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Ecallantide

Phase 3

Bloodloss | Small molecule | Other |Merck & Company, Inc.|Trials Updated: Aug 11, 2015

Ecallantide development status

Highest phase Phase 3 run by Shire (NCT00456508)
Phase scored for MRKPhase 2
Registered trials 8 across 2 sponsors since Dec 2005

Ecallantide target and mechanism

Molecular targetKLKB1
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment519

FDA Designations

No designations recorded

Ecallantide clinical trials

Ecallantide · 2 trials · 2 indications

Phase 2 2
NCT00888940Outcomes and Safety Trial Investigating Ecallantide's Effect on Reducing Surgical Blood Loss Volume in Subjects at High Risk of Bleeding Exposed to Cardio-pulmonary Bypass During Cardiac SurgeryBloodloss
COMPLETED243 Analytics
NCT00816023A Dose-ranging Safety and Efficacy Study of Ecallantide to Reduce Surgical Blood Loss VolumeBloodloss
COMPLETED276 Analytics
PHASE2COMPLETED
Outcomes and Safety Trial Investigating Ecallantide's Effect on Reducing Surgical Blood Loss Volume in Subjects at High Risk of Bleeding Exposed to Cardio-pulmonary Bypass During Cardiac Surgery
BloodlossUnlock trial analytics
PHASE2COMPLETED
A Dose-ranging Safety and Efficacy Study of Ecallantide to Reduce Surgical Blood Loss Volume
BloodlossUnlock trial analytics

Study Endpoints

Primary Endpoints

Cumulative Volume of Packed Red Blood Cells Transfused
12 hours after the end of surgery
Cumulative Volume of Packed Red Blood Cells Transfused at 12 Hours Post Surgery
Start of surgery up to 12 hours after the end of surgery

Secondary Endpoints

Treatment-emergent Adverse Events.
Over the duration of the study.
Treatment-emergent Adverse Events
Over the duration of the study.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
ecallantideEXPERIMENTAL -
Cyklokapron(R)ACTIVE_COMPARATOR -
Ecallantide Low DoseEXPERIMENTALtarget steady state concentration of 0.15 mg/L
Ecallantide Medium DoseEXPERIMENTALtarget steady state concentration of 0.75 mg/L
Ecallantide High DoseEXPERIMENTALtarget steady state concentration of 2.25 mg/L
PlaceboPLACEBO_COMPARATORplacebo

Interventions

NameTypeDescription
EcallantideDRUG2.25 mg/L pump prime, 0.13 mg/kg loading dose, 2.25 mg/L constant infusion
Cyklokapron(R)DRUG1000-mg loading dose followed by a continuous infusion of 400 mg/hr with an additional 500 mg added to the pump prime
placeboDRUGsolution for IV infusion over the duration of the surgical\>\> procedure
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Written informed consent (by study subject) prior to any study-related procedure not part of normal medical care; * Male or female between the ages of 18 and 85 years old, inclusive; and * Planned cardiac surgery using cardio-pulmonary bypass, for one of the following procedur...

Countries:United StatesGermanyPolandCanada
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Frequently asked questions about Ecallantide

What is Ecallantide used for?

Ecallantide is being studied to reduce surgical blood loss in patients at high risk of bleeding, including those undergoing cardiac surgery with cardio-pulmonary bypass. It is an investigational small molecule developed by Merck & Company, Inc. (MRK) and has completed Phase 2 clinical trials in this indication.

What does Ecallantide target?

Ecallantide targets KLKB1, also known as plasma prekallikrein. It acts as an inhibitor of this target. By inhibiting KLKB1, Ecallantide may help reduce blood loss during surgical procedures, though its efficacy and safety are still being evaluated in clinical trials.

Who is developing Ecallantide?

Ecallantide is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. Merck is responsible for the clinical development of Ecallantide, including the completed Phase 2 trials in surgical blood loss.

What phase is Ecallantide in?

Ecallantide is in Phase 2 of clinical development. It has completed two Phase 2 trials but is not yet approved by the FDA. The trials were randomized, double-blind, and active-controlled, and they enrolled a total of 519 participants.

What clinical trials is Ecallantide in?

Ecallantide has been studied in two completed Phase 2 clinical trials: NCT00888940, which investigated its effect on reducing surgical blood loss in subjects at high risk of bleeding exposed to cardio-pulmonary bypass during cardiac surgery, and NCT00816023, a dose-ranging safety and efficacy study to reduce surgical blood loss volume.