A Study of Fibrocaps™ in Surgical Bleeding

NCT ID: NCT01527357

Last Updated: 2019-12-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

721 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-21

Study Completion Date

2013-06-01

Brief Summary

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The purpose of this study is to confirm the superiority of Fibrocaps plus gelatin sponge, as compared to gelatin sponge alone, for achieving hemostasis.

The investigational products were used in participants with mild to moderate surgical bleeding during spine, liver, vascular or soft tissue surgery, when control of mild to moderate bleeding by standard surgical techniques is ineffective and/or impractical.

Detailed Description

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Conditions

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Mild or Moderate Surgical Bleeding

Keywords

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fibrin sealant thrombin fibrinogen hemostasis

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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Fibrocaps + Gelatin Sponge

Single application of Fibrocaps plus gelatin sponge.

Group Type EXPERIMENTAL

Fibrocaps

Intervention Type BIOLOGICAL

Human fibrinogen and thrombin powder, for topical administration.

Gelatin sponge

Intervention Type BIOLOGICAL

Absorbable gelatin sponge for topical administration.

Gelatin Sponge

Single application of gelatin sponge alone.

Group Type ACTIVE_COMPARATOR

Gelatin sponge

Intervention Type BIOLOGICAL

Absorbable gelatin sponge for topical administration.

Interventions

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Fibrocaps

Human fibrinogen and thrombin powder, for topical administration.

Intervention Type BIOLOGICAL

Gelatin sponge

Absorbable gelatin sponge for topical administration.

Intervention Type BIOLOGICAL

Other Intervention Names

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PRO-0601 Fibrin sealant Gelfoam Spongostan

Eligibility Criteria

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Inclusion Criteria

1. Has signed an institutional review board/independent ethics committee (IRB/IEC)-approved informed consent document
2. Is undergoing one of the 4 surgical procedures described
3. Is at least 18 years old at time of consent
4. If female and of child-bearing potential, has negative pregnancy test during screening and is not breast-feeding
5. If able to reproduce, agrees to use a medically accepted form of contraception from the time of consent to completion of all follow-up study visits when engaging in heterosexual intercourse
6. Has not received blood transfusion between screening and study treatment
7. Has mild to moderate surgical bleeding
8. Does not have intra-operative complications
9. Has not used a topical hemostat containing thrombin prior to study treatment
10. Has an approximate bleeding site surface area of less than or equal to 100 cm\^2

Exclusion Criteria

1. Has known antibodies or hypersensitivity to thrombin or other coagulation factors
2. Has history of heparin-induced thrombocytopenia (only for vascular subjects where heparin use is required)
3. Has known allergy to gelatin sponge
4. Is unwilling to receive blood products
5. Has liver enzymes appropriate for the study, considering their disease
6. Has appropriate level of platelets per liter (PLT/L) during screening
7. Has any clinically-significant coagulation disorder that may interfere with the assessment of efficacy or pose a safety risk to the subject according to the Investigator, or baseline abnormalities during screening that are not explained by current drug treatment (e.g., warfarin, heparin)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mallinckrodt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Leader

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Cardio-Thoracic Surgeons, PC

Birmingham, Alabama, United States

Site Status

University of Southern California, Keck School of Medicine

Los Angeles, California, United States

Site Status

University of Southern California/Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Vascular Interventional Specialists of Orange County

Orange, California, United States

Site Status

Lotus Clinical Research, LLC

Pasadena, California, United States

Site Status

Boulder Neurological Institute

Boulder, Colorado, United States

Site Status

Spine Colorado

Durango, Colorado, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

NorthShore University HealthSystem

Skokie, Illinois, United States

Site Status

Southern Illinois University School of Medicine

Springfield, Illinois, United States

Site Status

Indiana Spine Group

Carmel, Indiana, United States

Site Status

Bluegrass Orthopedics

Lexington, Kentucky, United States

Site Status

Lahey Clinic Medical Center

Burlington, Massachusetts, United States

Site Status

Borgess Research Institute

Kalamazoo, Michigan, United States

Site Status

Beaumont Health System

Royal Oak, Michigan, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

William Muir MD Spine Surgery

Las Vegas, Nevada, United States

Site Status

New York-Presbyterian Hospital/Columbia University

New York, New York, United States

Site Status

Duke University Hospital Medical Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The University of Oklahoma - Tulsa

Tulsa, Oklahoma, United States

Site Status

Oregon Health & Science University Hospital & Clinics

Portland, Oregon, United States

Site Status

University of North Texas Health Sciences Center

Fort Worth, Texas, United States

Site Status

Physician's Research Options

Sandy City, Utah, United States

Site Status

Overlake Hospital Medical Center

Bellevue, Washington, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Northwest Orthopaedic Specialists, P.S.

Spokane, Washington, United States

Site Status

Multicare Neuroscience Center of Washington

Tacoma, Washington, United States

Site Status

Militair Hospitaal Koningin Astrid

Brussells, , Belgium

Site Status

Clinique du Parc Leopold, Service de Neurochirurgie

Brussels, , Belgium

Site Status

Hopital Erasme, Service de Neurochirurgie

Brussels, , Belgium

Site Status

Universitair Ziekenhuis Gent, Gasto-Intestinale Heelkunde

Ghent, , Belgium

Site Status

Universitair Ziekenhuis Leuven, Abdominale Heelkunde

Leuven, , Belgium

Site Status

Amphia Hospital

Breda, , Netherlands

Site Status

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status

University Medical Centre Groningen

Groningen, , Netherlands

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Radboud University Medical Center

Nijmegen, , Netherlands

Site Status

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status

Rijnstate Arnhem

Velp, , Netherlands

Site Status

Queen Elizabeth Hospital Birmingham

Birmingham, England, United Kingdom

Site Status

Addenbrookes Hospital Vascular Department

Cambridge, England, United Kingdom

Site Status

Doncaster Royal Infirmary

Doncaster, England, United Kingdom

Site Status

Hull Royal Infirmary

Hull, England, United Kingdom

Site Status

Leeds General Infirmary

Leeds, England, United Kingdom

Site Status

King's College Hospital

London, England, United Kingdom

Site Status

Freeman Hospital

Newcastle upon Tyne, England, United Kingdom

Site Status

Countries

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United States Belgium Netherlands United Kingdom

References

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Gupta N, Chetter I, Hayes P, O-Yurvati AH, Moneta GL, Shenoy S, Pribble JP, Zuckerman LA. Randomized trial of a dry-powder, fibrin sealant in vascular procedures. J Vasc Surg. 2015 Nov;62(5):1288-95. doi: 10.1016/j.jvs.2015.05.038. Epub 2015 Aug 5.

Reference Type DERIVED
PMID: 26254451 (View on PubMed)

Bochicchio GV, Gupta N, Porte RJ, Renkens KL, Pattyn P, Topal B, Troisi RI, Muir W, Chetter I, Gillen DL, Zuckerman LA, Frohna PA. The FINISH-3 trial: a phase 3, international, randomized, single-blind, controlled trial of topical fibrocaps in intraoperative surgical hemostasis. J Am Coll Surg. 2015 Jan;220(1):70-81. doi: 10.1016/j.jamcollsurg.2014.09.019. Epub 2014 Oct 13.

Reference Type DERIVED
PMID: 25458801 (View on PubMed)

Other Identifiers

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FC-004

Identifier Type: -

Identifier Source: org_study_id