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SNCTP000002125 | NCT02815670 | BASEC2017-00003

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

Base di dati: BASEC (Importata da 03.05.2024), WHO (Importata da 03.05.2024)
Cambiato: 23 dic 2023, 16:59
Categoria di malattie: Malattie arteriose e venose incluse la trombosi venosa profonda e l'embolia polmonare

Descrizione riassuntiva della sperimentazione (Fonte di dati: 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)

Malattie studiate(Fonte di dati: BASEC)

venöse Thromboembolie

Health conditions (Fonte di dati: WHO)

Hemorrhage

Malattia rara (Fonte di dati: BASEC)

No

Interventi esaminati (p. es. medicamento, terapia, campagna) (Fonte di dati: 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 (Fonte di dati: WHO)

Drug: Idarucizumab

Criteri per la partecipazione alla sperimentazione (Fonte di dati: 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.

Criteri di esclusione (Fonte di dati: 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 (Fonte di dati: 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.

Altri dati sulla sperimentazione nel registro primario dell’OMS

https://clinicaltrials.gov/show/NCT02815670

Altri dati sulla sperimentazione dalla banca dati dell’OMS (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=NCT02815670
Altre informazioni sulla sperimentazione

Data di registrazione della sperimentazione

24 giu 2016

Inserimento del primo partecipante

7 set 2016

Stato di reclutamento

Completed

Titolo scientifico (Fonte di dati: 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.

Tipo di sperimentazione (Fonte di dati: WHO)

Interventional

Disegno della sperimentazione (Fonte di dati: WHO)

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

Fase (Fonte di dati: WHO)

Phase 3

Punti finali primari (Fonte di dati: WHO)

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

Punti finali secondari (Fonte di dati: 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

Contatto per informazioni (Fonte di dati: WHO)

Please refer to primary and secondary sponsors

Risultati della sperimentazione (Fonte di dati: WHO)

Sintesi dei risultati

ancora nessuna informazione disponibile

Collegamento ai risultati nel registro primario

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

Informazioni sulla disponibilità dei dati dei singoli partecipanti

ancora nessuna informazione disponibile

Siti di esecuzione della sperimentazione

Siti di esecuzione in Svizzera (Fonte di dati: BASEC)

Losanna, Zurigo

Paesi di esecuzione (Fonte di dati: 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

Contatto per maggiori informazioni sulla sperimentazione

Dati della persona di contatto in Svizzera (Fonte di dati: BASEC)

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

Contatto per informazioni generali (Fonte di dati: WHO)

Boehringer Ingelheim
Boehringer Ingelheim

Contatto per informazioni scientifiche (Fonte di dati: WHO)

Boehringer Ingelheim
Boehringer Ingelheim

Autorizzazione da parte della commissione d’etica (Fonte di dati: BASEC)

Nome della commissione d’etica che rilascia l’autorizzazione (nel caso di studi multicentrici solo la commissione direttiva)

Kantonale Ethikkommission Zürich

Data di autorizzazione da parte della commissione d’etica

11.04.2017

Altri numeri di identificazione delle sperimentazioni

Numero di identificazione della sperimentazione della commissione d’etica (BASEC-ID) (Fonte di dati: BASEC)

2017-00003

Secondary ID (Fonte di dati: WHO)

2015-002177-37
1321.7
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