MedPath

Plasmin

Generic Name
Plasmin
Brand Names
Ryplazim
Drug Type
Biotech
CAS Number
9001-91-6
Unique Ingredient Identifier
1EF190B6M7
Background

Plasminogen is a pro-enzyme (i.e. a zymogen) which is cleaved to form plasmin - also known as fibrinolysin - as part of the fibrinolytic pathway that breaks down fibrin blood clots. This pathway is activated when a clot is no longer needed or to prevent a clot from extending beyond the site of injury.

In June 2021, the FDA approved a plasma-derived plasminogen (Ryplazim, human plasminogen-tvmh) for the treatment of type 1 plasminogen deficiency (hypoplasminogenemia). It is the first and only FDA-approved treatment for this condition, which causes wood-like lesions to form on the mucous membranes of patients, providing an unmet medical need for patients with this rare congenital disease.

Indication

Plasma-derived human plasminogen, marketed under the brand name Ryplazim, is indicated for the treatment of patients with plasminogen deficiency type 1 (hypoplasminogenemia).

Associated Conditions
Type I Plasminogen Deficiency

Safety and Efficacy of the Penumbra™ System in Acute Middle Cerebral Artery (MCA) Stroke

Phase 2
Withdrawn
Conditions
Stroke
Interventions
First Posted Date
2010-05-28
Last Posted Date
2015-09-03
Lead Sponsor
Hospital de Clinicas de Porto Alegre
Registration Number
NCT01133223
Locations
🇧🇷

Hospital de Clinicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

Acute Venous Thrombosis: Thrombus Removal With Adjunctive Catheter-Directed Thrombolysis

Phase 3
Completed
Conditions
Deep Vein Thrombosis
Venous Thrombosis
Postphlebitic Syndrome
Venous Thromboembolism
Post Thrombotic Syndrome
Interventions
First Posted Date
2008-11-13
Last Posted Date
2018-03-29
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
692
Registration Number
NCT00790335
Locations
🇺🇸

Temple University Hospital, Philadelphia, Pennsylvania, United States

🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

🇺🇸

Allegheny General Hospital, Pittsburgh, Pennsylvania, United States

and more 53 locations

Study to Evaluate Plasmin for the Creation of a Posterior Vitreous Detachment

Phase 2
Terminated
Conditions
Vitreoretinal Traction Syndrome
Interventions
Drug: Vehicle
First Posted Date
2006-07-04
Last Posted Date
2019-06-21
Lead Sponsor
Bausch & Lomb Incorporated
Target Recruit Count
29
Registration Number
NCT00348439
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

A Study to Evaluate Plasmin for the Creation of a Posterior Vitreous Detachment (PVD)

Phase 1
Terminated
Conditions
Vitreoretinal Traction Syndrome
Interventions
First Posted Date
2006-07-04
Last Posted Date
2019-06-21
Lead Sponsor
Bausch & Lomb Incorporated
Target Recruit Count
4
Registration Number
NCT00347646
Locations
🇺🇸

University Hospitals of Cleveland, Cleveland, Ohio, United States

Interventional Management of Stroke (IMS) II Study

Phase 2
Completed
Conditions
Stroke
First Posted Date
2005-10-25
Last Posted Date
2012-07-25
Lead Sponsor
University of Cincinnati
Target Recruit Count
81
Registration Number
NCT00243906
Locations
🇺🇸

University of Cincinnati, Cincinnati, Ohio, United States

Intraventricular Rt-PA in Patients With Intraventricular Hemorrhage

Phase 2
Completed
Conditions
Cerebral Hemorrhage
First Posted Date
2002-01-11
Last Posted Date
2015-03-25
Lead Sponsor
Johns Hopkins University
Target Recruit Count
30
Registration Number
NCT00029315
Locations
🇺🇸

The Johns Hopkins University, Baltimore, Maryland, United States

Treatment for Blood Clots in the Veins of the Legs

Phase 1
Completed
Conditions
Embolism
Thrombophlebitis
First Posted Date
1999-11-04
Last Posted Date
2008-03-04
Lead Sponsor
National Institutes of Health Clinical Center (CC)
Target Recruit Count
20
Registration Number
NCT00001713
Locations
🇺🇸

National Institutes of Health Clinical Center (CC), Bethesda, Maryland, United States

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