New reversal agent TAK-330 aims to stop bleeding in emergency surgeries
NCT ID NCT05156983
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 trial tests TAK-330, a drug designed to reverse the effects of common blood thinners (Factor Xa inhibitors) in patients who need urgent surgery. About 440 adults will be randomly assigned to receive TAK-330 or standard care before their procedure. The main goal is to see if TAK-330 helps control bleeding during surgery better than current treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TAK-330 (a reversal agent for blood thinners)
- What this could lead to
- If successful, TAK-330 could provide a faster, more reliable way to reverse blood thinners before emergency surgery, reducing bleeding complications.
- What could go wrong
- This is an early Phase 3 trial with 440 participants, so results may not apply to everyone. There is also a risk that TAK-330 may not work better than current standard treatments.
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 440 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Aug 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 years and older
- 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: * Participant or legally authorized representative willing to sign e-consent/written informed consent form. * Participants at least 18 years of age at enrollment. * Participant currently on treatment with oral Factor Xa inhibitor (rivaroxaban, apixaban, edoxaban). * In the opinion of the surgeon, the participant requires an urgent surgery/procedure that is associated with high-risk of intraoperative bleeding within 15 hours from the last dose of Factor Xa inhibitor and requires a reversal agent for suspected direct oral Factor Xa inhibitor-related coagulopathy. For participants who are beyond the 15-hour window, eligibility requires proof of elevated plasma anti-Factor Xa (FXa) levels using either specific direct oral anti-coagulant (DOAC)-calibrated (apixaban, rivaroxaban or edoxaban) anti-FXa levels of greater than (\>) 75 nanograms per milliliter (ng/mL), or heparin calibrated anti-FXa assay levels of \>0.5 international unit per milliliter (IU/mL) at screening. * Women of childbearing potential should have a negative pregnancy test documented prior to enrollment. Exclusion Criteria: * The participant has an expected survival of less than 30 days, even with best available medical and surgical care. * Recent history (within 90 days prior to screening) of venous thromboembolism, myocardial infarction (MI), disseminated intravascular coagulation (DIC), ischemic stroke, transient ischemic attack, hospitalization for unstable angina pectoris or severe or critical coronavirus 2 (SARS-CoV-2) infection. * Active major bleeding defined as bleeding that requires surgery or transfusion of \>2 units of packed red blood cell (PRBC) or intracranial hemorrhage with the exception of subacute and chronic subdural hemorrhages with a Glasgow Coma Score (GCS) greater than or equal to (\>=) 9. * Polytrauma for which reversal of Factor Xa-inhibition alone would not be sufficient to achieve hemostasis. * Known prothrombotic disorder including primary antiphospholipid syndrome, antithrombin-3 deficiency, homozygous protein C deficiency, homozygous protein S deficiency, and homozygous factor V Leiden. * Known bleeding disorder (example, platelet function disorders, hemophilia, Von Willebrand disease, or coagulation factor deficiency). * Platelet count less than (\<) 50,000 per microliter (/mcL). * History of heparin-induced thrombocytopenia. * Administration of procoagulant drugs (example, non-study prothrombin complex concentrates (PCCs), recombinant Factor VIIa) or blood products (transfusion of whole blood, fresh frozen plasma, cryoglobulins, plasma fractions, or platelets) within 7 days before enrollment. (Note: administration of PRBCs for hemoglobin correction, tranexamic acid or aminocaproic acid are not exclusion criteria). * Planned use of procoagulant drugs (example, Vitamin K, non-study PCCs, recombinant Factor VIIa) or blood products (transfusion of whole blood, fresh frozen plasma, cryoglobulins, plasma fractions, or platelets) after enrollment but before the 24±4 hours hemostatic assessment (Key secondary