Actively Recruiting

Phase 3
Age: 12Years - 80Years
All Genders
ID04918173

A Multicenter, Prospective, Open-label, Uncontrolled Phase 3 Study to Assess the Efficacy, Safety and Pharmacokinetics of Atenativ in Patients With Congenital Antithrombin Deficiency Undergoing Surgery or Delivery

Led by Octapharma · Updated on 2026-06-03

38

Participants Needed

30

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the incidence of thrombotic events and thromboembolic events in patients with congenital antithrombin deficiency who receive Atenativ during surgery or childbirth. This phase 3, open-label study aims to assess the safety, efficacy, and pharmacokinetics of Atenativ in these patients. The study includes both surgical patients and pregnant patients undergoing delivery, addressing an important need in managing this rare blood disorder during high-risk procedures. Participants receive Atenativ, an antithrombin concentrate, in two phases. In the pharmacokinetics (PK) phase, a single intravenous dose of 60 IU/kg is given to analyze how the drug behaves in the body. In the treatment phase, patients receive an initial intravenous loading dose followed by maintenance doses every 24 hours for about 2 to 7 days if undergoing surgery, or about 5 days if giving birth by caesarean section or delivery. Throughout the study, participants undergo regular blood tests to monitor coagulation parameters and drug levels up to 14 days after infusion, as well as safety monitoring for adverse events up to 30 days after treatment starts. Researchers closely track thrombotic event incidence up to 30 days post-treatment. Participants are involved in scheduled visits for drug administration, blood sampling, and clinical assessments to ensure thorough evaluation of Atenativ's effects and safety during and after treatment.

CONDITIONS

Brief Title

Efficacy of Atenativ in Patients With Congenital Antithrombin Deficiency Undergoing Surgery or Delivery

Who Can Participate

Age: 12Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female patients aged 18 to 80 years; in the US, some patients aged 12 to under 17 years may be included
  • Documented congenital antithrombin deficiency with antithrombin plasma activity level of 60% or less
  • Personal or family history of thrombotic or thromboembolic events (except for PK phase patients)
  • For treatment phase: patients scheduled for elective surgery with high risk of clotting or pregnant patients at least 27 weeks gestation scheduled for delivery
  • Negative pregnancy test for women of childbearing potential at screening and baseline
  • Provided informed consent
Not Eligible

You will not qualify if you...

  • Need for emergency surgery or emergency caesarean section
  • Surgery within the last 6 weeks
  • History or suspicion of other hereditary clotting disorders besides antithrombin deficiency
  • Malignancies, renal failure requiring replacement therapy, or severe liver disease
  • Body mass index over 40 kg/m2 for non-pregnant patients
  • Known allergy or hypersensitivity to antithrombin or Atenativ ingredients
  • History of anaphylactic reaction to blood or blood products
  • Refusal to receive blood-derived products
  • Received antithrombin concentrate or blood product containing antithrombin within 14 days before study phases
  • Prior diagnosis of heparin-induced thrombocytopenia
  • Thrombotic or thromboembolic event within the last 6 months
  • Nursing women at screening
  • Participation in another investigational study within the last 30 days
  • Dependence on the sponsor, investigator, or study center
  • Persons under administrative or judicial institutionalization

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Pharmacokinetics Phase

Duration - Up to 14 days post infusion

Participants receive a single intravenous infusion of Atenativ for pharmacokinetic analysis.

Multiple visits for blood sampling over 14 days

Treatment

Duration - Approximately 2 to 7 days for surgical patients or approximately 5 days for parturients

Participants receive a single intravenous loading dose of Atenativ followed by maintenance doses every 24 hours during surgery or delivery.

Daily visits for dosing and monitoring during treatment

Follow-up

Duration - Up to 30 days post treatment initiation

Participants are monitored for safety and thrombotic events after treatment completion.

Periodic visits up to day 30

Trial Site Locations

Total: 30 locations

1

Georgetown University

Washington D.C., District of Columbia, United States, 20057

Actively Recruiting

2

University of Miami

Miami, Florida, United States, 33124

Actively Recruiting

3

Bleeding and Clotting Disorders Institute

Peoria, Illinois, United States, 61615

Actively Recruiting

4

Weill Cornell Medicine

New York, New York, United States, 10065

Actively Recruiting

5

Duke University

Durham, North Carolina, United States, 27708

Actively Recruiting

6

Yeolyan Hematology and Oncology Centre

Yerevan, Armenia

Actively Recruiting

7

Universitätsklinik für Innere Medizin Klinische Abteilung für Hämatologie und Hämostaseologie

Vienna, Austria

Actively Recruiting

8

Centre for Thrombosis and Haemaostasis

Nymburk, Czechia

Actively Recruiting

9

Centre de Référence de l'Hémophilie Unité d'Hémostase Clinique Hôpital Cardiologique Louis Pradel

Bron, France

Actively Recruiting

10

University Hospital of Reims

Reims, France

Actively Recruiting

11

Centre Hospitalier Universitaire de Rouen (CHU de Rouen) - Centre de Traitement des Maladies Hemorragiques (CRTH) (Centre d'Hemophiles)

Rouen, France

Actively Recruiting

12

Aversi Clinic

Tbilisi, Georgia

Actively Recruiting

13

Klinik fur Angiologie Hamostaseologie Haus 12 A Gerinnungssprechstunde

Berlin, Germany

Actively Recruiting

14

UKB Bonn Institut für Experimentelle Hämatologie und Transfusionsmedizin

Bonn, Germany

Actively Recruiting

15

Gerinnungszentrum Rhein-Ruhr

Duisburg, Germany

Actively Recruiting

16

University of Debrecen, Medical and Health Science Centre

Debrecen, Hungary

Actively Recruiting

17

Rabin Medical Centre, Institute of Haematology

Petah Tikva, Israel

Actively Recruiting

18

Sheba Medical Centre

Ramat Gan, Israel

Actively Recruiting

19

Unita Strutturale Complessa di Immunoematologia e Medicina Trasfusionale -Dipartimento Interaziendale di Medicina Trasfusionale ed Ematologia - ASST Papa Giovanni XXIII ematologia Piazza OMS, 1

Bergamo, Italy, 24127

Actively Recruiting

20

Universita degli Studi di Milano - IRCCS Ospedale Maggiore Policlinico - Centro Emofilia e Trombosi Angelo Bianchi Bonomi

Milan, Italy

Actively Recruiting

21

University of Padua Medical School

Padua, Italy

Actively Recruiting

22

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, Italy

Actively Recruiting

23

Emergency County Hospital Craiova

Craiova, Romania

Actively Recruiting

24

Clinical Center of Serbia

Belgrade, Serbia

Actively Recruiting

25

Central University Hospital of Asturias

Oviedo, Principality of Asturias, Spain, 33011

Actively Recruiting

26

Hospital Universitario La Paz

Madrid, Spain, 28046

Actively Recruiting

27

Hospital Universitario Morales Meseguer

Murcia, Spain

Actively Recruiting

28

Ourense University Hospital

Ourense, Spain, 32005

Actively Recruiting

29

Royal-free Hospital-Katherine Dormandy Haemophilia and Thrombosis Centre

London, United Kingdom

Actively Recruiting

30

St. Thomas Hospital

London, United Kingdom

Actively Recruiting

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Research Team

S

Sigurd Knaub

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

Frequently Asked Questions

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