search
Back to results

The Treatment of Acute Deep Vein Thrombosis (DVT) of GSK576428 (Fondaparinux Sodium) in Japanese Patients

Primary Purpose

Thrombosis, Venous

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
Fondaparinux sodium
unfractionated heparin (UFH)
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thrombosis, Venous focused on measuring Pulmonary thromboembolism, contrast-enhanced MDCT, Deep Vein Thrombosis, Fondaparinux sodium

Eligibility Criteria

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

Inclusion Criteria:

  • Confirmed diagnosis of acute proximal DVT based on contrast-enhanced Multi detector-row CT (MDCT) (not more than 10 days after the onset of the symptoms of DVT)
  • Age:20 years
  • Gender: No restriction
  • Hospitalization status: Subjects who are able to stay at the hospital at least during the initial treatment period
  • Written informed consent from the subject him/herself or his/her legally acceptable representative. Written informed consent from the subject's legally acceptable representative must be obtained if the subject is incapable of giving consent

Exclusion Criteria:

  • Symptomatic PE
  • Requirement for surgical thrombectomy, catheter intervention and thrombolytic therapy for the current DVT
  • Subjects (for example, with free-floating thrombus in the femoral vein or ilium by MDCT at screening) for whom insertion of inferior vena cava filter is indicated or subjects in whom inferior vena cava filter is present
  • Anticoagulant therapy for at least 24 hours to treat the current episode prior to entry into the study
  • Active, clinically significant bleeding
  • Thrombocytopenia (platelet count <10×10⁴/µL at screening)
  • Concurrent conditions with bleeding risk (e.g., ulcer of the gastrointestinal tract, diverticulitis of the gastrointestinal tract, colitis, acute bacterial endocarditis, severe hypertension, or severe diabetes) or bleeding tendency
  • Severe hepatic disorder
  • Known hypersensitivity to heparin, low-molecular-weight heparin (LMWH) or warfarin
  • Previous history of cerebral hemorrhage
  • Brain, spinal, or ophthalmological surgery within 3 months prior to entry into this study
  • Previous history of Heparin-induced thrombocytopenia
  • Patients for whom anticoagulant therapy is contraindicated or who cannot be taken off anticoagulant therapy due to coexistent condition (e.g. prosthetic heart valve implant)
  • Severe renal disorder (serum creatinine >2.0 mg/dL [180 µmol/L] at screening) in a well hydrated subject
  • QT interval prolonged (QT interval corrected by Bazett's formula [QTcB] ≥450 msec; for patients with bundle branch block QTcB ≥480 msec) at screening
  • Documented hypersensitivity to contrast media
  • Use of any contraindicated drug that cannot be combined with the injection of contrast medium [e.g., antihyperglycemics, such as biguanides (metformin hydrochloride, buformin hydrochloride)]
  • Participation in any other therapeutic drug study or a clinical study within 6 months prior to entry into this study
  • Previous participation in a study of GSK576428 [Fondaparinux Sodium; including the studies of Org31540/SR90107A (ex-project code)] or previous exposure to the therapeutic dose of GSK576428
  • Drug or alcohol abuse
  • Systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg
  • Recent surgery within 3 days prior to entry into the study
  • Life expectancy <3 months
  • Pregnant women, nursing mothers, women who may be pregnant, or women contemplating pregnancy during the study period
  • Others whom the investigator or subinvestigator considers not eligible for the study

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Fondaparinux

unfractionated heparin

Arm Description

Outcomes

Primary Outcome Measures

Percentage of Participants With Recurrent or New Symptomatic Venous Thromboembolism (VTE)
VTE (pulmonary thromboembolism [PE] and/or deep vein thrombosis [DVT]) was adjudicated blindly by the Central Independent Adjudication Committee of Efficacy (CIACE).

