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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Efficacy and Safety of IL-11 in DDAVP Unresponsive

Short name IL-11DDAVP

NCTNCT00994929 (opens ClinicalTrials.gov in a new tab)Other idPRO08070154, Wyeth 3067K1-2214

This trial does not test a peptide that PepBank tracks.

  • Measures Desmopressin, does not give it. It appears in the eligibility rules.

Overview

Status
Completed
Phase
Phase 2
Enrollment
9 participants (actual)
Sponsor
University of Pittsburgh · Other
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

United States

Start
Jan 2010
Primary completion
Apr 2012
Completion
Apr 2012
First posted
14 Oct 2009 (estimated)
Last update posted
2 Mar 2016 (estimated)
Conditions
Hemophilia A · Von Willebrand Disease

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2010201120122013
  1. Ph 2

    IL-11DDAVP

    NCT00994929

    Jan 2010 to Apr 2012

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The purpose of this study is to determine the biologic efficacy and safety of rhIL-11 when given subcutaneously in adults with moderate or mild hemophilia A or Von Willebrand disease unresponsive to DDAVP. Biologic efficacy will be measured by the number and percent increase of VWD coagulation tests (FVIII:C, VWF: Ag, VWF: RCo, closure time, APTT, and VWF multimers) to the normal range, or at least to 1.5-3 time baseline, following dosing of rhIL-11 when given daily for 4 days, and boosted by DDAVP infusion on day 4, in those in whom DDAVP is not contraindicated. Safety will be measured by the frequency of adverse events, including fever, headache, fatigue, myalgias, arthralgias, fluid retention, or edema.

Interventions

  • Neumega (Oprelvekin, Interleukin 11, IL-11)Biological

Arms1

  • Experimental

    Neumega (Oprelveken, Interleukin 11)

    Neumega (Oprelveken, interleukin-11 (IL-11) 25 microgram/kilogram by subcutaneou injection once daily for four days, followed on day 4 DDAVP 0.3 microgram/kilogram intravenously 30 minutes after neumega

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Biologic Effects by Coagulation Tests

    Time frame · within 4 days of study drug.

    Registry description

    VWF activity was measured by ristocetin-induced platelet agglutination using a Chronolog aggregometer11-14 and VWF:Ag by "sandwich" ELISA, using anti-VWF antibodies (DakoA082, Carpintera CA). Results were expressed in percent, with normal human plasma pool designated 100%, and severe type 3 VWD plasma used as the negative control

Secondary outcomes(2)
  1. The Frequency of Adverse Events

    Time frame · within 11 days of study drug

  2. The Mechanism of Study Drug Effect by VWF mRNA.

    Time frame · within 11 days of study drug.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· within 4 days of study drug.

Biologic Effects by Coagulation Tests

GroupValue (percentage of normal)Spread
Neumega (Oprelveken, Interleukin 11)34.7519.2
Secondary and other outcome results(2)
Secondary outcomeNumber· within 11 days of study drug

The Frequency of Adverse Events

GroupValue (participants)
Neumega (Oprelveken, Interleukin 11)6
Secondary outcomeMean· within 11 days of study drug.

The Mechanism of Study Drug Effect by VWF mRNA.

GroupValue (fold increase)
Neumega (Oprelveken, Interleukin 11)0.81

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Neumega (Oprelveken, Interleukin 11)Neumega (Oprelvekin, Interleukin 11, IL-11): 25 microgram/kg IL-11 by subcutaneous injection once daily for four days, followed on day 4 by DDAVP 0.3 microgram/kg by intravenous infusion.–0 / 96 / 9

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

More studies

1 study on this page

Indexing hint: Clinical trial · 2013

Phase II prospective open-label trial of recombinant interleukin-11 in desmopressin-unresponsive von Willebrand disease and mild or moderate haemophilia A.

Ragni et al. 2013Thrombosis and haemostasiscited by 17

PMID 23238591PMC3689588DOI 10.1160/th12-06-0447PUB-23238591

Rights unknown
Source link

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Males or females \>= 18 years of age. * A diagnosis of hemophilia A, moderate (FVIII:C 0.01-0.04 U/ml) or mild (FVIII:C \>= 0.05 U/ml); or a diagnosis of VWD, defined by a low VWF:RCo and past bleeding history. * For those with VWD, an inability to use DDAVP due to i) unresponsiveness defined as VWF:RCo or FVIII:C level lower than 50 IU/dl or less than a 3-fold increase after 0.3 microgram/kg DDAVP; ii) allergic reactions or seizures; or iii) a contraindication to DDAVP. * Willingness to have blood drawn. * Willingness to sign informed consent. Exclusion Criteria: * Presence of other bleeding disorders, acquired Von Willebrand disease, primary thrombocytopenia. * Use of immunomodulatory or experimental drugs, or diuretics. * Pregnant or lactating women. * Previous cardiac disease, congestive failure, arrhythmia (e.g. atrial fibrillation, atrial flutter), hypertension, MI, stroke, or thrombosis. * Past allergic reaction to Neumega. * Surgery within the past 8 weeks. * Inability to comply with study protocol requirements. * Concomitant use of antiplatelet drugs, anticoagulants, dextran, aspirin or NSAIDs. * Treatment with DDAVP, cryoprecipitate, whole blood, plasma and plasma derivatives containing substantial quantities of FVIII and/or VWF within five days of study. * Baseline safety and/or hematology lab values outside the normal limits and/or an EKG indicating an arrhythmia.

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