Trial record 2 of 4 for:    ART-123

Phase 3 Safety and Efficacy Study of ART-123 in Subjects With Severe Sepsis and Coagulopathy

This study is currently recruiting participants. (see Contacts and Locations)
Verified February 2014 by Asahi Kasei Pharma America Corporation
Information provided by (Responsible Party):
Asahi Kasei Pharma America Corporation Identifier:
First received: May 11, 2012
Last updated: February 3, 2014
Last verified: February 2014

The purpose of the study is to evaluate if ART-123 given to patients who have severe sepsis can decrease mortality.

Condition Intervention Phase
Severe Sepsis
Drug: ART-123
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Assess the Safety and Efficacy of ART-123 in Subjects With Severe Sepsis and Coagulopathy.

Resource links provided by NLM:

Further study details as provided by Asahi Kasei Pharma America Corporation:

Primary Outcome Measures:
  • Primary Efficacy Outcome Measure [ Time Frame: 28 days ] [ Designated as safety issue: No ]
    28 day all-cause mortality

  • Primary Safety Outcome Measure [ Time Frame: Through Study Day 28 ] [ Designated as safety issue: Yes ]
    Adverse Events

  • Primary Safety Outcome Measure [ Time Frame: Through Study Day 28 ] [ Designated as safety issue: Yes ]

    Major Bleeding events defined as:

    • any intracranial hemorrhage, (Qualifies as a Serious Adverse Event)
    • any life-threatening bleeding, (Qualifies as a Serious Adverse Event)
    • any bleeding event classified as serious by the Investigator (e.g., resulting in permanent morbidity), (Qualifies as a Serious Adverse Event)
    • or any bleeding that required the administration of 6 units of packed red cells over two consecutive days.6 (Investigator assessment for seriousness criteria.)

  • Primary Safety Outcome Measure [ Time Frame: Through Study Day 28 ] [ Designated as safety issue: Yes ]
    Serious Adverse Events

Secondary Outcome Measures:
  • Secondary Efficacy Outcome Measure [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Follow up all-cause mortality at 3 months

  • Secondary Efficacy Outcome Measure [ Time Frame: 28 days ] [ Designated as safety issue: No ]
    Resolution of organ dysfunction as measured through day 28 by shock free, ventilator free, dialysis free plus alive days.

  • Secondary Safety Outcome Measure [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
    Presence of Anti-drug antibodies up to 18 months

Estimated Enrollment: 800
Study Start Date: August 2012
Estimated Study Completion Date: March 2016
Estimated Primary Completion Date: March 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: ART-123 Drug: ART-123
Dose: 0.06 mg/kg/day up to a maximum dose of 6 mg/day for 6 days
Other Name: human recombinant thrombomodulin
Placebo Comparator: Placebo Drug: Placebo
Dose: 0.06 mg/kg/day up to a maximum dose of 6 mg/day for 6 days.

Detailed Description:

Study is to evaluate if ART-123 given to patients who have severe sepsis complicated by at least one organ dysfunction and coagulopathy can decrease mortality.


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Subject must be receiving treatment in an ICU, or in an acute care setting with orders to transfer to ICU.
  • Clinical evidence of bacterial infection and a known site of infection.
  • Cardiovascular dysfunction or Respiratory Failure due to sepsis.
  • Coagulopathy characterized by an INR >1.40 without other known causes.

Exclusion Criteria:

  • Subject or Authorized Representative is unable to provide informed consent.
  • Subject is pregnant or breastfeeding or intends to get pregnant within 28 days of enrolling into the study.
  • Subject is of childbearing potential and does not have a negative pregnancy test.
  • Subject is < 18 years of age.
  • Subject has a known allergy to ART-123 or any components of the drug product.
  • Subject is unwilling to allow transfusion of blood or blood products.
  • Subject has an advance directive to withhold life-sustaining treatment.
  • Subject has had previous treatment with ART-123.
  • Body weight ≥ 175 kg.
  • PT prolongation or thrombocytopenia that is not due to sepsis.
  • Intra-thoracic or intra-abdominal surgery within 12 hours prior to consent, or ongoing bleeding issues as a result of one of these procedures.
  • History of head trauma, spinal trauma, or other acute trauma with an increased risk of bleeding within 3 months prior to consent.
  • Cerebral Vascular Accident (CVA) within 3 months prior to consent.
  • Any history of intracerebral arteriovenous malformation (AVM), cerebral aneurysm, or mass lesions of the central nervous system.
  • History of congenital bleeding diatheses.
  • Significant gastrointestinal bleeding within 6 weeks prior to consent.
  • Subject is diagnosed with a known medical condition associated with a hypercoagulable state.
  • Child-Pugh score of 10-15 (Class C)
  • Portosystemic hypertension or known history of bleeding esophageal varices.
  • History of solid organ, allogeneic bone marrow, or stem cell transplantation within the 6 months prior to consent.
  • Acute pancreatitis where infection has not been documented by a positive blood or abdominal fluid culture.
  • Severe renal failure requiring chronic or acute need of hemodialysis, hemofiltration or peritoneal dialysis.
  • Use of anticoagulants, antiplatelet agents, antithrombotics and thrombolytics within the 72 hours prior to consent.
  • Life expectancy < 90 days.
  • Current use of any chemotherapy agent likely to cause myeloablation (severe or complete depletion of bone marrow).
  • Participation in another research study involving an investigational agent within 30 days prior to consent.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01598831

