Efficacy and Safety of Aprotinin on Transfusion Requirements in Patients Undergoing Radical or Total Cystectomy

NCT ID: NCT00306150

Last Updated: 2014-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2007-03-31

Brief Summary

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The purpose of this study is to assess if aprotinin (BAYA0128), given intravenously during your surgery, is safe and can help reduce the need for a blood transfusion during bladder surgery.

Detailed Description

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Conditions

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Blood Loss, Surgical Postoperative Hemorrhage

Keywords

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Prevention of blood loss Blood Loss, Surgical Blood Loss, Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm 1

Group Type EXPERIMENTAL

Trasylol (Aprotinin, BAYA0128)

Intervention Type DRUG

Subjects will be randomized to receive an infusion of aprotinin (a test dose followed by a loading dose of 2 million KIU before skin incision followed by 500,000 KIU/hour until the end of surgery) or matching placebo. The maximal dose of aprotinin, that can be administered is 7,000,000 KIU, regardless of the duration of the operation. When a total of 7 million has been reached the administration of aprotinin must be discontinued.

Arm 2

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo is used according to the description of Arm 1

Interventions

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Trasylol (Aprotinin, BAYA0128)

Subjects will be randomized to receive an infusion of aprotinin (a test dose followed by a loading dose of 2 million KIU before skin incision followed by 500,000 KIU/hour until the end of surgery) or matching placebo. The maximal dose of aprotinin, that can be administered is 7,000,000 KIU, regardless of the duration of the operation. When a total of 7 million has been reached the administration of aprotinin must be discontinued.

Intervention Type DRUG

Placebo

Placebo is used according to the description of Arm 1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects 18 years of age and older
* Subjects requiring elective radical or total cystectomy for bladder cancer
* Documented, signed, dated informed consent obtained prior to any study specific procedures being performed

Exclusion Criteria

* Subjects with previous exposure to aprotinin in the last 6 months or with a known or suspected allergy to aprotinin
* Subjects with sepsis or undergoing laparoscopic surgery
* Subjects with impaired renal function (serum creatinine \>2.5 mg/dL or 221 micromoles/liter)
* Subjects with a history of bleeding diathesis, deep vein thrombosis or pulmonary embolism or known coagulation factor deficiency. Based on the investigator's opinion of any active significant medical illness the subject may have
* Subjects who refuse to receive allogenic blood products or whose preoperative red blood cell volume is so low that a blood transfusion would be likely to be given perioperatively (preoperative hematocrit of \<24% or hemoglobin of \<8 g/dl)
* Subjects who have participated in an investigational drug study within the past 30 days
* Subjects who are pregnant or breastfeeding or women of childbearing potential in whom the possibility of pregnancy cannot be excluded by a negative pregnancy test and who are not using a reliable method of contraception
* Planned use of other antifibrinolytic agents, e.g. aminocaproic acid or tranexamic acid
* Subjects on chronic anticoagulant treatment with warfarin that cannot be temporarily discontinued for the surgical procedure (as per local practices)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Los Angeles, California, United States

Site Status

Denver, Colorado, United States

Site Status

Miami, Florida, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

Site Status

Portland, Maine, United States

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Baltimore, Maryland, United States

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Ann Arbor, Michigan, United States

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Rochester, Minnesota, United States

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Chapel Hill, North Carolina, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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Burlington, Vermont, United States

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Ghent, , Belgium

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Leuven, , Belgium

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Nantes, , France

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Nice, , France

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Tübingen, Baden-Wurttemberg, Germany

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München, Bavaria, Germany

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Regensburg, Bavaria, Germany

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Fulda, Hesse, Germany

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Mainz, Rhineland-Palatinate, Germany

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Homburg, Saarland, Germany

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Dresden, Saxony, Germany

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Maastricht, , Netherlands

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Nijmegen, , Netherlands

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Linköping, , Sweden

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Lund, , Sweden

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Stockholm, , Sweden

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Uppsala, , Sweden

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Cambridge, Cambridgeshire, United Kingdom

Site Status

Newcastle upon Tyne, Tyne and Wear, United Kingdom

Site Status

Countries

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United States Belgium France Germany Netherlands Sweden United Kingdom

Related Links

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http://www.clinicaltrialsregister.eu

Click here and search for information of Bayer products for Europe

Other Identifiers

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12002

Identifier Type: -

Identifier Source: org_study_id

2005-004055-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id