Actively Recruiting

Age: 18Years +
All Genders
ID07245927

An Open, Prospective, Non-interventional, Multicentre, Controlled Study of Safety and Efficacy of the Thrombolysis With the Non-immunogenic Staphylokinase in Patients With Massive Pulmonary Embolism (FORPE Registry)

Led by Supergene, LLC · Updated on 2025-11-24

20000

Participants Needed

1

Research Sites

8 weeks

Total Duration

On this page

Sponsors

S

Supergene, LLC

Lead Sponsor

N

National Medical Research Center for Cardiology, Ministry of Health of Russian Federation

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of a non-immunogenic staphylokinase called Fortelyzin® in patients with massive pulmonary embolism, a serious condition where blood clots block the lungs. This study follows up on a previous trial that showed this treatment was as effective as alteplase but with fewer major bleeding events, especially in older patients. The study aims to observe how this treatment works in routine clinical practice starting from 2024. The treatment involves a single intravenous bolus dose of 15 mg of non-immunogenic staphylokinase, regardless of the patient's body weight. This easy-to-administer dose is designed for emergency use. The study is observational and non-interventional, meaning patients receive this treatment as part of their standard care while researchers collect data on its safety and results. Participants are monitored for outcomes including all-cause mortality at 7 and 30 days after treatment, signs of haemodynamic collapse, recurrent pulmonary embolism, and pulmonary artery systolic pressure before and two days after treatment. The study collects this data across multiple centers and continues until the end of 2027. Safety and efficacy data gathered will help understand how this drug performs outside of controlled trials in real-world settings.

CONDITIONS

Brief Title

Post-registration Trial of the Non-immunogenic Staphylokinase in Massive Pulmonary Embolism

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and women aged 18 years and older
  • Verified diagnosis of massive pulmonary embolism using computer tomography
  • Signs of overload or dysfunction of the right ventricle combined with persistent arterial hypotension or shock
  • Symptom onset no more than 14 days before enrollment
  • Planned thrombolysis treatment with non-immunogenic staphylokinase 15 mg as a single intravenous bolus
Not Eligible

You will not qualify if you...

  • Extensive bleeding currently or within the past 6 months
  • Intracranial or subarachnoid hemorrhage now or in history
  • Hemorrhagic stroke within the last 6 months
  • History of central nervous system diseases including neoplasms or aneurysms
  • Intracranial or spinal surgery within the last 2 months
  • Major surgery or trauma within the previous 4 weeks
  • Recent puncture of an incompressible blood vessel
  • Severe liver disease including failure, cirrhosis, portal hypertension, or active hepatitis
  • Confirmed gastric or duodenal ulcer within the last 3 months
  • Neoplasm with increased bleeding risk
  • Use of Dabigatran without prior idarucizumab administration
  • Arterial aneurysms or developmental defects of arteries or veins
  • Acute pancreatitis
  • Bacterial endocarditis or pericarditis
  • Suspicion of aortic dissecting aneurysm
  • Any other condition judged by the investigator to pose a high bleeding risk
  • Pregnancy or lactation
  • Known hypersensitivity to non-immunogenic recombinant staphylokinase

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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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)

Treatment

Duration - Single day

Participants receive a single intravenous bolus of non-immunogenic staphylokinase 15 mg for the treatment of massive pulmonary embolism.

1 treatment visit (in-person)

Monitoring

Duration - Up to 30 days after drug administration

Participants are observed for safety and efficacy outcomes including mortality and pulmonary function after treatment.

Follow-up visits at baseline, day 2, day 7, and day 30 after treatment

Trial Site Locations

Total: 1 location

1

E.I. Chazov National Medical Research Center of Cardiology

Moscow, Russia, 121552

Actively Recruiting

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Research Team

S

Sergei S. Markin, MD, Prof.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Non-immunogenic recombinant staphylokinase versus alteplase for patients with massive pulmonary embolism: a randomized open-label, multicenter, parallel-group, non-inferiority trial, FORPE.

Alexander I Kirienko, Stanislav G Leontyev, Sergey N Tereschenko...

https://pubmed.ncbi.nlm.nih.gov/39454884

The Safety of Non-immunogenic Recombinant Staphylokinase in Elderly Patients With Massive Pulmonary Embolism: A Randomized Clinical Trial FORPE.

Stanislav G Leontyev, Elena B Yarovaya, Vladimir A Kutsenko...

https://pubmed.ncbi.nlm.nih.gov/40391253