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临床试验/EUCTR2008-008354-23-PL
EUCTR2008-008354-23-PL进行中(未招募)不适用

CONSERVTM – 2 (Clinical Outcomes and Safety Trial to Investigate Ecallantide’s Effect on Reducing Surgical Blood Loss Volume) – A Phase 2 Randomized Double-Blind Active-Controlled Study in Subjects Exposed to Cardio-pulmonary Bypass During Cardiac Surgery at High Risk of Bleeding - CONSERV-2

Cubist Pharmaceuticals,INC0 个研究点目标入组 300 人开始时间: 2009年3月9日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
300

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1.Written informed consent (by study subject) prior to any study-related procedure not part of normal medical care;
  • 2.Male or female between the ages of 18 and 85 years old, inclusive; and
  • 3.Planned cardiac surgery using cardio-pulmonary bypass, for one of the following procedures;
  • Any repeat sternotomy
  • surgery to repair or replace more than one valve
  • Combined CABG plus repair or replacement of at least one valve
  • 4.If female, subject is non-lactating, and is either:
  • Not of childbearing potential, defined as postmenopausal for at least one year or surgically sterile due to bilateral tubal ligation, bilateral oophorectomy, or historectomy;
  • Of childbearing potential but is not pregnant as confirmed by negative pregnancy test at time of screening (based on the ß-subunit of HCG), and is practicing the barrier method of birth control along with one of the following methods: oral or parenteral contraceptives for three months prior to study drug administration, a vasectomized partner, or abstinence from sexual intercourse.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1.Planned primary CABG, single valve repair or replacement surgery, or any off pump procedure;
  • 2.Body weight <55 kg;
  • 3.Planned hypothermia (<28ºC);
  • 4.Planned transfusion in the peri-operative or post-operative periods;
  • 5.Planned transfusion of pre-operatively donated autologous blood;
  • 6.Female subjects who are pregnant or lactating;
  • 7.Planned use of desmopressin, lysine analogs (other than study medication), atrial natriuretic hormone or recombinant activated Factor VII;
  • 8.Planned use of corticosteroids in the pump prime solution;
  • 9.Ejection fraction <30% within 90 days prior to surgery;
  • 10.Evidence of a myocardial infarction within 5 days prior to surgery;
  • 11.History of stroke or transient ischemic attack within 3 months prior to surgery;
  • 12.Hypotension or heart failure requiring the use of inotropes or mechanical devices within 24 hours prior to surgery;
  • 13.Serum creatinine >2.0 mg/dL within 48 hours prior to surgery;
  • 14.Serum hepatic enzymes (aspartate aminotransferase or alanine aminotransferase) above 2.5 times the upper limit of normal for the applicable laboratory;
  • 15.Hematocrit <32% within 48 hours prior to surgery;
  • 16.Platelet count below the normal range for the applicable laboratory within 14 days prior to surgery;
  • 17.History of, or family history of, bleeding or clotting disorder (e.g. von Willebrand’s Disease, idiopathic thrombocytopenia purpura) or thrombophilia such as anti-thrombin III deficiency or Factor V Leiden mutation;
  • 18.History of heparin-induced thrombocytopenia;
  • 19.Prothrombin time (PT) and/or activated partial thromboplastin time (aPTT) >1.5 X normal range unless subject received heparin within 24 hours of test;
  • 20.Serious intercurrent illness or active infection (e.g. endocarditis, sepsis, active malignancy requiring treatment);
  • 21.Any previous exposure to ecallantide;
  • 22.Receipt of an investigational drug or device 30 days prior to participation in the current study;
  • 23.Any other condition that, in the opinion of the investigator, may compromise the safety or compliance of the subject or would preclude the subject from successful completion of the study;
  • 24.Inability to comply with the protocol for the duration of the study;
  • 25.Known allergy to any agent expected to be used in the intra-operative or post-operative periods; and
  • 26.Administration of:
  • a. Eptifibatide within 6 hours prior to surgery
  • b.Tirofiban hydrochloride within 6 hours prior to surgery
  • c.*Enoxaparin sodium or other low-molecular-weight heparin <24 hours prior to surgery
  • d.Prasugrel within 10 days prior to surgery
  • e.Clopidogrel within 3 days prior to surgery
  • f.Ticlopidine within 7 days prior to surgery
  • g.Abciximab within 5 days prior to surgery
  • h.*Bivalirudin, argatroban or lepirudin within 6 hours prior to surgery
  • i.*Fondaparinux within 72 hours prior to surgery
  • j.Chlorpromazine within 7 days prior to surgery
  • *Prophylactic use permitted for the prevention of deep vein thrombosis.
  • 27.Planned use of heparin bonded bypass circuits;
  • 28.Known allergy or hypersensitivity to tranexamic acid or any of the other ingredients;
  • 29.Disturbance of color sense;
  • 30.Evidence of hematuria or any acute thromboses or thromboembolic diseases such as deep vein thrombosis, pulmonary embolism, or vertebral vein thrombosis.

研究者

发起方
Cubist Pharmaceuticals,INC

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