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Clinical Management of Argatroban in Patients With Heparin Induced Thrombocytopenia Type II

Primary Purpose

Heparin-induced Thrombocytopenia Type II

Status
Completed
Phase
Phase 2
Locations
France
Study Type
Interventional
Intervention
argatroban
Sponsored by
Mitsubishi Tanabe Pharma Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heparin-induced Thrombocytopenia Type II focused on measuring Argatroban, heparin induced thrombocytopenia (HIT), direct thrombin inhibitor (DTI)

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects aged >= 18 years
  • Females of child bearing potential must have a negative urine pregnancy test prior to entry into the study
  • Patients with suspected or confirmed heparin-induced thrombocytopenia Type II, with or without ongoing thrombosis who require parenteral anticoagulation
  • Signed written informed consent by the subject, or if the subject is unable to do so, consent will be sought from their family member, or a trusted person nominated by the subject or the legal representative

Exclusion Criteria:

  • Uncontrolled bleeding
  • Severe hepatic impairment (Child-Pugh Class C)
  • Hypersensitivity to argatroban or to any of the excipients (sorbitol and ethanol)
  • Pregnancy (exclusion by routine urine test)
  • Lactating woman

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Argatroban

Arm Description

Outcomes

Primary Outcome Measures

Composite of All-cause Death, Thrombosis (New and Extended) and Unplanned Amputation
All-cause Death
Death Related to Heparin-induced Thrombocytopenia (HIT)
Number of Patients With Thrombosis (New and Extended)
Number of Patients With Unplanned Amputation
Number of Patients With Major or Minor Bleeding
Major bleeding is defined as i) overt and associated with a fall in the haemoglobin level 2 g/dl or more, ii) leads to transfusion of 2 units or more, iii) is retroperitoneal, iv) occurs into a major prosthetic joint, or v) in intracranial. Minor bleeding is defined as overt bleeding that does not meet the criteria of major bleeding.
Number of Patients With Platelet Count Recovery
Platelet increase of ≥ 100G/L or 50%.

Secondary Outcome Measures

Full Information

First Posted
March 12, 2009
Last Updated
July 1, 2016
Sponsor
Mitsubishi Tanabe Pharma Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00861692
Brief Title
Clinical Management of Argatroban in Patients With Heparin Induced Thrombocytopenia Type II
Official Title
An Open-label, Multi-centre, Clinical Study to Collect Information on the Clinical Use of Argatroban in Patients With Heparin Induced Thrombocytopenia (HIT) Type II Who Require Parenteral Antithrombotic Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
February 2011 (Actual)
Study Completion Date
February 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mitsubishi Tanabe Pharma Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to collect data on the clinical management of Argatroban in patients with suspected or confirmed heparin-induced thrombocytopenia Type II, with or without ongoing thrombosis who require parenteral antithrombotic therapy

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heparin-induced Thrombocytopenia Type II
Keywords
Argatroban, heparin induced thrombocytopenia (HIT), direct thrombin inhibitor (DTI)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Argatroban
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
argatroban
Primary Outcome Measure Information:
Title
Composite of All-cause Death, Thrombosis (New and Extended) and Unplanned Amputation
Time Frame
During and 30 days after argatroban treatment
Title
All-cause Death
Time Frame
During and 30 days after argatroban treatment
Title
Death Related to Heparin-induced Thrombocytopenia (HIT)
Time Frame
During and 30 days after argatroban treatment
Title
Number of Patients With Thrombosis (New and Extended)
Time Frame
During and 30 days after argatroban treatment
Title
Number of Patients With Unplanned Amputation
Time Frame
During and 30 days after argatroban treatment
Title
Number of Patients With Major or Minor Bleeding
Description
Major bleeding is defined as i) overt and associated with a fall in the haemoglobin level 2 g/dl or more, ii) leads to transfusion of 2 units or more, iii) is retroperitoneal, iv) occurs into a major prosthetic joint, or v) in intracranial. Minor bleeding is defined as overt bleeding that does not meet the criteria of major bleeding.
Time Frame
During and 30 days after argatroban treatment
Title
Number of Patients With Platelet Count Recovery
Description
Platelet increase of ≥ 100G/L or 50%.
Time Frame
Day 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects aged >= 18 years Females of child bearing potential must have a negative urine pregnancy test prior to entry into the study Patients with suspected or confirmed heparin-induced thrombocytopenia Type II, with or without ongoing thrombosis who require parenteral anticoagulation Signed written informed consent by the subject, or if the subject is unable to do so, consent will be sought from their family member, or a trusted person nominated by the subject or the legal representative Exclusion Criteria: Uncontrolled bleeding Severe hepatic impairment (Child-Pugh Class C) Hypersensitivity to argatroban or to any of the excipients (sorbitol and ethanol) Pregnancy (exclusion by routine urine test) Lactating woman
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Professor
Organizational Affiliation
Information at Mitsubishi Pharma Europe
Official's Role
Principal Investigator
Facility Information:
City
Saint Etienne
Country
France

12. IPD Sharing Statement

Citations:
PubMed Identifier
26556106
Citation
Tardy-Poncet B, Nguyen P, Thiranos JC, Morange PE, Biron-Andreani C, Gruel Y, Morel J, Wynckel A, Grunebaum L, Villacorta-Torres J, Grosjean S, de Maistre E. Argatroban in the management of heparin-induced thrombocytopenia: a multicenter clinical trial. Crit Care. 2015 Nov 11;19:396. doi: 10.1186/s13054-015-1109-0.
Results Reference
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Clinical Management of Argatroban in Patients With Heparin Induced Thrombocytopenia Type II

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