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Plasmin

Phase 2

Acute Peripheral Arterial Occlusion | Monoclonal antibody | Cardiovascular |Grifols, S.A.|Last Updated: Jan 16, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment174

FDA Designations

No designations recorded

Clinical trial landscape

Plasmin · 3 trials · 3 indications

Phase 2 1Phase 1 2
NCT01222117A Study of Intra-thrombus Plasmin (Human) In Acute Peripheral Arterial OcclusionAcute Peripheral Arterial Occlusion
COMPLETED174 Analytics
PHASE2COMPLETED
A Study of Intra-thrombus Plasmin (Human) In Acute Peripheral Arterial Occlusion
Acute Peripheral Arterial OcclusionUnlock trial analytics

Study Endpoints

Primary Endpoints

The Proportion of Subjects With >50% Thrombolysis
5 hours (Treatment Groups A, B, C, G, I, M) or 2 hours (Treatment Groups D, H, J)

The proportion of subjects with \>50% thrombolysis at the end of treatment compared to baseline by arteriography.

Incidence of Symptomatic Intracranial Hemorrhage (SICH) by Dose Cohort
90 days
Thrombolysis
Approximately 5 hours after start of treatment

Thrombolysis at the end of treatment compared to baseline by arteriography

Secondary Endpoints

The Incidence of Major and Minor Bleeding Events, Deaths, Adverse Events, Serious Adverse Events, and Abnormal Laboratory Values as a Measure of Safety and Tolerability.
30 days
Thrombolysis
Approximately 2 hours after start of treatment
Avoidance of open surgical procedures
30 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Plasmin Open-label Treatment Group AEXPERIMENTALOpen-label 150 mg Plasmin administered without initial proximal pulse; 5-hour infusion using 10 mL/hour infusion rate.
Plasmin Open-label Treatment Group BEXPERIMENTALOpen-label 150 mg Plasmin administered with initial proximal pulse; 5-hour infusion using 15 mL/hour infusion rate
Plasmin Open-label Treatment Group CEXPERIMENTALOpen-label 150 mg Plasmin administered with proximal pulse; 5 hour infusion using 30 mL/hour infusion rate.
Plasmin Open-label Treatment Group DEXPERIMENTALOpen-label 150 mg Plasmin administered with proximal pulse; 2-hour infusion using 35 mL/hour infusion rate
Plasminogen Activator Blinded Group EACTIVE_COMPARATORPA administered for five hours at a dose and volume according to the Investigator's clinical judgement/standard practice
PA Placebo Blinded Treatment Arm FPLACEBO_COMPARATORPA placebo (normal saline for injection) administered for five hours at a dose and volume according to the Investigator's clinical judgement/standard practice for PA administration
Plasmin Open-label Treatment Group GEXPERIMENTALOpen-label 150 mg Plasmin administered without pulsing; 5-hour infusion using 60 mL/hour infusion rate
Plasmin Open-label Treatment Group HEXPERIMENTALOpen-label 150 mg Plasmin administered without pulsing; 2-hour infusion using 75 mL/hour infusion rate
Plasmin Open-label Treatment Group IEXPERIMENTALOpen-label 150 mg Plasmin administered without pulsing; 5-hour infusion using 30 mL/hour infusion rate with balloon occlusion catheter
Plasmin Open-label Treatment Group JEXPERIMENTALOpen-label 150 mg Plasmin administered without pulsing; 2-hour infusion using 35 mL/hour infusion rate with balloon occlusion catheter
Plasmin Open-label Treatment Group MEXPERIMENTALOpen-label 250 mg Plasmin administered without pulsing; 5-hour infusion using 30 mL/hour infusion rate with balloon occlusion catheter
20 mg Plasmin (Human)EXPERIMENTAL20 mg of Plasmin (Human)
40 mg Plasmin (Human)EXPERIMENTAL40 mg of Plasmin (Human)
80 mg Plasmin (Human)EXPERIMENTAL80 mg of Plasmin (Human)
Plasmin (Human) 25 mgEXPERIMENTALPlasmin (Human) 25 mg
Plasmin (Human) 50 mgEXPERIMENTALPlasmin (Human ) 50 mg
Plasmin (Human) 75 mgEXPERIMENTALPlasmin (Human) 75 mg
Plasmin (Human) 100 mgEXPERIMENTALPlasmin (Human) 100 mg
Plasmin (Human) 125 mgEXPERIMENTALPlasmin (Human) 125 mg
Plasmin (Human) 150 mgEXPERIMENTALPlasmin (Human) 150 mg
Plasmin (Human) 175 mgEXPERIMENTALPlasmin (Human) 175 mg

