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SNCTP000002125 | NCT02815670 | BASEC2017-00003

Sicherheitsstudie zu Idarucizumab bei Kindern und Jugendlichen, die Dabigatranetexilat bekommen.

Data source: BASEC (Imported from 25.04.2024), WHO (Imported from 25.04.2024)
Changed: Dec 23, 2023, 4:59 PM
Disease category: Arterial and venous diseases including deep venous thrombosis and lung embolism

Brief description of trial (Data source: BASEC)

Dies ist eine Medikamenten-Studie mit Idarucizumab zur Behandlung und Sekundärprävention von venösen Thromboembolien bei Kindern und jungen Erwachsenen. Idarucizumab wird an Kindern geprüft, die bereits Dabigatranetexilat bekommen und bei denen entweder eine schwere Blutung aufgetreten ist, die durch dieses Prüfpräparat gestoppt werden kann, oder die sich einer Notoperation oder einer dringenden medizinischen Intervention mit Blutungsrisiko unterziehen müssen, bei der dieses Prüfpräparat einige der Blutungen verhindern kann. Geplante letzte Patientenvisite: 28.02.2020 (global)

Health conditions investigated(Data source: BASEC)

venöse Thromboembolie

Health conditions (Data source: WHO)

Hemorrhage

Rare disease (Data source: BASEC)

No

Intervention investigated (e.g. drug, therapy or campaign) (Data source: BASEC)

Die Studie ist in 3 Teile unterteilt:
- Voruntersuchung: Einige Untersuchungen und Massnahmen werden bei der ersten Visite durchgeführt, um festzustellen, ob die Voraussetzungen für eine Teilnahme an der Studie erfüllt sind.
- Behandlung: Das Prüfpräparat wird in zwei getrennten intravenösen
Injektionen/Infusionen über einen Zeitraum von etwa 30 Minuten gegeben.
- Sicherheitsnachbeobachtung: 24 Stunden nach der Verabreichung von Idarucizumab erfolgt eine Untersuchung. Ausserdem finden 7 Tage und 30 Tage nach Verabreichung des Prüfpräparats zwei weitere Visiten zur Nachbeobachtung statt.

Interventions (Data source: WHO)

Drug: Idarucizumab

Criteria for participation in trial (Data source: BASEC)

Gruppe A:
Patienten, die Dabigatranetexilat einnehmen und bei denen eine lebensbedrohliche oder unkontrollierbare Blutung auftritt, die ein dringendes medizinisches oder chirurgisches Eingreifen erforderlich macht.

Gruppe B:
Patienten, die Dabigatran einnehmen und bei denen keine Blutung aufgetreten ist, aber bei denen aufgrund eines Ereignisses (mit Ausnahme des Auftretens von Blutungen) eine Notoperation/ein dringender Eingriff erforderlich ist, bei dem die antikoagulatorische Wirkung von Dabigatran unerwünscht ist.

Exclusion criteria (Data source: BASEC)

Gruppe A:
Patienten, bei denen eine geringfügige Blutung auftritt, die durch Standardbehandlung kontrolliert werden kann.
Patienten mit weniger als 2.5 kg Gewicht.

Gruppe B:
Patienten, bei denen eine Operation geplant ist, die ein geringes Risiko schwerwiegender Blutungen hat.
Patienten mit weniger als 2.5 kg Gewicht.

Inclusion/Exclusion Criteria (Data source: WHO)


Inclusion criteria:

Patients taking dabigatran etexilate in the paediatric trials 1160.106 or 1160.108 are
eligible for this trial if they meet the following criteria:

Group A:

- Overt bleeding judged by the treating physician to require a reversal agent.

- Currently taking dabigatran etexilate in the context of a clinical trial with
dabigatran etexilate (1160.106 or 1160.108).

- Male or female patients from 0 to less than 18 years of age at the time of informed
consent/assent for participation in trial 1160.106 or in trial 1160.108.

- Female patients of childbearing potential (defined as having experienced menarche)
must have followed the contraception requirements according to the dabigatran trial
1160.106 or trial 1160.108 in which they are enrolled.

- Written informed consent provided by the patient (and/or the patient's legally
accepted representative) and assent provided by the patient (if applicable) at the
time of informed consent signature in accordance with Good Clinical Practice (GCP) and
local legislation prior to admission to the trial. If the child is unable to give
assent at the time of the emergency, the assent, when applicable will be obtained as
soon as feasible.

Group B:

- A condition requiring an emergency surgery or invasive procedure where adequate
haemostasis is required. Emergency is defined as need for surgery or intervention
within the following 8 hours.

- Currently taking dabigatran etexilate in the context of a clinical trial with
dabigatran etexilate (1160.106 or 1160.108).

