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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00214656
Registration number
NCT00214656
Ethics application status
Date submitted
14/09/2005
Date registered
22/09/2005
Date last updated
22/09/2005
Titles & IDs
Public title
"Salvage Use" of Recombinant Factor VIIa After Inadequate Haemostasis in Complex Cardiac Surgery
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Scientific title
"Salvage Use" of Recombinant Activated Factor VII After Inadequate Haemostatic Response to Conventional Therapy in Complex Cardiac Surgery - a Randomised Placebo Controlled Trial
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Secondary ID [1]
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H2005/02047
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myocardial Ischemia
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Blood Coagulation Disorders
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Coronary Artery Disease
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Heart Valve Diseases
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Adequate haemostasis to enable chest closure after administration of trial medication without the need for further intervention to improve coagulation.
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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Percentage of cases that haemostasis after first administration of coagulation factors alone
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Assessment of surgical field after administration of trial medication
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Time to closure of chest after administration of trial medication
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Transfusion requirements in post bypass period in theatre
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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Transfusion requirements in ICU first 12 hours
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Assessment method [5]
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Timepoint [5]
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Secondary outcome [6]
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Mediastinal drainage in ICU first 12 hours
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Assessment method [6]
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Timepoint [6]
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Secondary outcome [7]
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Coagulation study results at various sample times
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Assessment method [7]
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Timepoint [7]
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Secondary outcome [8]
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Requirement for chest re-exploration
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Assessment method [8]
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Timepoint [8]
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Secondary outcome [9]
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Ventilation duration in ICU
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Assessment method [9]
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Timepoint [9]
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Secondary outcome [10]
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Duration of stay in ICU
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Assessment method [10]
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Timepoint [10]
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Eligibility
Key inclusion criteria
* Patients with scheduled cardiac surgery undergoing the following procedures
* Double valve replacements or repair.
* Major thoracic aortic surgery including hypothermic circulatory arrest or descending aortic reconstruction.
* Valve repair or replacement in the setting of endocarditis
* Complex procedures requiring cardiopulmonary bypass duration anticipated to exceed 180 minutes in patients aged ³70 years
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Minimum age
18
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
* Patient unable to give informed consent
* Patient refusal
* Allergy to rVIIa
* Allergy to aprotinin or prior exposure within 6 months
* Pre-existing congenital coagulopathy
* Pre-existing hypercoagulable state
* Patients in inclusion criteria whose actual bypass time does not exceed 180 minutes
* Unresolved surgical bleeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Austin Health - Melbourne
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Recruitment postcode(s) [1]
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3084 - Melbourne
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Austin Health
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Aims and Hypotheses: This randomised placebo controlled study will test the hypothesis that Recombinant Activated Factor VII (rVIIa) will improve haemostasis after an inadequate response to conventional therapy in complex cardiac surgery. Major bleeding is still of concern in complex cardiac surgery. It has been shown to be associated with poorer patient outcome and results in the consumption of resources (hospital costs, manpower and blood bank reserves). This study has the potential to provide evidence that rVIIa can reduce transfusion requirements and improve patient outcome in a problematic aspect of complicated cardiac surgery. The objective is to conduct a multi-centre randomised placebo controlled study that has been designed to scientifically evaluate the treatment of post bypass coagulopathy in the association with complex cardiac surgery. The trial design is based on clinical practice that has evolved over 2 years at the Austin Hospital during which 38 patients have received open label administration of rVIIa. There is currently no published RCT in this area and there is no TGA approval for the use of rVIIa for this indication.
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Trial website
https://clinicaltrials.gov/study/NCT00214656
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Trial related presentations / publications
Hedner U, Erhardtsen E. Potential role for rFVIIa in transfusion medicine. Transfusion. 2002 Jan;42(1):114-24. doi: 10.1046/j.1537-2995.2002.00017.x. No abstract available.
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Public notes
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Contacts
Principal investigator
Name
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Peter McCall, FANZCA
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Address
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Staff Anaesthetist
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Peter McCall, FANZCA
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Address
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Country
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Phone
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61 3 94965000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00214656
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