Unique ID issued by UMIN | UMIN000013454 |
---|---|
Receipt number | R000015710 |
Scientific Title | Efficacy and safety study of defibrotide (DF) for the treatment of venoocclusive disease (VOD). |
Date of disclosure of the study information | 2014/03/18 |
Last modified on | 2017/02/06 11:14:39 |
Efficacy and safety study of defibrotide (DF) for the treatment of venoocclusive disease (VOD).
Efficacy and safety study of defibrotide (DF) for the treatment of venoocclusive disease (VOD).
Efficacy and safety study of defibrotide (DF) for the treatment of venoocclusive disease (VOD).
Efficacy and safety study of defibrotide (DF) for the treatment of venoocclusive disease (VOD).
Japan |
Veno Occlusive Disease
Hematology and clinical oncology | Pediatrics |
Malignancy
NO
[Primary objective]
To evaluate efficacy of DF for VOD following allogeneic hematopoietic stem cell transplantation in both pediatric and adult patients.
[Secondary objectives]
To evaluate safety of DF in patients after allogeneic transplantation.
To evaluate pharmacokinetics of DF in both pediatric and adult patients with VOD.
Efficacy
Phase II
Survival at day 100 post stem cell transplant in patients with VOD after stem cell transplant.
1)Efficacy-related outcomes
-Survival at day 100, 180 post stem cell transplant and survival time in patients with severe VOD.
-Survival at day 100, 180 post stem cell transplant, survival time in patients with VOD at any severity.
-Remission of VOD by day 100 after stem cell transplant in patients with severe VOD or VOD of any severity.
-Survival at day 100 post stem cell transplant, remission of VOD, and survival time in patients with VOD who started DF within 2 days or on or after 3 days from the onset of VOD.
2)Safety-related outcomes
-Bleeding event
-Profile of adverse events
-Severe adverse events
-Discontinuation due to toxicity
3)Phamacokinetic parameters of DF
4)Date of engraftment.
5)Remission status of the original disease before administration and 21 days after starting DF, at day 100 and 180 after stem cell transplant in patients with malignancy.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Defibrotide(DF-01)
1)Intended dose regimen:Intravenous infusion of DF 6.25 mg/kg/dose over 2 hours, 4 doses per day (every 6 hours).
2)Planned duration of intervention:At least 21 days (for a maximum of 100 days after transplantation)
Not applicable |
Not applicable |
Male and Female
1.VOD is defined as those patients with jaundice (T-Bil>=2mg/dL) and who meet at least 2 of the following criteria by day 35 post stem cell transplant.
1)Hepatomegaly
2)Ascites
3)Unexplained weight gain of>5% from baseline.
2. Witten informed consent to participate in the study from the subject or legally acceptable representative.
1.Using medication that increases risk of hemorrhage.
2.Acute bleeding that is not controlled.
3.Unstable hemodynamic status that require more than one vasopressor or decreased mean atrial pressure (MAP).
4.Complicated with viral fulminant hepatitis
5.Past history of organ transplant other than hematopoietic cell transplant.
6.Complicated with Grade IV GVHD
7.Females with pregnancy, breastfeeding, possible pregnancy.Patient who will not consent contraception
8.Judged as inappropriate for participating in the study by the principal or other investigator for other reasons.
20
1st name | |
Middle name | |
Last name | Atsushi Kikuta |
Fukushima Medical University Hospital
Clinical Oncology Center/Children's Oncology Division
1 Hikariga-oka, Fukushima City 960-1295, JAPAN
024-547-1111
akikuta@fmu.ac.jp
1st name | |
Middle name | |
Last name | Miwa Izutsu |
CTD Inc.
-
3-3-2Tsukiji,Chuo-ku,Tokyo,140-0045,Japan
03-6228-4835
chosei@fmu-df.jp
Fukushima Medical University Hospital
Atsushi Kikuta
Ministry of Health, Labour and Welfare
LINK Phamaceuticals KK
NO
公立大学法人 福島県立医科大学附属病院(福島県)
独立行政法人 国立がん研究センター中央病院(東京都)
国家公務員共済組合連合会 虎の門病院(東京都)
地方独立行政法人 神奈川県立病院機構 神奈川県立こども医療センター(神奈川県)
名古屋大学医学部附属病院(愛知県)
独立行政法人 国立病院機構 名古屋医療センター(愛知県)
公立大学法人 大阪市立大学医学部附属病院(大阪府)
兵庫医科大学病院(兵庫県)
2014 | Year | 03 | Month | 18 | Day |
Unpublished
Completed
2014 | Year | 01 | Month | 17 | Day |
2014 | Year | 05 | Month | 07 | Day |
2014 | Year | 03 | Month | 18 | Day |
2017 | Year | 02 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015710