Trial Outcomes & Findings for Clinical and Biological Efficacy of Mirasol-treated Fresh Whole Blood for the Prevention of Transfusion-transmitted Malaria (NCT NCT02118428)

NCT ID: NCT02118428

Last Updated: 2019-05-10

Results Overview

Percentage of Participants who contracted transfusion-transmitted malaria (TTM)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

227 participants

Primary outcome timeframe

Up to 28 (+4) days after the initial whole blood transfusion (measured within 24 hours prior to each transfusion and at 24 (± 4) hours, 2 days, 3 days, 7 (+1) days, and 28 (+4) days after the initial whole blood transfusion)

Results posted on

2019-05-10

Participant Flow

227 total were enrolled, but one participant was ineligible prior to randomization.

Participant milestones

Participant milestones
Measure
Mirasol
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Unassigned
Enrolled subjects who became ineligible prior to randomization to either Mirasol or Control
Overall Study
STARTED
113
113
1
Overall Study
Received Study Transfusion
111
112
0
Overall Study
COMPLETED
100
104
0
Overall Study
NOT COMPLETED
13
9
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Mirasol
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Unassigned
Enrolled subjects who became ineligible prior to randomization to either Mirasol or Control
Overall Study
Physician Decision
0
1
0
Overall Study
Withdrawal by Subject
2
2
0
Overall Study
Death
7
5
0
Overall Study
Lost to Follow-up
3
1
0
Overall Study
Screen Failure or Became Inelegible
1
0
1

Baseline Characteristics

Clinical and Biological Efficacy of Mirasol-treated Fresh Whole Blood for the Prevention of Transfusion-transmitted Malaria

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Total
n=223 Participants
Total of all reporting groups
Age, Continuous
38.9 years
STANDARD_DEVIATION 15.3 • n=5 Participants
40.7 years
STANDARD_DEVIATION 17.0 • n=7 Participants
39.8 years
STANDARD_DEVIATION 16.2 • n=5 Participants
Age, Customized
18-39 years
62 Participants
n=5 Participants
67 Participants
n=7 Participants
129 Participants
n=5 Participants
Age, Customized
40-59 years
35 Participants
n=5 Participants
28 Participants
n=7 Participants
63 Participants
n=5 Participants
Age, Customized
>=60 years
14 Participants
n=5 Participants
17 Participants
n=7 Participants
31 Participants
n=5 Participants
Sex: Female, Male
Female
77 Participants
n=5 Participants
84 Participants
n=7 Participants
161 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
28 Participants
n=7 Participants
62 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
111 Participants
n=5 Participants
112 Participants
n=7 Participants
223 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Height
1.62 meter
STANDARD_DEVIATION 0.08 • n=5 Participants
1.63 meter
STANDARD_DEVIATION 0.07 • n=7 Participants
1.62 meter
STANDARD_DEVIATION 0.08 • n=5 Participants
Weight
62.7 kilogram
STANDARD_DEVIATION 13.4 • n=5 Participants
63.9 kilogram
STANDARD_DEVIATION 12.0 • n=7 Participants
63.3 kilogram
STANDARD_DEVIATION 12.7 • n=5 Participants
Body Mass Index
24.0 kilogram/meter²
STANDARD_DEVIATION 4.9 • n=5 Participants
24.2 kilogram/meter²
STANDARD_DEVIATION 4.4 • n=7 Participants
24.1 kilogram/meter²
STANDARD_DEVIATION 4.6 • n=5 Participants

PRIMARY outcome

Timeframe: Up to 28 (+4) days after the initial whole blood transfusion (measured within 24 hours prior to each transfusion and at 24 (± 4) hours, 2 days, 3 days, 7 (+1) days, and 28 (+4) days after the initial whole blood transfusion)

Population: Evaluable population = randomized subjects who received up to 2 whole blood transfusions and no non-study blood products, who did not receive any anti-malarial treatment, who had no significant protocol deviations and who additionally were non parasitemic pre-transfusion and received at least one parasitemic fresh whole blood product

Percentage of Participants who contracted transfusion-transmitted malaria (TTM)

