The trial objective is to demonstrate the safety of idarucizumab, as assessed by the occurence of patients with drug related adverse events (including immune reactions) and all-cause mortality in paediatric venous thromboembolism patients treated with dabigatran in ongoing clinical trials who require emergency surgery/urgent procedures or patients who have life-threatening or uncontrolled bleeding which requires urgent intervention, when rapid reversal of the anticoagulant effect of dabigatran is needed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1
Children Rep.Clin.Hosp of MoH,Cardio Vas.surgery Dept, Kazan
Kazan', Russia
Regional Clin.Hosp.1,Congen.heart defects&child.Cardiol.dept
Tyumen, Russia
Number of Participants With Drug-related Adverse Events (AEs)
Number of participants with drug-related adverse events (AEs) including immune reactions and all cause mortality during the trial.
Time frame: From vial 1 of Idarucizumab until prematurely discontinued of the trial, up to 25 days
Percent Change of Coagulation Time for Diluted Thrombin Time (dTT) and Ecarin Clotting Time (ECT) at 30 Minutes Post-dose Compared With Pre-dose
Percent change of coagulation time for diluted thrombin time (dTT) and ecarin clotting time (ECT) at 30 minutes (min) post-dose compared with pre-dose. Central blood sampling for dTT, ECT were to occur immediately prior to administration of each vial of Idarucizumab and post-dose at 30min, 4h, 12h and 24h.
Time frame: At immediately prior to administration of vial 1 of Idarucizumab and 30 minutes (min) post vial 2 administration.
Time to Achieve Reversal of the Dabigatran Effect (Based on the Coagulation Time for dTT and ECT)
Idarucizumab administration resulted in normalisation of dTT and ECT. Time to achieve reversal of anticoagulant effect of dabigatran based on the coagulation time for dTT and ECT, at any time point from the end of the second injection (vial 2) up to 24 hours (h). Reversal of the dabigatran effect at time t was defined as the 100 percent (%) \*(pre-dose coagulation time - post-dose coagulation time at time t)/(pre-dose coagulation test - upper limit of normal). Values equal to or higher than 100% were interpreted as reversal. Central blood sampling for dTT, ECT were to occur immediately prior to administration of each vial of Idarucizumab and post-dose at 30min, 4h, 12h and 24h.
Time frame: From end of vial 2 of Idarucizumab up to 24h.
Duration of Reversal of the Dabigatran Effect Sustained up to 24 Hours Post-dose (Based on the Coagulation Time for dTT and ECT)
Duration of reversal, defined as the time period a patient remained completely reversed based on dTT and ECT, up to 24 hours post-dose or restarting the treatment of anticoagulation. Central blood sampling for dTT, ECT were to occur immediately prior to administration of each vial of idarucizumab and post-dose at 30min, 4h, 12h and 24h.
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Time frame: From end of vial 2 of Idarucizumab up to 24h.
Number of Participants With Cessation of Bleeding
Time frame: From vial 1 of Idarucizumab through vial 2 of Idarucizumab, up to 24h 30min.
Number of Participants Per Bleeding Status During the Trial
Numbers of participants whose bleeding had stopped, reduced, unchanged, worsened or not applicable during the trial were characterized.
Time frame: From vial 1 of Idarucizumab until prematurely discontinued of the trial, up to 25 days
Number of Participants With Clinical Conditions Contributing to Bleeding During the Trial
Number of participants with clinical conditions (trauma, surgery and use of antiplatelet) contributing to bleeding during the trial were characterized.
Time frame: From vial 1 of Idarucizumab until prematurely discontinued of the trial, up to 25 days
Number of Participants Developing Treatment-emergent Antidrug Antibodies (ADA) With Cross Reactivity to Idarucizumab
Time frame: At day 25 post vial 2 of Idarucizumab administration, up to 1 day