| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| Acquired deficiency of coagulation factors II, VII, IX and X due to oral anticoagulation requiring an immediate reversal of anticoagulant effect (i.e. emergency surgery or acute bleeding). |  | 
| MedDRA Classification | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 7.1 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10000534 |  | 
| E.1.3 | Condition being studied is a rare disease | No | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| To demonstrate the capability of Beriplex® P/N to effectively reverse the oral anticoagulation effect by decreasing the INR values |  | 
| E.2.2 | Secondary objectives of the trial | 
| To demonstrate the capability of Beriplex® P/N to adequately increase the plasma level of coagulation factors II, VII, IX, X and protein C 
 To demonstrate the cessation of spontaneously and traumatically induced bleedings or avoidance of excessive hemorrhages during and after emergency surgical interventions
 
 To determine the safety and tolerability of Beriplex® P/N
 |  | 
| E.2.3 | Trial contains a sub-study | Information not present in EudraCT | 
| E.3 | Principal inclusion criteria | 
| Male and female subjects >= 18 years 
 Subjects
 with anticoagulation therapy (coumarin or derivatives) in whom either an emergency surgical or an urgent invasive diagnostic intervention is indicated
 OR
 with anticoagulation therapy (coumarin or derivatives) and acute bleedings in whom normalization of INR is indicated
 
 INR > 2
 
 Informed consent has been obtained
 |  | 
| E.4 | Principal exclusion criteria | 
| Treatment with any other investigational medicinal product in the last 30 days before study entry Administration of whole blood, plasma or plasma fractions within the previous 2 weeks before study entry
 Presence or history of hypersensitivity to the study medication
 Known inhibitors to coagulation factors II, VII, IX or X
 Known hereditary protein C deficiency
 Preexisting progressive fatal disease/life expectancy of less than 3 months
 Less than two weeks of stable oral anticoagulation in the intended therapeutic range in patients with a recent history of DVT or pulmonary embolism
 Acute angina pectoris, acute thrombosis, acute myocardial infarction, acute disseminated intravascular coagulation, acute sepsis, severe ischemic vascular disorder
 Pregnant women, women currently breast-feeding, or with the intention of breast-feeding
 Mental condition rendering the subject unable to understand the nature, scope and possible consequences of the study (for details see 11.3 Informed consent of subject)
 Evidence of an uncooperative attitude and/or drug addiction (including alcohol abuse)
 Prior inclusion in this study
 |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| The primary efficacy endpoint is the rapid decrease of the INR (i.e. INR ≤ 1.3 within 30 minutes after end of Beriplex® P/N infusion). |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | Yes | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | Yes | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | Information not present in EudraCT | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | No | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | Information not present in EudraCT | 
| E.7.1.2 | Bioequivalence study | Information not present in EudraCT | 
| E.7.1.3 | Other | Information not present in EudraCT | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | No | 
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | No | 
| E.8.1.1 | Randomised | No | 
| E.8.1.2 | Open | Information not present in EudraCT | 
| E.8.1.3 | Single blind | Information not present in EudraCT | 
| E.8.1.4 | Double blind | Information not present in EudraCT | 
| E.8.1.5 | Parallel group | Information not present in EudraCT | 
| E.8.1.6 | Cross over | Information not present in EudraCT | 
| E.8.1.7 | Other | Information not present in EudraCT | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | No | 
| E.8.2.2 | Placebo | No | 
| E.8.2.3 | Other | No | 
| E.8.3 | The trial involves single site in the Member State concerned | No | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes | 
| E.8.5 | The trial involves multiple Member States | Yes | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT | 
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |  | 
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 1 | 
| E.8.9.1 | In the Member State concerned months | 4 | 
| E.8.9.1 | In the Member State concerned days |  | 
| E.8.9.2 | In all countries concerned by the trial years | 1 | 
| E.8.9.2 | In all countries concerned by the trial months | 4 |