Hemodynamic Effects of Stored Blood Transfusion in Intensive Care Patients

NCT ID: NCT02050230

Last Updated: 2016-10-27

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2016-06-30

Brief Summary

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Transfusion of stored blood has been associated with increased pulmonary vascular resistance in lambs. The investigators hypothesize that transfusion of one unit of red blood cells stored under standard conditions in intensive care patients will increase pulmonary arterial pressure and pulmonary vascular resistance to a greater extent than will one unit of fresh red blood cells.

Detailed Description

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Conditions

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Pulmonary Hypertension

Keywords

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transfusion pulmonary hypertension intensive care medicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Fresh blood transfusion

One unit of blood stored for less than 14 days

Group Type ACTIVE_COMPARATOR

Blood transfusion

Intervention Type BIOLOGICAL

One unit of red blood cells will be transfused over the course of 20 minutes

Standard issue blood transfusion

One unit of blood stored under standard conditions

Group Type EXPERIMENTAL

Blood transfusion

Intervention Type BIOLOGICAL

One unit of red blood cells will be transfused over the course of 20 minutes

Interventions

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Blood transfusion

One unit of red blood cells will be transfused over the course of 20 minutes

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. The patient has a pulmonary artery catheter in place
2. Transfusion of 1 unit of packed red blood cells indicated for standard intensive care therapy
3. The patient has an arterial catheter

Exclusion Criteria

1. Age \< 18 years
2. Clinical prediction that the patient will not survive at least 48 hours
3. Acute bleeding: \> 2 units of packed red blood cells/hour
4. Vasopressor use: noradrenalin \> 0.2 μg/kg/min or any use of adrenalin within 6 hours of inclusion into the study
5. Therapy with inhaled NO, inhaled prostacyclin, or phosphodiesterase-5-inhibitors
6. Sepsis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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David M Baron, MD

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Roman Ullrich, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna

Locations

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General Hospital of the Medical University of Vienna

Vienna, , Austria

Site Status

Countries

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Austria

Other Identifiers

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2013-002316-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BASG 2013-002316-27

Identifier Type: -

Identifier Source: org_study_id