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Intra-arterial Microplasmin Administration in Patients With Acute Peripheral Arterial Occlusion

Phase 2
Terminated
Conditions
Arterial Occlusive Diseases
Interventions
Registration Number
NCT00123292
Lead Sponsor
ThromboGenics
Brief Summary

The purpose of the trial is to evaluate the safety and efficacy of microplasmin administration in patients with acute peripheral arterial occlusion.

Detailed Description

This clinical trial is designed as an open-label, dose-escalating, single-centre trial of weight-adjusted dose regimens of microplasmin administered intra-arterially as an infusion to patients with acute peripheral arterial occlusion. Patients who meet all inclusion criteria and none of the exclusion criteria will be administered study drug for up to 4 hours. Different dose regimens will be evaluated in an ascending-dose fashion; an infusion will be administered for up to 4 hours.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • Patients presenting within 14 days of onset of acute thrombotic or embolic arterial occlusion of a lower extremity (native vessel or bypass graft).
  • Complete occlusion of infrarenal vessel or bypass graft, as determined by angiography.
  • Lower extremity ischemia graded as SVS/ISCS (Society of Vascular Surgery/ International Society for Cardiovascular Surgery) class I or II (a or b).
  • Negative urine pregnancy test (pregnancy test only required for females of child-bearing potential not using an accepted method of contraception).
Exclusion Criteria
  • Profound ischemia with permanent motor paresis or sensory loss (or ischemic process deemed irreversible, i.e. class III).
  • Occlusion not penetrable by the infusion guide wire.
  • Known or suspected allergy to contrast agents or heparin sodium.
  • Active bleeding or known hemorrhagic diathesis.
  • Stroke in the previous 6 months or transient ischemic attack in the previous 2 months.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
3Microplasmin-
4bMicroplasmin-
1Microplasmin-
2Microplasmin-
4aMicroplasmin-
Primary Outcome Measures
NameTimeMethod
Complete clot-lysis (defined as >95% estimated clot volume reduction compared to baseline angiogram)at 4 hours or less (if study drug administration is terminated prior to 4 hours).
Secondary Outcome Measures
NameTimeMethod
Proportion of subjects with clot-lysis (complete or partial, defined as any clot volume reduction on angiography)At 4 hours or less (if study drug administration is terminated prior to 4 hours).

Trial Locations

Locations (1)

University Hospital Gasthuisberg

🇧🇪

Leuven, Belgium

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