Outcome measures

Outcome measures
Measure
Mirasol
n=28 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=37 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Percentage of Participants With Incidence of Transfusion-transmitted Malaria
3.6 Percentage of participants
21.6 Percentage of participants

SECONDARY outcome

Timeframe: immediately post-blood product collection & within 7 days before transfusion, post-Mirasol treatment (within 24 hours post-blood product collection) & within 7 days before transfusion

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Bacterial culture on blood products - products were collected within 7 days before transfusion to the study subject. Control products were only sampled post-collection, so no results for post-Mirasol treatment. All samples in Mirasol group that were positive post-collection became negative post-Mirasol treatment. All samples in Mirasol group that were positive post-Mirasol treatment were negative post-collection. These samples were likely contaminated in the clinical laboratory after Mirasol treatment during sampling for culture.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Bacterial Contamination of Fresh Whole Blood (FWB) Products
Positive post-collection
3.3 percentage of blood product samples
Interval 1.2 to 7.0
3.2 percentage of blood product samples
Interval 1.2 to 6.9
Bacterial Contamination of Fresh Whole Blood (FWB) Products
Positive post-Mirasol treatment
6.6 percentage of blood product samples
Interval 3.5 to 11.3
NA percentage of blood product samples
Control products are not Mirasol treated, so no post-Mirasol sample taken.

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Hematocrit measurement in FWB products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Fresh Whole Blood (FWB) Products - Hematocrit
Hematocrit, post-collection
38.14 percentage
Standard Deviation 3.20
38.10 percentage
Standard Deviation 3.03
Hematology Parameter in Fresh Whole Blood (FWB) Products - Hematocrit
Hematocrit, prior to transfusion
35.54 percentage
Standard Deviation 2.81
37.66 percentage
Standard Deviation 2.77

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Total hemoglobin measurement in Fresh Whole Blood products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Fresh Whole Blood Products - Total Hemoglobin
Total hemoglobin, post-collection
12.98 g/dL
Standard Deviation 1.18
12.93 g/dL
Standard Deviation 1.13
Hematology Parameter in Fresh Whole Blood Products - Total Hemoglobin
Total hemoglobin, prior to transfusion
11.97 g/dL
Standard Deviation 0.98
12.74 g/dL
Standard Deviation 1.03

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

RBC count in Fresh Whole Blood products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Fresh Whole Blood Products - Red Blood Cell (RBC) Count
RBC count, post-collection
4.58 Cells x 10e12/L
Standard Deviation 0.49
4.57 Cells x 10e12/L
Standard Deviation 0.52
Hematology Parameter in Fresh Whole Blood Products - Red Blood Cell (RBC) Count
RBC count, prior to transfusion
4.20 Cells x 10e12/L
Standard Deviation 0.49
4.47 Cells x 10e12/L
Standard Deviation 0.47

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Platelet count in Fresh Whole Blood products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Fresh Whole Blood Products - Platelet Count
Platelet count, post-collection
156.2 Cells x 10e9/L
Standard Deviation 44.3
156.9 Cells x 10e9/L
Standard Deviation 46.2
Hematology Parameter in Fresh Whole Blood Products - Platelet Count
Platelet count, prior to transfusion
85.3 Cells x 10e9/L
Standard Deviation 37.9
101.3 Cells x 10e9/L
Standard Deviation 57.2

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

WBC count in Fresh Whole Blood products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Fresh Whole Blood Products - White Blood Cell (WBC) Count
WBC, post-collection
4.32 Cells x 10e9/L
Standard Deviation 1.05
4.45 Cells x 10e9/L
Standard Deviation 1.16
Hematology Parameter in Fresh Whole Blood Products - White Blood Cell (WBC) Count
WBC, prior to transfusion
3.69 Cells x 10e9/L
Standard Deviation 1.08
3.74 Cells x 10e9/L
Standard Deviation 1.39

SECONDARY outcome

Timeframe: Post-blood product collection (Day -7 to Day 0 per transfusion), prior to transfusion (Day 0 per transfusion)

