New drug could help heart surgery patients who Don't respond to standard blood thinner
NCT ID NCT06096116
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called Atenativ, made from human plasma, in 120 adults who are resistant to heparin during planned heart surgery. Heparin is a blood thinner used to prevent clots during surgery, but some patients don't respond well. The drug aims to restore heparin's effectiveness, reducing the need for additional treatments like frozen plasma. The trial is double-blind and placebo-controlled, meaning neither patients nor doctors know who gets the real drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- human plasma-derived antithrombin (Atenativ)
- What this could lead to
- If it works, this could provide a standard treatment for heparin resistance during cardiac surgery, reducing the need for additional blood products and improving surgical safety.
- What could go wrong
- This is a Phase 3 trial, but with only 120 participants, results may not apply to all patients. The treatment is derived from human plasma, which carries a small risk of allergic reactions or infection transmission.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Planned cardiac surgery with CPB 2. Heparin-resistant patients (pre-CPB Hemochron ACT less than 480 s in the measurement taken between 2-5 minutes following intravenous administration of 500 U/kg UFH) 3. Patients between 18 and 85 years of age, inclusive 4. Freely given written or electronic informed consent 5. In female patients of childbearing potential, a pre-existing negative pregnancy test within 14 days prior to surgery Exclusion Criteria: 1. Receiving, or have received within the timeframes specified, one or more of the following medications prior to the start of surgery: 1. vitamin K antagonists (within 3 days) 2. direct oral anticoagulants (within 2 days) 3. thienopyridines (ticlopidine within 14 days, prasugrel within 7 days, or clopidogrel within 5 days), unless platelet function is satisfactory according to local standard of care assessment 4. ticagrelor (within 5 days), unless platelet function is satisfactory according to local standard of care assessment 5. glycoprotein IIb/IIIa antagonist (within 24 hours) 2. Pre-existing coagulopathy, a history of bleeding problems, or a laboratory-diagnosed bleeding disorder (e.g., von Willebrand disease, platelet disorder) 3. Renal insufficiency, defined as serum creatinine level \>2.0 mg/dL 4. Thrombocytosis, defined as platelet count \>400,000 per μL 5. Known hypersensitivity or allergic reaction to antithrombin or any of the excipients in Atenativ, i.e., human albumin, sodium chloride, acetyl tryptophan, caprylic acid 6. History of anaphylactic reaction(s) to blood or blood components 7. Refusal to receive transfusion of blood or blood-derived products 8. Current participation in another interventional clinical trial or previous participation in the current trial 9. Treatment with any IMP within 30 days prior to screening visit
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
25 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Atrium Health Wake Forest Baptist
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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CHU de Reims, Hôpital Robert Debré
TERMINATEDReims, France
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CHU de Rennes
WITHDRAWNRennes, France
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Center of Cardiovascular and Transplant Surgery
RECRUITINGBrno, Czechia
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Cleveland Clinic
NOT_YET_RECRUITINGCleveland, Ohio, 44195, United States
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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710-1000, United States
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Hospital of Lithuanian university of Health sciences Kauno Klinikos
RECRUITINGKaunas, Lithuania
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Institute for Cardiovascular Diseases C.C. Iliescu
RECRUITINGBucharest, Romania
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Institute for Clinical and Experimental Medicine
RECRUITINGPrague, Czechia
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Institute of Cardiovascular Diseases Vojvodina
NOT_YET_RECRUITINGKamenitz, Serbia
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Kingston Health Sciences Centre
RECRUITINGKingston, Ontario, K7L2V7, Canada
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Montreal Heart Institute
RECRUITINGMontreal, Quebec, H1T1C8, Canada
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OU Health University of Oklahoma Medical Center
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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Royal Columbian Hospital
RECRUITINGNew Westminster, British Columbia, V3L0A4, Canada
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Royal Papworth Hospital
RECRUITINGCambridge, United Kingdom
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Stanford University School of Medicine
RECRUITINGStanford, California, 94305-5101, United States
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The James Cook University Hospital
RECRUITINGMiddlesbrough, United Kingdom
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The Ohio State University
RECRUITINGColumbus, Ohio, 43214, United States
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Toronto General Hospital
RECRUITINGToronto, Ontario, M5G2C4, Canada
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University Hospital Coventry and Warwickshire
RECRUITINGCoventry, United Kingdom
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University Hospital Innsbruck
RECRUITINGInnsbruck, Austria
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University Medical Centre Ljubljana
RECRUITINGLjubljana, Slovenia
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University of Miami
RECRUITINGMiami, Florida, 33136, United States
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University of Texas Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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Vienna General Hospital AKH, Medical University of Vienna
RECRUITINGVienna, Austria
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Vilnius University hospital Santaros Klinikos
RECRUITINGVilnius, Lithuania