Trial Outcomes & Findings for Adjuvant Treatment of Pulmonary Embolism With Drotrecogin Alfa (Activated): Phase II Exploratory Study (NCT NCT00191724)

NCT ID: NCT00191724

Last Updated: 2009-06-24

Results Overview

Number of patients with major bleeding events, defined as: Reduction in hemoglobin of 2 to 5 grams per deciliter (g/dL) within 24 hours; Transfusion of 2 to 4 units of packed red blood cells within 24 hours; Hematoma requiring prolonged hospitalization or surgical intervention; Intracranial or retroperitoneal hemorrhage.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

47 participants

Primary outcome timeframe

baseline through day 6

Results posted on

2009-06-24

Participant Flow

Participant milestones

Participant milestones
Measure
Drotrecogin Alfa (Activated) - 6
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Overall Study
STARTED
6
9
9
8
15
Overall Study
COMPLETED
5
8
8
5
12
Overall Study
NOT COMPLETED
1
1
1
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Drotrecogin Alfa (Activated) - 6
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Overall Study
Adverse Event
0
0
1
0
0
Overall Study
Lost to Follow-up
1
1
0
2
3
Overall Study
Withdrawal by Subject
0
0
0
1
0

Baseline Characteristics

Adjuvant Treatment of Pulmonary Embolism With Drotrecogin Alfa (Activated): Phase II Exploratory Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Drotrecogin Alfa (Activated) - 6
n=6 Participants
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
n=9 Participants
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
n=9 Participants
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
n=8 Participants
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
n=15 Participants
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Total
n=47 Participants
Total of all reporting groups
Medical History - Acute Coronary Syndrome/Myocardial Infarction
Acute Coronary Syndrome/MI - Yes
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=8 Participants
Medical History - Acute Coronary Syndrome/Myocardial Infarction
Acute Coronary Syndrome/MI - No
6 participants
n=5 Participants
8 participants
n=7 Participants
9 participants
n=5 Participants
8 participants
n=4 Participants
13 participants
n=21 Participants
44 participants
n=8 Participants
Medical History - Acute Coronary Syndrome/Myocardial Infarction
Acute Coronary Syndrome/MI - Unknown
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
2 participants
n=8 Participants
Medical History - Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease - Yes
0 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
2 participants
n=8 Participants
Age Continuous
70.8 years
STANDARD_DEVIATION 4.4 • n=5 Participants
65.7 years
STANDARD_DEVIATION 8.9 • n=7 Participants
51.9 years
STANDARD_DEVIATION 16.5 • n=5 Participants
45.6 years
STANDARD_DEVIATION 22.6 • n=4 Participants
60.7 years
STANDARD_DEVIATION 21.9 • n=21 Participants
58.7 years
STANDARD_DEVIATION 18.9 • n=8 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
3 Participants
n=4 Participants
11 Participants
n=21 Participants
25 Participants
n=8 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
4 Participants
n=21 Participants
22 Participants
n=8 Participants
Region of Enrollment
Germany
6 participants
n=5 Participants
9 participants
n=7 Participants
9 participants
n=5 Participants
8 participants
n=4 Participants
15 participants
n=21 Participants
47 participants
n=8 Participants
Medical History - Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease - No
5 participants
n=5 Participants
7 participants
n=7 Participants
9 participants
n=5 Participants
8 participants
n=4 Participants
13 participants
n=21 Participants
42 participants
n=8 Participants
Medical History - Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease - Unknown
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
3 participants
n=8 Participants
Medical History - Deep Vein Thrombosis
Deep Vein Thrombosis - Yes
1 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
2 participants
n=21 Participants
8 participants
n=8 Participants
Medical History - Deep Vein Thrombosis
Deep Vein Thrombosis - No
2 participants
n=5 Participants
7 participants
n=7 Participants
8 participants
n=5 Participants
6 participants
n=4 Participants
13 participants
n=21 Participants
36 participants
n=8 Participants
Medical History - Deep Vein Thrombosis
Deep Vein Thrombosis - Unknown
3 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
3 participants
n=8 Participants
Medical History - Ischemic Stroke
Ischemic Stroke - Yes
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
5 participants
n=8 Participants
Medical History - Ischemic Stroke
Ischemic Stroke - No
4 participants
n=5 Participants
8 participants
n=7 Participants
9 participants
n=5 Participants
8 participants
n=4 Participants
12 participants
n=21 Participants
41 participants
n=8 Participants
Medical History - Ischemic Stroke
Ischemic Stroke - Unknown
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=8 Participants
Medical History - Pulmonary Embolism
Pulmonary Embolism - Yes
1 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
4 participants
n=8 Participants
Medical History - Pulmonary Embolism
Pulmonary Embolism - No
3 participants
n=5 Participants
7 participants
n=7 Participants
9 participants
n=5 Participants
7 participants
n=4 Participants
15 participants
n=21 Participants
41 participants
n=8 Participants
Medical History - Pulmonary Embolism
Pulmonary Embolism - Unknown
2 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
2 participants
n=8 Participants
Medical History - Venous Thromboembolism
Venous Thromboembolism - Yes
0 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
4 participants
n=8 Participants
Medical History - Venous Thromboembolism
Venous Thromboembolism - No
3 participants
n=5 Participants
7 participants
n=7 Participants
8 participants
n=5 Participants
7 participants
n=4 Participants
12 participants
n=21 Participants
37 participants
n=8 Participants
Medical History - Venous Thromboembolism
Venous Thromboembolism - Unknown
3 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
6 participants
n=8 Participants
Race/Ethnicity
Caucasian
6 participants
n=5 Participants
9 participants
n=7 Participants
8 participants
n=5 Participants
7 participants
n=4 Participants
15 participants
n=21 Participants
45 participants
n=8 Participants
Race/Ethnicity
Other
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=8 Participants
Race/Ethnicity
Unknown
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=8 Participants
Body Weight
76.0 kilograms
STANDARD_DEVIATION 9.7 • n=5 Participants
93.9 kilograms
STANDARD_DEVIATION 13.3 • n=7 Participants
85.2 kilograms
STANDARD_DEVIATION 17.6 • n=5 Participants
86.4 kilograms
STANDARD_DEVIATION 13.8 • n=4 Participants
85.7 kilograms
STANDARD_DEVIATION 18.6 • n=21 Participants
86.0 kilograms
STANDARD_DEVIATION 16.0 • n=8 Participants

