- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT06664788
[Teste de dispositivo que não foi aprovado ou liberado pela FDA dos EUA]
The objective of this clinical investigation is to evaluate the safety and efficacy of ETHIZIA to control minimal, mild, or moderate soft tissue bleeding during open surgery when compared to SURGICEL Original in the percentage of cases achieving hemostasis at 3 minutes after product application, and without re-bleeding up to 10 minutes after application.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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California
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Los Angeles, California, Estados Unidos, 90033
- Keck Hospital of USC
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Missouri
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St Louis, Missouri, Estados Unidos, 63110
- Washington University Barnes Jewish Hospital
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New Jersey
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Pennington, New Jersey, Estados Unidos, 08534
- Capital Health Medical Center - Hopewell
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New York
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New York, New York, Estados Unidos, 10065
- New York Presbyterian - Weill Cornell Medical Ctr
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Texas
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Tyler, Texas, Estados Unidos, 75701
- UT Health East Texas EMS Air 1
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Utah
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Murray, Utah, Estados Unidos, 84107
- Intermountain Medical Center
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Nijmegen, Holanda, 6500HB
- UMC Radboud
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
Pre-operative
- Participant is scheduled to undergo an elective open, abdominal, retroperitoneal, pelvic, thoracic (non-cardiac) or extremity surgical procedure
- Participant is willing and able to give written informed consent for the clinical investigation participation
Intra-operative
- Participant in whom the Investigator can identify and visualize a target bleeding site for which any applicable conventional means for hemostasis (e.g., suture, ligature, or cautery) are ineffective or impractical
- Target Bleeding Site is identified to originate from soft tissue, defined as organ bed, loose areolar tissue, fat, lymphatic tissue/lymph node beds, and muscle
- The choice is made to use a hemostatic agent to stop the bleeding, and there is the ability to apply pressure on the surface of the hemostatic agent to achieve hemostasis
- Participant has a Target Bleeding Site with a SBSS score of 1, 2, or 3 (e.g., reflecting minimal, mild, or moderate bleeding severities)
Exclusion Criteria:
Pre-operative
- Participant is scheduled for another planned surgery within the follow-up period and the subsequent surgery would jeopardize the ETHIZIA or SURGICEL Original application
- Participant is taking multiple antithrombotic therapies in therapeutic dosage up to the time of surgery, but allowing exclusive use of acetylsalicylic acid
- Participant has an active or suspected infection at the bleeding site
- Participant is pregnant, planning on becoming pregnant, or actively breastfeeding during the 28-day follow-up period
Intra-operative
- Target bleeding site is identified to originate from parenchymal organ tissue, cardiovascular (anastomotic or cardiovascular repair sites) tissue, or is in proximity to a foramina in bone, or areas of bony confine
- Target bleeding site is from a large defect in an artery or vein that requires vascular reconstruction with maintenance of vessel patency
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: ETHIZIA
ETHIZIA will be applied at bleeding sites that meet the inclusion criteria in participants undergoing open surgery to control soft tissue bleeding. Participants will be followed up for 28 days after surgery. |
ETHIZIA patch will be applied to bleeding site intraoperatively. |
|
Comparador Ativo: SURGICEL Original
SURGICEL Original will be applied at bleeding sites that meet the inclusion criteria in participants undergoing open surgery to control soft tissue bleeding. Participants will be followed-up for 28 days after surgery. |
SURGICEL Original will be applied to bleeding site intraoperatively. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Percentage of Cases Achieving Hemostasis at Three Minutes Following Product Application And With No Rebleeding Up to 10 Minutes Following Application at The Target Bleeding Site
Prazo: Intraoperative (up to 10 minutes)
|
Cases achieving hemostasis at 3 minutes following product application & with no rebleeding up to 10 minutes following application at the target bleeding site (first bleeding site treated) will be determined by Surface Bleeding Severity Scale (SBSS). SBSS provides a clinically validated score for assessment of bleeding at the target site, and consists of 6 scores (0 = none, 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, not immediately life-threatening, 5 = extreme, immediately life-threatening). A grade of 0 (None/Dry) on the SBSS is considered as achieving hemostasis. |
