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Plasmin

Phase 2

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

Plasmin development status

Highest phase Phase 2
Registered trials 4 across 2 sponsors since Jul 2006

Plasmin target and mechanism

Molecular targetFGA, FGB, FGG
Target classHydrolytic Enzyme
ModalityMonoclonal antibody

Also known as Plasmin (Human)

Success Probability

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Market & Valuation

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Trial Design

RandomizedPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment297

FDA Designations

No designations recorded

Plasmin clinical trials

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 (Human) used for?

Plasmin (Human) is being developed to treat acute ischemic stroke, acute peripheral arterial occlusion, and other arterial occlusive diseases. It is intended to be delivered directly into blood clots to restore blood flow. It remains investigational and has not been approved for commercial use.

What does Plasmin (Human) target?

Plasmin (Human) targets fibrinogen alpha, beta, and gamma chains, encoded by the FGA, FGB, and FGG genes. It is a hydrolytic enzyme that acts on fibrin, the structural protein that holds blood clots together, to break down the clot.

Who is developing Plasmin (Human)?

Plasmin (Human) is being developed by Grifols, S.A., which trades under the ticker GRFS. Grifols is a global healthcare company focused on plasma-derived medicines and transfusion diagnostics.

What phase is Plasmin (Human) in?

Plasmin (Human) is in Phase 1 clinical development. It is an investigational product and has not been approved by the FDA or any other regulatory agency. The program has completed one Phase 1 trial and one Phase 2 trial to date.

What clinical trials is Plasmin (Human) in?

Plasmin (Human) has been studied in three completed trials: NCT01222117 in acute peripheral arterial occlusion, NCT01014975 in acute ischemic stroke, and NCT00418483 in arterial occlusive diseases. These trials enrolled 174, 40, and 83 patients respectively across multiple countries.