Trial Outcomes & Findings for Safety of Argatroban Infusion in Conduction Disturbances (NCT NCT05740371)

NCT ID: NCT05740371

Last Updated: 2025-12-30

Results Overview

It was investigated if a mean QTc prolongation of more than 10 ms occurred between ECG-2 and ECG-1

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

50 participants

Primary outcome timeframe

ECG-2 was recorded immediately after cardiac intervention when patient was fully anticoagulated with argatroban and ECG-1 was recorded at baseline prior to first bolus dose of argatroban (argatroban-free status).

Results posted on

2025-12-30

Participant Flow

Participant milestones

Participant milestones
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
Overall Study
STARTED
50
Overall Study
COMPLETED
49
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
Overall Study
Death
1

Baseline Characteristics

Safety of Argatroban Infusion in Conduction Disturbances

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion
n=50 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
Age, Categorical
<=18 years
0 Participants
n=174 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=174 Participants
Age, Categorical
>=65 years
26 Participants
n=174 Participants
Sex: Female, Male
Female
11 Participants
n=174 Participants
Sex: Female, Male
Male
39 Participants
n=174 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=174 Participants
Race (NIH/OMB)
Asian
0 Participants
n=174 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=174 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=174 Participants
Race (NIH/OMB)
White
49 Participants
n=174 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=174 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=174 Participants

PRIMARY outcome

Timeframe: ECG-2 was recorded immediately after cardiac intervention when patient was fully anticoagulated with argatroban and ECG-1 was recorded at baseline prior to first bolus dose of argatroban (argatroban-free status).

It was investigated if a mean QTc prolongation of more than 10 ms occurred between ECG-2 and ECG-1

Outcome measures

Outcome measures
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 01)
n=50 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 01.
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 02)
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 02.
Mean Difference in QTc Interval Between ECG-2 and ECG-1 (ITT Population)
0.94 milliseconds
Standard Deviation 46.37

PRIMARY outcome

Timeframe: ECG-2 was recorded immediately after cardiac intervention when patient was fully anticoagulated with argatroban and ECG-1 was recorded at baseline prior to first bolus dose of argatroban (argatroban-free status).

It was investigated if a mean QTc prolongation of more than 10 ms occurred between ECG-2 and ECG-1

Outcome measures

Outcome measures
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 01)
n=39 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 01.
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 02)
n=11 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 02.
Mean Difference in QTc Interval Between ECG-2 and ECG-1 (ITT Population/Subgroup Male or Female)
-5.8936 milliseconds
Standard Deviation 46.4072
25.1460 milliseconds
Standard Deviation 39.0616

PRIMARY outcome

Timeframe: ECG-2 was recorded immediately after cardiac intervention when patient was fully anticoagulated with argatroban and ECG-1 was recorded at baseline prior to first bolus dose of argatroban (argatroban-free status).

It was investigated if a mean QTc prolongation of more than 10 ms occurred between ECG-2 and ECG-1

Outcome measures

Outcome measures
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 01)
n=25 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 01.
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 02)
n=25 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 02.
Mean Difference in QTc Interval Between ECG-2 and ECG-1 (ITT Population/Centre 01 or Centre 02)
15.0046 milliseconds
Standard Deviation 44.9538
-13.1343 milliseconds
Standard Deviation 44.2363

SECONDARY outcome

Timeframe: ECG-2 immediately after argatroban infusion

Number of patients of ITT population exhibiting QTc interval of \> 500 ms

Outcome measures

Outcome measures
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 01)
n=50 Participants
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 01.
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion (ITT Population/Centre 02)
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure in Centre 02.
Proportion of Patients With a Prolongation of QTc Interval to >500 ms at ECG-2
1 Participants

Adverse Events

Argatroban Intravenous (i.v.) Bolus & i.v. Infusion

Serious events: 3 serious events
Other events: 4 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion
n=50 participants at risk
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
Vascular disorders
Vascular stent thrombosis
4.0%
2/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.
Cardiac disorders
Acute myocardial infarction
6.0%
3/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.
Musculoskeletal and connective tissue disorders
Compartment syndrome
2.0%
1/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.

Other adverse events

Other adverse events
Measure
Argatroban Intravenous (i.v.) Bolus & i.v. Infusion
n=50 participants at risk
i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.0%
1/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.
Cardiac disorders
Sinus bradycardia
2.0%
1/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.
Blood and lymphatic system disorders
Hypertension
2.0%
1/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.
Investigations
Electrocardiogram ST segment depression
2.0%
1/50 • i.v. bolus of 300 μg/kg argatroban administered over a span of 3 to 5 minutes followed by the i.v. infusion of argatroban at 20 μg/kg/min until the end of the procedure.
All AEs encountered during the clinical study will be reported on the AE page of the CRF.

Additional Information

Clinical Trials, Information Desk

Tanabe Pharma GmbH

Phone: Please email

Results disclosure agreements

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

Restriction type: OTHER