Interventions

NameTypeDescription
PlasminBIOLOGICALPlasmin prepared in 0.9% saline for injection
Plasminogen ActivatorBIOLOGICALPlasminogen activator used according to the Investigator's clinical judgment.
PlaceboOTHERNormal saline for injection at the same volume as the plasminogen activator.
Plasmin (Human)BIOLOGICALPlasmin (Human), 20 mg, delivered through a catheter into a thrombus
Plasmin (Human) 25 mgBIOLOGICALPlasmin (Human) 25 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
Plasmin (Human) 50 mgBIOLOGICALPlasmin (Human) 50 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
Plasmin (Human) 75 mgBIOLOGICALPlasmin (Human) 75 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
Plasmin (Human) 100 mgBIOLOGICALPlasmin (Human) 100 mg
Plasmin (Human) 125 mgBIOLOGICALPlasmin (Human) 125 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
Plasmin (Human) 150 mgBIOLOGICALPlasmin (Human) 150 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
Plasmin (Human) 175 mgBIOLOGICALPlasmin (Human) 175 mg delivered via an infusion catheter into the thrombus over approximately 5 hours.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: * Unilateral limb ischemia - Society of Vascular Surgery Categories I and IIa * Onset of symptoms less than or equal to 14 days * Thrombosed infrainguinal bypass graft or native artery * Diagnosis by arteriography of occlusive thrombus in graft or artery * Ability to embed the i...

Countries:United StatesBelgiumBulgariaCzechiaGermanyIndiaPeruPolandRomaniaSerbiaSlovakiaSpainAustraliaAustriaFrance
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Frequently asked questions about Plasmin

What is Plasmin used for?

Plasmin is an investigational drug being studied for arterial occlusive diseases, acute ischemic stroke, and acute peripheral arterial occlusion. It is a monoclonal antibody developed by Grifols, S.A. Plasmin is currently in clinical development and is not approved by the FDA.

What does Plasmin target?

Plasmin is a monoclonal antibody, but its specific molecular target has not been disclosed in available information. The drug is being investigated for its potential role in treating conditions involving arterial occlusion, such as acute ischemic stroke and peripheral arterial occlusion.

Who makes Plasmin?

Plasmin is being developed by Grifols, S.A., a biopharmaceutical company. Grifols is publicly traded under the ticker symbol GRFS. The company is conducting clinical trials to evaluate Plasmin for the treatment of arterial occlusive diseases.

What phase is Plasmin in?

Plasmin is in Phase 1 clinical development. It has completed Phase 1 trials for arterial occlusive diseases and acute ischemic stroke, and a Phase 2 trial for acute peripheral arterial occlusion has also been completed. Plasmin remains investigational and is not yet approved.

What clinical trials is Plasmin in?

Plasmin has been studied in three completed clinical trials. NCT00418483 was a Phase 1 dose escalation study in acute lower extremity artery occlusion. NCT01014975 was a Phase 1 safety study in acute ischemic stroke. NCT01222117 was a Phase 2 study in acute peripheral arterial occlusion.

Is Plasmin the same as plasminogen?

Plasmin is distinct from plasminogen. Plasmin is the active enzyme that degrades fibrin clots, while plasminogen is its inactive precursor. In the context of this drug, Plasmin refers to the therapeutic agent being developed by Grifols for arterial occlusive conditions.