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Potassium measurement in Fresh Whole Blood products. Blood products were collected independently from study enrollment and stored for maximum of 7 days before assignment/transfusion to a study subject.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Biochemistry Parameter in Fresh Whole Blood Products - Potassium
Potassium, post-collection
3.61 mmol/L
Standard Deviation 2.55
3.85 mmol/L
Standard Deviation 3.33
Biochemistry Parameter in Fresh Whole Blood Products - Potassium
Potassium, prior to transfusion
14.97 mmol/L
Standard Deviation 7.71
7.16 mmol/L
Standard Deviation 3.27

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3, 7, 28

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Hematocrit measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Patients - Hematocrit
Day 0
19.69 percentage
Standard Deviation 5.40
19.52 percentage
Standard Deviation 5.01
Hematology Parameter in Patients - Hematocrit
Day 1
24.25 percentage
Standard Deviation 5.47
24.08 percentage
Standard Deviation 4.21
Hematology Parameter in Patients - Hematocrit
Day 2
24.50 percentage
Standard Deviation 4.48
25.48 percentage
Standard Deviation 4.76
Hematology Parameter in Patients - Hematocrit
Day 3
24.72 percentage
Standard Deviation 4.70
25.68 percentage
Standard Deviation 4.77
Hematology Parameter in Patients - Hematocrit
Day 7
26.62 percentage
Standard Deviation 4.88
26.92 percentage
Standard Deviation 4.62
Hematology Parameter in Patients - Hematocrit
Day 28
28.61 percentage
Standard Deviation 6.20
29.68 percentage
Standard Deviation 5.56

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3, 7, 28

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Total hemoglobin measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Patients - Total Hemoglobin
Day 0
6.71 g/dL
Standard Deviation 1.97
6.71 g/dL
Standard Deviation 1.79
Hematology Parameter in Patients - Total Hemoglobin
Day 1
8.53 g/dL
Standard Deviation 2.02
8.49 g/dL
Standard Deviation 1.55
Hematology Parameter in Patients - Total Hemoglobin
Day 2
8.49 g/dL
Standard Deviation 1.58
8.83 g/dL
Standard Deviation 1.64
Hematology Parameter in Patients - Total Hemoglobin
Day 3
8.57 g/dL
Standard Deviation 1.58
8.91 g/dL
Standard Deviation 1.65
Hematology Parameter in Patients - Total Hemoglobin
Day 7
9.07 g/dL
Standard Deviation 1.75
9.18 g/dL
Standard Deviation 1.60
Hematology Parameter in Patients - Total Hemoglobin
Day 28
9.72 g/dL
Standard Deviation 2.17
10.14 g/dL
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3, 7, 28

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Platelet count in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Patients - Platelet Count
Day 0
238.0 Cells x 10e9/L
Standard Deviation 168.79
234.50 Cells x 10e9/L
Standard Deviation 147.03
Hematology Parameter in Patients - Platelet Count
Day 1
202.40 Cells x 10e9/L
Standard Deviation 155.85
206.0 Cells x 10e9/L
Standard Deviation 121.47
Hematology Parameter in Patients - Platelet Count
Day 2
229.30 Cells x 10e9/L
Standard Deviation 145.56
228.20 Cells x 10e9/L
Standard Deviation 132.68
Hematology Parameter in Patients - Platelet Count
Day 3
235.50 Cells x 10e9/L
Standard Deviation 139.11
235.70 Cells x 10e9/L
Standard Deviation 124.79
Hematology Parameter in Patients - Platelet Count
Day 7
324.40 Cells x 10e9/L
Standard Deviation 152.79
332.40 Cells x 10e9/L
Standard Deviation 156.16
Hematology Parameter in Patients - Platelet Count
Day 28
269.10 Cells x 10e9/L
Standard Deviation 115.21
271.50 Cells x 10e9/L
Standard Deviation 126.15

