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
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AI-Summary
Brief Title
Who Can Participate
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Your Study Journey
Trial Site Locations
Research Team
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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
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
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
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...