Safety, Pharmacokinetics and Efficacy of an ATIII Concentrate
A Phase II/III Pivotal Trial Evaluating the Safety, Pharmacokinetic Properties and Efficacy of a Plasma-Derived Anti-thrombin III Concentrate With Administration in Surgery, Pregnancy and Thromboembolic or Thrombotic Events
1 other identifier
interventional
30
0 countries
N/A
Brief Summary
To assess the safety, pharmacokinetics and efficacy of a plasma-derived AT-III concentrate in the treatment of subjects with congenital AT-III deficiency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jan 2006
Longer than P75 for phase_2
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
April 26, 2006
CompletedFirst Posted
Study publicly available on registry
April 27, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2029
August 25, 2023
August 1, 2023
22.9 years
April 26, 2006
August 24, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
The primary objectives of this clinical study are to:
2 years
Assess the pharmacokinetic (PK) profile of AT-III in congenital AT-III deficient patients
1 year
To measure the in vivo recovery and half-life of AT-III.
1 year
To assess the clinical safety and tolerability of AT-III-DAF/DI.
1 year
Secondary Outcomes (1)
To assess clinical efficacy by preventing thromboembolic or thrombotic events (prophylaxis) in individuals with congenital AT-III deficiency who are undergoing surgical procedures or who are pregnant and undergoing parturition.
1 year
Study Arms (1)
Antithrombin III
EXPERIMENTALInterventions
Segment I: A single dose IV infusion of 50 IU/kg of ATIII-DAF/DI will be administered to each patient. Segment II: A single dose or multiple doses depending on the subject's ATIII plasma levels and patient's specific treatment plan.
Eligibility Criteria
You may qualify if:
- Congenital ATIII deficiency documented by determination of plasma levels of ATIII off all therapies. Specifically, the baseline levels of ATIII activity should be equal to or less than 60%.
- Age \>12 years with a body weight of no less than 30 kg.
- Have not participated in another investigational study for at least 30 days. For Segment II, enrollment requires a pregnancy/delivery or a surgical procedure (it should be a major surgery although data from a minor surgery will also be collected).
- Documented personal history of major thromboembolic or thrombotic event.
- Male or female
- HIV, HBV, HCV, HAV and PARVO B19 status known prior to entry.
- The subject is willing to comply with all aspects of the protocol, including blood sampling, for the duration of the study.
- The subject has signed an informed consent form (if at least 18 years old), or the subject's parent or legal guardian has signed the informed consent form. Subjects below the age of 18 years will also be asked to sign an assent form. All consent and assent forms must be approved in advance by the Institutional Review Board of the investigator's institution.
- Patients with heparin-associated thrombocytopenia who require anticoagulation with non-heparin containing drugs will be eligible if they can be safely transitioned during the washout period for the Segment I PK study.
- If pregnant, a woman must be Parvo B19 IgG antibody positive.
You may not qualify if:
- Acquired deficiency of ATIII.
- Receiving concomitant treatment for thrombophilic disorders other than ATIII deficiency.
- Inability or unwillingness to comply with the protocol requirements.
- History of anaphylactic reaction(s) to blood or blood components.
- Allergies to excipients.
- Liver function tests \>/= 2.5 X ULN
- Serum creatinine \>1.2 X ULN.
- Urine \>/= 2+ protein with urine dipstick test.
- The subject is known to have abused alcohol or illicit drugs within the past 12 months.
- The subject is unlikely to adhere to the protocol requirements of the study or is likely to be uncooperative or unable to provide a storage serum sample at the screening visit.
- Patients on heparin-treatment who, for clinical reasons, cannot safely be discontinued from heparin therapy during the PK segment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Paul Pinciaro, PhD
Grifols Biologicals, LLC
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 26, 2006
First Posted
April 27, 2006
Study Start
January 1, 2006
Primary Completion (Estimated)
December 1, 2028
Study Completion (Estimated)
March 1, 2029
Last Updated
August 25, 2023
Record last verified: 2023-08