- Male or female patients from 0 to less than 18 years of age at the time of informed
consent/assent for participation in trial 1160.106 or in trial 1160.108.

- Female patients of childbearing potential (defined as having experienced menarche)
must have followed the contraception requirements according to the dabigatran trial
1160.106 or trial 1160.108 in which they are enrolled.

- Written informed consent provided by the patient (and/or the patient's legally
accepted representative) and assent provided by the patient (if applicable) at the
time of informed consent signature in accordance with GCP and local legislation prior
to admission to the trial. If the child is unable to give assent at the time of the
emergency, the assent, when applicable will be obtained as soon as feasible.

Exclusion criteria:

Group A:

- Patients with minor bleeding (e.g. epistaxis, haematuria) who can be managed with
standard supportive care.

- Patients with no clinical signs of bleeding.

- Patients with body weight < 2.5 kg

- Contraindications to trial medication including known hypersensitivity to the drug or
its excipients; i.e. patients with hereditary fructose intolerance who may react to
sorbitol.

- Female patients who are pregnant, nursing, or who plan to become pregnant while in the
trial.

Group B:

- A surgery or procedure which is elective or where the risk of uncontrolled or
unmanageable bleeding is low.

- Patients with body weight < 2.5 kg

- Contraindications to trial medication including known hypersensitivity to the drug or
its excipients; i.e. patients with hereditary fructose intolerance who may react to
sorbitol.

- Female patients who are pregnant, nursing, or who plan to become pregnant while in the
trial.

Further information on the trial in WHO primary registry

https://clinicaltrials.gov/show/NCT02815670

Further information on the trial from WHO database (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=NCT02815670
Further information on trial

Date trial registered

Jun 24, 2016

Incorporation of the first participant

Sep 7, 2016

Recruitment status

Completed

Academic title (Data source: WHO)

Single Dose, Open Label, Uncontrolled, Safety Trial of Intravenous Administration of Idarucizumab to Paediatric Patients Enrolled From Ongoing Phase IIb/III Clinical Trials With Dabigatran Etexilate for the Treatment and Secondary Prevention of Venous Thromboembolism.

Type of trial (Data source: WHO)

Interventional

Design of the trial (Data source: WHO)

Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).

Phase (Data source: WHO)

Phase 3

Primary end point (Data source: WHO)

Number of Participants With Drug-related Adverse Events (AEs)

Secundary end point (Data source: WHO)

Number of Participants Developing Treatment-emergent Antidrug Antibodies (ADA) With Cross Reactivity to Idarucizumab;Number of Participants With Clinical Conditions Contributing to Bleeding During the Trial;Number of Participants Per Bleeding Status During the Trial;Number of Participants With Cessation of Bleeding;Duration of Reversal of the Dabigatran Effect Sustained up to 24 Hours Post-dose (Based on the Coagulation Time for dTT and ECT);Time to Achieve Reversal of the Dabigatran Effect (Based on the Coagulation Time for dTT and ECT);Percent Change of Coagulation Time for Diluted Thrombin Time (dTT) and Ecarin Clotting Time (ECT) at 30 Minutes Post-dose Compared With Pre-dose

Contact information (Data source: WHO)

Please refer to primary and secondary sponsors

Trial results (Data source: WHO)

Results summary

no information available yet

Link to the results in the primary register

https://clinicaltrials.gov/ct2/show/results/NCT02815670

Information on the availability of individual participant data

no information available yet

Trial sites

Trial sites in Switzerland (Data source: BASEC)

Lausanne, Zurich

Countries (Data source: WHO)

Argentina, Austria, Belgium, Brazil, Canada, Czech Republic, Czechia, Finland, France, Germany, Greece, Hungary, Israel, Italy, Lithuania, Mexico, Norway, Russian Federation, Sweden, Switzerland, Taiwan, Turkey, Ukraine, United Kingdom, United States

Contact for further information on the trial

Details of contact in Switzerland (Data source: BASEC)

PD Dr. Manuela Albisetti Pedroni
+41 44 266 7138
manuela.albisetti@kispi.uzh.ch

Contact for general information (Data source: WHO)

Boehringer Ingelheim
Boehringer Ingelheim

Contact for scientific information (Data source: WHO)

Boehringer Ingelheim
Boehringer Ingelheim

Authorisation by the ethics committee (Data source: BASEC)

Name of the authorising ethics committee (for multicentre studies only the lead committee)

Kantonale Ethikkommission Zürich

Date of authorisation by the ethics committee

11.04.2017

Further trial identification numbers

Trial identification number of the ethics committee (BASEC-ID) (Data source: BASEC)

2017-00003

Secondary ID (Data source: WHO)

2015-002177-37
1321.7
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