TASALL - TachoSil® Against Liquor Leak

NCT ID: NCT01355627

Last Updated: 2014-07-25

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

726 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2013-06-30

Brief Summary

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The primary objective is to demonstrate superiority of TachoSil® compared to current practice as an adjunct in sealing the dura mater. The efficacy of the dura mater sealing must be evaluated post-operatively. The secondary objective is to evaluate the safety of TachoSil® as an adjunct in sealing the dura mater.

The trial population will consist of 726 randomised (1:1) patients elected for skull base surgery. The trial duration consists of screening, surgery, efficacy follow-up after 7±1 weeks and safety follow-up 28±2 weeks after surgery.

Detailed Description

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Conditions

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Cerebrospinal Fluid Leaks

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TachoSil®

Group Type EXPERIMENTAL

TachoSil®

Intervention Type PROCEDURE

Primary suture must be performed. Duraplasty may be performed at the discretion of the investigator. TachoSil® must be applied under aseptic conditions during the closure of the dura.

Current practice group

Group Type ACTIVE_COMPARATOR

Current Practice

Intervention Type PROCEDURE

Primary suture must be performed. Duraplasty may be performed at the discretion of the investigator.

In addition to primary suture, whatever means of dura closure deemed necessary by the investigator may be used with the exception of TachoSil®.

Interventions

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TachoSil®

Primary suture must be performed. Duraplasty may be performed at the discretion of the investigator. TachoSil® must be applied under aseptic conditions during the closure of the dura.

Intervention Type PROCEDURE

Current Practice

Primary suture must be performed. Duraplasty may be performed at the discretion of the investigator.

In addition to primary suture, whatever means of dura closure deemed necessary by the investigator may be used with the exception of TachoSil®.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

• Is the surgical approach/procedure consistent with skull base surgery? I.e. one of the following:

* Lateral approach to the foramen magnum: Far lateral, extreme lateral, anterolateral, posterolateral
* Approach to the jugular foramen: Infratemporal, juxta condylar, transjugular
* Approach to the cerebello pontine (CP) angle and petrous apex retrosigmoid
* Approach to the middle fossa: Subtemporal (+/- petrous apex drilling), pterional approach (any fronto temporal approach +/- orbitozygomatic deposition)
* Approach to the anterior fossa: Subfrontal (uni or bilateral)
* Approach to the midline posterior fossa

Exclusion Criteria

* Has the patient been subject to neurosurgery involving opening of the dura mater within the last 3 months?
* Is the patient anticipated to undergo any additional neurosurgery involving opening of the dura mater which may affect the efficacy evaluation (e.g. re-operation or anticipation to undergo several neurosurgeries) before the Efficacy Follow-up Week 7±1 week?
* Is the patient anticipated to undergo any additional neurosurgery involving opening of the dura mater which may affect the safety evaluation (e.g. re-operation or anticipation to undergo several neurosurgeries) before the Safety Follow-up Week 28±2 weeks?
* The surgical approach/procedure is consistent with any transcranial or transfacial or combination of transcranial - transfacial approaches with wide defect in the skull base? I.e. any of the following:

* Trans basal approach
* Total petrosectomy
* Trans facial approach
* Trans sphenoidal approach
* Endoscopic procedures
* Trans oral approach (and any extension: Le Fort, mandibulotomy)
* The surgical approach is consistent with one of the following approaches?

* Translabyrinthine approach
* Retrolabyrinthine approach
* Transcochlear (limited transpetrosal) approach
* Did the arachnoid membrane and the CSF containing system remain intact during surgery?
* Does the patient have more than one dura opening (not including dura openings from extraventricular or lumbar drains)?
* Has TachoSil, fibrin or polymer sealants been used during the current surgery prior to randomization?
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nycomed

Role: STUDY_CHAIR

Clinical Trial Operations

Locations

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Nycomed Investigational Site

Graz, , Austria

Site Status

Nycomed Investigational Site

Brussels, , Belgium

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Genk, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Grenoble, , France

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Le Kremlin-Bicêtre, , France

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Marseille, , France

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Nice, , France

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Paris, , France

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Strasbourg, , France

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Toulouse, , France

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Freiburg im Breisgau, , Germany

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Halle, , Germany

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Homburg, , Germany

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München, , Germany

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Rostock, , Germany

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Athens, , Greece

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Athens, , Greece

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Thessaloniki, , Greece

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Genova, , Italy

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Lecce, , Italy

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Palermo, , Italy

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Siena, , Italy

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Dammers, , Netherlands

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Gdansk, , Poland

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Gdansk, , Poland

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Warsaw, , Poland

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Moscow, , Russia

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Barcelona, , Spain

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Barcelona, , Spain

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El Palmar, , Spain

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Madrid, , Spain

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Majadahonda, , Spain

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Málaga, , Spain

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Santiago de Compostela, , Spain

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Nycomed Investigational Site

Gothenburg, , Sweden

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Nycomed Investigational Site

Lund, , Sweden

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Nycomed Investigational Site

Stockholm, , Sweden

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Countries

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Austria Belgium France Germany Greece Italy Netherlands Poland Russia Spain Sweden

Other Identifiers

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TC-2402-038-SP

Identifier Type: -

Identifier Source: org_study_id

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