Drugs / Prothrombin Complex Concentrate
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Prothrombin Complex Concentrate

Protein / enzyme biologic targets F10, F2, F7, F9, PROC, PROS1

Developed for
hemorrhagic disease · intracerebral hemorrhage · liver disorder · advanced heart failure · blood coagulation disease · cardiac valvular defect · coagulation protein disease · congestive heart failure
+3 more · hemophilia · brain injury · cirrhosis of liver
Investigated by
Konkuk University Medical Center · CSL Behring · Asan Medical Center · Baxalta now part of Shire · Bayer · Beijing Anzhen Hospital
+30 more · Bellal A. Joseph, MD, FACS · British Heart Foundation · Children's Hospital of Chongqing Medical University · First Affiliated Hospital of Guangxi Medical University · First Affiliated Hospital of Harbin Medical University · Fondation Ophtalmologique Adolphe de Rothschild · Guizhou Provincial People's Hospital · Heidelberg University · IRCCS Policlinico S. Donato · Institute of Hematology & Blood Diseases Hospital, China · Janssen Scientific Affairs, LLC · Mayo Clinic · North China University of Science and Technology · Oregon Health and Science University · Peking Union Medical College Hospital · Queen Mary University of London · SHI Jia · Samsung Medical Center · Sheila B. Terry Memorial Research Fund · Soonchunhyang University Hospital · The Affiliated Hospital Of Guizhou Medical University · The First Affiliated Hospital of Air Force Medicial University · The First Affiliated Hospital of Xiamen University · The Second Affiliated Hospital of Kunming Medical University · The Second People's Hospital of Anhui Province · Third Affiliated Hospital, Sun Yat-Sen University · Union Hospital, Affiliated to Fujian Medical University · University of Maryland, Baltimore · University of Utah · Zunyi Medical College

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — esophageal varices with bleeding 2012-05-29

“FDA has accepted for standard review its Biologics License Application (BLA) for a human 4-factor prothrombin complex concentrate (PCC)” csl.com ↗

Trials 17

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT02561923 Aug 2015 → Jun 2016 — Janssen Scientific Affairs, LLC Completed No outcome recorded
Phase 1 NCT00770718 Apr 2008 → Apr 2010 intracerebral hemorrhage University of Utah Terminated No outcome recorded Stop: Enrollment
Phase 24 trials
Phase 2 NCT04019015 Mar 2021 → Dec 2024 — Oregon Health and Science University Unknown No outcome recorded
Phase 2 NCT04434001 Feb 2020 → May 2021 acquired coagulation factor deficiency, acute lung injury, congenital heart disease, hemorrhagic disease IRCCS Policlinico S. Donato Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03981484 Jan 2020 → Oct 2022 blood coagulation disease, hemorrhagic disease Bellal A. Joseph, MD, FACS Unknown No outcome recorded
Phase 2 NCT03715348 Mar 2019 → Jan 2020 hemorrhagic disease Queen Mary University of London Completed No outcome recorded
Phase 31 trial
Phase 3 NCT03341156 Jul 2018 → Sep 2020 advanced heart failure, congestive heart failure University of Maryland, Baltimore Terminated No outcome recorded Stop: Enrollment
Phase 49 trials · 1 missed
Phase 4 NCT06144125 Mar → Sep 2026 overdue heart valve disorder Konkuk University Medical Center Recruiting No outcome recorded
Phase 4 NCT07406139 Mar → Dec 2026 expected hemophilia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 4 NCT06144112 Sep 2025 → Mar 2026 overdue liver disorder Konkuk University Medical Center Not yet recruiting No outcome recorded
Phase 4 NCT06144099 Mar 2024 → Apr 2025 osteoarthritis, hip, prostate cancer Konkuk University Medical Center Unknown No outcome recorded
Phase 4 NCT04244981 Oct 2023 → Mar 2025 cardiac valvular defect SHI Jia Terminated No outcome recorded
Phase 4 NCT02557672 Aug 2016 → Jun 2021 hemorrhagic disease Mayo Clinic Completed Missed primary
Phase 4 NCT02777424 Jan 2016 → Mar 2019 intracerebral hemorrhage Fondation Ophtalmologique Adolphe de Rothschild Completed No outcome recorded
Phase 4 NCT01159210 Jul 2010 → Apr 2012 coagulation protein disease Baxalta now part of Shire Completed No outcome recorded
Phase 4 NCT00928915 Jul 2009 → Jan 2015 intracerebral hemorrhage Heidelberg University Completed No outcome recorded
Phase not applicable1 trial
— NCT07857434 Oct 2026 → Nov 2028 expected liver disorder Third Affiliated Hospital, Sun Yat-Sen University Not yet recruiting No outcome recorded
Comparator or background therapy4 trials
Phase 1 NCT02270918 Comparator Nov → Dec 2014 thrombotic disease Thomas Jefferson University Completed No outcome recorded
Phase 2 NCT04114643 Comparator Sep 2019 → Jul 2020 — University Health Network, Toronto Unknown No outcome recorded
Phase 3 NCT01545635 Comparator Mar 2012 → Feb 2016 brain injury Medical University Innsbruck Terminated No outcome recorded
Phase 4 NCT05667805 Comparator Jan 2023 → Jan 2027 expected cirrhosis of liver Medical University of Vienna Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 10