Secondary Outcome Measures

Percentage of Participants With Recurrent or New Symptomatic/Asymptomatic VTE (by Type)
VTE (pulmonary thromboembolism [PE] and/or deep vein thrombosis [DVT]) was adjudicated blindly by the CIACE.
Percentage of Participants With Perfusion Lung Scan Results Scored as Improved, no Change, or Worse Compared to Baseline
Classifications of "Improved," "No change," or "Worse" were adjudicated blindly by the CIACE.
Total Perfusion Score at Baseline and Mean Change From Baseline at Day 5-10
Change from baseline was calculated as the score on the day medication was finished/discontinued (anywhere from Day 5 to Day 10) minus the baseline score. The perfusion score (0: no perfusion; 0.25, 0.5, 0.75, 1: normal) in each of the six lobes of the lung was adjudicated blindly by the CIACE. Total perfusion score (r) was calculated as: r = (0.25 x right lower lobe) + (0.12 x right middle lobe) + (0.18 x right upper lobe) + (0.20 x left lower lobe) + (0.12 x lingula) + (0.13 x left upper lobe).
Percentage of Participants With a Bleeding Event
Bleeding events (major bleeding [clinically overt bleeding with fatality, location in a critical organ, a fall in hemoglobin >=2 grams (g)/deciliter (dL), or a transfusion >=2 units]; minor bleeding [clinically overt bleeding and not adjudicated as major bleeding], and no bleeding) were adjudicated blindly by the Central Independent Adjudication Committee of Safety (CIACS).

Full Information

First Posted
May 28, 2009
Last Updated
October 11, 2016
Sponsor
GlaxoSmithKline
search

1. Study Identification

Unique Protocol Identification Number
NCT00911157
Brief Title
The Treatment of Acute Deep Vein Thrombosis (DVT) of GSK576428 (Fondaparinux Sodium) in Japanese Patients
Official Title
Clinical Evaluation of GSK576428 (Fondaparinux Sodium) in the Treatment of Acute Deep Vein Thrombosis (DVT)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
June 2008 (undefined)
Primary Completion Date
November 2009 (Actual)
Study Completion Date
November 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the efficacy (as measured by the rate of recurrent symptomatic Venous Thromboembolism [VTE] (i.e., Pulmonary thromboembolism [PE] and Deep Vein Thrombosis [DVT])) and safety of GSK576428 as the initial treatment in subjects with acute symptomatic DVT in an open-label design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thrombosis, Venous
Keywords
Pulmonary thromboembolism, contrast-enhanced MDCT, Deep Vein Thrombosis, Fondaparinux sodium

