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Trial registered on ANZCTR
Registration number
ACTRN12624000167561
Ethics application status
Approved
Date submitted
10/01/2024
Date registered
22/02/2024
Date last updated
23/06/2024
Date data sharing statement initially provided
22/02/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
If a patient’s own blood is reinfused during major lifesaving cancer surgery, can modern technology reduce the risks of infection and cancer dissemination.
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Scientific title
Does intraoperative cell salvage with a leucodepletion filter reduce the exposure risk to cancer cells and infection during pelvic exenteration surgery?
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Secondary ID [1]
311292
0
None
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Universal Trial Number (UTN)
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Trial acronym
CIICS: Cancer and Infection dissemination following Intraoperative Cell Salvage, during pelvic exenteration surgery
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
intraoperative cell salvage
332529
0
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pelvic exenteration surgery
332698
0
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colorectal cancer surgery
332699
0
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Condition category
Condition code
Anaesthesiology
329221
329221
0
0
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Anaesthetics
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Cancer
329410
329410
0
0
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Bowel - Back passage (rectum) or large bowel (colon)
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Blood
329411
329411
0
0
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Other blood disorders
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Surgery
329412
329412
0
0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Blood lost from the operating field during pelvic exenteration surgery is suctioned away and usually discarded. For this study the suctioned blood will be collected into an intraoperative cell salvage (ICS) machine. It will be heparinised, and collected into a reservoir, then processed via centrifugation in the ICS machine, then filtered via a leukodepletion filter. No blood will be returned to patients in this study. This study aims to analyse blood samples collected during ICS (before processing, after processing, and after filtering) to assess if it can decrease exposure to cancer cell and bacterial when used during pelvic exenteration surgery.
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Intervention code [1]
327739
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
337056
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Presence of adenocarcinoma cells in salvaged blood
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Assessment method [1]
337056
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Pathological identification and flow cytometry of cells
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Timepoint [1]
337056
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Sampling before surgery, prior to Intraoperative Cell Salvage (ICS) processing, after ICS processing, and after ICS filtering.
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Secondary outcome [1]
430503
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Identification of bacterial contamination in salvaged blood
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Assessment method [1]
430503
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Blood cultures
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Timepoint [1]
430503
0
Sampling before surgery, prior to Intraoperative Cell Salvage (ICS) processing, after ICS processing, and after ICS filtering.
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Eligibility
Key inclusion criteria
Patients with colorectal cancer scheduled for pelvic exenteration surgery
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Minimum age
12
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who decline participation and consent.
Patients who experience <800mL blood loss during surgery.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
Descriptive statistics, quantification and ANOVA
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2024
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Actual
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Date of last participant enrolment
Anticipated
31/12/2026
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Actual
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Date of last data collection
Anticipated
31/12/2026
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
25983
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
41834
0
4029 - Herston
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Funding & Sponsors
Funding source category [1]
315682
0
Charities/Societies/Foundations
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Name [1]
315682
0
Australian and New Zealand College of Anaethetists Project Grant
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Address [1]
315682
0
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Country [1]
315682
0
Australia
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Primary sponsor type
Hospital
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Name
Royal Brisbane and Women's Hosptial
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Address
Herston, Queensland
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Country
Australia
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Secondary sponsor category [1]
317635
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None
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Name [1]
317635
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Address [1]
317635
0
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Country [1]
317635
0
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Other collaborator category [1]
282912
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University
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Name [1]
282912
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University of Queensland Centre for Clinical Research
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Address [1]
282912
0
Herston, Queensalnd
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Country [1]
282912
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Australia
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Other collaborator category [2]
282913
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University
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Name [2]
282913
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The University of the Sunshine Coast
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Address [2]
282913
0
Sippy Downs, Queensland
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Country [2]
282913
0
Australia
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Other collaborator category [3]
282914
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Government body
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Name [3]
282914
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Australian Red Cross Lifeblood (ARCLB)
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Address [3]
282914
0
Kelvin Grove, Queensland
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Country [3]
282914
0
Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314446
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Metro North Health Human Research Ethics Committee A
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Ethics committee address [1]
314446
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https://metronorth.health.qld.gov.au/research/ethics-and-governance/human-research-ethics-committee
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Ethics committee country [1]
314446
0
Australia
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Date submitted for ethics approval [1]
314446
0
08/02/2024
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Approval date [1]
314446
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23/05/2024
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Ethics approval number [1]
314446
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HREC/2024/MNHA/104862
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Summary
Brief summary
Intraoperative cell salvage (ICS) is increasingly accepted as a safe alternative to allogeneic (donated) blood transfusion (ABT) with the potential to reduce ABT related adverse outcomes and improve immune competence. Remaining obstacles include: 1) the risk of systemic bacteraemia in the presence of bacterial contamination from the surgical field and 2) the potential risk of systemic cancer cell dissemination during surgery for malignant tumours. When considering these specific obstacles (i.e., cancer and bacterial contamination risks), pelvic exenteration surgery is of particular clinical interest. These procedures aim to cure patients with locally advanced adenocarcinoma. Major blood loss, requiring massive blood transfusion, often occur. However, considering the nature of the surgical field, potentially contaminated with cancer cells and bacteria (from bowel content), ICS is not used. The C-I-ICS study, aims to assess whether ICS (processing and filtering) could reduce the risks of cancer cell and bacterial dissemination, into the patient’s circulation, when used during curative pelvic exenteration surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Michelle Roets
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Address
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Royal Brisbane and Women's Hospital, Department of Anaesthesia and Perioperative Medicine, Level 4 Ned Hanlon Building, Butterfield St, Herston, Queenland 4006
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Country
131610
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Australia
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Phone
131610
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+61 7 36467154
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Fax
131610
0
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Email
131610
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[email protected]
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Contact person for public queries
Name
131611
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Michelle Roets
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Address
131611
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Royal Brisbane and Women's Hospital, Department of Anaesthesia and Perioperative Medicine, Level 4 Ned Hanlon Building, Butterfield St, Herston, Queenland 4006
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Country
131611
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Australia
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Phone
131611
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+61 7 36467154
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Fax
131611
0
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Email
131611
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[email protected]
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Contact person for scientific queries
Name
131612
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Michelle Roets
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Address
131612
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Royal Brisbane and Women's Hospital, Department of Anaesthesia and Perioperative Medicine, Level 4 Ned Hanlon Building, Butterfield St, Herston, Queenland 4006
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Country
131612
0
Australia
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Phone
131612
0
+61 7 36467154
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Fax
131612
0
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Email
131612
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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