DateIssuerRelease
2024-08-15 Octapharma Results Octapharma USA: JAMA Network Open Publishes Study Results Demonstrating Efficacy & Safety of Balfaxar® For Warfarin Reversal in Urgent Surgery & Invasive Procedures octapharma.com ↗
2023-07-27 Octapharma Regulatory Octapharma's prothrombin complex concentrate, Balfaxar®, receives FDA approval for warfarin reversal in urgent surgery & invasive procedures octapharma.com ↗
Octapharma USA today announced that Balfaxar ® (prothrombin complex concentrate, human-lans; marketed in Europe and Canada as octaplex ® ) has received U.S. Food and Drug Administration (FDA) approval for the urgent reversal of acquired coagulation factor deficiency induced by vitamin K antagonist (VKA, e.g., warfarin) therapy in adult patients with need for urgent surgery or invasive procedures.
2021-04-07 Octapharma Results Study suggests that 4F-PCC can be used as a substitute for frozen plasma for the treatment of bleeding during cardiac surgery octapharma.com ↗
Patients in the 4F-PCC group (N = 54) had a 44% (P < 0.001) lower exposure to allogeneic blood components than the FP group (N = 47), primarily due to a significantly lower requirement of additional FP transfusions (94% lower, P < 0.001)
2015-09-08 CSL Behring Regulatory Centers for Medicare and Medicaid Services Extends New Technology Add-On Payment for CSL Behring’s Kcentra® for Third Year csl.com ↗
08 Sep 2015 CSL Behring today announced that the Centers for Medicare and Medicaid Services (CMS) again extended the new technology add-on payment (NTAP) for Kcentra® (Prothrombin Complex Concentrate [Human]).
2015-03-17 CSL Behring Results The Lancet Publishes CSL Behring’s Kcentra® Phase III Data csl.com ↗
Results of the multicenter, open-label, phase IIIb randomized trial showed that in 168 evaluable patients, 90 percent of patients treated with Kcentra achieved effective hemostasis, compared to 75 percent of patients treated with plasma.
2014-12-01 CSL Behring Regulatory CMS Extends New Technology Add-On Payment for CSL Behring’s Kcentra® csl.com ↗
CSL Behring today announced that the Centers for Medicare and Medicaid Services (CMS) has extended the new technology add-on payment (NTAP) for Kcentra ® (Prothrombin Complex Concentrate [Human]) through September 2015 for eligible Medicare beneficiaries treated in the inpatient hospital setting.
2013-12-09 CSL Behring Results CSL Behring Study Shows Kcentra® Superior to Plasma for Warfarin Reversal in Patients Requiring an Urgent Surgical Procedure csl.com ↗
“The data demonstrated a strong benefit for Kcentra over plasma for patients on VKAs requiring an urgent surgery or invasive procedure,” said Majed Refaai, M.D., Associate Professor, Department of Pathology and Laboratory Medicine, University of Rochester Medical Center.
2013-08-12 CSL Behring Regulatory CMS Approves New Technology Add-On Payment for CSL Behring’s Kcentra™ csl.com ↗
12 Aug 2013 CSL Behring today announced that the Centers for Medicare and Medicaid Services (CMS) has approved a new technology add-on payment (NTAP) for Kcentra™ (Prothrombin Complex Concentrate [Human]) for use in the inpatient hospital setting for the urgent reversal of warfarin therapy in adult patients with acute major bleeding.
2013-04-29 CSL Behring Regulatory CSL Behring Receives FDA Approval of Kcentra™ for Urgent Warfarin Reversal in Patients with Acute Major Bleeding csl.com ↗
the U.S. Food and Drug Administration (FDA) approved Kcentra™
2012-05-29 CSL Behring Regulatory CSL Behring Announces FDA Filing of Biologics License Application for 4-Factor PCC for Urgent Reversal of Vitamin K Antagonist Anticoagulant Therapy csl.com ↗