PRIMARY outcome

Timeframe: baseline through day 6

Population: The population analyzed was all randomized patients who received any amount of study drug \[drotrecogin alfa (activated) or placebo\].

Number of patients with major bleeding events, defined as: Reduction in hemoglobin of 2 to 5 grams per deciliter (g/dL) within 24 hours; Transfusion of 2 to 4 units of packed red blood cells within 24 hours; Hematoma requiring prolonged hospitalization or surgical intervention; Intracranial or retroperitoneal hemorrhage.

Outcome measures

Outcome measures
Measure
Drotrecogin Alfa (Activated) - 6
n=5 Participants
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
n=8 Participants
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
n=8 Participants
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
n=5 Participants
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
n=12 Participants
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Number of Participants With Major Bleeding Events
Intracranial Hemorrhage
1 participants
0 participants
0 participants
0 participants
0 participants
Number of Participants With Major Bleeding Events
Transfusion
0 participants
0 participants
0 participants
0 participants
0 participants
Number of Participants With Major Bleeding Events
Reduction in Hemoglobin
0 participants
0 participants
0 participants
0 participants
1 participants
Number of Participants With Major Bleeding Events
Hematoma
0 participants
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: baseline, day 6, day 90

Population: Population is all randomized patients who received any amount of study drug \[drotrecogin alfa (activated) or placebo\]. Patients who had no postbaseline measure at Day 6 or Day 90 were excluded from the analysis of change from baseline to day 6 or day 90, respectively.

