- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01428102
RapidTEG MA Validation (R-TEG MA)
Validation of the RapidTEG™ MA Compared to Kaolin in Trauma and Cardiac Patients.
During normal physiological conditions hemostasis (the ability of blood to clot) is kept in homeostatic balance by feedback mechanisms. These mechanisms involve an extremely complex series of steps on both sides of the coagulation cascade including cellular components (i.e. clot formation and breakdown). However, should this homeostatic balance be upset, normal hemostasis is affected resulting in pathological clotting (vessel blockage) or bleeding (hemorrhage). In instances that include acquired or congenital abnormalities of the hemostatic system it is clinically important to diagnose, monitor and manage the patient to optimize therapeutic intervention. Moreover, it is important to regulate the hemostasis system in the post-surgical outpatient who receives oral anticoagulant therapy to maintain the homeostatic balance.
The TEG® analyzer, using a small whole blood sample, documents the interaction of platelets with the protein coagulation cascade from the time of placing the blood in the analyzer until initial fibrin formation, clot rate strengthening and fibrin-platelet bonding via GPIIb/IIIa, through eventual clot lysis. It displays both qualitatively and quantitatively the two distinct parts of hemostasis - the part that produces the clot and the part that causes the breakdown of the clot. It shows the balance or degree of imbalance in the patient's hemostasis system, highlights any areas of deficiency or excess, and offers a precise view of the patient's hemostasis condition. If the system is not in balance, one can see where the imbalance lies. If a patient is bleeding, it is crucial to determine the cause of bleeding as soon as possible in order to start the proper treatment.
By utilizing a kaolin/tissue factor activator (RapidTEG™), the TEG® system can measure the interaction and simultaneous contribution of the intrinsic and extrinsic coagulation pathways which initiate and result in clot formation. This RapidTEG™ reagent can deliver results faster than activating with Kaolin alone. This protocol will specifically assess one algorithm called MA. MA is a direct function of the maximum dynamic properties of fibrin and platelet bonding via GPIIb/IIIa that represents the ultimate strength of the fibrin clot. This represents platelet function.
The objective of the study is to demonstrate the substantial equivalence of MA RapidTEG vs. MA Kaolin.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Maryland
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Baltimore, Maryland, United States, 21215
- Sinai Center for Thrombosis Research
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Tennessee
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Knoxville, Tennessee, United States, 37996-1529
- Univserity of Tennessee Health Sciences Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient age > 18 years old
- Patient is either a Trauma patient OR is diagnosed with known cardiovascular disease.
- Samples must be tested within the recommended timeline (4-6 minutes for non-citrated and between 15 minutes and 2 hours for citrated)
Exclusion Criteria:
- Patients who have been placed on anticoagulation prophylaxis for other conditions (not CPB/PCI related).
- Patients who have established hemostasis system abnormalities (congenital or other).
- Samples identified as affected by testing errors by lab staff.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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RapidTEG
Samples tested with TEG which are both citrated and non-citrated and are activated using the reagent RapidTEG.
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Kaolin
Samples tested with TEG which are both citrated and non-citrated and are activated using the reagent Kaolin.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correelation of Kaolin to RapidTEG
Time Frame: Concurrent sample tested <2hrs from blood draw
|
TEG paramaters were to be correlated in samples run concurrently using Kaolin and RapidTEG assays.
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Concurrent sample tested <2hrs from blood draw
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- TP-CLN-100267A
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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