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3, 7, 28

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

RBC count in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 0
2.51 Cells x 10e12/L
Standard Deviation 0.75
2.52 Cells x 10e12/L
Standard Deviation 0.72
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 1
3.05 Cells x 10e12/L
Standard Deviation 0.75
3.02 Cells x 10e12/L
Standard Deviation 0.60
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 2
3.12 Cells x 10e12/L
Standard Deviation 0.66
3.27 Cells x 10e12/L
Standard Deviation 0.71
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 3
3.15 Cells x 10e12/L
Standard Deviation 0.70
3.30 Cells x 10e12/L
Standard Deviation 0.73
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 7
3.35 Cells x 10e12/L
Standard Deviation 0.70
3.41 Cells x 10e12/L
Standard Deviation 0.68
Hematology Parameter in Patients - Red Blood Cell (RBC) Count
Day 28
3.60 Cells x 10e12/L
Standard Deviation 0.84
3.75 Cells x 10e12/L
Standard Deviation 0.72

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3, 7, 28

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

WBC count in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 0
10.34 Cells x 10e9/L
Standard Deviation 10.01
9.94 Cells x 10e9/L
Standard Deviation 6.97
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 1
8.71 Cells x 10e9/L
Standard Deviation 5.64
8.07 Cells x 10e9/L
Standard Deviation 4.02
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 2
7.91 Cells x 10e9/L
Standard Deviation 7.11
7.54 Cells x 10e9/L
Standard Deviation 4.80
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 3
7.42 Cells x 10e9/L
Standard Deviation 6.42
7.09 Cells x 10e9/L
Standard Deviation 4.99
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 7
7.15 Cells x 10e9/L
Standard Deviation 7.22
7.22 Cells x 10e9/L
Standard Deviation 4.96
Hematology Parameter in Patients - White Blood Cell (WBC) Count
Day 28
5.88 Cells x 10e9/L
Standard Deviation 5.0
5.48 Cells x 10e9/L
Standard Deviation 2.95

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Potassium measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Biochemistry Parameter in Patients - Potassium
Day 0
4.12 mmol/L
Standard Deviation 0.85
4.17 mmol/L
Standard Deviation 0.80
Biochemistry Parameter in Patients - Potassium
Day 1
4.14 mmol/L
Standard Deviation 0.75
3.80 mmol/L
Standard Deviation 0.49
Biochemistry Parameter in Patients - Potassium
Day 2
3.90 mmol/L
Standard Deviation 0.69
3.97 mmol/L
Standard Deviation 0.63
Biochemistry Parameter in Patients - Potassium
Day 3
4.00 mmol/L
Standard Deviation 0.69
3.93 mmol/L
Standard Deviation 0.61

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Prothrombin time measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Coagulation Parameter in Patients - Prothrombin Time
Day 0
10.08 seconds
Standard Deviation 3.11
10.07 seconds
Standard Deviation 4.02
Coagulation Parameter in Patients - Prothrombin Time
Day 1
10.19 seconds
Standard Deviation 2.86
9.71 seconds
Standard Deviation 3.33
Coagulation Parameter in Patients - Prothrombin Time
Day 2
9.36 seconds
Standard Deviation 2.20
9.62 seconds
Standard Deviation 2.48
Coagulation Parameter in Patients - Prothrombin Time
Day 3
9.53 seconds
Standard Deviation 2.28
9.97 seconds
Standard Deviation 3.03

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

Activated partial thromboplastin time measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Coagulation Parameter in Patients - Activated Partial Thromboplastin Time
Day 0
29.61 seconds
Standard Deviation 9.12
29.12 seconds
Standard Deviation 9.47
Coagulation Parameter in Patients - Activated Partial Thromboplastin Time
Day 1
29.89 seconds
Standard Deviation 7.47
29.0 seconds
Standard Deviation 10.25
Coagulation Parameter in Patients - Activated Partial Thromboplastin Time
Day 2
28.54 seconds
Standard Deviation 6.64
27.89 seconds
Standard Deviation 6.45
Coagulation Parameter in Patients - Activated Partial Thromboplastin Time
Day 3
28.60 seconds
Standard Deviation 6.33
29.68 seconds
Standard Deviation 7.73

SECONDARY outcome

Timeframe: Days 0, 1, 2, 3

Population: Intent-to-treat = All randomized subjects who underwent at least 1 study transfusion

INR measure in study participants. Study participants may have received 1 or 2 blood product transfusions over 3 days while on study. These measurements were taken relative to the first transfusion only, for consistency.

