Study of the Efficacy and Safety of AMAG-423 (Digoxin Immune Fab) in Antepartum Subjects With Severe Preeclampsia

Purpose

This study evaluates the use of AMAG-423 (Digoxin Immune Fab) in addition to expectant management in the treatment of severe preeclampsia as compared to placebo.

Condition

  • Severe Preeclampsia

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Fetal gestational age 23 0/7 to 31 6/7 weeks - Treated with expectant management - Meets modified ACOG criteria for severe preeclampsia - Willing and able to provide written, informed consent

Exclusion Criteria

  • Decision to deliver within 24 hours has been made - Weight > 150 kg - Eclampsia - Significant antecedent obstetrical problems - Clinically significant fetal anomaly or chromosomal abnormalities - Chronic renal disease - Active hepatic disease, antiphospholipid antibody syndrome, or lupus - Unstable medical or psychiatric disorder - Need for use of digitalis like products - History of anaphylactic allergic reactions - Prior use of antibodies/fab fragments from sheep - Serum creatinine ≥ 2.0 mg/dL - Platelet count < 50,000 - Pulmonary edema - Estimated fetal weight < 5th percentile

Study Design

Phase
Phase 2/Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
AMAG-423 (digoxin immune fab)
AMAG-423 (digoxin immune fab) 3.2 mg/kg, 30 minute IV infusion, every 6 hours x 4 days
  • Biological: AMAG-423 (digoxin immune fab)
    AMAG-423 (digoxin immune fab) 3.2 mg/kg, 30 minute IV infusion, every 6 hours x 4 days
    Other names:
    • DigiFab
Placebo Comparator
Placebo
Normal saline, 30 minute IV infusion, every 6 hours x 4 days
  • Other: Placebo
    Normal saline, 30 minute IV infusion, every 6 hours x 4 days

More Details

Status
Terminated
Sponsor
AMAG Pharmaceuticals, Inc.

Study Contact