Contact: Matt Mockler 781-419-1919

  Hide Study Locations
United States, Alabama
Birmingham, Alabama, United States
Mobile, Alabama, United States
United States, Arizona
Phoenix, Arizona, United States
United States, California
Colton, California, United States
Los Angeles, California, United States
Sacramento, California, United States
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Newark, Delaware, United States
United States, District of Columbia
Washington, District of Columbia, United States
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Idaho Falls, Idaho, United States
United States, Illinois
1 of 2 Recruiting
Chicago, Illinois, United States, 60612
2 of 2 Recruiting
Chicago, Illinois, United States, 60611
Oak Park, Illinois, United States
Peoria, Illinois, United States
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Iowa City, Iowa, United States
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Topeka, Kansas, United States
United States, Kentucky
Hazard, Kentucky, United States
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Baltimore, Maryland, United States
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Rapid City, South Dakota, United States
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Houston, Texas, United States
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Houston, Texas, United States
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Everett, Washington, United States
La Plata, Buenos Aires, Argentina
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Cordoba, Cordoba Province, Argentina
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Calvary Health Care ACT Recruiting
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Bendigo, Victoria, Australia
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Heidelberg, Victoria, Australia
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Richmond, Victoria, Australia
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Fremantle, Western Australia, Australia
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Antwerpen, Belgium
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Brussels, Belgium
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Brussels, Belgium
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Hopital Erasme Recruiting
Brussels, Belgium
UCL St. Luc Recruiting
Brussels, Belgium
Centre Hospitalier de Dinant Recruiting
Dinant, Belgium
UZ Gent Recruiting
Gent, Belgium
Clinique Saint-Pierre Recruiting
Ottignies, Belgium
UCL Mont-Godinne Recruiting
Yvoir, Belgium
Santa Casa de Misericordia de Belo Horizonte Recruiting
Belo Horizonte, MG, Brazil
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Porto Alegre, RS, Brazil
Fundaçao Faculdade Regional de Medicina Sao Jose do Rio Preto Recruiting
Sao Jose do Rio Preto, SP, Brazil
Hospital Alemão Oswaldo Cruz Recruiting
São Paulo, SP, Brazil
Hospital São Paulo - Associação Paulista para o Desenvolvimento da Medicina Recruiting
São Paulo, SP, Brazil
Assoc. Portuguesa de Beneficiência Hospital Sao Joaquim Recruiting
São Paulo, SP, Brazil
Anesthesiology and Intensive Care Clinic, University Multiprofile Hospital For Active Treatment "Sveti Georgi", Plovdiv Recruiting
Plovdiv, Bulgaria
Intensive Care Clinic University Multiprofile Hospital for Active Treatment and Emergency Medicine "N.I. Pirogov", Sofia Recruiting
Sofia, Bulgaria
Department of Anesthesiology and Intensive Care Multiprofile Hospital For Active Treatment "Tokuda Hospital Sofia", Sofia Recruiting
Sofia, Bulgaria
Anesthesiology and Intensive Care Clinic, Multiprofile Hospital For Active Treatment "Sveta Marina", Varna Recruiting
Varna, Bulgaria
Canada, Alberta
2 of 2 Recruiting
Calgary, Alberta, Canada, T1Y 6J4
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Edmonton, Alberta, Canada
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Vancouver, British Columbia, Canada, V5Z 1M9
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Victoria, British Columbia, Canada, V8R-1J8
