- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03535597
QuikClot® Radial® Pad Versus TR Band® After Transradial Artery Access (TRA)
A Randomized Comparison of the QuikClot® Radial® Pad Versus the Standard of Care TR Band® on Hemostasis After Transradial Artery Access (TRA)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The QuikClot® Radial® pad will be applied over the radial artery access site covered with either a Coban™ bandage or a Tegaderm™ dressing after TRA. Firm manual compression will then be applied over the QuikClot® Radial® pad after the sheath is removed for 5 minutes. The Coban™ cohort will then have the Coban™ bandage removed after an additional 25 minutes, then be covered with a Tegaderm™ dressing. The Tegaderm™ only cohort will be closely observed for 25 minutes after release of manual pressure. Both cohorts will remove the Tegaderm™ dressing the following morning.
Consented subjects will be randomly assigned in the cardiac cath lab upon completion of their procedure into the following three arms:
Arm 1 - Standard of Care with a TR Band® Arm 2 - QuikClot® Radial® pad combined with a Coban™ bandage Arm 3 - QuikClot® Radial® pad combined with a Tegaderm™ dressing
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Hollywood, Florida, United States, 33021
- Memorial Healthcare System
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients undergoing CC and/or PCI via the radial artery as part of their standard of care treatment
- Patients able and willing to give written informed consent
- Patient > 18 years of age
Exclusion Criteria:
- Patients presenting with acute ST segment elevation myocardial infarction (STEMI)
Oral anticoagulation therapy as described below:
- If on a DOAC (direct acting oral anticoagulants - ie dabigatran, rivaroxaban, apixaban, endoxaban), patients will be excluded if DOAC taken within 48 hours and eGFR > 30 ml/min or DOAC taken within 72 hours and eGFR < 30 ml/min.
- If patient is on warfarin, excluded if INR > 1.5
- Liver Failure
- Life threatening illness that patient would not be expected to live more than 6 months post procedure
- Major unanticipated event in the cardiac cath lab (i.e. cardiac arrest) of an already consented patient, but before randomization, where the operator believes participation in this trial is now inappropriate.
- Thrombocytopenia, with a platelet count of < 75,000.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Arm 1
Standard of Care (TR Band)
|
|
Experimental: Arm 2
Quikclot Radial pad with Coban Bandage to hold the pad in place
|
The QuikClot® Radial® pad will be applied over the radial artery access site covered with either a Coban™ bandage or a Tegaderm™ dressing after TRA.
|
Experimental: Arm 3
Quikclot Radial Pad with Tegaderm dressing to hold the pad in place
|
The QuikClot® Radial® pad will be applied over the radial artery access site covered with either a Coban™ bandage or a Tegaderm™ dressing after TRA.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Initial successful hemostasis
Time Frame: 3 hours
|
Initial successful hemostasis is defined as no evidence of external bleeding from the TRA puncture site or expanding hematoma of the forearm after completion of the above described TR Band® and QuikClot® Radial® pad protocols, without the need for reinflation of air in the TR Band® or reapplication of manual pressure over the QuikClot® Radial® pad secured with either a Coban™ bandage or Tegaderm™ dressing, or use of manual compression over the arteriotomy site.
|
3 hours
|
Total Time to hemostasis
Time Frame: 3 hours
|
Total time to hemostasis will be calculated as the time needed from sheath removal to achieving complete hemostasis, as described below: For both the QuikClot® Radial® pad + Coban™ bandage and the QuikClot® Radial® pad + Tegaderm™ dressing arms, total time to hemostasis includes the initial 5 minutes of manual compression and 25 minutes of light compression with the Coban™ bandage in the Coban™ cohort and 5 minutes of manual compression and 25 minutes of close observation in the Tegaderm™ only cohort, and any subsequent time needed to obtain complete hemostasis. All additional protocol directed recompression and/or weaning times needed to obtain complete hemostasis will be added to calculate the total time to hemostasis. For the standard of care TR Band® arm, total time to hemostasis includes the initial 60 minutes of compression plus 60 minutes of weaning, plus any additional protocol directed recompression and/or weaning time needed to obtain complete hemostasis. |
3 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Radial Artery Occlusion
Time Frame: 1 hour
|
RAO will be assessed one hour after completed hemostasis, using the reverse Barbeau's test.
|
1 hour
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jonathan Roberts, MD, Memorial Healthcare System
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 (Estimate)
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
- QuikClot300
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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