FS VH S/D 500 S-apr in Vascular Surgery

NCT ID: NCT00892957

Last Updated: 2012-11-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

176 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-11-30

Brief Summary

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The purpose of this study was to compare safety and efficacy of FS VH S/D 500 s-apr (FS) versus manual compression in prosthetic expanded polytetrafluoroethylene (ePTFE) graft placement.

Detailed Description

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Conditions

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Hemostasis in Participants Receiving Peripheral Vascular Expanded Polytetrafluoroethylene (ePTFE) Graft Prostheses

Keywords

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Vascular Surgery Arterio-arterial bypasses Arterio-venous (AV) shunts

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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FS VH S/D 500 s-apr

FS VH S/D 500 s-apr will be applied to the study suture line.

Group Type EXPERIMENTAL

Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr)

Intervention Type BIOLOGICAL

The actual dose of FS VH S/D 500 s-apr will depend on the length of the suture line and the intensity of bleeding (but shall not exceed 4 mL FS VH S/D 500 s-apr).

Manual compression with surgical gauze pads

Dry gauze pads will be positioned to cover the complete study suture line.

Group Type ACTIVE_COMPARATOR

Surgical gauze pads

Intervention Type OTHER

Manual compression with surgical gauze pads

Interventions

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Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr)

The actual dose of FS VH S/D 500 s-apr will depend on the length of the suture line and the intensity of bleeding (but shall not exceed 4 mL FS VH S/D 500 s-apr).

Intervention Type BIOLOGICAL

Surgical gauze pads

Manual compression with surgical gauze pads

Intervention Type OTHER

Other Intervention Names

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Biological two-component fibrin sealant

Eligibility Criteria

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Inclusion Criteria

* Subjects undergoing vascular surgery (ie, conduit placement with an ePTFE graft), including arterio-arterial bypasses, including:

* axillo-femoral
* axillo-bifemoral
* aorto-bifemoral
* ilio-femoral
* femoro-femoral
* ilio-popliteal
* femoro-popliteal (including below knee)
* femoro-tibial vessel bypass
* arterio-venous shunting for dialysis access in the upper or lower extremity
* Signed informed consent
* Subject is of childbearing potential, presents with a negative serum or urine pregnancy test, and agrees to employ adequate birth control measures for the duration of the study.
* Subject is willing and able to comply with the requirements of the protocol.

Intraoperative inclusion criterion:

* Suture line bleeding eligible for study treatment is present after surgical hemostasis (ie, suturing). (A definition of eligible suture line bleeding is provided in the study protocol.)

Exclusion Criteria

* Other vascular procedures during the same surgical session (stenting and/or endarterectomy of the same artery are allowed)
* Congenital coagulation disorders
* Prior kidney transplantation
* Heparin-induced thrombocytopenia
* Known hypersensitivity to heparin
* Known hypersensitivity to aprotinin or other components of the product
* Known severe congenital or acquired immunodeficiency (eg, HIV infection or long-term treatment with immunosuppressive drugs (eg, organ transplantation patients)
* Prior radiation therapy to the operating field
* Severe local inflammation at the operating field
* Subject is pregnant or lactating at the time of enrollment
* Subject has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study
* Subject has previously participated in this study (Protocol No.: 550801), ie, each subject can only be enrolled once.


* Major intraoperative complications that require resuscitation or deviation from the planned surgical procedure
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baxter Healthcare Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Isabella Presch, MD, MBA

Role: STUDY_DIRECTOR

Baxter Innovations GmbH

Locations

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Birmingham, Alabama, United States

Site Status

Tucson, Arizona, United States

Site Status

Fresno, California, United States

Site Status

Orange, California, United States

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Washington D.C., District of Columbia, United States

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Jacksonville, Florida, United States

Site Status

Melbourne, Florida, United States

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Fort Wayne, Indiana, United States

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Lexington, Kentucky, United States

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Baton Rouge, Louisiana, United States

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Saginaw, Michigan, United States

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Southfield, Michigan, United States

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Hackensack, New Jersey, United States

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Buffalo, New York, United States

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The Bronx, New York, United States

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Dayton, Ohio, United States

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Pittsburgh, Pennsylvania, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Charlottesville, Virginia, United States

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Bellevue, Washington, United States

Site Status

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Saha SP, Muluk S, Schenk W 3rd, Dennis JW, Ploder B, Grigorian A, Presch I, Goppelt A. A prospective randomized study comparing fibrin sealant to manual compression for the treatment of anastomotic suture-hole bleeding in expanded polytetrafluoroethylene grafts. J Vasc Surg. 2012 Jul;56(1):134-41. doi: 10.1016/j.jvs.2012.01.009. Epub 2012 May 25.

Reference Type BACKGROUND
PMID: 22633423 (View on PubMed)

Other Identifiers

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550801

Identifier Type: -

Identifier Source: org_study_id