Trial Outcomes & Findings for EVARREST™ Fibrin Sealant Patch Post-Market Study (NCT NCT01902459)

NCT ID: NCT01902459

Last Updated: 2018-01-17

Results Overview

Number of subjects experiencing a thromboembolic event as reported in the adverse events/serious adverse event safety set. the Safety set consists of all subjects on whom procedure is started.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

150 participants

Primary outcome timeframe

Surgery up until the 30 day follow-up

Results posted on

2018-01-17

Participant Flow

Subjects were recruited from July 2, 2013 through August 13, 2015 at a single center in the United States

Participant milestones

Participant milestones
Measure
EVARREST Fibrin Sealant Patch
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
Manual compression with or without a topical absorbable hemostat
Overall Study
STARTED
75
75
Overall Study
COMPLETED
75
75
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

EVARREST™ Fibrin Sealant Patch Post-Market Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
Total
n=150 Participants
Total of all reporting groups
Age, Customized
18 to < 50 years
23 Participants
n=5 Participants
20 Participants
n=7 Participants
43 Participants
n=5 Participants
Age, Customized
50 to < 65 years
31 Participants
n=5 Participants
35 Participants
n=7 Participants
66 Participants
n=5 Participants
Age, Customized
65 to < 75 years
15 Participants
n=5 Participants
16 Participants
n=7 Participants
31 Participants
n=5 Participants
Age, Customized
>= 75 yeatrs
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
39 Participants
n=7 Participants
81 Participants
n=5 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
36 Participants
n=7 Participants
69 Participants
n=5 Participants
Race/Ethnicity, Customized
White / Caucasian
69 Participants
n=5 Participants
66 Participants
n=7 Participants
135 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
5 Participants
n=5 Participants
9 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
BMI Category
Underweight
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
BMI Category
Normal
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
BMI Category
Overweight
15 Participants
n=5 Participants
22 Participants
n=7 Participants
37 Participants
n=5 Participants
BMI Category
Obese
37 Participants
n=5 Participants
34 Participants
n=7 Participants
71 Participants
n=5 Participants
BMI Category
Morbidly obese
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Surgery up until the 30 day follow-up

Number of subjects experiencing a thromboembolic event as reported in the adverse events/serious adverse event safety set. the Safety set consists of all subjects on whom procedure is started.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
Safety Parameter - Incidence of Thromboembolic Events
2 Participants
7 Participants

PRIMARY outcome

Timeframe: Surgery up until the 30 day follow-up

Number of subjects experiencing a post-operative bleeding event specifically related to the target bleeding site (TBS) and as reported in the adverse events/serious adverse event safety set. Safety set consisting of all subjects on whom procedure is started.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
Safety Parameter - Incidence of Post-operative Bleeding Events Specifically Related to the Target Bleeding Site (TBS)
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Surgery up until the 30 day follow-up

Number of subjects experiencing an increase in blood fibrinogen from the safety set consisting of all subjects on whom procedure is started.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
Safety Parameter - Incidence of Increase Blood Fibrinogen Level
3 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Intraoperative

This product is easy and quick to prepare for application to the target bleeding site.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
This Product is Easy and Quick to Prepare for Application to the Target Bleeding Site.
Disagree
0 Participants
0 Participants
This Product is Easy and Quick to Prepare for Application to the Target Bleeding Site.
Neutral
0 Participants
46 Participants
This Product is Easy and Quick to Prepare for Application to the Target Bleeding Site.
Strongly Disagree
1 Participants
5 Participants
This Product is Easy and Quick to Prepare for Application to the Target Bleeding Site.
Agree
12 Participants
10 Participants
This Product is Easy and Quick to Prepare for Application to the Target Bleeding Site.
Strongly Agree
62 Participants
14 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Intraoperative

This product is easy to apply to a variety of bleeding sites.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
This Product is Easy to Apply to a Variety of Bleeding Sites.
Strongly Disagree
1 Participants
5 Participants
This Product is Easy to Apply to a Variety of Bleeding Sites.
Disagree
0 Participants
1 Participants
This Product is Easy to Apply to a Variety of Bleeding Sites.
Neutral
0 Participants
46 Participants
This Product is Easy to Apply to a Variety of Bleeding Sites.
Agree
10 Participants
9 Participants
This Product is Easy to Apply to a Variety of Bleeding Sites.
Strongly Agree
64 Participants
13 Participants
This Product is Easy to Apply to a Variety of Bleeding Sites.
Not applicable
0 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Intraoperative

This product is easy to cut to size for application on various sized bleeding sites e.g., a customized preparation.

Outcome measures

Outcome measures
Measure
EVARREST Fibrin Sealant Patch
n=75 Participants
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 Participants
Manual compression with or without a topical absorbable hemostat
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Strongly Agree
66 Participants
15 Participants
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Strongly Disagree
1 Participants
5 Participants
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Disagree
0 Participants
0 Participants
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Neutral
0 Participants
45 Participants
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Agree
7 Participants
8 Participants
This Product is Easy to Cut to Size for Application on Various Sized Bleeding Sites e.g., a Customized Preparation.
Not applicable
1 Participants
2 Participants

Adverse Events

EVARREST Fibrin Sealant Patch

Serious events: 3 serious events
Other events: 6 other events
Deaths: 0 deaths

Standard of Care (SoC)

Serious events: 7 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
EVARREST Fibrin Sealant Patch
n=75 participants at risk
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 participants at risk
Manual compression with or without a topical absorbable hemostat
Vascular disorders
Deep vein thrombosis
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
4.0%
3/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
4.0%
3/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Cardiac disorders
Intracardiac thrombus
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Cardiac disorders
Acute myocardial infarction
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Blood and lymphatic system disorders
Coagulopathy
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Vascular disorders
Jugular vein thrombosis
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery

Other adverse events

Other adverse events
Measure
EVARREST Fibrin Sealant Patch
n=75 participants at risk
EVARREST® Fibrin Sealant Patch is a sterile bio-absorbable combination product consisting of two constituent parts - a flexible matrix and a coating of two biological components (Human Fibrinogen and Human Thrombin.
Standard of Care (SoC)
n=75 participants at risk
Manual compression with or without a topical absorbable hemostat
Blood and lymphatic system disorders
Coagulopathy
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Vascular disorders
Jugular vein thrombosis
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Vascular disorders
Haemorrhage
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Vascular disorders
Haematoma
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Vascular disorders
Deep vein thrombosis
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
6.7%
5/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
4.0%
3/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Cardiac disorders
Intracardiac thrombus
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery
Cardiac disorders
Acute myocardial infarction
1.3%
1/75 • Surgical procedure through 30 (+/- 24 days) post surgery
0.00%
0/75 • Surgical procedure through 30 (+/- 24 days) post surgery

Additional Information

Richard Kocharian, MD, PhD

Ethicon, Inc

Phone: +1 908-218-2013

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60