endpoint). Planned administration of tranexamic acid (TXA) or aminocaproic acid after randomization but before the start of IP infusion, should be noted during randomization to properly stratify these participants in the interactive response technology (IRT). Planned administration of TXA or aminocaproic acid after start of IP infusion but before the 24±4 hours hemostatic assessment is prohibited. Administration of any of the above products before the 24±4 hours hemostatic assessment will impact the assessment of hemostasis. Administration of PRBCs for hemoglobin correction, is not an exclusion criterion. * Administration of unfractionated heparin within 2 hours before randomization or low molecular weight heparin within 6 hours before randomization. * Hypersensitivity to PCC constituents or any excipient of TAK-330. * Participants with history of confirmed immunoglobulin A (IgA) deficiency with hypersensitivity reaction and antibodies to IgA. * Septic shock as defined by persistent hypotension requiring vasopressors to maintain mean arterial pressure (MAP) \>=65 millimeters of mercury (mmHg) and having blood lactate \>2 millimole (mmol) despite adequate volume resuscitation. * Acute or chronic liver failure (hepatic cirrhosis Child-PUGH score C) * Renal failure requiring dialysis * Any other condition that could, in the opinion of the investigator, put the participant at undue risk of harm if the participant were to participate in the study. * Participation in another clinical study involving an investigational product or device within 30 days prior to study enrollment, or planned participation in another clinical study involving an investigational product or device during the course of this study. Participation in an observational study is not an exclusion criterion. * The use of PROTHROMPLEX TOTAL as SOC 4F-PCC. * Women who are breastfeeding at the time of enrollment.
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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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
61 sites in 15 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
Show contact details
Enter your email to view the contact information for this study.
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Study contacts
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Contact
Email: •••••@•••••
Locations
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AZ Groeninge
RECRUITINGKortrijk, 8500, Belgium
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Ascension St. John Medical Center
RECRUITINGTulsa, Oklahoma, 74104, United States
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BG Klinikum Murnau gGmbH
RECRUITINGMurnau am Staffelsee, Bavaria, 82418, Germany
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Bekes Varmegyei Kozponti Korhaz
RECRUITINGBékéscsaba, Attica, 5700, Hungary
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CHU Strasbourg - Hopital Hautepierre
RECRUITINGStrasbourg, Bas Rhin, 67098, France
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CHU UCL Namur
RECRUITINGTherasse 1, 5530, Belgium
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CHU de Quebec- Hopital de l Enfant Jesus
RECRUITINGQuébec, G1J-1Z4, Canada
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Carilion Medical Center
RECRUITINGVirginia Beach, Virginia, 24014, United States
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Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E
RECRUITINGRua Conceição Fernandes, 4434-502, Portugal
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Centro Hospitalar do Baixo Vouga, E.P.E. - Unidade de Aveiro
RECRUITINGAveiro, 3810-501, Portugal
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Centro Hospitalar do Baixo Vouga, E.P.E. - Unidade de Aveiro
RECRUITINGAveiro, 3814-501, Portugal
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Chaim Sheba Medical Center
RECRUITINGRamat Gan, 5265601, Israel
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Clinica Zabala
RECRUITINGCiudad Autonoma Buenos Aires, 1426, Argentina
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Debreceni Egyetem
RECRUITINGDebrecen, 4032, Hungary
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Denver Metro Orthopedics, P.C.
