June 19, 2008 - Biopure Corp. said this week the U.S. Naval Medical Research Center (NMRC) submitted a new protocol for review by the FDA for a Phase 2 clinical trial of Hemopure (hemoglobin glutamer - 250 - bovine), or HBOC-201, for resuscitation of casualties with severe traumatic hemorrhagic shock without availability of blood transfusions. The proposed trial hypotheses is that for such casualties Hemopure substitute blood will improve survival and other clinical parameters, and will be relatively safe and well tolerated, in comparison with standard fluid. Subjects will sign an informed consent prospectively. The study is entitled "Operational Restore Effective Survival in Shock” (Op RESUS). Op RESUS is designed as a single-blinded, randomized and controlled trial with up to 340 evaluable subjects, including operational military and civilian personnel (Department of Defense health system eligible). The primary aim of the study is to compare the 28-day relative rate of death in patients receiving Hemopure versus the group of patients receiving the standard fluid for resuscitation (Hextend). Secondary and tertiary outcome measures are also defined. All subjects would receive blood transfusions, when indicated, upon availability. A successful completion, if attained, of Op RESUS safety primary objectives is expected to support an application to the FDA for allowance to conduct a definitive Phase 3 trial and have potential to improve survival of hemorrhagic shock casualties. Under a research agreement with Biopure, the NMRC has had primary responsibility for designing, seeking FDA acceptance of and directing a pivotal trauma trial. In carrying out that agreement, the Navy designed and submitted to the FDA a proposed phase 2/3 trial entitled “Restore Effective Survival in Shock.” That trial would have been conducted prehospital in civilian trauma patients. The trial was placed on clinical hold by the FDA and continues to be on hold following changes intended to address FDA comments. The newly filed protocol, by incorporating informed consent, is intended to remove requirements attendant to waiver of informed consent. To date, Congress has appropriated a total of $24.2 million for the development of Hemopure as a universal blood substitute for use by the U.S. military. Hemopure is approved for sale in South Africa for the treatment of surgical patients who are acutely anemic. Biopure's veterinary product Oxyglobin, the only oxygen therapeutic approved for marketing by both the FDA and the European Commission, is indicated for the treatment of anemia in dogs. Biopure has sold approximately 200,000 units of Oxyglobin since its launch. For more information: www.biopure.com
U.S. Navy Submits Protocol for Trial of Hemopure Substitute Blood
A pig heart, shown here, is very similar in size and anatomy to a human heart. For this reason, pigs are used extensively in pre-clinical animal testing for new implantable cardiovascular devices. If pig hearts could be used for human transplantation, it would greatly alleviate shortages of donor human hearts.