Impact of Blood Storage Duration on Physiologic Measures

NCT ID: NCT01274390

Last Updated: 2017-02-02

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

COMPLETED

Total Enrollment

390 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-01-31

Study Completion Date

2014-01-31

Brief Summary

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This study is an ancillary (add-on) study to the clinical trial entitled Red Cell Storage Duration Study (RECESS), which has clinicaltrials.gov identifier NCT00991341. The RECESS study randomizes cardiac surgery patients to receive either red blood cell units stored for no more than 10 days, or red blood cell units stored for at least 21 days, if they need any red blood cell transfusions during their hospital stay for the surgery.

This ancillary study is entitled Impact of Blood Storage Duration on Physiologic Measures: RECESS Ancillary Physiologic Study (RECAP). The hypothesis of the RECAP study is that there will be differences between the two randomized treatment groups in how much the following measurements change, from shortly before a red blood cell transfusion to shortly after a red blood cell transfusion, and from before surgery to 24 hours after surgery:

* Oxygen saturation in the hand
* Oxygen saturation in the brain
* Blood flow in the small blood vessels under the tongue.

The RECAP study will also investigate whether changes in the measurements listed above are associated with clinical outcomes, including

* The Multi-Organ Dysfunction Score
* Death from any cause
* Major cardiac events
* Major pulmonary events

Detailed Description

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Conditions

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Cardiac Surgery Erythrocyte Transfusion

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Shorter-storage red blood cell units

Red blood cell units stored \<= 10 days

No interventions assigned to this group

Longer-storage red blood cell units

Red blood cell units stored \>= 21 days

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Eligible and randomized in the RECESS study (NCT00991341)
* At least 18 years old
* Willing to comply with protocol and provide written informed consent for both RECESS and RECAP
* Scheduled to undergo coronary artery bypass (CABG), valve, or combined CABG plus valve surgery

Exclusion Criteria

* Prior randomization into the RECESS or RECAP studies
* Undergoing off-pump cardiac surgery
* Undergoing a significant concomitant surgical procedure
* Known sickle cell disease
* Participation in a clinical trial (except observational studies or RECESS) within the previous 30 days
* Received any investigational product within prior 30 days
* Not able to be randomized in RECESS
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elliott Bennett-Guerrero, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Christopher Stowell, MD, PHD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Womens Hospital

Boston, Massachusetts, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Stowell CP, Whitman G, Granger S, Gomez H, Assmann SF, Massey MJ, Shapiro NI, Steiner ME, Bennett-Guerrero E. The impact of red blood cell storage duration on tissue oxygenation in cardiac surgery. J Thorac Cardiovasc Surg. 2017 Mar;153(3):610-619.e2. doi: 10.1016/j.jtcvs.2016.11.029. Epub 2016 Nov 19.

Reference Type RESULT
PMID: 28027790 (View on PubMed)

Other Identifiers

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R01HL101382

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Pro00021198

Identifier Type: -

Identifier Source: org_study_id

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