All press releases naming this drug 10 releases

DateIssuerRelease

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 22 sources stand behind the page.

FieldValueCited text
Known as prothrombin complex concentrate “prothrombin complex concentrate (PCC) in the treatment of bleeding episodes” NCT07406139 ↗
14

NCT05667805 ↗

NCT01545635 ↗

NCT07857434 ↗

NCT06144099 ↗

NCT03981484 ↗

NCT06144112 ↗

NCT06144125 ↗

NCT03715348 ↗

NCT04434001 ↗

NCT01159210 ↗

Show 4 more sources

Known as Kcentra ClinicalTrials.gov intervention name — accepted as the source's own label NCT02270918 ↗
2

NCT03341156 ↗

NCT02561923 ↗

Known as Octaplex 500 iu ChEMBL registry synonym — accepted as the source's own label CHEMBL6068614 ↗
Known as PCC “according to the Thromboelastography (TEG) test, CK r-time prolongation,prothrombin complex concentrate (PCC) administration” NCT06144099 ↗
4

“Prothrombin Complex Concentrate (PCC) is thought to be a promising treatment option.” NCT03981484 ↗

“Prothrombin Complex Concentrate (PCC)” NCT00770718 ↗

“Prothrombin complex concentrate (PCC)” NCT00928915 ↗

NCT07406139 ↗

Known as Prothrombin complex concentrate (Human) ClinicalTrials.gov intervention name — accepted as the source's own label NCT02557672 ↗
2

NCT04244981 ↗

NCT04019015 ↗

Action Restore “dosage and duration of replacement therapy depend on the severity of the disorder” NCT01159210 ↗
Modality Protein / enzyme biologic “PCC (Profilnine®SD) is a mixture of the following vitamin K-dependent clotting factors” NCT00770718 ↗
Route Intravenous “intravenously, 30 IU/kg” NCT00928915 ↗
Target F10 “Coagulation factor X exogenous protein” CHEMBL6068614 ↗
Target F2 “Thrombin exogenous protein” CHEMBL6068614 ↗
Target F7 “Coagulation factor VII exogenous protein” CHEMBL6068614 ↗
Target F9 “Coagulation factor IX exogenous protein” CHEMBL6068614 ↗
Target PROC “Vitamin K-dependent protein C exogenous protein” CHEMBL6068614 ↗
Target PROS1 “Vitamin K-dependent protein S exogenous protein” CHEMBL6068614 ↗