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Vascular Sealant Study (VSS)

2015年3月26日 更新者：Georgetown University

A Prospective, Randomized, Multi-Center, Two Arm Study to Evaluate the Safety and Effectiveness of the Vascular Sealant System Compared With Gelfoam/Thrombin for Control of Anastomosis Suture Line Bleeding in Patients Undergoing Vascular Reconstructive Surgery With PTFE Grafts

Study Objective:To evaluate the safety and effectiveness of the Vascular Sealant compared with Gelfoam/Thrombin when used to seal bleeding anastomotic suture lines in patients undergoing vascular reconstructive surgery requiring placement of a PTFE graft (including extra-anatomic, infrainguinal bypass and arteriovenous (AV) access procedures).

Study Design: The study is a multi-center, prospective, randomized controlled clinical trial that will compare two methods for treating anastomotic leakage (bleeding). All subjects (n =151) will be randomized at a 3:1 ratio to receive either the investigational treatment (Vascular Sealant) or the control treatment (Gelfoam/Thrombin). Up to two (2) treatment sites may be evaluated for each subject. Subjects will be stratified by type of graft procedure: AV access graft or extra-anatomic and infra-inguinal graft. A minimum of 60 patients, and a maximum of 91 patients, will be enrolled in each stratum. Treatment randomization will be blocked by center and type of graft procedure (e.g., bypass or AV grafts). All subjects will undergo preoperative screening to determine eligibility and will be evaluated intraoperatively, at discharge or within 7 days of surgery, and 30 days post-procedure to monitor for hematologic disturbances, hemorrhagic events, wound complications and other potential acute post-operative adverse events.

Up to ten (10) investigational sites will participate in the study. Enrollment is expected to take approximately 8 months for an anticipated duration of the clinical investigation of approximately 9 to 10 months.

The primary objective of this trial is to demonstrate non-inferiority of the Vascular Sealant to Gelfoam/Thrombin when used to seal anastomotic suture lines in patients undergoing placement of PTFE vascular grafts (including extra-anatomic, infrainguinal bypass and arteriovenous access procedures).

研究概览

地位

终止

条件

干预/治疗

研究类型

介入性

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • District of Columbia
      • District of columbia、District of Columbia、美国、20007
        • Georgetown University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不适用

有资格学习的性别

全部

描述

Preoperative Inclusion Criteria:

Subjects must meet all of the following criteria to be eligible for participation in the study:

  • > 18 years of age
  • Scheduled for elective vascular surgery that entails placement of a PTFE vascular graft including extra-anatomic, infrainguinal bypass and primary and secondary arteriovenous access procedures
  • Subject is willing and able to comply with all aspects of the treatment and evaluation schedule
  • Informed of the nature of the study, and has provided written informed consent, approved by the appropriate Institutional Review Board (IRB) of the respective clinical site

Preoperative Exclusion Criteria: Subjects who meet any of the following criteria are not eligible for participation in the study:

  • Subject has a known local or systemic infection
  • Subjects with known coagulapathies including hemophilia, factor deficiencies, platelet count < 80,000 u/mL, heparin induced thrombocytopenia or uncorrected INR > 1.5
  • Subject is participating in a clinical trial that requires treatment with another investigational device or drug
  • Subject is lactating or pregnant, or does not agree to use contraception for the duration of the study
  • Subject has a known hypersensitivity to any components of bovine thrombin preparations and/or material of bovine origin
  • The investigator determines that the subject should not be included in the study for reason(s) not already specified

Intraoperative Inclusion Criteria: Subjects must meet the following intraoperative inclusion criteria to be eligible for randomization:

• Suture line leaks (bleeding) confirmed prior to randomization.

Intraoperative Exclusion Criteria: Subjects who meet any of the following intraoperative exclusion criteria are considered screening failures and are not eligible to be randomized:

  • Incidental finding of any of the preoperative exclusion criteria
  • Subject has obvious contamination or a concurrent systemic infection
  • Investigator determines that participation in the study may jeopardize the safety or welfare of the subject

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
实验性的：Vascular Sealant)
设备：Vascular Sealant System
The Vascular Sealant System is intended for use in vascular reconstructions to achieve adjunctive hemostasis by mechanically sealing areas of leakage.
有源比较器：Gelfoam/Thrombin
其他：Gelfoam/Thrombin

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Georgetown University

合作者

Medtronic - MITG

调查人员

  • 首席研究员：David Deaton, MD、Georgetown University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2007年3月1日

研究注册日期

首次提交

2008年2月8日

首先提交符合 QC 标准的

2008年2月19日

首次发布 (估计)

2008年2月20日

研究记录更新

最后更新发布 (估计)

2015年3月27日

上次提交的符合 QC 标准的更新

2015年3月26日

最后验证

2010年1月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2007-072

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