Safety Study of Hemospan® in Prostatectomy Patients

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Sangart
ClinicalTrials.gov Identifier:
NCT00425334
First received: January 18, 2007
Last updated: August 15, 2013
Last verified: August 2013

January 18, 2007
August 15, 2013
July 2005
October 2007   (final data collection date for primary outcome measure)
Incidence of adverse events [ Time Frame: One month ] [ Designated as safety issue: Yes ]
To evaluate the safety of Hemospan infusion.
Complete list of historical versions of study NCT00425334 on ClinicalTrials.gov Archive Site
  • Changes in oxygenation, perfusion and cardiovascular status [ Time Frame: 3 days ] [ Designated as safety issue: No ]
  • Number and type of cardiac rhythm disturbances [ Time Frame: 3 days ] [ Designated as safety issue: Yes ]
  • Number and duration of intraoperative hypotensive episodes [ Time Frame: 6 hours ] [ Designated as safety issue: No ]
  • Incidence of pharmacologic interventions for cardiovascular support [ Time Frame: 3 days ] [ Designated as safety issue: No ]
  • Duration of supplemental oxygen use [ Time Frame: 3 days ] [ Designated as safety issue: No ]
  • Volume of intravenous fluid administered [ Time Frame: 3 days ] [ Designated as safety issue: No ]
  • Blood products administered [ Time Frame: 3 days ] [ Designated as safety issue: No ]
  • To observe possible activity of Hemospan for tissue oxygenation, perfusion and cardiovascular support
  • Number and type of cardiac rhythm disturbances
  • Number and duration of intraoperative hypotensive episodes
  • Pharmacologic interventions for cardiovascular support
  • Duration of supplemental oxygen use
  • Amount of intravenous fluid administered
  • Blood products administered
Not Provided
Not Provided
 
Safety Study of Hemospan® in Prostatectomy Patients
A Clinical Safety (Phase II) Increasing Dose Study of MP4 (Hemospan®) in Total Prostatectomy Surgical Patients

This is a progressive dose escalation study designed to evaluate the safety of Hemospan compared to a standard crystalloid solution (Ringer's lactate) in elective surgery patients undergoing total prostatectomy procedures with anticipated blood loss of more than 500 mL. Secondary objectives of this study are to observe possible activity of Hemospan for tissue oxygenation, perfusion and cardiovascular support.

Donor (allogeneic) blood transfusions are often required during and/or after elective surgery to maintain adequate hemoglobin concentration, prevent tissue ischemia (inadequate perfusion), treat hypotension (low blood pressure), and compensate for fluid shifts. Hemospan is a novel hemoglobin-based oxygen carrier and plasma expander specifically developed to perfuse and oxygenate tissue at risk for ischemia and hypoxia (insufficient oxygenation). As a result of the molecular size and oxygen dissociation characteristics, Hemospan selectively off-loads oxygen in tissues predisposed to low oxygen tension.

In preclinical studies Hemospan has been found to be free of significant toxicity in a variety of animal species. These studies have also demonstrated that Hemospan may be ideally suited for this application, and may even perform better than blood in certain situations. Hemospan has been evaluated in three clinical studies, including a 90-patient multi-center Phase II orthopedic surgery trial completed in Sweden in 2005. No serious adverse events attributable to Hemospan have been noted in any of these trials.

Sangart is developing Hemospan as an oxygen-carrying plasma expander and hemodiluent for patients undergoing elective surgical procedures. In the current Phase II study in prostatectomy patients, the administration of Hemospan (Treatment) or Ringer's lactate (Controls) occurs after approximately 250 mL of surgical blood loss has occurred. Study evaluations include clinical observations, subjective symptoms, vital signs, ECG, pulmonary hemodynamics (by TEE), serum chemistry, hematology, urinalysis, renal function, and oxygenation measurements, as well as a safety follow-up assessment at 4-6 weeks after surgery. An independent Data Safety Monitoring Board (DSMB) will review the safety data following completion of each dosing cohort.

Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
  • Blood Loss, Surgical
  • Prostate Cancer
  • Surgery
  • Drug: Hemospan (MP4OX)
    250 mL or 500 mL Hemospan (MP4OX)
    Other Names:
    • MP4OX solution
    • 4.3 g/dL MalPEG Hb
    • PEGylated Hb
  • Drug: Ringer's lactate
    250 mL or 500 mL Ringer's lactate USP
    Other Names:
    • Lactated Ringers
    • Ringers solution
    • Hartmann's solution
  • Experimental: Hemospan (MP4OX)
    4.3 g/dL MalPEG-Hb solution
    Intervention: Drug: Hemospan (MP4OX)
  • Active Comparator: Control
    Ringer's lactate
    Intervention: Drug: Ringer's lactate

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
20
November 2007
October 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Adult male ASA class I or II patients over the age of 18 scheduled for elective total prostatectomy surgery with anticipated blood loss greater than 500 mL
  • Patients must be in good health (other than the indication for prostatectomy surgery) as determined by medical history, physical examination, clinical laboratory studies and electrocardiogram (ECG)
  • At screening (within 2 weeks of the scheduled surgery) the blood chemistry and hematology (Hb, Hct, RBC, WBC, platelets, PT, PTT, plasma fibrinogen, fibrin split products and haptoglobin) must be within the laboratory normal limits
  • Patients must test negative for HIV and hepatitis screens
  • Patients must sign an Informed Consent Form (see Appendix II) for the study, which has been reviewed and approved by the Institutional Review Board, prior to screening and entry into the study
  • Patients must be available within the continental United States for the period of this study, and willing to complete the follow-up at 4-6 weeks
  • Patients must be able to understand and read English

Exclusion Criteria:

  • Any acute or chronic condition which would limit the patient's ability to complete the study or jeopardize the safety of the patient
  • History or clinical manifestations of a significant cardiovascular or pulmonary disorder
  • Clinically significant psychiatric disorder requiring active treatment
  • History of diabetes requiring active treatment
  • History or clinical manifestation of significant renal or hepatic disorder
  • History of thyroid disease or clinical symptoms consistent with thyroid disease
  • History of bleeding disorder
  • History or family history of a hemoglobinopathy
  • Patients with contraindications to TEE probe insertion
  • Patients who have received any other investigational drugs within 30 days prior to administration of the study drug
  • Professional or ancillary personnel involved with this study
Male
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00425334
6012
Yes
Sangart
Sangart
Not Provided
Principal Investigator: John Ulatowski, M.D., Ph.D. Johns Hopkins Medical Institutions
Study Director: Peter E. Keipert, Ph.D. Sangart, Inc.
Sangart
August 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP