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fondaparinux - UFH not indicated

Phase 3

Thromboembolism | Small molecule | Other |GSK plc|Last Updated: Sep 23, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment12,092
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00064428OASIS-6 : The Safety and Efficacy of Fondaparinux Versus Control Therapy in Patients With ST Segment Elevation Acute Myocardial InfarctionPHASE3 COMPLETED 12,092Aug 1, 2003Feb 1, 2006Sep 23, 2016 -
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Study Endpoints
Primary Endpoints
Death or recurrent myocardial infarction
up to day 30

the first occurrence of any component of death (all-cause mortality) or recurrent myocardial infarction

Severe hemorrhage
up to Day 9

Severe hemorrhage (modified TIMI criteria)

Secondary Endpoints
Death or recurrent myocardial infarction
up to Day 9, 90 and 180
Death, recurrent myocardial infarction or refractory ischemia
up to Day 9, 30, 90 and 180
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Fondaparinux - UFH not indicatedEXPERIMENTALSubjects with no indication for UFH therapy: 2.5mg od, sc, (1st dose IV) x 8 days or discharge
Control - UFH not indicatedPLACEBO_COMPARATORSubjects with no indication for UFH therapy: Fondaparinux-placebo od, sc (1st dose IV) x 8 days or discharge
Fondaparinux - UFH indicatedEXPERIMENTALSubjects indicated for UFH: 2.5mg od, sc (1st dose IV) x 8 days or discharge + UFH-placebo IV bolus + 24-48 hr infusion
Control - unfractionated heparinACTIVE_COMPARATORSubjects indicated for UFH: UFH IV bolus +12 IU/kg/hr infusion x 24-48 hr + fondaparinux-placebo od, sc (1st dose IV) x 8 days or discharge
Interventions
NameTypeDescription
fondaparinux - UFH not indicatedDRUG2.5mg od, sc (1st dose IV) x 8 days or discharge
Control - UFH not indicatedOTHERFondaparinux-placebo od, sc (1st dose IV) x 8 days or discharge
Fondaparinux - UFH indicatedDRUG2.5mg od, sc (1st dose IV) x 8 days or discharge + UFH-placebo IV bolus x 24-48 hr infusion
Control - UFHDRUGUFH IV bolus +12 IU/kg/hr infusion x 24-48 hr + fondaparinux-placebo od, sc (1st dose IV) x 8 days or discharge
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Eligibility Criteria
Age Range21 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Subjects who presented or were admitted to hospital with: 1. Signs and symptoms of AMI 2. Were able to randomize within 12 hours of symptom onset; and- 3. Had definite ECG changes indicating STEMI: persistent ST-elevation (≥0.2mV in two contiguous precordial leads, or ≥...

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