Change of right ventricular function measured as difference of right ventricular enddiastolic area/left ventricular enddiastolic area (RVEDA/LVEDA) ratios by echocardiography

Outcome measures

Outcome measures
Measure
Drotrecogin Alfa (Activated) - 6
n=6 Participants
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
n=9 Participants
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
n=9 Participants
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
n=8 Participants
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
n=15 Participants
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Right Ventricular Enddiastolic Area/Left Ventricular Enddiastolic Area (RVEDA/LVEDA) Ratios
RVEDA/LVEDA at Day 0
0.8 ratio
Standard Deviation 0.3
1.0 ratio
Standard Deviation 0.3
1.0 ratio
Standard Deviation 0.4
0.9 ratio
Standard Deviation 0.4
1.1 ratio
Standard Deviation 0.5
Right Ventricular Enddiastolic Area/Left Ventricular Enddiastolic Area (RVEDA/LVEDA) Ratios
RVEDA/LVEDA at Day 6
0.7 ratio
Standard Deviation 0.3
0.7 ratio
Standard Deviation 0.2
0.8 ratio
Standard Deviation 0.3
0.6 ratio
Standard Deviation 0.2
0.7 ratio
Standard Deviation 0.2
Right Ventricular Enddiastolic Area/Left Ventricular Enddiastolic Area (RVEDA/LVEDA) Ratios
RVEDA/LVEDA at Day 90
0.5 ratio
Standard Deviation 0.1
0.5 ratio
Standard Deviation 0.1
0.6 ratio
Standard Deviation 0.1
0.5 ratio
Standard Deviation 0.1
0.6 ratio
Standard Deviation 0.2

SECONDARY outcome

Timeframe: baseline and day 90 (follow-up)

Population: Population was all randomized patients who received any study drug \[drotrecogin alfa (activated) or placebo\]. Patients who had no postbaseline assessment were excluded from the analyses.

Scores in each of the 4 domains (dyspnea, fatigue, emotional, and mastery) ranged from 1 (maximum impairment) to 7 (no impairment).

Outcome measures

Outcome measures
Measure
Drotrecogin Alfa (Activated) - 6
n=5 Participants
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
n=8 Participants
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
n=8 Participants
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
n=5 Participants
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
n=13 Participants
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Dyspnea - 90 Day Follow-Up
4.8 units on a scale
Standard Deviation 1.4
5.1 units on a scale
Standard Deviation 1.7
6.7 units on a scale
Standard Deviation 0.7
4.8 units on a scale
Standard Deviation 2.1
6.5 units on a scale
Standard Deviation 0.6
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Fatigue - Baseline
4.5 units on a scale
Standard Deviation 1.5
3.6 units on a scale
Standard Deviation 1.4
4.2 units on a scale
Standard Deviation 1.2
4.7 units on a scale
Standard Deviation 1.0
4.1 units on a scale
Standard Deviation 1.3
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Mastery - 90 Day Follow-Up
5.0 units on a scale
Standard Deviation 1.2
4.9 units on a scale
Standard Deviation 2.1
6.1 units on a scale
Standard Deviation 1.2
4.9 units on a scale
Standard Deviation 1.7
6.1 units on a scale
Standard Deviation 0.9
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Dyspnea - Baseline
5.0 units on a scale
Standard Deviation 1.8
4.5 units on a scale
Standard Deviation 1.5
4.8 units on a scale
Standard Deviation 1.6
5.0 units on a scale
Standard Deviation 2.4
4.8 units on a scale
Standard Deviation 1.7
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Fatigue - 90 Day Follow-Up
4.8 units on a scale
Standard Deviation 1.3
4.1 units on a scale
Standard Deviation 1.0
5.2 units on a scale
Standard Deviation 1.1
4.0 units on a scale
Standard Deviation 1.3
5.0 units on a scale
Standard Deviation 0.7
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Emotional - Baseline
4.0 units on a scale
Standard Deviation 1.2
4.1 units on a scale
Standard Deviation 1.0
4.8 units on a scale
Standard Deviation 1.2
6.1 units on a scale
Standard Deviation 0.9
4.4 units on a scale
Standard Deviation 1.1
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Emotional - 90 Day Follow-Up
4.7 units on a scale
Standard Deviation 1.1
4.8 units on a scale
Standard Deviation 1.3
5.5 units on a scale
Standard Deviation 1.0
4.4 units on a scale
Standard Deviation 1.5
5.2 units on a scale
Standard Deviation 0.9
Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS of the McMaster University Canada)
Mastery - Baseline
5.1 units on a scale
Standard Deviation 0.8
4.1 units on a scale
Standard Deviation 1.2
4.7 units on a scale
Standard Deviation 1.7
5.8 units on a scale
Standard Deviation 1.4
4.8 units on a scale
Standard Deviation 1.4

SECONDARY outcome

Timeframe: baseline, day 6, day 90

Population: Data were not collected.

