Salvaged Red Blood Cell Transfusion During Pancreatic Adenocarcinoma Operations
The purpose of this study is to prospectively study the safety of salvage red blood cell (sRBC) transfusion during pancreatic surgery.
Primary Objective:
- To summarize rates and timing of septic adverse events (AE) for patients who receive sRBC or aRBC transfusions within 72 hours of peri-operative transfusion.
- To summarize rates and timing of transfusion related AEs for patients who receive sRBC or aRBC transfusions within 72 hours of peri-operative transfusion.
- To summarize rates and timing of AEs in the first 7 post-operative days.
Secondary Objectives:
- To summarize the number of units of aRBC transfused post operative day (POD) #0 after sRBC transfusion in the operating room.
- To summarize the number of units of aRBC transfused POD#1-7 after sRBC transfusion the operating room, in the absence of overt post-operative hemorrhage.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Michael D. Kluger, MD, MPH
- Telefonnummer: 212-263-2630
- E-mail: Michael.Kluger@nyulangone.org
Undersøgelse Kontakt Backup
- Navn: Madeleine D. Hunter
- Telefonnummer: 212-263-2630
- E-mail: Madeleine.hunter@nyulangone.org
Studiesteder
-
-
New York
-
New York, New York, Forenede Stater, 10016
- NYU Langone Health
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Provision of signed and dated informed consent form. Able to understand their disease and the exploratory nature of sRBC transfusion during surgery for this histology.
- Patient is 18 years of age or older
- Patient has a diagnosis of cytologically or pathologically confirmed pancreatic adenocarcinoma
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
- Patient has an American Society of Anesthesiologists (ASA) classification of physical health status of 1-4
- Life expectancy of greater than six months
- Hemoglobin > 8.9 g/dl
- Platelet count greater than 200,000/mm3
- International Normalization Ratio ≤1.8
- Total serum bilirubin ≤ 2 mg/dL
- Serum creatinine ≤ 1.5 mg/dl
- Recovered from any hematologic toxicity less than grade 3 from all prior chemotherapy or radiotherapy, and be at least 14 days past the date of their last treatment.
Exclusion Criteria:
- Concomitant medical problems that would place the patient at unacceptable risk for a major surgical procedure.
- History of congestive heart failure and/or an LVEF <40%.
- Metastases
- Active systemic infections, hematological diseases, coagulation disorders or other major medical illnesses of the cardiovascular, hepatic, renal, respiratory or immune system.
- Patients with transabdominal drains, or peripancreatic abscess or fluid collections on cross-sectional imaging.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Autologous group - sRBC
Patients with enough salvaged blood to generate a unit for transfusion will be transfused their own (autologous) blood, as long as they were not transfused allogeneic red blood cell (aRBC) during the same operation
|
A cell salvage device will be utilized to collect all spilled blood during the course of the operative resection and vascular reconstruction.
|
|
Eksperimentel: Allogeneic group - aRBC
Patients requiring transfusion at the discretion of the surgeon and the anesthesiologist without enough salvaged blood to generate a unit for transfusion will be transfused aRBC.
|
A cell salvage device will be utilized to collect all spilled blood during the course of the operative resection and vascular reconstruction.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Rate of sepsis within 72 hours of operations
Tidsramme: within 72 hours of operations
|
within 72 hours of operations
|
|
Rate of transfusion related complication within the first 72 hours
Tidsramme: Up to 7 days post-operative
|
Up to 7 days post-operative
|
|
Rate of all adverse events in the first post-operate week
Tidsramme: Up to 7 days post-operative
|
Up to 7 days post-operative
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Units of aRBC required on post-operative day 0
Tidsramme: Post-operative day 0 (up to 24 hours)]
|
Post-operative day 0 (up to 24 hours)]
|
|
Units of aRBC required on post-operative day 1-7
Tidsramme: Post-operative days 1-7
|
Post-operative days 1-7
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Months until date of first biopsy or imaging evidence of progression, agreed upon by at multidisciplinary conference or months until death, if death occurs without disease progression
Tidsramme: Until study completion (up to 5 years)
|
Until study completion (up to 5 years)
|
|
Months until date of death from any cause
Tidsramme: Until study completion (up to 5 years)]
|
Until study completion (up to 5 years)]
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Michael D. Kluger, MD, MPH, NYU Langone Health
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 25-01196
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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