RECRUITINGEnglewood, Colorado, 80012, United States
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Dept of II. interni klinika - gastroenterologie
RECRUITINGSrobarova C, 100 34, Czechia
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ECU Health Medical Center
RECRUITINGGreenville, North Carolina, 27858, United States
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Fakultni nemocnice Brno
RECRUITINGJihlavska, 625 00, Czechia
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Fakultni nemocnice v Motole
RECRUITINGPrague (Praha), 15000, Czechia
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Fundacion para la Lucha contra las Enfermedades Neurologicas de la Infancia - FLENI
RECRUITINGCiudad Autonoma Buenos Aires, CP1428, Argentina
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GH Paris Saint Joseph
RECRUITINGParis, 75014, France
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Hadassah University Hospital - Ein Kerem
RECRUITINGJerusalem, 911200, Israel
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Hamilton General Hospital
RECRUITINGHamilton, Ontario, L8L 2X2, Canada
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Hopital Marie Lannelongue
COMPLETEDLe Plessis-Robinson, 92350, France
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Hospital Clinico Universitario de Salamanca
RECRUITINGSalamnca, Salamanca, 37007, Spain
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, 46010, Spain
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Hospital Privado de Rosario
RECRUITINGSanta Fe, 3000, Argentina
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Hospital Sao Paulo
RECRUITINGSão Paulo, 5102, Brazil
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Hospital Universitari i Politecnic La Fe
RECRUITINGValencia, 46026, Spain
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Hospital Universitario Austral
RECRUITINGBuenos Aires, B1629WWA, Argentina
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Hospital de Clinicas de Ijui
RECRUITINGIjuí, 98700-000, Brazil
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Hospital michallon - CHUGA
COMPLETEDGrenoble, 38043, France
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Hôpital Lariboisière
COMPLETEDParis, 75010, France
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Irmandade da Santa Casa da Misericordia de Santos
RECRUITINGSantos, São Paulo, 11010-000, Brazil
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Jessa Ziekenhuis Hospital
RECRUITINGHasselt, Limburg, 3500, Belgium
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Klinikum Dortmund gGmbH
RECRUITINGMurnau am Staffelsee, 44137, Germany
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Konstantopoulio General Hospital, N.Ionia
RECRUITINGNea Ionia, Attica, 14233, Greece
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LKH - Universitaetsklinikum Graz
RECRUITINGGraz, 8036, Austria
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Landesklinikum Neunkirchen
RECRUITINGNeunkirchen, 2620, Austria
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London Health Sciences Centre (LHSC) - University Hospital
RECRUITINGLondon, Ontario, N6A 5A5, Canada
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Metro Health Medical Center
RECRUITINGCleveland, Ohio, 44109, United States
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Montreal General Hospital
RECRUITINGMontreal, Quebec, H3G 1A4, Canada
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Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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Ozdi Almasi Balogh Pal Korhaz
RECRUITINGSzeged, Attica, 6725, Hungary
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Rabin MC
RECRUITINGPetah Tikva, 49100, Israel
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Rambam Health Care Campus
RECRUITINGHaifa, 3109601, Israel
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Rutgers, The State University of New Jersey
RECRUITINGNew Brunswick, New Jersey, 07103, United States
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Semmelweis Egyetem
RECRUITINGBudapest, 1082, Hungary
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Shaare Zedek Medical Center
RECRUITINGJerusalem, 9103102, Israel
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Shamir Medical Center (Assaf Harofe)
RECRUITINGBeer Yaacov, 70300, Israel
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Soroka Medical Center
RECRUITINGBeersheba, 8410101, Israel
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Tel Aviv Sourasky Medical Center
RECRUITINGTel Aviv, 6423906, Israel
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The Ottawa Hospital - General Campus
RECRUITINGOntario, K1H 8L6, Canada
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UPMC
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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Unity Health Toronto St Michaels Hospital
RECRUITINGToronto, Ontario, M5N 1W8, Canada
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Universitaetsklinikum Carl Gustav Carus TU Dresden
RECRUITINGDresden, Saxony, 01307, Germany
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Universitaetsklinikum Leipzig AoeR
RECRUITINGLeipzig, Saxony, 04103, Germany
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University of Arkansas Medical Sciences
RECRUITINGArkansas City, Arkansas, 72205, United States
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University of California Davis Health System
RECRUITINGSacramento, California, 95817, United States
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University of Florida
RECRUITINGGainesville, Florida, 32608, United States
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University of Pennsylvania - Perelman School of Medicine
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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University of Texas Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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Uniwersytecki Szpital Kliniczny nr 1 im. prof. Tadeusza Sokołowskiego PUM w Szczecinie
RECRUITINGSzczecin, 71-252, Poland
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ZOL
RECRUITINGGenk, Limburg, 3600, Belgium
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