Victoria, British Columbia, Canada
Canada, Manitoba
Winnipeg, Manitoba, Canada
Canada, Nova Scotia
Halifax, Nova Scotia, Canada
Canada, Ontario
London, Ontario, Canada
1 of 2 Recruiting
Ottawa, Ontario, Canada, KIH 8L6
2 of 2 Recruiting
Ottawa, Ontario, Canada, KIH 8L6
Windsor, Ontario, Canada
Hospital Pablo Tobon Uribe Recruiting
Medellin, Antioquia, Colombia
Oncomedica S.A. Recruiting
Monteria, Cordoba, Colombia
Fundacion Cardiovascular de Colombia Recruiting
Bucaramanga, Santander, Colombia
Not yet recruiting
Bogota, Colombia
Clinical Hospital Dubrava, Department of Anesthesiology and resuscitation Recruiting
Zagreb, Croatia
University Hospital for Infectious Diseases, Institute for Infectious medicine and neuroinfectology Recruiting
Zagreb, Croatia
Clinical Hospital Center Zagreb, Medical ICU Recruiting
Zagreb, Croatia
Czech Republic
University Hospital Brno, Department of Infectious Diseases Recruiting
Brno, Czech Republic
University Hospital Hradec Kralove, Department of Anaesthesiology, Resuscitation and Intensive Care Recruiting
Hradec Kralove, Czech Republic
Regional Hospital Kolin, a.s., Department of Anaesthesilogy and Resuscitation Recruiting
Kolin, Czech Republic
University Hospital Kralovske Vinohrady, Department of Anesthesiology and Resuscitation Recruiting
Prague 10, Czech Republic
General University Hospital in Prague, Department of Anaesthesiology, Resuscitation and Intensive Medicine Recruiting
Prague 2, Czech Republic
University Hospital Motol, Department of Anaesthesiology and Resuscitation CHU 2nd FM and UH Motol Recruiting
Prague 5 - Motol, Czech Republic
Masaryk´s Hospital Ustni nad Labem, o.z., Department of Infectious Diseases Recruiting
Usti nad Labem, Czech Republic
Helsingin Yliopistollinen Keskussairaala (HYKS) (Helsinki University Central Hospital (HUCH)) Recruiting
Helsinki, Finland
Keski-Suomen Keskussairaala (Central Finland Central Hospital) Recruiting
Jyvaeskylae, Finland
Kuopion Yliopistollinen Sairaala (KYS) (Kuopio University Hospital) Recruiting
Kuopio, Finland
Etela-Pohjanmaan Sairaanhoitopiiri - Seinajoen Keskussairaala (Seinajoki Central Hospital) Recruiting
Seinajoki, Finland
Tampereen Yliopistollinen Sairaala (Tampere University Hospital) (TAYS) - Keskussairaala (Central Hospital) Recruiting
Tampere, Finland
CHU D'Anger Recruiting
Angers Cedex 9, France
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Corbeil-Essonnes, France
CHU de Dijon, Hopital Bocage Central Recruiting
Dijon, France
CH-Hôpital Albert Michallon Recruiting
Grenoble cedex 09, France
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Limoges cedex, France
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Orléans, France
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Toulouse, France
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Tours, France
Charitè Campus Mitte Recruiting
Berlin, Germany
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Helios Klinikum Erfurt Recruiting
Erfurt, Germany
Klinikum der Johann-Wolfgang Goethe-Universität Recruiting
Frankfurt am Main, Germany
Universitätsklinikum Jena Recruiting
Jena, Germany
Klinikum Harlaching Recruiting
München, Germany
Evangelisches Krankenhaus Witten Recruiting
Witten, Germany
Szent Imre Hospital, Anesthesiology and Intensive Care Unit Recruiting
Budapest, Hungary
Szent Janos Hospital and Unified Hospitals of North Buda - Szent Janos Hospital; Department of Anaesthesiology and Intensive Care Recruiting
Budapest, Hungary
Department of Anesthesiology and Intensive Care, Albert Szent-Gyorgyi Clinical Center, University of Szeged Recruiting
Szeged, Hungary
Maulana Azad Medical College and Associated L N Hospital Recruiting
New Delhi, Delhi, India
Not yet recruiting
Hubli, Karnataka, India
SUT Hospital Recruiting
Trivandrum, Kerala, India
Deenanath Mangeshkar Hospital and Research Centre Recruiting
Pune, Maharashtra, India
King Edward Memorial Hospital & Research Centre Recruiting