Investigator decided estimate of pulmonary artery pressure by echocardiography would not be useful and no data on pulmonary artery pressure were collected.

Outcome measures

Outcome data not reported

Adverse Events

Drotrecogin Alfa (Activated) - 6

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Drotrecogin Alfa (Activated) - 12

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Drotrecogin Alfa (Activated) - 18

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Drotrecogin Alfa (Activated) - 24

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Drotrecogin Alfa (Activated) - 6
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Gastrointestinal disorders
Abdominal pain
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Cardiac disorders
Atrial flutter
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Cardiac disorders
Bradycardia
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Cardiac disorders
Cardiac arrest
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Vascular disorders
Deep vein thrombosis
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
General disorders
Oedema peripheral
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Investigations
Prothrombin time prolonged
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Injury, poisoning and procedural complications
Subdural haematoma
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
0.00%
0/15

Other adverse events

Other adverse events
Measure
Drotrecogin Alfa (Activated) - 6
Drotrecogin alfa (activated): 6 micrograms/kilograms/hour (ug/kg/hr) intravenous (IV), one infusion over 12 hours Enoxaparin: 1 milligram/kilogram (mg/kg), subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 12
Drotrecogin alfa (activated): 12 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 18
Drotrecogin alfa (activated): 18 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Drotrecogin Alfa (Activated) - 24
Drotrecogin alfa (activated): 24 ug/kg/hr intravenous (IV), one infusion over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Placebo
Placebo: intravenous (IV), one infusion, over 12 hours Enoxaparin: 1 mg/kg, subcutaneous, every 12 hours until the target international normalized ratio (INR) is reached, minimum of 5 days
Blood and lymphatic system disorders
Splenomegaly
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/15
Cardiac disorders
Palpitations
0.00%
0/6
0.00%
0/9
22.2%
2/9 • Number of events 2
0.00%
0/8
0.00%
0/15
Cardiac disorders
Tachycardia
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Ear and labyrinth disorders
Vertigo
0.00%
0/6
0.00%
0/9
22.2%
2/9 • Number of events 2
12.5%
1/8 • Number of events 1
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
Abdominal pain
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Gastrointestinal disorders
Colonic polyp
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Gastrointestinal disorders
Diarrhoea
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
12.5%
1/8 • Number of events 1
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Diverticulum intestinal
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Dyspepsia
0.00%
0/6
11.1%
1/9 • Number of events 1
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Gastritis
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Gastrooesophageal reflux disease
16.7%
1/6 • Number of events 1
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Gastrointestinal disorders
Haemorrhoids
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 2
Gastrointestinal disorders
Hiatus hernia
0.00%
0/6
0.00%
0/9
0.00%
0/9
25.0%
2/8 • Number of events 2
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
Intestinal perforation
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Gastrointestinal disorders
Intra-abdominal haematoma
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/6
0.00%
0/9
33.3%
3/9 • Number of events 3
0.00%
0/8
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Reflux oesophagitis
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Gastrointestinal disorders
Vomiting
0.00%
0/6
0.00%
0/9
22.2%
2/9 • Number of events 2
0.00%
0/8
0.00%
0/15
General disorders
Catheter site oedema
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
General disorders
Catheter site pain
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
General disorders
Catheter site related reaction
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
General disorders
Chest pain
0.00%
0/6
0.00%
0/9
22.2%
2/9 • Number of events 2
0.00%
0/8
0.00%
0/15
General disorders
Discomfort
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
General disorders
Fatigue
0.00%
0/6
0.00%
0/9
0.00%
0/9
25.0%
2/8 • Number of events 2
0.00%
0/15
General disorders
Inflammation
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
General disorders
Injection site haemorrhage
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
General disorders
Oedema peripheral
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
25.0%
2/8 • Number of events 3
0.00%
0/15
General disorders
Polyp
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
General disorders
Vessel puncture site haematoma
