- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04046952
Comparing TR Band to Statseal in Conjunction With TR Band II (Statseal II)
Radial Hemostasis is Facilitated With a Potassium Ferrate Hemostatic Patch (Statseal): the Randomized Controlled Statseal With TR Band Assessment Trial (STAT) II
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study is a physician initiated, prospective, observational, two arm, randomized study to be performed at experienced 'Radial First' centers. A minimum of 800 patients having undergone successful radial catheterization will be enrolled in the study, 400 in each arm. Enrollment with continue at each site on discretion of the investigators until at least 800 patients are enrolled, with each center contributing a minimum of 50 patients. Clinicians will perform the catheterization in accordance with local standard practice, with no minimum amount of anticoagulation required.
Unlike the pilot trial of this device, the present study will have an identical time to first deflation of 60 minutes between the two groups, and have a larger sample size to detect any excess risk of hematoma or radial artery occlusion. The study may also help demonstrate a relatively low rate of radial artery occlusion with a rapid deflation protocol, even at lower doses of unfractionated heparin than currently recommended.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
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Long Beach, California, United States, 90822
- Veteran Affairs Long Beach
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient undergoing diagnostic angiography or PCI via the radial artery
- Patients with a Barbeau test prior to the procedure showing pattern A,B,or C.
Exclusion Criteria: any one of the following...
- Use of a radial sheath larger than 6 Fr (a 7Fr-in-6 Glidesheath Slender ® is allowed).
- Use of a hemostasis method or device besides the TR Band.
- Patients undergoing catheterization from the femoral, brachial, ulnar, or distal radial (snuffbox) artery approach.
- Use of an anticoagulant other than unfractionated heparin or bivalirudin.
- Any use of glycoprotein inhibitors or cangrelor.
- Use of sheathless guides.
- Any anticipated need for continued anticoagulation post-catheterization, including extended bivalirudin infusion.
- Any active treatment with oral anticoagulants continued during course of procedure.
- Presence of arteriovenous dialysis fistula in the ipsilateral arm.
- Any physical deformity or trauma / injury of either wrist that would prevent proper placement or function of the hemostasis band.
- Raynaud's syndrome or known peripheral vascular disease of the forearm.
- Inability of the patient to personally consent for the study. (no surrogate consent)
- History or presence of Radial Artery Occlusion.
- Barbeau test showing Pattern D.
- Cardiogenic shock or any clinical instability as assessed by the physician performing the procedure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: TR band only
Patients will have a TR band applied over the arteriotomy site and inflated with 15-18ml of air.
After aspirating and clearing the contents of the sheath, the radial sheath will be removed.
The TR band will be deflated until bleeding occurs, and 2 ml of air will be reintroduced to provide hemostasis.
Patent hemostasis will be documented with plethysmography and oximetry as described below within 5 minutes after band application and removal, and within 30 min of discharge or after 24 hours.
The TR band will be left inflated and in place for 60 minutes following the procedure for all patients (regardless of diagnostic or PCI procedure), after which full deflation attempts will commence.
|
Patients will have a TR band applied over the arteriotomy site and inflated with 15-18ml of air.
After aspirating and clearing the contents of the sheath, the radial sheath will be removed.
The TR band will be deflated until bleeding occurs, and 2 ml of air will be reintroduced to provide hemostasis.
Patent hemostasis will be documented with plethysmography and oximetry as described below within 5 minutes after band application and removal, and within 30 min of discharge or after 24 hours.
The TR band will be left inflated and in place for 60 minutes following the procedure for all patients (regardless of diagnostic or PCI procedure), after which full deflation attempts will commence.
|
Experimental: Statseal with TR Band
Patients will have a Statseal Advance RAD (SS) disc applied after withdrawing the radial sheath 2-4 cm.
A Tegaderm dressing will be applied to secure the disc position.
The TR band will be applied over the SS disc with the center of the balloon (the green dot) over the center of the SS disc.
The TR band will be inflated with 8cc of air (which is typically occlusive pressure), and the sheath removed.
No deflation will occur immediately.
After 20 minutes of pressure, 3 cc of air will be removed from the TR band.
After an additional 40 minutes (60 minutes after procedure), the TR band will be completely deflated.
|
Patients will have a Statseal Advance RAD (SS) disc applied after withdrawing the radial sheath 2-4 cm.
A Tegaderm dressing will be applied to secure the disc position.
The TR band will be applied over the SS disc with the center of the balloon (the green dot) over the center of the SS disc.
The TR band will be inflated with 8cc of air (which is typically occlusive pressure), and the sheath removed.
No deflation will occur immediately.
After 20 minutes of pressure, 3 cc of air will be removed from the TR band.
After an additional 40 minutes (60 minutes after procedure), the TR band will be completely deflated.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to Hemostasis using the Hemostasis Management System (HMS)
Time Frame: Within 30 minutes of discharge or 24 hours post procedure (± 1 hour), whichever occurs first.
|
Time to deflation for removal of the TR Band (or TR Band and Statseal) for each group was measured in minutes.
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Within 30 minutes of discharge or 24 hours post procedure (± 1 hour), whichever occurs first.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent of patients with radial artery occlusion (RAO)
Time Frame: Within 30 minutes of discharge or 24 hours post procedure (± 1 hour), whichever occurs first.
|
Radial artery occlusion was monitored for all participants using Barbeau's test and pulse oximetry.
|
Within 30 minutes of discharge or 24 hours post procedure (± 1 hour), whichever occurs first.
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MIRB 1843
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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