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Trial registered on ANZCTR
Registration number
ACTRN12607000567426
Ethics application status
Approved
Date submitted
15/10/2007
Date registered
5/11/2007
Date last updated
16/08/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
A open label, phase IV clinical trial examining the efficacy of Prothrombinex alone verses Prothrombinex combined with fresh frozen plasma in patients who require Warfarin reversal.
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Scientific title
An open label, phase IV clinical trial examining the efficacy of Prothrombinex-VF alone verses Prothrombinex-VF combined with fresh frozen plasma in patients who require Warfarin reversal.
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Secondary ID [1]
252455
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New secondary ID. Please modify.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The efficacy to reverse the effect of warfarin by prothrombinex alone
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Condition category
Condition code
Blood
2488
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0
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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The subject will receive Prothrombinex-50units/kg body weight as an intravenous infusion.
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Intervention code [1]
2108
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Treatment: Drugs
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Comparator / control treatment
If INR (internationlised ratio) is still >2, 300mls of fresh frozen plasma will be administrated intravenously.
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Control group
Active
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Outcomes
Primary outcome [1]
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The rapid reversal of Warfarin and defined by INR<2 (internationalised ratio reflects the level of warfarin)
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Assessment method [1]
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Timepoint [1]
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30 minutes post administration of prothrombinex-VF
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Secondary outcome [1]
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Safety outcomes:
allergic reaction to Prothrombinex
the development of a complication with prothrombinex-VF namely thrombosis
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Assessment method [1]
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Timepoint [1]
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day 30 post administration of prothrombinex
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Eligibility
Key inclusion criteria
1. Patients who are on Warfarin therapy with an asymptomatic INR >9 where the treating clinician wishes to reverse the effects of the drug
2. Any clinically significant bleeding where Warfarin induced coagulopathy is considered a contributing factor and an INR of >2.5 where Warfarin reversal is considered important by the clinician
3. Pre surgery if INR >2.5 on the day of surgery and the clinician requires reversal of the effects of Warfarin
4. Patient is = 18 years of age.
5. Patients that are able to understand and apply with study protocol requirements and instructions and intends to complete the study as planned.
6. Patient signs and dates written informed consent.
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Minimum age
18
Years
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Maximum age
N/A
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Active bleeding requiring blood transfusion.
2. Patients with a known allergy to prothrombin complex concentrates or fresh frozen plasma.
3. Participation in another pharmacotherapeutic study within 30 days.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
282
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3199
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Funding & Sponsors
Funding source category [1]
2707
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Hospital
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Name [1]
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Frankston Hospital
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Address [1]
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Hastings Road
Frankston
Victoria 3199
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Country [1]
2707
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Australia
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Primary sponsor type
Hospital
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Name
Frankston Hospital
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Address
Hastings Road
Frankston
Victoria 3199
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
2452
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Country [1]
2452
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Peninsula Human Research & Ethic Committee
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Ethics committee address [1]
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Hastings Road Frankston Victoria 3199
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/09/2007
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Approval date [1]
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Ethics approval number [1]
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2007-37
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Ethics committee name [2]
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Ethics committee address [2]
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Ethics committee country [2]
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Date submitted for ethics approval [2]
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12/09/2007
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Approval date [2]
4628
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Ethics approval number [2]
4628
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2007-37
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Summary
Brief summary
Study Title An open label, phase IV clinical trial examining the efficacy of Prothrombinex alone versus Prothrombinex combined with fresh frozen plasma in patients who require Warfarin reversal Trial Objectives The primary aim of this study is to determine whether Prothrombinex alone is adequate and effective in the reversal of the anticoagulant activity of Warfarin. Number of patients 40 Inclusion Criteria 1. Patients who are on Warfarin therapy with an asymptomatic INR >9 where the treating clinician wishes to reverse the effects of the drug 2. Any clinically significant bleeding where Warfarin induced coagulopathy is considered a contributing factor and an INR of >2.5 where Warfarin reversal is considered important by the clinician 3. Pre surgery if INR >2.5 on the day of surgery and the clinician requires reversal of the effects of Warfarin 4. Patient is = 18 years of age. 5. Patients that are able to understand and apply with study protocol requirements and instructions and intends to complete the study as planned.6. Patient signs and dates written informed consent. Exclusion Criteria 1. Active bleeding requiring blood transfusion. 2. Patients with a known allergy to prothrombin complex concentrates or fresh frozen plasma. 3. Participation in another pharmacotherapeutic study within 30 days. Objective criteria for study entry 1. Asymptomatic INR > 9 where there is a high risk of bleeding 2. Any clinically significant bleeding where Warfarin induced coagulopathy is considered a contributing factor and an INR >2.5 where Warfarin reversal is considered important by the clinician 3. Pre surgery if INR > 2.5 on day of surgery and the clinician requires reversal of the effects of Warfarin Outcomes The primary outcome is the rapid reversal of Warfarin as indicated by the correction of the INR to < 2. Safety outcomes: Allergic reaction to Prothrombinex, the development of a complicating thrombosis (venous or arterial) and the presentation of clinically overt bleeding
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Trial website
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Trial related presentations / publications
Annals of Emergency Medicine
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Barry Chan
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Address
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Frankston Hospital
Hastings Road
Frankston
Victoria 3199
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Country
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Australia
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Phone
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61-3-97847777
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Barry Chan
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Address
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Hastings Road
Frankston
Victoria 3199
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Country
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Australia
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Phone
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61-3-97847777
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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