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Angiomax in Patients with HIT/HITTS Type II Undergoing CPB Clinical Trials Information presented on Clinical Trials Search isn't designed to be a substitute for certified healthcare advice, travels to or professional assistance using a genuine medical doctor. We are not physicians. Always confer with your dr. about Angiomax in Patients with HIT/HITTS Type II Undergoing CPB conditions. Clinical Trials Search.org is a site devoted to listing clinical research studies in human subjects. Angiomax in Patients with HIT/HITTS Type II Undergoing CPB Clinical research trials and Angiomax in Patients with HIT/HITTS Type II Undergoing CPB medical trials happen in hundreds of places across the United States. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials usually measure the effectualness of new drugs. The intention of the studies / undertakings is to solve certain human healthcare questions. Clinical trials are a popular manner for mDs, government agencies, and private sector companies to locate treatments for all forms of circumstances, such as Angiomax in Patients with HIT/HITTS Type II Undergoing CPB. Angiomax in Patients with HIT/HITTS Type II Undergoing CPB Clinical Trials and other clinical trials allow for volunteers to undergo medical treatment choices before they are available to the general public. Some times the human subjects get treatment for free of charge, and sometimes they are paid for their time. Occasionally there is a cost for a Angiomax in Patients with HIT/HITTS Type II Undergoing CPB clinical trial. Participants frequently get the best healthcare available for their Angiomax in Patients with HIT/HITTS Type II Undergoing CPB condition. Risks are a reality, nonetheless, and can include extra or frequent physician trips, medical risks (possibly life-jeopardising), and/or the treatment being ineffective. Trials are federally governed with exacting guidelines to protect clinical trials subjects.
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Home > "A" Clinical Trials Conditions > Angiomax in Patients with HIT/HITTS Type II Undergoing CPB  Angiomax in Patients with HIT/HITTS Type II Undergoing CPB
Angiomax in Patients with HIT/HITTS Type II Undergoing CPB
For Condition: Cardiovascular Disease,Coronary Artery Bypass Surgery
Status: Recruiting
Sponsor(s): The Medicines Company ,
Synopsis: The purpose of this study is to demonstrate that in patients with heparin-induced thrombocytopenia (HIT)/heparin-induced thrombocytopenia and thrombosis syndrome (HITTS) Type II undergoing cardiac surgery on cardiopulmonary bypass (CPB), Angiomax is a safe and effective anticoagulant.
Details: An open-label, prospective, multicenter, single-arm study; with a historical reference cohort of similarly identified HIT/HITTS patients from participating institutions that underwent cardiac surgery on CPB with alternative anticoagulation regimens during the period of approximately 12 months prior to initiation of the first patient into this study.
Eligibility:
Study Type: Interventional, Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria - Provide written informed consent before initiation of any study-related procedures, and - Be at least 18 years of age, and - Be scheduled for CABG, CABG single valve surgery, or isolated single valve surgery on CPB. Patients undergoing repeat (redo) CABG are also considered eligible for this study, and demonstrated - New diagnosis or history of objectively documented HIT/HITTS Type II, defined as one or more of the following: a) Positive heparin-induced platelet aggregation (HIPA) or other functional assay for HIT or immunoassay for HIT antibodies (ELISA), AND/OR b) HIT: Thrombocytopenia associated with heparin therapy, where the platelet count has decreased by 50%*, OR c) HITTS: Thrombocytopenia (as defined in B above) PLUS any evidence of arterial or venous thrombosis Exclusion Criteria - Confirmed pregnancy at time of enrollment via IVRS (if woman of child-bearing potential) (Urine or serum pregnancy test) - Cerebrovascular accident within 6 months, or any cerebrovascular accident with a residual neurological deficit. - Intracranial neoplasm, arteriovenous malformation or aneurysm. - Dependency on renal dialysis or creatinine clearance <30mL/min. - Ongoing treatment with warfarin (or other oral anticoagulant) at the time of enrollment. Patients previously treated with warfarin may be enrolled if warfarin therapy can be safely discontinued and baseline INR is < 1.3 times control in the absence of heparin therapy. - Known allergy to Angiomax or hirudin derived drugs, or known sensitivity to any component of the product. - Patients receiving clopidogrel (Plavix®) within the previous 5 days may be enrolled if in the opinion of the Investigator the benefits of surgery outweigh the risk associated with recent clopidogrel administration. - Patients receiving a glycoprotein IIb/IIIa inhibitor within the previous 48 hours prior to enrollment if abciximab (ReoPro®) or 12 hours if eptifibatide (Integrilin®) or tirofiban (Aggrastat®), may be enrolled if in the opinion of the Investigator the benefits of surgery outweigh the risk associated with not waiting the 48 or 12 hour time period prior to enrollment. - Patients receiving lepirudin (Refludan®) or argatroban within the previous 24 hours prior to enrollment. Patients currently receiving lepirudin or argatroban can be enrolled if they are switched to Angiomax at least 24 hours prior to the planned cardiac surgery. - Patients receiving LMWH or thrombolytics within the previous 12 hours may be enrolled if in the opinion of the Investigator the benefits of surgery outweigh the risk associated with not waiting the 12 hour time period. - Participation in other clinical research studies involving the evaluation of other investigational drugs or devices within 30 days of enrollment. - Refusal to undergo blood transfusion should it become necessary. - Any other disease or condition, which, in the judgment of the Investigator, would place a patient at undue risk by being enrolled in the trial, or cause inability to comply with the trial. - Planned surgical procedure in which proximal anastomoses will precede distal anastomoses of the bypass grafts. - Planned (>1) double (or greater) valve repair-replacement (e.g.: AVR-MVR) surgery.
Total Enrollment: 50
Location and Contact Information:
Overall Study Official:
MalcolmLloyd, Study Director, The Medicines Company
The Cleveland Clinic *Recruiting*
Cleveland, Ohio, 44195
United States
Recruiting Nicholas Smedira 216-444-2200
Additional Information:
Study ID Numbers: TMC-BIV-02-03; CHOOSE-On
Study Start Date:
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00079508
Other Coronary Artery Bypass Surgery Studies:
1. Periodontitis and Cardiovascular Events or "PAVE"
2. Nevada Environmental Tobacco Smoke and Health Study
3. Does prophylactic coronary artery revascularization for high risk patients reduce long-term risk of mortality
4. Angiomax in Patients with HIT/HITTS Type II Undergoing CPB
5. Gender, Obesity, C-Reactive Protein, and Oxidative Stress
Related Studies:
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Angiomax in Patients with HIT/HITTS Type II Undergoing CPB
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