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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MDCO-2010 in Patients Undergoing Elective Coronary Artery Bypass Graft Surgery

2012年6月14日 更新者:The Medicines Company

A Double-blind, Placebo-controlled, Randomized, Single Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MDCO-2010 in Patients Undergoing Elective CABG Surgery

The purpose of this study is to demonstrate that periprocedural infusion of escalating doses of MDCO-2010 is safe and tolerated in patients undergoing elective CABG surgery, to characterize the single dose pharmacokinetics of MDCO-2010, to investigate the effect of MDCO-2010 on pharmacodynamics (biomarkers of fibrinolysis and coagulation parameters), and to investigate the effect on exploratory clinical endpoints of bleeding, transfusion requirements and reexploration.

研究概览

详细说明

This protocol describes a study of the investigational drug MDCO-2010 as a haemostasis modulator in patients undergoing elective Coronary Artery Bypass Graft (CABG) surgery involving a cardiopulmonary bypass (CPB).

Perioperative bleeding is a serious complication that adversely affects the morbidity and mortality of cardiac surgery. To alleviate this complication, prophylactic antifibrinolytic therapies are now widely accepted as a strategy to inhibit excessive fibrinolysis.

MDCO-2010, a synthetic small molecule, is a direct inhibitor of plasmin and plasma kallikrein. Both of these have been implicated with impaired haemostasis. In addition, potent inhibition of coagulation factors Xa, XIa and activated Protein C has been demonstrated. Thus, MDCO-2010 has the potential to mitigate excessive fibrinolysis and thrombin generation during cardiac surgery involving a cardiopulmonary bypass. In particular the latter is supposed to provide additional benefits beyond reducing transfusion requirements.

研究类型

介入性

注册 (实际的)

32

阶段

  • 阶段2

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 80年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria

  • Men, aged 18 to 80 years or
  • Post-menopausal women, aged up to 80 years. Postmenopausal status defined as ≥ 1 year since last menstruation in women with no medical history of hysterectomy or women with a medical history of bilateral oophorectomy
  • Planned elective, isolated primary CABG surgery with more than 1 graft, including the use of cardiopulmonary bypass
  • Written informed consent prior to any study-related procedure not part of normal medical care

Exclusion Criteria

Patients may not meet any of the following exclusion criteria:

  • Planned concomitant surgery including atrial septal defect (ASD) repair, valve replacement, carotid endarterectomy, aortic surgery, any combined procedure or any repeat sternotomy
  • Planned Off-pump CABG
  • Body weight < 55 kg or > 110 kg
  • Planned hypothermia < 28°C
  • Major surgical procedures within 30 days of entry
  • Placement of drug-eluting stent (DES) within 12 months or of bare-metal stent (BMS) within 6 weeks of entry in a vessel which is not intended to be grafted
  • Ejection fraction < 35%
  • Preoperative coagulation abnormalities

    • Platelet count < 100,000/cubic mm, or
    • INR > 1.5 or Quick < 40%, or
    • activated partial thromboplastin time (aPTT) > 1.5 x upper limit of normal (ULN)
  • Preoperative Hb < 11 g/dL for male patients or < 10 g/dL for female patients
  • Patient refusal to receive donor blood products if necessary
  • Administration of thienopyridines within 5 days prior to surgery Administration of warfarin within 5 days prior to surgery
  • Administration of tirofiban or eptifibatide within 24 hours or administration of abciximab within 5 days prior to surgery
  • Administration of fondaparinux within 24 hours prior to surgery
  • Creatinine clearance (calculated using Cockroft-Gault equation) < 60 mL/min
  • Planned intraoperative use of tranexamic acid or of ε-aminocaproic acid
  • History of stroke or transient ischemic attack within 3 months prior to entry
  • Known heparin-induced thrombocytopenia
  • Known history of thrombophilia, eg, deep vein thrombosis (DVT) with pulmonary embolism
  • Active liver disease
  • Any condition requiring chronic immunosuppressive medication
  • Receipt of an investigational drug or device 30 days prior to entry
  • Any other condition which, in the opinion of the investigator, would prevent a patient's participation in the study

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:单组作业
  • 屏蔽:四人间

武器和干预

参与者组/臂
干预/治疗
实验性的:Cohort 1
3 patients: loading dose 0.005 mg/kg; infusion 0.0125 mg/kg/h; pump prime 0.02 mg
MDCO-2010 solution for infusion. Dosage: Pump priming dose; Loading dose infusion over 6 minutes; Maintenance infusion for duration of surgery
其他名称:
  • CU-2010
实验性的:Cohort 2
3 pts: loading dose 0.011 mg/kg; infusion 0.0250 mg/kg/h; pump prime 0.04 mg
MDCO-2010 solution for infusion. Dosage: Pump priming dose; Loading dose infusion over 6 minutes; Maintenance infusion for duration of surgery
其他名称:
  • CU-2010
实验性的:Cohort 3
6 patients: loading dose 0.027 mg/kg; infusion 0.0625 mg/kg/h; pump prime 0.09 mg
MDCO-2010 solution for infusion. Dosage: Pump priming dose; Loading dose infusion over 6 minutes; Maintenance infusion for duration of surgery
其他名称:
  • CU-2010
实验性的:Cohort 4
6 patients: loading dose 0.054 mg/kg; infusion 0.1250 mg/kg/h; pump prime 0.18mg
MDCO-2010 solution for infusion. Dosage: Pump priming dose; Loading dose infusion over 6 minutes; Maintenance infusion for duration of surgery
其他名称:
  • CU-2010
实验性的:Cohort 5
6 patients: loading dose 0.108 mg/kg; infusion 0.2500 mg/kg/h; pump prime 0.35 mg
MDCO-2010 solution for infusion. Dosage: Pump priming dose; Loading dose infusion over 6 minutes; Maintenance infusion for duration of surgery
其他名称:
  • CU-2010
安慰剂比较:Placebo
8 patients: commercially available NaCl as matching placebo to MDCO-2010 administered as IV infusion
Commercially available NaCl

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Incidence of Adverse Events
大体时间:7 days (day of surgery to day 7)
Number of patients experiencing Adverse Events
7 days (day of surgery to day 7)
Incidence of Serious Adverse Events
大体时间:7 days (day of surgery to day 7)
Number of patients experiencing Serious Adverse Events
7 days (day of surgery to day 7)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Lars Englberger, PD Dr. Med.、University Hospital Inselspital, Bern

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2010年11月1日

初级完成 (实际的)

2011年5月1日

研究完成 (实际的)

2011年6月1日

研究注册日期

首次提交

2012年2月10日

首先提交符合 QC 标准的

2012年2月14日

首次发布 (估计)

2012年2月17日

研究记录更新

最后更新发布 (估计)

2012年7月19日

上次提交的符合 QC 标准的更新

2012年6月14日

最后验证

2012年6月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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