Compassionate Use of Defibrotide for Patients With Veno-occlusive Disease of the Liver

Hepatic Veno-occlusive Disease Clinical Trial

Official title:

Compassionate Use of Defibrotide for Patients With Veno-Occlusive Disease

Clinical Trial Details — Status: No longer available

Administrative data

• NCT number: NCT00143546
• Other study ID #: DETIDE
• Status: No longer available
• Phase: N/A
• First received: September 1, 2005
• Last updated: April 24, 2017
• Start date: November 2003

Study information

• Verified date: April 2017
• Source: St. Jude Children's Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Expanded Access

Clinical Trial Summary

Veno-occlusive disease (VOD) of the liver is a significant complication for some patients undergoing hematopoietic stem cell transplantation. This disease is thought to be a toxicity secondary to chemotherapy or radiation-induced damage to the epithelial cells of the blood vessels in the liver. VOD is categorized as mild, moderate or severe. Historically, there has been no method to treat the disease. Recently, however, there have been investigations into the use of a new agent called defibrotide.

The primary purpose of this protocol is to provide defibrotide to patients with severe VOD. Because this drug has not been approved by the FDA, use of this medication under the auspices of this IND treatment plan is for compassionate use only.

Description:

Secondary objectives of this protocol include the following:

• To describe the toxicities of defibrotide in patients with VOD.

• To describe the response rate of VOD in patients receiving defibrotide.

Recruitment information / eligibility

• Status: No longer available
• Enrollment: 0
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

Patients with clinical or pathologic diagnosis of veno-occlusive disease. The following criteria will be used:

1. Hyperbilirubinemia (greater than or equal to 2mg/dl) and two of the following:

(hepatomegaly, ascites, or weight gain [greater than or equal to 5% of baseline]); OR,

2. Patient who do not fulfill criteria in #1 but who have pathologic or radiographic evidence of VOD.

Related Conditions & MeSH terms

• Hepatic Veno-occlusive Disease

Intervention

Drug:
• Defibrotide
Defibrotide to be administered approximately every 6 hours at an initial dose of 6.25 mg/kg/dose. Subsequent doses will be escalated with a plateau of 15 mg/kg/dose (or 60 mg/kg/day total). For patients with persistent VOD, the dose may be escalated by 10 mg/kg/day as needed to a maximum of 110 mg/kg/day total.

Locations

Country	Name	City	State
United States	St. Jude Children's Research Hospital	Memphis	Tennessee

Sponsors (1)

Lead Sponsor	Collaborator
St. Jude Children's Research Hospital

Country where clinical trial is conducted

United States, 

External Links

•   St. Jude Children's Research Hospital