About the study

This is a Phase 3, multicenter, open-label, blinded endpoint study to evaluate the effect of abelacimab relative to dalteparin on venous thromboembolism (VTE) recurrence and bleeding in patients with gastrointestinal (GI)/genitourinary (GU) cancer associated VTE (Magnolia)

Who can take part?

You may be eligible to participate in the study if you meet the following criteria:

Inclusion criteria

1. Male or female subjects ≥18 years old or other legal maturity age according to the country of residence
2. Confirmed GI (colorectal, pancreatic, gastric, esophageal, gastro-esophageal junction or hepatobiliary) or confirmed GU (renal, ureteral, bladder, prostate, or urethra) cancers if:
3. Unresectable, locally advanced, metastatic, or non-metastatic GI/GU cancer and
4. No intended curative surgery during the study
5. Confirmed symptomatic or incidental proximal lower limb acute deep vein thrombosis (DVT) (i.e., popliteal, femoral, iliac, and/or inferior vena cava vein thrombosis) and/or a confirmed symptomatic pulmonary embolism (PE), or an incidental PE in a segmental, or larger pulmonary artery. Patients are eligible within 72 hours from diagnosis of the qualifying VTE
6. Anticoagulation therapy with LMWH for at least 6 months is indicated
7. Able to provide written informed consent

Exclusion criteria

1. Thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current (index) occurrence of DVT and/or PE
2. More than 72 hours of pre-treatment with therapeutic doses of UFH, LMWH, or other anticoagulants
3. An indication to continue treatment with therapeutic doses of an anticoagulant other than for VTE treatment prior to randomization (e.g., atrial fibrillation, mechanical heart valve, prior VTE)
4. PE leading to hemodynamic instability (systolic BP <90 mmHg or shock).
5. Acute ischemic or hemorrhagic stroke or intracranial hemorrhage, in the last 4 weeks preceding screening.
6. Brain trauma, or cerebral or a spinal cord surgery in the 4 weeks preceding screening
7. Need for aspirin in a dosage of more than 100 mg/day or, any other antiplatelet agent alone or in combination with aspirin
8. Bleeding requiring medical attention at the time of randomization or in the preceding 4 weeks
9. Planned major surgery at baseline
10. History of heparin induced thrombocytopenia
11. Primary brain cancer or untreated intracranial metastasis
12. Eastern Cooperative Oncology Group (ECOG) performance status of 3 or 4 at screening
13. Life expectancy of <3 months at randomization
14. Calculated creatinine clearance (CrCl) <30 mL/min
15. Platelet count <50,000/ mm3
16. Hemoglobin <8 g/dL
17. Acute hepatitis, chronic active hepatitis, liver cirrhosis; or an alanine aminotransferase ≥3 times and/or bilirubin ≥2 times the upper limit of normal in the absence of clinical explanation
18. Uncontrolled hypertension (systolic blood pressure [BP] > 180 mm Hg or diastolic BP >100 mm Hg despite antihypertensive treatment)
19. Women of child-bearing potential (WOCBP) who are unwilling or unable to use highly effective contraceptive measures during the study from screening up to 3 days after last treatment of dalteparin or 100 days after administration of abelacimab
20. Sexually active males with sexual partners of childbearing potential must agree to use a condom or other reliable contraceptive measure up to 3 days after last treatment of dalteparin or 100 days after administration of abelacimab
21. Pregnant or breast-feeding women
22. History of hypersensitivity to any of the study drugs (including dalteparin) or its excipients, to drugs of similar chemical classes, or any contraindication listed in the label for dalteparin
23. Subjects with any condition that in the judgement of the Investigator would place the subject at increased risk of harm if he/she participated in the study
24. Use of other investigational (not-registered) drugs within 5 half-lives prior to enrollment or until the expected pharmacodynamic effect has returned to baseline, whichever is longer. Participation in academic non-interventional studies or interventional studies, comprising testing different strategies or different combinations of registered drugs is permitted.

For a full list of inclusion/exclusion criteria, please visit ClinicalTrials.gov

Study locations

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How to apply

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