Trial Outcomes & Findings for Clot Dissolving Treatment for Blood Clots in the Lungs (NCT NCT00680628)

NCT ID: NCT00680628

Last Updated: 2022-10-12

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

83 participants

Primary outcome timeframe

1,2,3,4, and 5 days

Results posted on

2022-10-12

Participant Flow

Patients enrolled from 8 hospitals from August 2008 until October, 2012. Genentech funded the study. Carolinas Medical Center was the prime contractor site and subcontracted 7 other hospitals.

The investigator relocated to a new institution in July 2012, which led to insoluble problems with the subcontracts that forced early study closure.

Participant milestones

Participant milestones
Measure
Placebo
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Overall Study
STARTED
43
40
Overall Study
COMPLETED
43
40
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clot Dissolving Treatment for Blood Clots in the Lungs

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=43 Participants
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
n=40 Participants
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Total
n=83 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=99 Participants
34 Participants
n=107 Participants
71 Participants
n=206 Participants
Age, Categorical
>=65 years
6 Participants
n=99 Participants
6 Participants
n=107 Participants
12 Participants
n=206 Participants
Age, Continuous
54 years
STANDARD_DEVIATION 14 • n=99 Participants
57 years
STANDARD_DEVIATION 14 • n=107 Participants
55 years
STANDARD_DEVIATION 14 • n=206 Participants
Sex: Female, Male
Female
19 Participants
n=99 Participants
20 Participants
n=107 Participants
39 Participants
n=206 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
20 Participants
n=107 Participants
44 Participants
n=206 Participants
Region of Enrollment
United States
43 participants
n=99 Participants
40 participants
n=107 Participants
83 participants
n=206 Participants

PRIMARY outcome

Timeframe: 1,2,3,4, and 5 days

Outcome measures

Outcome measures
Measure
Placebo
n=43 Participants
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
n=40 Participants
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Number of Patients With Cardiogenic Shock or Respiratory Failure From Pulmonary Embolism and Number of Patietnts With Major Hemorrhage
1 participants
1 participants

PRIMARY outcome

Timeframe: 90 days

Outcome measures

Outcome measures
Measure
Placebo
n=43 Participants
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
n=40 Participants
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Number With Functional Cardiopulmonary Limitations Assessed With a Composite Measurement (Six Minute Walk Distance, Right Ventricular Function and Quality of Life Score on the SF-36)
8 participants
4 participants

PRIMARY outcome

Timeframe: 90 days

Outcome measures

Outcome measures
Measure
Placebo
n=43 Participants
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
n=40 Participants
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Number With Recurrent Venous Thromboembolism and/or Severe Post-phlebitic Syndrome
4 participants
1 participants

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Tenecteplase

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=43 participants at risk
Tenecteplase + Enoxaparin Tenecteplase + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving tenecteplase.Subsequently, patients will receive 1 mg/kg enoxaparin SQ Q12 hours until discontinuation is clinically indicated. Tenecteplase:will be administered using a tiered-dosing schedule according to patient weight: \<60Kg=30mg; ≥60Kg to \<70Kg=35mg; ≥70Kg to \<80Kg=40mg; ≥80Kg to \<90Kg=45mg; ≥90Kg=50mg
Tenecteplase
n=40 participants at risk
Saline + Enoxaparin 0.9% Saline + Enoxaparin : Enoxaparin: 1 mg/kg within 12 hours before receiving saline.
Nervous system disorders
intracranial hemorrhage
0.00%
0/43
2.5%
1/40 • Number of events 1
Cardiac disorders
Cardiogenic shock
2.3%
1/43 • Number of events 1
0.00%
0/40

Other adverse events

Adverse event data not reported

Additional Information

Jeffrey Kline

Indiana University School of Medicine

Phone: 3172873004

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60