NCT00143546

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

Compassionate Use of Defibrotide for Patients With Veno-Occlusive Disease

• Status: No Longer Available
• Phase: —
• Study type: Expanded Access
• Enrollment: —
• Sponsor: St. Jude Children's Research Hospital · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

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.

Detailed 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.

Conditions

• Hepatic Veno-occlusive Disease

Interventions

Type	Name	Description
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.

Timeline

• Start date: 2003-11-01
• First posted: 2005-09-02
• Last updated: 2017-04-25

Locations

1 site across 1 country: United States