CPP Versus PFC to Correct Coagulation Disorders in Adult Neurosurgical Patients

NCT ID: NCT02777424

Last Updated: 2024-06-05

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-21

Study Completion Date

2019-03-27

Brief Summary

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This prospective, randomized, multicenter study is performed to determine whether prothrombin complex concentrates confers any benefits over fresh frozen plasma in adult neurological patients with coagulation disorders (PT value less than 60%).

Detailed Description

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The coagulation disorders increase the risk of bleeding and are a risk factor of intracranial hemorrhagic complications in neurosurgical patients. They are diagnosed more often in emergency on a PT value less than 60% and so they should be corrected as soon as possible. Two therapeutic strategies are proposed by French or international recommendations: transfusion of fresh frozen plasma (FFP) or administration of prothrombin complex concentrates (PCC).

This prospective, randomized, multicenter study with blinded assessment of the primary endpoint, is performed to determine whether PCC confers any benefits over FFP in the neurological patients with coagulation disorders.

Conditions

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Intracranial Hemorrhages

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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Prothrombin Complex Concentrate

Administration of a single dose of prothrombin complex concentrate (25 U/kg equivalent factor IX)

Group Type EXPERIMENTAL

Prothrombin Complex Concentrate

Intervention Type DRUG

Non-activated prothrombin complex concentrate containing factors II, VII, IX and X and proteins C \& S

Fresh Frozen Plasma

Administration of a single dose of fresh frozen plasma of 15 mL/kg

Group Type ACTIVE_COMPARATOR

Fresh Frozen Plasma

Intervention Type BIOLOGICAL

Pooled collection of plasma from donors

Interventions

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Prothrombin Complex Concentrate

Non-activated prothrombin complex concentrate containing factors II, VII, IX and X and proteins C \& S

Intervention Type DRUG

Fresh Frozen Plasma

Pooled collection of plasma from donors

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patient with spontaneous intracranial hemorrhage or traumatic intracranial hemorrhage or patient requiring neurological surgery
* Coagulation disorder defined by PT less than 60%

Exclusion Criteria

* Concomitant use with oral anticoagulant drugs
* Acquired deficiency of coagulation factors whose treatment is established
* Hypersensitivity to a PCC
* History of thrombocytopenia induced by heparin
* Disseminated intravascular coagulation
* Extracranial active bleeding
* Hypersensitivity to vitamin K
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation Ophtalmologique Adolphe de Rothschild

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU de Lille

Lille, , France

Site Status

CHU de NANCY

Nancy, , France

Site Status

Fondation Ophtalmologique Adolphe de Rothschild (FOR)

Paris, , France

Site Status

Hôpital Foch

Suresnes, , France

Site Status

Countries

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France

References

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Eilertsen H, Menon CS, Law ZK, Chen C, Bath PM, Steiner T, Desborough MJ, Sandset EC, Sprigg N, Al-Shahi Salman R. Haemostatic therapies for stroke due to acute, spontaneous intracerebral haemorrhage. Cochrane Database Syst Rev. 2023 Oct 23;10(10):CD005951. doi: 10.1002/14651858.CD005951.pub5.

Reference Type DERIVED
PMID: 37870112 (View on PubMed)

Other Identifiers

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AGR_2014-22

Identifier Type: -

Identifier Source: org_study_id

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