The Fibrin Pad Liver Study
A Phase III Randomized, Controlled, Superiority Study Evaluating the Fibrin Pad Versus Standard of Care Treatment in Controlling Parenchymal Bleeding During Elective Hepatic Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
South Australia
-
Bedford Park, South Australia, Australia, 5042
- Flinders Medical Centre
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Woodville, South Australia, Australia, 5011
- Queen Elizabeth Hospital
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Victoria
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Melbourne, Victoria, Australia, 3044
- The Alfred
-
-
-
-
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Strasse, Germany, D-66421
- University Hospital of the University of Saarland
-
-
-
-
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Groningen, Netherlands, 9713
- University Medical Center
-
-
-
-
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Grafton, New Zealand, 1010
- Auckland City Hospital
-
-
-
-
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Birmingham, United Kingdom, B15 2TH
- Queen Elizabeth Hospital
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Cambridge, United Kingdom, CB2 0QQ
- Addenbrookes Hospital
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Edinburgh, United Kingdom, EH16 4SA
- Royal Infirmary of Edinburgh
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects > 18 years of age, requiring elective or urgent, open hepatic surgery
- Presence of an appropriate bleeding hepatic parenchymal Target Bleeding Site (TBS) as identified intra-operatively by the surgeon
- Subjects must be willing to participate in the study, and provide written informed consent
Exclusion Criteria:
- Subjects with any intra-operative findings identified by the surgeon that may preclude conduct of the study procedure
- TBS is from large defects in arteries or veins where the injured vascular wall requires repair with maintenance of vessel patency and which would result in persistent exposure of the FP to blood flow and pressure during healing and absorption of the product
- TBS with major arterial bleeding requiring suture or mechanical ligation
- Subjects admitted for trauma surgery
- Subject is a transplant patient for fulminant hepatic failure
- Subject with TBS within an actively infected field
- Bleeding site is in, around, or in proximity to foramina in bone, or areas of bony confine
- Subjects with known intolerance to blood products or to one of the components of the study product or is unwilling to receive blood products
- Subjects who are known, current alcohol and / or drug abusers
- Subjects who have participated in another investigational drug or device research study within 30 days of surgery
- Female subjects who are pregnant or nursing
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Fibrin Pad
Biologic
|
Fibrin Pad is a sterile bio-absorbable combination product consisting of two constituent parts- a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin).
|
|
OTHER: Standard of Care
Procedure
|
Standard of Care is a composite of techniques/methods typically used by the surgeon to control bleeding.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of subjects achieving hemostasis at the Target Bleeding Site (TBS).
Time Frame: Intra-operative
|
Intra-operative
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of subjects achieving hemostasis success at 10-minutes following randomization.
Time Frame: Intra-operative
|
Intra-operative
|
|
Absolute time to hemostasis
Time Frame: Intraoperative
|
Intraoperative
|
|
Subjects requiring re-treatment
Time Frame: Intraoperative
|
Intraoperative
|
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Incidence of adverse events potentially related to re-bleeding at TBS
Time Frame: Intraoperative through 60 days
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Intraoperative through 60 days
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Incidence of adverse events potentially related to thrombotic events
Time Frame: Intraoperative through 60 days
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Intraoperative through 60 days
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Incidence of adverse events
Time Frame: Intraoperative through 60 days
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Intraoperative through 60 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Jeff Hammond, MD, Ethicon, Inc.
Publications and helpful links
General Publications
- Koea JB, Batiller J, Patel B, Shen J, Hammond J, Hart J, Fischer C, Garden OJ. A phase III, randomized, controlled, superiority trial evaluating the fibrin pad versus standard of care in controlling parenchymal bleeding during elective hepatic surgery. HPB (Oxford). 2013 Jan;15(1):61-70. doi: 10.1111/j.1477-2574.2012.00583.x. Epub 2012 Oct 16.
- Corral M, Ferko N, Hollmann S, Hogan A, Jamous N, Batiller J, Shen J. Clinician reported ease of use for a novel fibrin sealant patch for hemostasis: results from four randomized controlled trials. Curr Med Res Opin. 2016;32(2):367-75. doi: 10.1185/03007995.2015.1128405. Epub 2015 Dec 21.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 400-10-001
- 2010-019427-58 (EUDRACT_NUMBER)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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