Haemocomplettan® P During Aortic Replacement
Haemocomplettan® P in Patients Experiencing Acute Bleeding While Undergoing Aortic Replacement Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Hannover, Germany
- Medical School Hannover (MHH)
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Eighteen years of age or older
- Undergoing elective thoracoabdominal aortic replacement surgery (TAAA) or thoracic aortic replacement surgery (TAA)
- Understood and willingly given written informed consent (German language) to participate following an explanation of study background, restrictions, and procedures
- Experience clinically relevant bleeding of the microvasculature following removal of CPB during surgery
Exclusion Criteria:
- Positive pregnancy test, pregnancy or lactation
- Women of child bearing age not using a medically approved method of contraception during the study
- Previous aortic replacement at the same aortic site (redo surgeries)
- Undergoing an emergency operation
- Proof or suspicion of a congenital or acquired coagulation disorder (e.g. VWD or via severe liver disease)
- Myocardial Infarction (MI) or apoplexy in the 2 months preceding study surgery
- ASA administration in the 3 days preceding study surgery, and a pathological (<74.5 U) ASPI Multiplate® test immediately preceding surgery begin
- Clopidogrel administration in the 5 days preceding study surgery, and a pathological (<31.1 U) ADP/PG Multiplate® test immediately preceding surgery begin
- Tirofiban administration in the 2 days preceding study surgery, and a pathological (<94.1 U) TRAP Multiplate® test immediately preceding surgery begin
- Phenprocoumon administration in the 5 days preceding study surgery, and an INR > 1.28 immediately preceding surgery begin
- Participation in another clinical study in the 4 weeks preceding aortic replacement
- Sensitivity to any of the components of study medication, or to MPs with a similar chemical structure to any of the components of study medication
- Any indication that the restrictions or procedures of the study may not be adhered to (e.g. an uncooperative attitude)
- Any indication that the study restrictions, procedures, or consequences therein have not been considered or understood, such that informed consent cannot be convincingly given
- Multiple morbidities, with a notably constrained remaining length of life
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Saline solution
|
Single intravenous infusion
|
|
Active Comparator: Haemocomplettan® P
Intravenous infusion during aortic surgery
|
Single intravenous infusion
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Combined number of units of allogeneic blood products (platelets + FFP + RBCs) administered to subjects.
Time Frame: From administration of Haemocomplettan® P until 24 hours later
|
From administration of Haemocomplettan® P until 24 hours later
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of subjects that receive no allogeneic blood products (neither platelets, FFP, nor RBCs)
Time Frame: From administration of Haemocomplettan® P until 24 hours later
|
From administration of Haemocomplettan® P until 24 hours later
|
|
Duration of stay in ICU
Time Frame: Last suture of initial surgery to end of ICU stay
|
Last suture of initial surgery to end of ICU stay
|
|
Duration of hospital stay
Time Frame: Last suture of initial surgery to end of hospital stay
|
Last suture of initial surgery to end of hospital stay
|
|
Mortality
Time Frame: 45 days post surgery
|
45 days post surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Niels Rahe-Meyer, Dr. Dr., Abteilung Anästhesiologie, Carl-Neuberg-Strasse 1 / K5, 30177 Hannover
Publications and helpful links
General Publications
- Rahe-Meyer N, Solomon C, Hanke A, Schmidt DS, Knoerzer D, Hochleitner G, Sorensen B, Hagl C, Pichlmaier M. Effects of fibrinogen concentrate as first-line therapy during major aortic replacement surgery: a randomized, placebo-controlled trial. Anesthesiology. 2013 Jan;118(1):40-50. doi: 10.1097/ALN.0b013e3182715d4d. Erratum In: Anesthesiology. 2013 May;118(5):1244.
- Rahe-Meyer N, Hanke A, Schmidt DS, Hagl C, Pichlmaier M. Fibrinogen concentrate reduces intraoperative bleeding when used as first-line hemostatic therapy during major aortic replacement surgery: results from a randomized, placebo-controlled trial. J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S178-85. doi: 10.1016/j.jtcvs.2012.12.083.
- Schochl H, Posch A, Hanke A, Voelckel W, Solomon C. High-dose fibrinogen concentrate for haemostatic therapy of a major trauma patient with recent clopidogrel and aspirin intake. Scand J Clin Lab Invest. 2010 Oct;70(6):453-7. doi: 10.3109/00365513.2010.500396.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1470
- BI3023_2002 (Other Identifier: CSL Behring)
- 2007-004612-31 (EudraCT Number)
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