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Certoparin 3, Once Daily

Phase 3

Embolism | Small molecule | Cardiovascular |Novartis AG|Last Updated: Feb 24, 2017

Target and mechanism

ModalitySmall molecule

Also known as Certoparin

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment342

FDA Designations

No designations recorded

Clinical trial landscape

Certoparin 3, Once Daily · 5 trials · 5 indications

Phase 3 4Phase 1 1
NCT01179620Certoparin in Renal Patients Undergoing HemodialysisRenal Dialysis
COMPLETED109 Analytics
NCT00451412A Comparison of Certoparin and Unfractionated Heparin in the Prevention of Thromboembolic Events in Acutely Ill Medical PatientsThromboembolism
COMPLETED3,254 Analytics
NCT00311753Efficacy and Safety of Low-molecular Weight Heparin for Thromboprophylaxis in Acutely Ill Medical PatientsEmbolism
COMPLETED342 Analytics
NCT00171769Atrial Fibrillation Feasibility Certoparin Trial - AFFECTPersistent Nonvalvular Atrial Fibrillation
COMPLETED200 Analytics
PHASE3COMPLETED
Certoparin in Renal Patients Undergoing Hemodialysis
Renal DialysisUnlock trial analytics
PHASE3COMPLETED
A Comparison of Certoparin and Unfractionated Heparin in the Prevention of Thromboembolic Events in Acutely Ill Medical Patients
ThromboembolismUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Low-molecular Weight Heparin for Thromboprophylaxis in Acutely Ill Medical Patients
EmbolismUnlock trial analytics
PHASE3COMPLETED
Atrial Fibrillation Feasibility Certoparin Trial - AFFECT
Persistent Nonvalvular Atrial FibrillationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of patients requiring uptitration
Week 8
Incidence of venous thromboembolism during treatment (proximal deep vein thrombosis, pulmonary embolism, death related to venous thromboembolism)
20 days
The occurrence of thromboembolic events (proximal or distal DVT, PE or VTE related death) during treatment
10 ± 2 days
Safety measures including reporting of serious adverse events and adverse events, including vascular and neurological events
Plasma aXa-Profile: C0
5 days

Estimate of the effects of renal insufficiency on the systemic exposure to aXa for once daily (τ = 24 h) repeated doses of 3,000 IU aXa as characterized by pre-dose trough (C0,ss) aXa comparing REN-patients with matched CON-subjects studied in parallel.

Dose regimen, systemic total exposure to aXa (AUC0-τ,ss)
5 days

Dosage regimen (3,000 o.d., 3,000 b.i.d., 8,000 o.d., 8,000 IU aXa in the morning plus 3,000 IU aXa in the evening, or 8,000 b.i.d. IU aXa) that yields a systemic total exposure to aXa (AUC0-τ,ss) in REN-patients similar to that achieved with 8,000 b.i.d. IU aXa in CON-subjects.

Plasma aXa-Profile: Cmax
5 days

Estimate of the effects of renal insufficiency on the systemic exposure to aXa for once daily (τ = 24 h) repeated doses of 3,000 IU aXa as characterized by maximum (Cmax,ss), aXa comparing REN-patients with matched CON-subjects studied in parallel.

Plasma aXa-Profile: AUC
5 days

Estimate of the effects of renal insufficiency on the systemic exposure to aXa for once daily (τ = 24 h) repeated doses of 3,000 IU aXa as characterized by total (AUC0-τ,ss) aXa comparing REN-patients with matched CON-subjects studied in parallel.

Secondary Endpoints

Pharmacokinetics of Certoparin
Day 1, Week 4
Safety and tolerability of Certoparin
8 weeks
proximal and distal deep vein thrombosis (DVT) (combined and separate) assessed by ultrasound screening,
20 days
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
CertoparinEXPERIMENTAL -
Unfractionated HeparinACTIVE_COMPARATOR -
1EXPERIMENTALCertoparin
2ACTIVE_COMPARATORHeparin
Certoparin controlEXPERIMENTALParticipants receive Certoparin 3,000 IU during period 1. Participants will receive 8,000 IU during period 2, if qualified as per medical criteria.
Certoparin RenalEXPERIMENTALParticipants receive dose escalation upon medical criteria qualification at each period: Certoparin 3,000 IU once a day during period 1. Certoparin 3,000 IU twice a day during period 2. Certoparin 8,000 IU once a day during period 3. Certoparin 8,000 IU in the morning and 3,000 IU in the evening during period 4 OR Certoparin 8,000 IU twice a day during period 4.

Interventions

NameTypeDescription
CertoparinDRUGCertoparin
Unfractionated HeparinDRUGsolution, 5000 IU of unfractionated heparin in 0.3 ml, 3 times daily
HeparinDRUG7500 IU of unfractionated heparin administered twice daily during the treatment period of 10 ± 2 days
Certoparin 3,000 IU Once DailyDRUGCertoparin 3,000 IU subcutaneous injection once daily
Certoparin 3,000 IU Twice a DayDRUGCertoparin 3,000 IU subcutaneous injection twice a day
Certoparin 8,000 IU Once DailyDRUGCertoparin 8,000 IU subcutaneous injection once daily
Certoparin 8,000 IU Twice a DayDRUGCertoparin 8,000 IU subcutaneous injection twice a day
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Patients requiring hemodialysis * Patients requiring anticoagulation therapy during hemodialysis * Written informed consent Exclusion Criteria: * Hypersensitivity to study medication * Genetic abnormality or disease of clotting system * Prior major surgery or bleeding * Othe...

Countries:GermanySwitzerlandUnited StatesHungary
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Competitive Landscape -Pulmonary Embolism 6 trials (matched to "Embolism")

No competing companies are currently tracked in active development for Pulmonary Embolism.
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Frequently asked questions about Certoparin 3, Once Daily

What is Certoparin 3, Once Daily?

Certoparin 3, Once Daily is an investigational small molecule developed by Novartis AG (ticker NVS) for cardiovascular conditions. It has been studied in thromboembolism, embolism, renal dialysis, renal insufficiency, and persistent nonvalvular atrial fibrillation. It is a low molecular weight heparin given once daily.

What is Certoparin 3, Once Daily used for?

Certoparin 3, Once Daily has been studied for the prevention of thromboembolic events in acutely ill medical patients, for embolism, and in renal dialysis patients. It has also been evaluated in renal insufficiency and persistent nonvalvular atrial fibrillation. These uses remain investigational.

Who makes Certoparin 3, Once Daily?

Certoparin 3, Once Daily is developed by Novartis AG, which trades under the ticker NVS. Novartis sponsored the clinical trials evaluating the drug in thromboembolism, embolism, renal dialysis, and renal insufficiency.

What phase is Certoparin 3, Once Daily in?

Certoparin 3, Once Daily has completed Phase 3 clinical development. It is investigational and has not been approved by the FDA. The Phase 3 program included a trial in acutely ill medical patients and a trial in renal dialysis patients.

What clinical trials is Certoparin 3, Once Daily in?

Certoparin 3, Once Daily has completed four trials: NCT00451412 in thromboembolism with 3,254 patients, NCT00311753 in embolism with 342 patients, NCT01179620 in renal dialysis with 109 patients, and NCT01660295 in renal insufficiency with 32 patients. All are completed.

Is Certoparin 3, Once Daily the same as Certoparin?

Yes, Certoparin 3, Once Daily is also known as Certoparin 3,000 IU Once Daily and simply Certoparin. These names refer to the same low molecular weight heparin developed by Novartis AG for cardiovascular indications.