Microplasmin Administered Via the Trellis-8 Infusion System for Treatment of Acute Iliofemoral DVT (MAX-DVT)
An Open Label Clinical Trial of Microplasmin Administered Via the Trellis-8 Infusion System for the Treatment of Acute Iliofemoral Deep Vein Thrombosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Co Galway
-
Galway, Co Galway, Ireland
- Section of Interventional Radiology, Department of Radiology, University College Hospital, Newcastle Road
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria include:
- Patients with radiographically-confirmed acute proximal DVT
Exclusion Criteria include:
- Isolated calf or popliteal vein DVT, based on duplex ultrasound
- Thrombus involving the inferior vena cava (IVC)
- Proximal (e.g. cranial) aspect of thrombus cannot be adequately assessed to level of the iliac veins or inferior vena cava, based on duplex ultrasound.
- Cannot traverse the target vessel segment with guidewire
- Symptomatic pulmonary embolism is present at time of presentation
- Documented history of prior DVT in target extremity
- History of anticoagulants administered for > 30 days for undocumented/ unclear reason (e.g. for reasons other than presence of mechanical cardiac valve, atrial fibrillation, etc.)
- Documented history of thrombophilic disorder, with diagnosis established via previous objective testing (e.g. familial screening for thrombophilia).
- Cannot receive standard secondary prevention pharmacotherapy [i.e. heparin or LMWH and vitamin K antagonists (VKA)] due to contraindications to anticoagulation [e.g. known bleeding diathesis, thrombocytopenia (platelets < 100,000 mm3), heparin induced thrombocytopenia (HIT), known allergy to heparin or warfarin]
- Absolute contraindication to thrombolytic therapy
- Previous central nervous system haemorrhage
- Life expectancy less than 1 year, due to other comorbid condition.
- Previous intervention in target limb to address venous thrombus.
- Target limb has chronic venous insufficiency of C4 or greater severity
- Acute or chronic symptomatic musculoskeletal condition in target limb (e.g. trauma, fracture, severe arthritis).
- Documented patent foramen ovale or other right-to-left cardiac shunt.
- Absolute contraindication to contrast media or renal insufficiency (baseline creatinine >2.0 mg/dL).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: 1
|
20mg with Trellis-8 15cm Treatment length 40mg with Trellis-8 30cm Treatment length
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Treatment success - treated segment has < 25% residual thrombus AND flow is present following administration of microplasmin
Time Frame: During intervention procedure
|
During intervention procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Grade of lysis
Time Frame: Upon completion of procedure
|
Upon completion of procedure
|
|
Limb patency
Time Frame: Baseline, 48h post procedure, Day-7 and Day-30
|
Baseline, 48h post procedure, Day-7 and Day-30
|
|
Target limb reintervention
Time Frame: Day-7 and Day-30
|
Day-7 and Day-30
|
|
Clinical outcomes
Time Frame: Baseline, 48h post procedure, Day-7 and Day-30
|
Baseline, 48h post procedure, Day-7 and Day-30
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Gerard O'Sullivan, MD, Section of Interventional Radiology, Department of Radiology, University College Hospital, Newcastle Road, Galway
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TG-M-005
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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