Pune, Maharashtra, India
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Bhubaneswar, Odisha, India
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Madurai, Tamilnadu, India
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Ashkelon, Israel
Not yet recruiting
Hadera, Israel
The Lady Davis Carmel Medical Center Recruiting
Haifa, Israel
Rambam Medical Center Recruiting
Haifa, Israel
Wolfson Medical Center Recruiting
Holon, Israel
Shaare Zedek Medical Center Recruiting
Jerusalem, Israel
Hadassah Ein Karen Medical Center Recruiting
Jerusalem, Israel
Rabin Medical Center Recruiting
Petach Tikva, Israel
Kaplan Medical Center Recruiting
Rehovot, Israel
Jeroen Bosch Ziekenhuis Recruiting
's-Hertogenbosch, Netherlands
VUMC Recruiting
Amsterdam, Netherlands
Ziekenhuis Gelderse Vallei Recruiting
Ede, Netherlands
Medisch Spectrum Twente Recruiting
Enschede, Netherlands
University Medical Center Groningen Recruiting
Groningen, Netherlands
Atrium MC Heerlen Recruiting
Heerlen, Netherlands
Medisch Centrum Leeuwarden Recruiting
Leeuwarden, Netherlands
UMC St. Radboud Recruiting
Nijmegen, Netherlands
Ikazia Ziekenhuis Recruiting
Rotterdam, Netherlands
New Zealand
Auckland District Health Board Recruiting
Auckland, New Zealand
Christchurch Hospital Recruiting
Christchurch, New Zealand
Hawkes Bay Regional Hospital Intensive Care Unit Omahu Road Recruiting
Hastings, New Zealand
Waikato District Health Board Recruiting
Waikato, New Zealand
Hospital Nacional Almenara Yrigoyen - EsSALUD Recruiting
Lima, Lima Province, Peru
Hospital Nacional Edgardo Rebagliati Martins Recruiting
Lima, Lima Province, Peru
Hospital Nacional Arzobispo Loayza Recruiting
Lima, Lima Province, Peru
Hospital Nacional FAP Recruiting
Lima, Lima Province, Peru
Belgrade, Serbia
Clinical Centre Serbia, Clinic of Neurology, Emergency Neurology Recruiting
Belgrade, Serbia
Clinic for Anestesiology and Intensive Treatment, Military Medical Academy Recruiting
Belgrade, Serbia
Clinical Center Kragujevac, Center for Anesthesia and Reanimation Recruiting
Kragujevac, Serbia
Clinic for Infectious Diseases, Clinical Center Nis Recruiting
Nis, Serbia
Complexo Hospitalario Universitario A Coruña Recruiting
A Coruña, Spain
H. Universitario Príncipe de Asturias Recruiting
Alcalá de Henares, Spain
Hospital Universitari De Bellvitge Recruiting
Barcelona, Spain
Hospital de Gran Canaria Dr. Negrin Recruiting
Las Palmas de Gran Canaria, Spain
Hospital Clínico San Carlos Recruiting
Madrid, Spain
Hospital de Sabadell Recruiting
Sabadell, Spain
Complejo Hospitalario Nuestra Señora de Valme Recruiting
Sevilla, Spain
Hospital Universitari de Tarragona Joan XXIII Recruiting
Tarragona, Spain
Hospital de Txagorritxu Recruiting
Vitoria, Spain
United Kingdom
James Paget University Hospital NHS Foundation Trust Recruiting
Great Yarmouth, United Kingdom
St. James's University Hospital Recruiting
Leeds, United Kingdom
Leicester Royal Infirmary Recruiting
Leicester, United Kingdom
Royal Liverpool University Hospital Recruiting
Liverpool, United Kingdom
Manchester Royal Infirmary Recruiting
Manchester, United Kingdom
Derriford Hospital Recruiting
Plymouth, United Kingdom
Musgrove Park Hospital Recruiting
Taunton, United Kingdom
Sponsors and Collaborators
Asahi Kasei Pharma America Corporation
Study Director: Inder Kaul, M.D., MPH Asahi Kasei Pharma America Corporation
  More Information

Additional Information:
No publications provided

Responsible Party: Asahi Kasei Pharma America Corporation Identifier: NCT01598831     History of Changes
Other Study ID Numbers: 3-001
Study First Received: May 11, 2012
Last Updated: February 3, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Asahi Kasei Pharma America Corporation:

Additional relevant MeSH terms:
Blood Coagulation Disorders
Hemostatic Disorders
Hematologic Diseases
Vascular Diseases
Cardiovascular Diseases
Hemorrhagic Disorders
Systemic Inflammatory Response Syndrome
Pathologic Processes processed this record on August 18, 2014