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IL-11 in Women With Von Willebrand Disease and Refractory Menorrhagia

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StatusCompleted
Sponsors
Margaret Ragni
Collaborators
University of North Carolina
Wyeth is now a wholly owned subsidiary of Pfizer

Keywords

Abstract

The purpose of this study is to determine the efficacy and safety of rhIL-11, when given subcutaneously for six consecutive months, in reducing menstrual blood loss in women with type 1 von Willebrand disease and refractory menorrhagia. Efficacy will be measured by subjective bleeding severity scale and pictorial bleeding chart. Safety will be measured by the frequency of adverse events, including fever, headache, fatigue, myalgias, arthralgias, fluid retention, or edema.

Description

This study is a prospective, single-center Phase II trial of Neumega (rhIL-11) in women with type 1 VWD and menorrhagia refractory to estrogen, hormones, or hemostatic agents. It is anticipated that 10 subjects who meet eligibility criteria will enroll and complete this study. All aspects of this study, including the rhIL-11 injections and the screening, hemostatic and safety monitoring, and coagulation testing, are considered experimental. The specific objectives are to determine the efficacy and safety of rhIL-11 in reducing menstrual blood loss in adult women with type 1 VWD during six consecutive menstrual cycles, and to determine the mechanism of the hemostatic response of rhIL-11.

Dates

Last Verified: 12/31/2017
First Submitted: 08/30/2007
Estimated Enrollment Submitted: 08/30/2007
First Posted: 09/02/2007
Last Update Submitted: 01/04/2018
Last Update Posted: 01/30/2018
Date of first submitted results: 06/03/2014
Date of first submitted QC results: 11/04/2014
Date of first posted results: 11/06/2014
Actual Study Start Date: 12/31/2007
Estimated Primary Completion Date: 11/30/2010
Estimated Study Completion Date: 11/30/2010

Condition or disease

Von Willebrand Disease

Intervention/treatment

Drug: Oprelvekin, Interleukin 11, IL-11

Phase

Phase 2

Arm Groups

ArmIntervention/treatment
Experimental: Oprelvekin, Interleukin 11, IL-11
25 micrograms/kg by subcutaneous injection once daily for four days, then once daily on day 1-7 during each of six consecutive menstrual cycles
Drug: Oprelvekin, Interleukin 11, IL-11
25 micrograms/kg by subcutaneous injection once daily for four days, then once daily on day 1-7 during each of six consecutive menstrual cycles

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyFemale
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Females 18-45 years of age

- Confirmed type 1 VWD, as defined by low VWF:RCoF or low VWF:Ag and qualitatively normal VWF multimers

- Menorrhagia refractory to estrogens, hormones, hemostatic agents

- Willingness to have blood drawn

Exclusion Criteria:

- Use of immunomodulatory or experimental drugs, or diuretics

- Pregnant or lactating women or those unwilling to use contraception during study

- Previous cardiac disease, congestive failure, arrhythmia (e.g., atrial fibrillation, atrial flutter), hypertension, MI, stroke, or thrombosis

- Past allergic reaction to Neumega or DDAVP

- Surgery within the past 8 weeks

- Inability to comply with study protocol requirements

- Concomitant use of antiplatelet drugs, anticoagulants, dextran, aspirin or NSAIDs

- Treatment with DDAVP, cryoprecipitate, whole blood, plasma and plasma derivatives containing substantial quantities of FVIII and/or VWF within five days of study

Outcome

Primary Outcome Measures

1. >50% Reduction in PBAC (Pictorial Blood Assessment Chart) at 6 Months [6 months]

Subjective estimate of blood loss was measured by using a Pictorial blood assessment chart (PBAC) . The PBAC measures scores on a scale where 0 to 100 is normal and greater than 100-200 are abnormal.

Secondary Outcome Measures

1. No. of Subjects With Detectable VWF mRNA (Von Willebrand Factor Messenger RNA). [The time frame is up to 7 months per subject.]

No. of subjects with detectable VWFmRNA, a measure of IL-11 (interleukin-11) function, specifically increasing VWF synthesis.

2. No. of Subjects With IL-11 Associated Adverse Events. [The time frame is up to 7 months per subject.]

The number of subjects with IL-11 associated adverse events.

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