Intraoperative (up to 10 minutes)
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Time to Hemostasis at Target Bleeding Site
Prazo: Intraoperative (up to 10 minutes)
|
Time to achieve hemostasis for target bleeding site up to 10 minutes will be evaluated and presented using Kaplan-Meier estimated distribution. |
Intraoperative (up to 10 minutes)
|
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Percentage of Bleeding Sites Achieving Hemostasis at Three Minutes Following Product Application And With No Rebleeding Up to 10 Minutes Following Application at All Treated Bleeding Sites
Prazo: Intraoperative (up to 10 minutes)
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Percentage of bleeding sites achieving hemostasis at 3 minutes following product application & with no rebleeding up to 10 minutes following application at all bleeding sites (additional bleeding sites treated including target bleeding site) will be determined by SBSS. SBSS provides a clinically validated score for assessment of bleeding at the target site, and consists of 6 scores (0 = none, 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, not immediately life-threatening, 5 = extreme, immediately life-threatening). |
Intraoperative (up to 10 minutes)
|
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Time to Hemostasis for All Treated Bleeding Sites
Prazo: Intraoperative (up to 10 minutes)
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Time to achieve hemostasis for all treated bleeding sites for up to 10 minutes will be evaluated. |
Intraoperative (up to 10 minutes)
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Median Time to Hemostasis at Target Bleeding Site
Prazo: Intraoperative
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Median time to hemostasis at target bleeding site will be reported. |
Intraoperative
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Median Time to Hemostasis for All Treated Bleeding Sites
Prazo: Intraoperative
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Median time to hemostasis for all treated bleeding sites will be reported for both groups. |
Intraoperative
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Treatment Failure for Target Bleeding Site Treated and for All Treated Bleeding Sites
Prazo: Intraoperative (up to 10 minutes)
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Treatment failure is defined as no hemostasis at 10 minutes or received rescue therapy prior to 10 minutes from the application of the study product. |
Intraoperative (up to 10 minutes)
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Sustained Hemostasis at All Treated Bleeding Sites
Prazo: Intraoperative
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Sustained hemostasis at all treated bleeding sites will be reported. Sustained hemostasis is defined as achieving hemostasis at 3 minutes with no rebleeding up to Day 28. |
Intraoperative
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Proportion of Bleeding Sites with Rebleeding After 10 Minutes
Prazo: Intraoperative
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Proportion of bleeding sites with rebleeding after 10 minutes and prior to initiation of final fascia closure will be reported. Summaries will be presented for target bleeding site and for all treated bleeding sites. |
Intraoperative
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Percentage of Bleeding Sites Achieving Hemostasis with ETHIZIA or SURGICEL Original
Prazo: At 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600 seconds
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Percentage of bleeding sites achieving hemostasis with ETHIZIA or SURGICEL Original will be reported. Summaries will be presented for target bleeding site and for all treated bleeding sites. |
At 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, and 600 seconds
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Proportion of Bleeding Sites Requiring More Than One Application of ETHIZIA or SURGICEL Original to Achieve Hemostasis
Prazo: Intraoperative
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Proportion of bleeding sites requiring more than one application of randomized product in order to achieve hemostasis will be reported. Summaries will be presented for target bleeding site and for all treated bleeding sites. |
Intraoperative
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Proportion of Bleeding Sites that Require a Second Surgical Maneuver to Achieve Hemostasis
Prazo: Intraoperative
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Proportion of bleeding sites that require a second surgical maneuver (for example, adjunct product, electrocautery, etcetera) as a rescue therapy to achieve hemostasis following treatment will be reported. Summaries will be presented for target bleeding site and for all treated bleeding sites. |
Intraoperative
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Diretor de estudo: Ethicon Inc. Clinical Trial, Ethicon, Inc.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Outros números de identificação do estudo
- BIO202401
- BIO202401 (Outro identificador: Ethicon,Inc)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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