MedPath

Urokinase

Generic Name
Urokinase
Brand Names
Kinlytic
Drug Type
Biotech
CAS Number
9039-53-6
Unique Ingredient Identifier
83G67E21XI
Background

Urokinase is an endogenous peptide that is cleaved in the presence of plasmin between lysine 158 and isoleucine 159 to yield active urokinase. Urokinase remains connected between these 2 chains by a sulfhydryl bond.

Urokinase was granted FDA approval on 16 January 1978.

Indication

In Canada, urokinase is indicated for lysis of acute massive pulmonary emboli, acute thrombi obstructing coronary arteries, occlusive thromboemboli in peripheral arteries and grafts, and restoration of patency to intravenous catheters.

Associated Conditions
Obstruction; Catheter, Infusion Catheter (Vascular), Pulmonary Embolism, Pulmonary Embolism Acute Massive, Thromboembolism of the Coronary Artery, Thromboembolism of the Graft, Thromboembolism of the Peripheral Artery

Safety and Efficacy Study of Urokinase for the Treatment of Diabetic Foot Syndrome and Critical Limb Ischemia

Phase 3
Terminated
Conditions
Critical Limb Ischemia
Diabetic Foot
Interventions
First Posted Date
2012-07-11
Last Posted Date
2014-04-07
Lead Sponsor
GWT-TUD GmbH
Target Recruit Count
34
Registration Number
NCT01638585
Locations
🇩🇪

Städtisches Krankenhaus DD-Neustadt, Dresden, Germany

🇩🇪

Klinikum Westfalen/Klinikum am Park, Lünen, Germany

🇩🇪

Vivantes Klinikum im Friedrichshain, Berlin, Germany

and more 15 locations

Local Thrombolytics Before Thrombectomy in STEMI

Phase 4
Conditions
Coronary Artery Disease
Interventions
Drug: Saline
First Posted Date
2012-04-02
Last Posted Date
2020-04-08
Lead Sponsor
University of Roma La Sapienza
Target Recruit Count
100
Registration Number
NCT01568931

Intrapleural Urokinase for Retained Hemothorax

Phase 3
Conditions
Retained Hemothorax
Interventions
Drug: placebo
First Posted Date
2010-05-31
Last Posted Date
2010-05-31
Lead Sponsor
National Taiwan University Hospital
Target Recruit Count
32
Registration Number
NCT01134237
Locations
🇨🇳

Chin-Chih Chang, Taipei, Taiwan

Recombinant Streptokinase Versus Urokinase in Pulmonary Embolism in China (RESUPEC)

Phase 4
Completed
Conditions
Pulmonary Embolism
Pulmonary Thromboembolism
Interventions
First Posted Date
2009-08-31
Last Posted Date
2009-09-01
Lead Sponsor
Beijing Chao Yang Hospital
Target Recruit Count
83
Registration Number
NCT00968929
Locations
🇨🇳

The General Hospital of Shenyang Military Command, Shenyang, Liaoning, China

🇨🇳

Shenzhen People's Hospital, Shenzhen, Guangdong, China

🇨🇳

Guangdong Institute of Respiratory Disease, Guangzhou Medical University,, Guangzhou, Guangdong, China

and more 5 locations

Urokinase Therapy in Patients With Diabetic Foot Syndrome

Phase 3
Terminated
Conditions
Diabetic Foot
Ischemia
Arterial Occlusive Disease
Interventions
Procedure: standard therapy
First Posted Date
2009-01-15
Last Posted Date
2015-03-13
Lead Sponsor
medac GmbH
Target Recruit Count
5
Registration Number
NCT00823225
Locations
🇩🇪

Franziskus Krankenhaus, Berlin, Germany

🇩🇪

Klinikum Dortmund Nord GmbH, Dortmund, Germany

🇩🇪

Klinikum Karlsbad Langensteinbach, Karlsbad, Germany

and more 3 locations

12-h and 2-h Urokinase Regimes of Pulmonary Thromboembolism in China

Phase 4
Completed
Conditions
Pulmonary Embolism
Thromboembolism
Interventions
First Posted Date
2008-12-01
Last Posted Date
2008-12-01
Lead Sponsor
Beijing Chao Yang Hospital
Target Recruit Count
129
Registration Number
NCT00799968
Locations
🇨🇳

Shenzhen People's Hospital, Shenzhen, Guangdong, China

🇨🇳

The Second Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China

🇨🇳

Tangshan Worker's Hospital, Hebei Medical University, Tangshan, Hebei, China

and more 28 locations

Urokinase Versus Video-assisted Thoracoscopic to Treat Complicated Parapneumonic Empyema in Childhood

Phase 3
Completed
Conditions
Empyema
Pneumonia
Interventions
Procedure: Video-Assisted Thoracoscopic
First Posted Date
2008-11-26
Last Posted Date
2010-10-28
Lead Sponsor
Spanish Society of Pediatric Surgery
Target Recruit Count
200
Registration Number
NCT00798278
Locations
🇪🇸

Hospital Infantil La Paz, Madrid, Spain

🇪🇸

Hospital de Donostia, San Sebastián, Donostia, Spain

🇪🇸

Hospital Universitario 12 de Octubre, Madrid, Spain

and more 3 locations

Urokinase Therapy in Diabetic Foot Syndrome

Phase 2
Completed
Conditions
Ischemia
Diabetic Foot
Arterial Occlusive Disease
Interventions
First Posted Date
2007-10-01
Last Posted Date
2010-03-25
Lead Sponsor
medac GmbH
Target Recruit Count
77
Registration Number
NCT00537498
Locations
🇩🇪

Universitätsklinikum Carl Gustav Carus UniversitätsGefäßcentrum, Dresden, Germany

Dornase Alfa and Urokinase for Kids With Pleural Empyema

Phase 2
Conditions
Pleural Empyema
Interventions
First Posted Date
2007-07-17
Last Posted Date
2008-05-12
Lead Sponsor
Azienda Ospedaliera di Padova
Target Recruit Count
94
Registration Number
NCT00502632
Locations
🇮🇹

Azienda Ospedaliera di Padova, Padova, Italy

🇮🇹

Ospedali Riuniti di Bergamo, Bergamo, Italy

🇮🇹

Ospedale Bambino Gesu', Roma, Italy

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