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
General disorders
Pyrexia
0.00%
0/6
11.1%
1/9 • Number of events 1
33.3%
3/9 • Number of events 3
0.00%
0/8
0.00%
0/15
Hepatobiliary disorders
Hepatic cyst
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Hepatobiliary disorders
Hepatic steatosis
0.00%
0/6
0.00%
0/9
22.2%
2/9 • Number of events 2
12.5%
1/8 • Number of events 1
6.7%
1/15 • Number of events 1
Hepatobiliary disorders
Hepatomegaly
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Hepatobiliary disorders
Portal hypertensive gastropathy
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Immune system disorders
Drug hypersensitivity
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Infections and infestations
Bronchitis
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Infections and infestations
Clostridium difficile colitis
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Infections and infestations
Cystitis
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Infections and infestations
Eye infection
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Infections and infestations
Influenza
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Infections and infestations
Nasopharyngitis
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Infections and infestations
Pneumonia
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Infections and infestations
Pyelonephritis
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Infections and infestations
Urethritis
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Injury, poisoning and procedural complications
Overdose
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Injury, poisoning and procedural complications
Post procedural haemorrhage
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
0.00%
0/15
Injury, poisoning and procedural complications
Postoperative wound complication
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
0.00%
0/15
Investigations
C-reactive protein increased
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Investigations
Haemoglobin decreased
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/6
11.1%
1/9 • Number of events 1
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/6
11.1%
1/9 • Number of events 1
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 2
0.00%
0/8
0.00%
0/15
Nervous system disorders
Akathisia
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Nervous system disorders
Dementia
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Nervous system disorders
Headache
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Nervous system disorders
Migraine
0.00%
0/6
11.1%
1/9 • Number of events 2
0.00%
0/9
0.00%
0/8
0.00%
0/15
Nervous system disorders
Neuropathy peripheral
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Nervous system disorders
Partial seizures
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
0.00%
0/15
Nervous system disorders
Presyncope
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Psychiatric disorders
Agoraphobia
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Psychiatric disorders
Confusional state
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Psychiatric disorders
Insomnia
16.7%
1/6 • Number of events 1
0.00%
0/9
0.00%
0/9
0.00%
0/8
0.00%
0/15
Renal and urinary disorders
Oliguria
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Renal and urinary disorders
Renal cyst
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 2
Renal and urinary disorders
Renal pain
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Reproductive system and breast disorders
Atrophic vulvovaginitis
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Reproductive system and breast disorders
Ovarian cyst
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dsypnoea
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.00%
0/6
11.1%
1/9 • Number of events 1
11.1%
1/9 • Number of events 1
0.00%
0/8
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Orthopnoea
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Painful respiration
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Throat irritation
0.00%
0/6
0.00%
0/9
0.00%
0/9
12.5%
1/8 • Number of events 1
0.00%
0/15
Skin and subcutaneous tissue disorders
Acne
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Skin and subcutaneous tissue disorders
Petechiae
0.00%
0/6
11.1%
1/9 • Number of events 1
0.00%
0/9
0.00%
0/8
0.00%
0/15
Skin and subcutaneous tissue disorders
Rash
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 2
0.00%
0/8
0.00%
0/15
Vascular disorders
Angiodysplasia
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Vascular disorders
Haematoma
0.00%
0/6
0.00%
0/9
11.1%
1/9 • Number of events 1
0.00%
0/8
0.00%
0/15
Vascular disorders
Hypertension
0.00%
0/6
11.1%
1/9 • Number of events 1
11.1%
1/9 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/15
Vascular disorders
Phlebitis
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1
Vascular disorders
Vasodilatation
0.00%
0/6
0.00%
0/9
0.00%
0/9
0.00%
0/8
6.7%
1/15 • Number of events 1

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 1-800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60