Status:

COMPLETED

A Study of Tenecteplase for Restoration of Function in Dysfunctional Central Venous Catheters

Lead Sponsor:

Genentech, Inc.

Conditions:

Dysfunctional Central Venous Access Catheters

Eligibility:

All Genders

Phase:

PHASE3

Brief Summary

This was a Phase III, open-label, single-arm study that was conducted at 43 centers in the United States and Canada. 251 adult and pediatric patients with dysfunctional central venous catheters (CVCs)...

Eligibility Criteria

Inclusion

  • Clinically stable, in the opinion of the investigator
  • CVC occlusion
  • Able to have fluids infused at the volume necessary to instill study drug into the CVC

Exclusion

  • Able to have 3 mL of blood (patients weighing ≥ 10 kg) or 1 mL of blood (patients weighing \< 10 kg) withdrawn from the selected CVC following patient repositioning
  • Selected study CVC inserted \< 2 days prior to treatment
  • Selected study CVC implanted specifically for hemodialysis (HD) or internally coated with any therapeutic agent
  • Use of a power injector on the selected study CVC during study drug treatment
  • Evidence of mechanical, non-thrombotic occlusion of the selected study CVC (e.g., kink in the catheter or suture constricting the catheter)
  • Previously treated in this study or any tenecteplase catheter clearance trial
  • Use of any investigational drug or therapy within 28 days prior to treatment
  • Use of a fibrinolytic agent (e.g., alteplase, tenecteplase, reteplase, or urokinase) within 24 hours prior to treatment
  • Known to be pregnant or breastfeeding at screening
  • Known bacteremia or known or suspected infection in the CVC catheter
  • Known history of intracranial hemorrhage (within the previous 3 years), intracranial aneurysm, or arteriovenous malformation
  • Use of heparin (unfractionated or low molecular weight) or any other anticoagulants within 24 hours prior to treatment, except heparin used for prophylaxis or intermittent or low-dose, continuous infusion of heparin to maintain catheter or vessel patency
  • Subjects treated with warfarin only: international normalized ratio (INR) ≥ 3.0 within 7 days prior to Visit 1, or a target INR range that allows for an INR ≥ 3.0
  • Initiation of or increase in dose of Plavix® (clopidogrel bisulfate) within 7 days prior to treatment
  • At high risk for bleeding events or embolic complications (i.e., recent pulmonary embolus, deep vein thrombosis, endarterectomy, or clinically significant right-to-left shunt) in the opinion of the investigator, or with known condition for which bleeding constitutes a significant hazard
  • Known hypersensitivity to tenecteplase or any component of the formulation

Key Trial Info

Start Date :

December 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

Estimated Enrollment :

251 Patients enrolled

Trial Details

Trial ID

NCT00396318

Start Date

December 1 2006

Last Update

April 27 2011

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