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Salvaged Red Blood Cell Transfusion During Pancreatic Adenocarcinoma Operations

14. maj 2026 opdateret af: NYU Langone Health

The purpose of this study is to prospectively study the safety of salvage red blood cell (sRBC) transfusion during pancreatic surgery.

Primary Objective:

  1. 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.
  2. To summarize rates and timing of transfusion related AEs for patients who receive sRBC or aRBC transfusions within 72 hours of peri-operative transfusion.
  3. To summarize rates and timing of AEs in the first 7 post-operative days.

Secondary Objectives:

  1. To summarize the number of units of aRBC transfused post operative day (POD) #0 after sRBC transfusion in the operating room.
  2. 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

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Forenede Stater
    • New York
      • New York, New York, Forenede Stater, 10016
        • NYU Langone Health

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. 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.
  2. Patient is 18 years of age or older
  3. Patient has a diagnosis of cytologically or pathologically confirmed pancreatic adenocarcinoma
  4. Patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
  5. Patient has an American Society of Anesthesiologists (ASA) classification of physical health status of 1-4
  6. Life expectancy of greater than six months
  7. Hemoglobin > 8.9 g/dl
  8. Platelet count greater than 200,000/mm3
  9. International Normalization Ratio ≤1.8
  10. Total serum bilirubin ≤ 2 mg/dL
  11. Serum creatinine ≤ 1.5 mg/dl
  12. 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:

  1. Concomitant medical problems that would place the patient at unacceptable risk for a major surgical procedure.
  2. History of congestive heart failure and/or an LVEF <40%.
  3. Metastases
  4. Active systemic infections, hematological diseases, coagulation disorders or other major medical illnesses of the cardiovascular, hepatic, renal, respiratory or immune system.
  5. Patients with transabdominal drains, or peripancreatic abscess or fluid collections on cross-sectional imaging.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / 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
Enhed: The Fresenius Kabi C.A.T.S®plus Continuous AutoTransfusion System
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.
Enhed: The Fresenius Kabi C.A.T.S®plus Continuous AutoTransfusion System
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

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

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

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

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

NYU Langone Health

Efterforskere

  • Ledende efterforsker: Michael D. Kluger, MD, MPH, NYU Langone Health

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juni 2026

Primær færdiggørelse (Anslået)

1. maj 2028

Studieafslutning (Anslået)

1. juni 2031

Datoer for studieregistrering

Først indsendt

14. maj 2026

Først indsendt, der opfyldte QC-kriterier

14. maj 2026

Først opslået (Faktiske)

20. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 25-01196

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

The sample size in this exploratory study is small such that data sharing may risk breaching confidentiality.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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