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AT-III

Phase 2

Cardiac Surgery | Monoclonal antibody | Cardiovascular |Grifols, S.A.|Trials Updated: Mar 15, 2019

AT-III target and mechanism

ModalityMonoclonal antibody

Also known as AT-III (Human)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment425

FDA Designations

No designations recorded

AT-III clinical trials

AT-III · 1 trial · 2 indications

Phase 2 1
NCT02037555Safety and Efficacy of Preoperative Antithrombin Supplementation in Patients Undergoing High-Risk Cardiopulmonary BypassCardiac Surgery
COMPLETED425 Analytics
PHASE2COMPLETED
Safety and Efficacy of Preoperative Antithrombin Supplementation in Patients Undergoing High-Risk Cardiopulmonary Bypass
Cardiac SurgeryUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Subjects With Any Component of a Major Morbidity Composite
Up to Day 30 +/- 4 days

Major morbidity composite defined as a composite of any one or more of the following: 1. Postoperative mortality (deaths occurring within 30 days of the operation or occurring during the primary hospitalization). 2. Stroke (clinical diagnosis of focal or global neurological deficit of abrupt onset caused by disturbance in cerebral blood supply). 3. Acute kidney injury (increase of serum creatinine levels to \>2.0 mg/dL and twice the baseline level or a new requirement for dialysis postoperatively). 4. Surgical reexploration (return to operating room because of bleeding, tamponade, graft occlusion or other cardiac reason). 5. Arterial or venous thromboembolic event (perioperative myocardial or mesenteric infarction, peripheral thromboembolism, acute coronary graft thrombosis, intracardiac thrombosis, deep vein thrombosis, pulmonary embolism). 6. Prolonged mechanical ventilation (\>24 hours). 7. Infection (deep sternal-wound infection and/or bloodstream infections).

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AT-III (Human)EXPERIMENTALSingle intravenous dose of AT-III (Human) sufficient to achieve an absolute increase of 20% (percentage points) above pretreatment AT levels according the following formula: AT-III (Human) dose (IU) required = (20) × (subject weight in kg) / 1.4
PlaceboPLACEBO_COMPARATORSingle intravenous administration of placebo at a volume equivalent to the volume for the calculated AT-III (Human) dose.

Interventions

NameTypeDescription
AT-III (Human)BIOLOGICALAT-III (Human) is an antithrombin concentrate prepared from pooled human plasma. AT-III (Human) is provided as a freeze-dried preparation for intravenous use. The AT-III (Human) preparation is reconstituted in 10 or 20 mL of sterile water for injection prior to intravenous administration.
PlaceboOTHER0.9% Sodium Chloride for Injection, United States Pharmacopeia
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. Male or female. 2. At least 18 years of age. 3. Subject needed non-emergency cardiac surgery with CPB. 4. Types of cardiac operations permitted: complex/combined procedures (CABG+valve), double/triple valve repair/replacement, ascending aorta/aortic arch surgeries. Isolated C...

Countries:United States
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Frequently asked questions about AT-III

What is AT-III used for?

AT-III is being developed for use in cardiac surgery, specifically for patients undergoing high-risk cardiopulmonary bypass. It is intended as a preoperative antithrombin supplementation therapy. The drug is being studied to assess its safety and efficacy in this surgical setting.

Who is developing AT-III?

AT-III is being developed by Grifols, S.A., a global healthcare company. Grifols trades on the Nasdaq under the ticker symbol GRFS. The company is responsible for the clinical development of this investigational therapy.

What phase is AT-III in?

AT-III is in Phase 2 clinical development. It has not been approved by the FDA and remains an investigational therapy. The Phase 2 trial has been completed, and no active trials are currently listed for this drug.

What clinical trials is AT-III in?

AT-III has been studied in one completed Phase 2 clinical trial, NCT02037555, titled "Safety and Efficacy of Preoperative Antithrombin Supplementation in Patients Undergoing High-Risk Cardiopulmonary Bypass." The trial enrolled 425 patients in the United States and was randomized, double-blind, and placebo-controlled.

Is AT-III the same as AT-III (Human)?

Yes, AT-III is also known as AT-III (Human). These names refer to the same investigational drug candidate being developed by Grifols, S.A. for use in cardiac surgery.