Actively Recruiting
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
Eligibility Criteria
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
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
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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
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
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