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
39 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fondaparinux
Arm Type
Experimental
Arm Title
unfractionated heparin
Arm Type
Other
Intervention Type
Drug
Intervention Name(s)
Fondaparinux sodium
Other Intervention Name(s)
GSK576428
Intervention Description
The dose of Fondaparinux will be determined based on a subject's body weight (< 50 kg, 5 mg; 50 to 100 kg, 7.5 mg; >100 kg, 10 mg) and administered once daily by subcutaneous (SC) injection.
Intervention Type
Drug
Intervention Name(s)
unfractionated heparin (UFH)
Intervention Description
UFH therapy will be started on Day 1 while adjusting activated partial thromboplastin time (aPTT) to maintain aPTT 1.5 to 2.5 times control.
Primary Outcome Measure Information:
Title
Percentage of Participants With Recurrent or New Symptomatic Venous Thromboembolism (VTE)
Description
VTE (pulmonary thromboembolism [PE] and/or deep vein thrombosis [DVT]) was adjudicated blindly by the Central Independent Adjudication Committee of Efficacy (CIACE).
Time Frame
From Day 1 to Day 90 (±7 days)
Secondary Outcome Measure Information:
Title
Percentage of Participants With Recurrent or New Symptomatic/Asymptomatic VTE (by Type)
Description
VTE (pulmonary thromboembolism [PE] and/or deep vein thrombosis [DVT]) was adjudicated blindly by the CIACE.
Time Frame
From Day 1 to Day 90 (±7 days)
Title
Percentage of Participants With Perfusion Lung Scan Results Scored as Improved, no Change, or Worse Compared to Baseline
Description
Classifications of "Improved," "No change," or "Worse" were adjudicated blindly by the CIACE.
Time Frame
Baseline, single day between Day 5 and Day 10 (the day when the medication [FPX or UFH] was finished /discontinued) (±1 day)
Title
Total Perfusion Score at Baseline and Mean Change From Baseline at Day 5-10
Description
Change from baseline was calculated as the score on the day medication was finished/discontinued (anywhere from Day 5 to Day 10) minus the baseline score. The perfusion score (0: no perfusion; 0.25, 0.5, 0.75, 1: normal) in each of the six lobes of the lung was adjudicated blindly by the CIACE. Total perfusion score (r) was calculated as: r = (0.25 x right lower lobe) + (0.12 x right middle lobe) + (0.18 x right upper lobe) + (0.20 x left lower lobe) + (0.12 x lingula) + (0.13 x left upper lobe).
Time Frame
Baseline, single day between Day 5 and Day 10 (the day when the medication [FPX or UFH] was finished /discontinued) (±1 day)
Title
Percentage of Participants With a Bleeding Event
Description
Bleeding events (major bleeding [clinically overt bleeding with fatality, location in a critical organ, a fall in hemoglobin >=2 grams (g)/deciliter (dL), or a transfusion >=2 units]; minor bleeding [clinically overt bleeding and not adjudicated as major bleeding], and no bleeding) were adjudicated blindly by the Central Independent Adjudication Committee of Safety (CIACS).
Time Frame
Initial treatment period (from the first dose of FPX/UFH to N days after the last dose of FPX/UFH; specified based on creatinine clearance [CLcr]; N=3, CLcr >=50 mL/min; N=4, 30 =< CLcr < 50 mL/min; N=9, CLcr < 30 mL/min).