Outcome measures

Outcome measures
Measure
Mirasol
n=111 Participants
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 Participants
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Coagulation Parameter in Patients - International Normalized Ratio (INR)
Day 0
1.05 ratio
Standard Deviation 0.26
1.04 ratio
Standard Deviation 0.33
Coagulation Parameter in Patients - International Normalized Ratio (INR)
Day 1
1.07 ratio
Standard Deviation 0.25
1.02 ratio
Standard Deviation 0.27
Coagulation Parameter in Patients - International Normalized Ratio (INR)
Day 2
0.99 ratio
Standard Deviation 0.19
1.01 ratio
Standard Deviation 0.20
Coagulation Parameter in Patients - International Normalized Ratio (INR)
Day 3
1.00 ratio
Standard Deviation 0.19
1.04 ratio
Standard Deviation 0.25

Adverse Events

Mirasol

Serious events: 13 serious events
Other events: 33 other events
Deaths: 0 deaths

Control

Serious events: 9 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Mirasol
n=111 participants at risk
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 participants at risk
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Cardiac disorders
Pericardial effusion
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Nervous system disorders
Uraemic encephalopathy
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Liver carcinoma ruptured
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
General disorders
Asthenia
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer metastatic
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Atypical pneumonia
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Renal and urinary disorders
Nephrotic syndrome
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Metabolism and nutrition disorders
Hypoglycaemia
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
1.8%
2/112 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hodgkin's disease
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Urinary tract infection
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Nervous system disorders
Encephalopathy
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Pulmonary tuberculosis
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Nervous system disorders
Hepatic encephalopathy
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Malaria
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Pelvic abscess
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Hepatobiliary disorders
Hepatic failure
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Nervous system disorders
Loss of consciousness
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Vascular disorders
Circulatory collapse
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Pneumonia
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Gastrointestinal disorders
Enterocutaneous fistula
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Pyelonephritis
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.89%
1/112 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit

Other adverse events

Other adverse events
Measure
Mirasol
n=111 participants at risk
Transfusions with Mirasol-treated whole blood Mirasol-treated Whole Blood: Transfusion with fresh Whole Blood treated with the Mirasol Pathogen Reduction Technology System for Whole Blood
Control
n=112 participants at risk
Transfusions with untreated whole blood Untreated Whole Blood: Transfusion with fresh Whole Blood
Injury, poisoning and procedural complications
Allergic transfusion reaction
4.5%
5/111 • Number of events 5 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
8.0%
9/112 • Number of events 9 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Injury, poisoning and procedural complications
Febrile nonhaemolytic transfusion reaction
3.6%
4/111 • Number of events 4 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
4.5%
5/112 • Number of events 5 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Infections and infestations
Malaria
6.3%
7/111 • Number of events 7 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
4.5%
5/112 • Number of events 5 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Vascular disorders
Hypertension
4.5%
5/111 • Number of events 5 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
2.7%
3/112 • Number of events 3 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Nervous system disorders
Headache
2.7%
3/111 • Number of events 3 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
3.6%
4/112 • Number of events 4 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Metabolism and nutrition disorders
Hypokalaemia
3.6%
4/111 • Number of events 4 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
1.8%
2/112 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
General disorders
Pyrexia
1.8%
2/111 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
2.7%
3/112 • Number of events 3 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
General disorders
Chills
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
1.8%
2/112 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Gastrointestinal disorders
Vomiting
0.90%
1/111 • Number of events 1 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
1.8%
2/112 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Gastrointestinal disorders
Gastritis
0.00%
0/111 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
1.8%
2/112 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
Respiratory, thoracic and mediastinal disorders
Tachypnoea
1.8%
2/111 • Number of events 2 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit
0.00%
0/112 • 28 days
From the time of the initial transfusion through the 28-day Final Follow-up Visit

Additional Information

Ray Goodrich, PhD

Terumo BCT Biotechnologies, LLC

Phone: (303) 231-4832

Results disclosure agreements

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

Restriction type: LTE60