number
NCT01938404
Lead Sponsor
Octapharma
Brief Summary

To assess and evaluate the safety of octaplas™ in comparison to standard plasma product (e.g., fresh frozen plasma (FFP) and other approved plasma products used within 24 hours of thawing) used in the treatment of TTP, in patients undergoing Therapeutic Plasma Exchange, with a special emphasis on the occurrence of thromboembolic events (TEEs).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1
Inclusion Criteria
  1. Patient is a male or female at least 18 years of age or older.
  2. Patient has a diagnosis of TTP or suspicion of TTP that is planned on being treated with TPE within 3 days of study entry.
  3. Patient has thrombocytopenia (platelets < 100 x 10P9P/L).
  4. Patient is willing to give voluntary written informed consent before any study-related procedure is to be performed that is not part of standard medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.
Exclusion Criteria
  1. Patient has a history of severe hypersensitivity reaction to plasma-derived products or to FFP.
  2. Patient has an already known IgA deficiency with documented antibodies against IgA.
  3. Patient is currently participating in an interventional clinical study or has participated during the past 1 month prior to study inclusion.
  4. Patient has severe deficiencies of Protein S.
  5. Patient received more than 1 treatment of plasma exchange or plasma infusion for current episode of TTP prior to randomization.
  6. Patient is currently taking ACE-inhibitors; in case patient is under ACE-inhibitor treatment a wash-out period of at least 24 hours has to elapse prior the first plasma infusion.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
OctaplasOctaplasPatients receiving Octaplas for the treatment of Thrombotic Thrombocytopenic Purpura (TTP) undergoing therapeutic plasma exchange (TPE) procedures
standard plasma productsStandard PlasmaPatients receiving standard plasma products (e.g., FFP, etc) for the treatment of Thrombotic Thrombocytopenic Purpura (TTP) undergoing therapeutic plasma exchange (TPE) procedures
Primary Outcome Measures
NameTimeMethod
The incidence of TEEs in patients receiving octaplas™ will be compared with the incidence rate in patients receiving plasma issued according to institutional standard of care.Up to 28 days followed by a 24 hour follow-up
Secondary Outcome Measures
NameTimeMethod
Incidence of Citrate reactions during TPE based on clinical judgment of physician.Up to 28 days followed by a 24 hour follow-up
Incidence of Plasma-associated adverse reactions including Transfusion-Associated Circulatory Overload (TACO),Up to 28 days followed by a 24 hour follow-up
Incidence of Transfusion-Related Acute Lung Injury (TRALI)Up to 28 days followed by a 24 hour follow-up
Incidence of febrile reactionsUp to 28 days followed by a 24 hour follow-up
Measurement of Safety laboratory parameters - International Normalized Ratio (INR)Up to 28 days followed by a 24 hour follow-up
Measurement of Prothrombin Time (PT)/Partial Thromboplastin Time (PTT).Up to 28 days followed by a 24 hour follow-up
Determination of overall clinical response (rating scale that takes into account platelet count, LDH levels, creatinine and neurological status).Up to 28 days followed by a 24 hour follow-up
measurement of Platelet countUp to 28 days followed by a 24 hour follow-up
measurement of hemoglobinUp to 28 days followed by a 24 hour follow-up
measurement of hematocritUp to 28 days followed by a 24 hour follow-up
measurement of LDH.Up to 28 days followed by a 24 hour follow-up

Trial Locations

Locations (1)

Octapharma Study Site

🇺🇸

Rochester, New York, United States

© Copyright 2025. All Rights Reserved by MedPath