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of acute proximal DVT based on contrast-enhanced Multi detector-row CT (MDCT) (not more than 10 days after the onset of the symptoms of DVT) Age:20 years Gender: No restriction Hospitalization status: Subjects who are able to stay at the hospital at least during the initial treatment period Written informed consent from the subject him/herself or his/her legally acceptable representative. Written informed consent from the subject's legally acceptable representative must be obtained if the subject is incapable of giving consent Exclusion Criteria: Symptomatic PE Requirement for surgical thrombectomy, catheter intervention and thrombolytic therapy for the current DVT Subjects (for example, with free-floating thrombus in the femoral vein or ilium by MDCT at screening) for whom insertion of inferior vena cava filter is indicated or subjects in whom inferior vena cava filter is present Anticoagulant therapy for at least 24 hours to treat the current episode prior to entry into the study Active, clinically significant bleeding Thrombocytopenia (platelet count <10×10⁴/µL at screening) Concurrent conditions with bleeding risk (e.g., ulcer of the gastrointestinal tract, diverticulitis of the gastrointestinal tract, colitis, acute bacterial endocarditis, severe hypertension, or severe diabetes) or bleeding tendency Severe hepatic disorder Known hypersensitivity to heparin, low-molecular-weight heparin (LMWH) or warfarin Previous history of cerebral hemorrhage Brain, spinal, or ophthalmological surgery within 3 months prior to entry into this study Previous history of Heparin-induced thrombocytopenia Patients for whom anticoagulant therapy is contraindicated or who cannot be taken off anticoagulant therapy due to coexistent condition (e.g. prosthetic heart valve implant) Severe renal disorder (serum creatinine >2.0 mg/dL [180 µmol/L] at screening) in a well hydrated subject QT interval prolonged (QT interval corrected by Bazett's formula [QTcB] ≥450 msec; for patients with bundle branch block QTcB ≥480 msec) at screening Documented hypersensitivity to contrast media Use of any contraindicated drug that cannot be combined with the injection of contrast medium [e.g., antihyperglycemics, such as biguanides (metformin hydrochloride, buformin hydrochloride)] Participation in any other therapeutic drug study or a clinical study within 6 months prior to entry into this study Previous participation in a study of GSK576428 [Fondaparinux Sodium; including the studies of Org31540/SR90107A (ex-project code)] or previous exposure to the therapeutic dose of GSK576428 Drug or alcohol abuse Systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg Recent surgery within 3 days prior to entry into the study Life expectancy <3 months Pregnant women, nursing mothers, women who may be pregnant, or women contemplating pregnancy during the study period Others whom the investigator or subinvestigator considers not eligible for the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Aichi
ZIP/Postal Code
440-8510
Country
Japan
Facility Name
GSK Investigational Site
City
Fukuoka
ZIP/Postal Code
802-8555
Country
Japan
Facility Name
GSK Investigational Site
City
Gunma
ZIP/Postal Code
370-0829
Country
Japan
Facility Name
GSK Investigational Site
City
Gunma
ZIP/Postal Code
371-8511
Country
Japan
Facility Name
GSK Investigational Site
City
Hiroshima
ZIP/Postal Code
720-8520
Country
Japan
Facility Name
GSK Investigational Site
City
Hiroshima
ZIP/Postal Code
739-0651
Country
Japan
Facility Name
GSK Investigational Site
City
Hokkaido
ZIP/Postal Code
006-8555
Country
Japan
Facility Name
GSK Investigational Site
City
Hokkaido
ZIP/Postal Code
060-8543
Country
Japan
Facility Name
GSK Investigational Site
City
Hokkaido
ZIP/Postal Code
060-8648
Country
Japan
Facility Name
GSK Investigational Site
City
Hyogo
ZIP/Postal Code
654-0155
Country
Japan
Facility Name
GSK Investigational Site
City
Ibaraki
ZIP/Postal Code
305-8576
Country
Japan
Facility Name
GSK Investigational Site
City
Ibaraki
ZIP/Postal Code
311-3193
Country
Japan
Facility Name
GSK Investigational Site
City
Kagoshima
ZIP/Postal Code
892-0853
Country
Japan
Facility Name
GSK Investigational Site
City
Kanagawa
ZIP/Postal Code
245-8575
Country
Japan
Facility Name
GSK Investigational Site
City
Kumamoto
ZIP/Postal Code
860-0008
Country
Japan
Facility Name
GSK Investigational Site
City
Kumamoto
ZIP/Postal Code
860-8556
Country
Japan
Facility Name
GSK Investigational Site
City
Mie
ZIP/Postal Code
514-8507
Country
Japan
Facility Name
GSK Investigational Site
City
Nagano
ZIP/Postal Code
399-0021
Country
Japan
Facility Name
GSK Investigational Site
City
Nagasaki
ZIP/Postal Code
859-3615
Country
Japan
Facility Name
GSK Investigational Site
City
Niigata
ZIP/Postal Code
951-8520
Country
Japan
Facility Name
GSK Investigational Site
City
Okayama
ZIP/Postal Code
701-1192
Country
Japan
Facility Name
GSK Investigational Site
City
Shizuoka
ZIP/Postal Code
430-8558
Country
Japan
Facility Name
GSK Investigational Site
City
Shizuoka
ZIP/Postal Code
438-8550
Country
Japan
Facility Name
GSK Investigational Site
City
Tokyo
ZIP/Postal Code
113-8655
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Citations:
PubMed Identifier
21512258
Citation
Nakamura M, Okano Y, Minamiguchi H, Munemasa M, Sonoda M, Yamada N, Hanzawa K, Aoyagi N, Tsujimoto H, Sarai N, Nakajima H, Kunieda T. Multidetector-row computed tomography-based clinical assessment of fondaparinux for treatment of acute pulmonary embolism and acute deep vein thrombosis in Japanese patients. Circ J. 2011;75(6):1424-32. doi: 10.1253/circj.cj-10-1036. Epub 2011 Apr 22.
Results Reference
background
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
111436
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
111436
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
111436
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

The Treatment of Acute Deep Vein Thrombosis (DVT) of GSK576428 (Fondaparinux Sodium) in Japanese Patients

We'll reach out to this number within 24 hrs