Status:
TERMINATED
Pilot/Ph I Safety and Efficacy of ODSH in Protein Losing Enteropathy Secondary to Single Ventricle Palliative Surgery
Lead Sponsor:
Jazz Pharmaceuticals
Conditions:
Protein Losing Enteropathy
Eligibility:
All Genders
6+ years
Phase:
PHASE1
Brief Summary
Protein Losing Enteropathy (PLE) is a serious medical condition that may develop in children and adults with congenital heart disease for which a palliative procedure known as the "Fontan procedure" h...
Detailed Description
Protein Losing Enteropathy (PLE)is a serious and sometimes fatal condition that develops in approximately 10% of children who have undergone the single ventricle palliative surgery known as the Fontan...
Eligibility Criteria
Inclusion
- Male or female ≥ 6 years old.
- History of single ventricle palliative surgery.
- Anticipated need for four or more days of hospitalization, in the investigator's judgment, for the treatment of exacerbation of PLE.
- Clinically significant PLE is defined as the presence of clinically significant symptoms (including, but not limited to, diarrhea, abdominal pain, peripheral edema and/or ascites), AND increased fecal alpha 1-antitrypsin (FA1AT; \> 200 mg/dl) OR hypoalbuminemia of \< 3 gr/dL; requiring supplemental albumin infusions.
- Prothrombin time (PT) and activated partial thromboplastin time (aPTT) not higher than 1.25 times the ULN for age.
- Platelet count of \> 80,000 per mm3, hemoglobin of \> 9.5 g/dL.
- The adult subject or the underage subject/legal guardian is willing to provide informed consent and to comply with the study procedures.
- Female subject of childbearing potential who is not pregnant, and is not lactating and is not planning to become pregnant during the study and will use medically acceptable contraception method for the duration of the study.
Exclusion
- Has congenital or acquired hematologic disease or coagulation disorder.
- Has other type of PLE not associated with single ventricle palliative surgery e.g. subjects with congenital defects of glycation or with Crohn's disease; congenital trypsinogen or enterokinase deficiency;
- Has a clinical need for prophylactic or therapeutic treatment with oral or parenteral anticoagulant medications within 72 hours from the start of ODSH treatment or during the study. \[The use of antithrombotic agents such as acetyl salicylic acid for cardiovascular prophylaxis or clopidogrel (or similar drug class agents) is permitted\].
- Has documented liver failure or a serum ALT or AST greater than 1.5 times the upper limit of normal, or total bilirubin greater than 1.5 the upper limit of normal;
- Has clinically significant proteinuria or severe renal failure based on a creatinine clearance \< 30 mL/min calculated from plasma creatinine (Appendix B) with the Cockcroft-Gault formula for adults or with any of the recommended formulas for subjects 6 to 18 years old;
- Has active gastrointestinal ulcer disease or evidence of gastrointestinal bleeding or urinary tract bleeding or any other source of bleeding within 60 days of the Screening visit.
- History of HIV, hepatitis B or hepatitis C; and
- Major surgery, stroke or myocardial infarction within the past 60 days from screening. Subjects with recent minor surgery can be enrolled in the study.
Key Trial Info
Start Date :
July 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 1 2012
Estimated Enrollment :
5 Patients enrolled
Trial Details
Trial ID
NCT01161641
Start Date
July 1 2010
End Date
February 1 2012
Last Update
December 2 2021
Active Locations (4)
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1
Children's Hospital Los Angeles ( Gastroenterology & Nutrition)
Los Angeles, California, United States, 20027-6016
2
Department of Cardiology, Children's Hospital Boston
Boston, Massachusetts, United States, 02115
3
Division of Pediatric Cardiology, University of Michigan Health System
Ann Arbor, Michigan, United States, 48109-5204
4
Sanford Children's ( Sanford Research / USD)
Sioux Falls, South Dakota, United States, 57104-4707