A Trial in Recombinant Human Prourokinase to Treat Acute Pulmonary Embolism (ERUPTE)
A Phase IIa Trial to Assess the Efficacy and Safety of Recombinant Human Prourokinase in the Treatment of Acute Pulmonary Embolism
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
-
-
Beijing
-
Beijing, Beijing, China, 100037
- Fuwai Hospital
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Beijing, Beijing, China
- Anzhen Hospital, Capital Medical University
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Beijing, Beijing, China
- Beijing Tongren Hospital,Capital Medical University
-
-
Heilongjiang
-
Harbin, Heilongjiang, China
- The Second Affiliated Hospital of Harbin Medical University
-
-
Henan
-
Zhengzhou, Henan, China
- the First Affiliated Hospital of Zhengzhou University
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Zhengzhou, Henan, China
- Henan Provincial People's Hospital
-
-
Hubei
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Wuhan, Hubei, China
- Wuhan Asia Heart Hospital
-
-
Hunan
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Changsha, Hunan, China
- Xiangya Hospital, Central South University
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Jiangsu Province Hospital
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Nanjing, Jiangsu, China
- Nanjing First Hospital
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Jiangxi
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Nanchang, Jiangxi, China
- The First Affiliated Hospital of Nanchang University
-
-
Jilin
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Changchun, Jilin, China
- The First Hospital of Jilin University
-
-
Liaoning
-
Shenyang, Liaoning, China
- The First Hospital of China Medical University
-
-
Ningxia
-
Yinchuan, Ningxia, China
- General Hospital of Ningxia Medical University
-
-
Shanxi
-
Xi'an, Shanxi, China
- The First Affiliated Hospital Of Xi'an Jiaotong University
-
-
Sichuan
-
Chengdu, Sichuan, China
- West China Hospital of Sichuan University
-
-
Tianjin
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Tianjin, Tianjin, China
- Tianjin Chest Hospital
-
-
Zhejiang
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Hangzhou, Zhejiang, China
- Sir Run Run Shaw Hospital affiliated with the Zhejiang University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18-75 years(Include the critical value)AND
- High-risk PE or medium high-risk PE AND
- PE symptom duration ≤14 days AND
- PLT≥100×10^9/L,ALT and AST≤2.5ULN,TBIL<ULN,Cr within the normal range AND
- Informed consent can be obtained from subject or Legally Authorized Representative
Exclusion Criteria:
- Hemorrhagic or unexplained stroke history
- Ischemic stroke or transient ischemic attack (TIA) within 6 months
- The existence of the central nervous system injury or tumor
- Severe trauma,major surgery or head injury within 3 weeks
- Active bleeding within 1 month
- Clinician deems high-risk for bleeding
- Using anticoagulants (after a washout period can be randomized)
- Pregnancy or delivery within 1 week
- Vascular puncture which can not be oppressed
- Cardiopulmonary resuscitation within 10 days
- Systolic blood pressure above 180 mmHg or diastolic blood pressure above 100mmHg
- Severe liver dysfunction
- Infective endocarditis
- Arterial aneurysm or arteriovenous malformation or suspected aortic dissection
- left atrial thrombus
- Neurosurgery or eye surgery within 1 month
- Hemorrhagic diabetic retinopathy
- Serious cardiac insufficiency
- ventricular arrhythmias
- Known allergic to prourokinase,urokinase,recombinant tissue-type plasminogen activator,contrast agent or any drug in the trial
- Do not allow for 30 days' study
- Any disease or condition is not suitable for intravenous thrombolysis
- Lactating women or plan to pregnant women during the trial,or don't want to during the study period using effective contraception or abstinence of male and female patients with possibility of fertility
- Clinician thinks patient doesn't fit to participate in the test of other diseases or conditions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Low Dose Experimental Group
Recombinant Human Prourokinase:40mg
|
The drug is used for intravenous thrombolysis therapy
Other Names:
|
|
EXPERIMENTAL: High Dose Experimental Group
Recombinant Human Prourokinase:50mg
|
The drug is used for intravenous thrombolysis therapy
Other Names:
|
|
ACTIVE_COMPARATOR: Active Comparator Controlled Group
Alteplase:100mg if weight>=65kg, 1.5mg/kg if weight<65kg
|
The drug is used for intravenous thrombolysis therapy
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Qanadli CT Score
Time Frame: 0 and 48hours after treatment
|
Change of Qanadli Score from baseline by CTPA 48hours after treatment
|
0 and 48hours after treatment
|
|
Average pulmonary artery pressure
Time Frame: 0,24hours,48hours,7days and 30days after treatment
|
Changes of average pulmonary artery pressure from baseline 24hours,48hours,7days and 30days after treatment
|
0,24hours,48hours,7days and 30days after treatment
|
|
Three tricuspid regurgitation velocity
Time Frame: 0,24hours,48hours,7days and 30days after treatment
|
Changes of Three tricuspid regurgitation velocity from baseline 24hours,48hours,7days and 30days after treatment
|
0,24hours,48hours,7days and 30days after treatment
|
|
RV to LV Diameter Ratio(Ultrasonic echocardiography)
Time Frame: 0,24hours,48hours,7days and 30days after treatment
|
Changes of RV to LV Diameter Ratio from baseline 24hours,48hours,7days and 30days after treatment
|
0,24hours,48hours,7days and 30days after treatment
|
|
RV to LV Diameter Ratio(CTPA)
Time Frame: 0,24hours,48hours,7days and 30days after treatment
|
Changes of RV to LV Diameter Ratio from baseline 24hours,48hours,7days and 30days after treatment
|
0,24hours,48hours,7days and 30days after treatment
|
|
Pulmonary systolic pressure
Time Frame: 0,24hours,48hours,7days and 30days after treatment
|
Changes of pulmonary systolic pressure from baseline 24hours,48hours,7days and 30days after treatment
|
0,24hours,48hours,7days and 30days after treatment
|
|
NT-proBNP
Time Frame: 0,48hours and 30days after treatment
|
Changes of NT-proBNP from baseline 48hours and 30days after treatment
|
0,48hours and 30days after treatment
|
|
Major bleeding
Time Frame: From baseline to 30 days
|
The frequency of major bleeding
|
From baseline to 30 days
|
|
bleeding
Time Frame: From baseline to 30 days
|
The frequency of bleeding
|
From baseline to 30 days
|
|
Incidence of death from all causes
Time Frame: From baseline to 7 days
|
Incidence of death from all causes
|
From baseline to 7 days
|
|
Incidence of recurrent pulmonary embolism
Time Frame: From baseline to 7 days
|
Incidence of recurrent pulmonary embolism
|
From baseline to 7 days
|
|
Incidence of death from all causes
Time Frame: From baseline to 30 days
|
Incidence of death from all causes
|
From baseline to 30 days
|
|
Incidence of hemodynamic deterioration
Time Frame: From baseline to 7 days
|
Incidence of hemodynamic deterioration
|
From baseline to 7 days
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
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
- TASLY-B1448
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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