UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000327
Receipt number R000000420
Scientific Title Phase III Clinical Study on ART-123 in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections (Multicenter double-blind randomized parallel group comparative study with heparin sodium as control drug)
Date of disclosure of the study information 2006/02/07
Last modified on 2006/02/07 20:22:12

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Basic information

Public title

Phase III Clinical Study on ART-123 in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections (Multicenter double-blind randomized parallel group comparative study with heparin sodium as control drug)

Acronym

Phase III Clinical Study on ART-123 in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections

Scientific Title

Phase III Clinical Study on ART-123 in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections (Multicenter double-blind randomized parallel group comparative study with heparin sodium as control drug)

Scientific Title:Acronym

Phase III Clinical Study on ART-123 in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections

Region

Japan


Condition

Condition

Disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections

Classification by specialty

Medicine in general Hematology and clinical oncology Infectious disease
Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study as a phase III clinical study on ART-123 is to examine the efficacy (by non-inferiority verification with DIC restoration rate as the primary evaluation variable) and safety of ART-123. The study is conducted by a multicenter double-blind randomized parallel group comparison (double-dummy method, telephone-registration method) with heparin sodium as the control drug, in patients with disseminated intravascular coagulation (DIC) directly caused by malignant hematopoietic tumors or infections.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase III


Assessment

Primary outcomes

DIC restoration rate

Key secondary outcomes

Course of hemorrhage symptoms; Outcome of subjects; Rate of improvement of blood clotting test findings; Rate of improvement of organ symptoms; General improvement rate; Incidence rate of adverse events related to hemorrhage symptoms


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

ART-123 (real drug or placebo) is administered at a dose of 0.06 mg/kg/day by intravenous drip for 30 min. This treatment is replaced once daily for 6 days.

Interventions/Control_2

Heparin sodium (real drug or placebo) is administered at a daily dose of 8 units/kg/hr by intravenous drip for 24 hrs. This treatment is replaced for 6 days.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(i)Patients given a diagnosis of DIC on the basis of criteria established by the DIC research group of the Ministry of Health and Welfare of Japan(1988 Revision).
(ii)Patients with malignant hematopoietic tumors or infections as underlying diseases which directly caused DIC.
-Details of malignant hematopoietic tumors: Acute myelocytic leukemia, acute lymphocytic leukemia, chronic myelocytic leukemia, chronic lymphocytic leukemia, adult T-cell leukemia, malignant lymphoma, osteomyelodysplasia, multiple myeloma, and others.
-Details of infections: Sepsis, pneumonia, urinary tract infection, biliary tract infection, viremia, peritonitis, abscess, burn/trauma/wound infections, and others.
(iii)Inpatients (can be discharged after examinations/observations at the completion (or discontinuance) of administration of the study drug)
(iv)Without distinction of sex

Key exclusion criteria

(i)Patients showing lethal or life-threatening hemorrhage (intracranial, gastrointestinal or pulmonary hemorrhage, and others).
(ii)Patients having a strong possibility of onset of lethal or life-threatening hemorrhage.
(iii)Patients with a history (within the past one year) of cerebrovascular disorders (cerebral hemorrhage, cerebral infarction, and others).
(iv)Patients who recently underwent surgery of the central nervous system or were subjected to trauma.
(v)Children under 15.
(vi)Patients with a history of hypersensitivity to protein preparations or unfractionated heparin preparations.
(vii)Pregnant women, nursing mothers or possibly pregnant women.
(viii)Patients whose skin test for ART-123 is positive.
(ix)Patients undergoing treatment by dialysis or with drug excretion severely damaged by serious renal disorder.
(x)Patients with serious hepatopathy such as fulminant hepatitis, uncompensated liver cirrhosis and others.
(xi)Patients believed to die early even if they recovered from DIC, making it difficult to ensure a sufficient period of administration of the study drug and to obtain data on the efficacy and safety.
(xii)Patients given a study drug within last 6 months.
(xiii)Patients participating in the past trial of ART-123.
(xiv)Patients receiving preadministration of unfractionated heparin for DIC (within 3 months before the start of administration of study drug).
(xv)Other patients judged to be inappropriate at the discretion of investigators (or assistant investigators).

Target sample size

220


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hidehiko Saito

Organization

National Hospital Organization, Nagoya Medical Center

Division name

Director

Zip code


Address

4-1-1, San-nomaru, Naka-ku, Nagoya City, Aichi 460-0001, Japan

TEL

052-951-1111

Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Asahi Kasei Pharma Corporation

Division name

Clinical Development Center

Zip code


Address

9-1 Kanda Mitoshiro-cho, Chiyoda-ku, Tokyo 101-8481 Japan

TEL


Homepage URL


Email

ct-info@om.asahi-kasei.co.jp


Sponsor or person

Institute

Asahi Kasei Pharma Corporation

Institute

Department

Personal name



Funding Source

Organization

Asahi Kasei Pharma Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

JapicCTI-050059

Org. issuing International ID_1

Japan Pharmaceutical Information Center

Study ID_2


Org. issuing International ID_2


IND to MHLW

1992年10月1日 5回


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 02 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2000 Year 06 Month 09 Day

Date of IRB


Anticipated trial start date

2000 Year 11 Month 01 Day

Last follow-up date

2005 Year 05 Month 01 Day

Date of closure to data entry

2005 Year 10 Month 01 Day

Date trial data considered complete

2005 Year 10 Month 01 Day

Date analysis concluded

2005 Year 11 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 02 Month 07 Day

Last modified on

2006 Year 02 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000420


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name