Safety and Efficacy of 6% Hydroxyethyl Starch (HES) Solution Versus an Electrolyte Solution in Patients Undergoing Elective Abdominal Surgery

NCT ID: NCT03278548

Last Updated: 2024-01-31

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

2289 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-28

Study Completion Date

2022-07-06

Brief Summary

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The aim of the study is to investigate the safety of a 6% HES (Hydroxyethyl Starch) solution (Volulyte 6%) versus an electrolyte solution (Ionolyte) in patients undergoing elective abdominal surgery.

Detailed Description

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Conditions

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Hypovolaemia Due to Acute Blood Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Volulyte 6%

Volulyte 6% solution for infusion

Group Type EXPERIMENTAL

Volulyte 6%

Intervention Type DRUG

Solution for infusion

Ionolyte

Ionolyte solution for infusion

Group Type ACTIVE_COMPARATOR

Ionolyte

Intervention Type DRUG

Solution for infusion

Interventions

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Volulyte 6%

Solution for infusion

Intervention Type DRUG

Ionolyte

Solution for infusion

Intervention Type DRUG

Other Intervention Names

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Hydroxyethyl starch 130/0.4 Electrolyte solution

Eligibility Criteria

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Inclusion Criteria

* Male or female adult patients \> 40 and ≤ 85 years of age. Women of child bearing potential must test negative on standard pregnancy test (urine or serum)
* Patients undergoing elective abdominal surgery with an expected blood loss of ≥ 500 ml
* ASA Physical Status II - III
* Signed written informed consent form

Exclusion:

* Hypersensitivity to the active substances or to any of the other excipients of the investigational medicinal products
* Body weight ≥ 140 kg
* Sepsis
* Burns
* Renal impairment (AKIN stage ≥ 1 or chronic) or acute and/or chronic renal replacement therapy
* Intracranial or cerebral haemorrhage
* Critically ill patients (typically admitted to the intensive care unit)
* Hyperhydration
* Pulmonary oedema
* Dehydration
* Hyperkalaemia
* Severe hypernatraemia
* Severe hyperchloraemia
* Severely impaired hepatic function
* Congestive heart failure
* Severe coagulopathy
* Organ transplant patients
* Metabolic alkalosis
* Simultaneous participation in another interventional clinical trial (drugs or medical devices studies)
Minimum Eligible Age

41 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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B. Braun Melsungen AG

INDUSTRY

Sponsor Role collaborator

European Society of Anaesthesiology and Intensive Care

OTHER

Sponsor Role collaborator

Fresenius Kabi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wolfgang F. Buhre, Prof. Dr. med.

Role: STUDY_CHAIR

Department of Anesthesiology and Pain Management, Maastricht University, The Netherlands

Locations

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General Hospital of Barmherzige Brüder

Sankt Veit, , Austria

Site Status

Social Medical Center East - Donauspital

Vienna, , Austria

Site Status

Cliniques Universitaires Saint Luc

Brussels, , Belgium

Site Status

AZ Maria Middelares

Ghent, , Belgium

Site Status

Jessa Ziekenhuis

Hasselt, , Belgium

Site Status

Clinical Hospital Sveti Duh

Zagreb, , Croatia

Site Status

University Hospital Sisters of Mercy

Zagreb, , Croatia

Site Status

University Hospital Zagreb

Zagreb, , Croatia

Site Status

Kolín Hospital

Kolín, , Czechia

Site Status

Central Military Hospital Prague

Prague, , Czechia

Site Status

General University Hospital in Prague

Prague, , Czechia

Site Status

University Hospital Motol

Prague, , Czechia

Site Status

CHU Angers

Angers, , France

Site Status

Hospital Centre Pierre Oudot

Bourgoin, , France

Site Status

CHRU Lille

Lille, , France

Site Status

Hospital Centre Montauban

Montauban, , France

Site Status

Montpellier University Hospital

Montpellier, , France

Site Status

AP-HP Paris (Salpêtrière)

Paris, , France

Site Status

Hospital Saint-Antoine

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

University Hospital of Strasbourg

Strasbourg, , France

Site Status

Hospital Foch Suresnes

Suresnes, , France

Site Status

Hospital Jean Bernard

Valenciennes, , France

Site Status

Kliniken der Stadt Köln

Cologne, , Germany

Site Status

Carl-Thiem-Klinikum

Cottbus, , Germany

Site Status

Helios Amper-Klinikum

Dachau, , Germany

Site Status

Universitätsklinikum Carl Gustav Carus

Dresden, , Germany

Site Status

University Hospital Schleswig-Holstein Campus Kiel

Kiel, , Germany

Site Status

University Hospital Marburg

Marburg, , Germany

Site Status

University Hospital Munich

München, , Germany

Site Status

Universitätsklinikum Münster

Münster, , Germany

Site Status

Klinikum Oldenburg AÖR

Oldenburg, , Germany

Site Status

Regio Klinikum Pinneberg GmbH

Pinneberg, , Germany

Site Status

Amsterdam Medical Centre

Amsterdam, , Netherlands

Site Status

Martini General Hospital Groningen

Groningen, , Netherlands

Site Status

University Medical Center Groningen

Groningen, , Netherlands

Site Status

University Medical Center (UMC) Maastricht

Maastricht, , Netherlands

Site Status

University Clinical Center Gdansk

Gdansk, , Poland

Site Status

Szpital Specjalistyczny im. Św. Łukasza

Gmina Końskie, , Poland

Site Status

Medical University of Silesia

Katowice, , Poland

Site Status

Wojewodzki Szpital Zespolony

Konin, , Poland

Site Status

Jagiollonian University Hospital Medical College

Krakow, , Poland

Site Status

Medical University of Lublin

Lublin, , Poland

Site Status

Karol Marcinkowski Medical University in Poznań

Poznan, , Poland

Site Status

University Hospital in Wroclaw

Wroclaw, , Poland

Site Status

Klinika Wiśniowa

Zielona Góra, , Poland

Site Status

Fundeni Clinical Institute 1

Bucharest, , Romania

Site Status

Fundeni Clinical Institute 2

Bucharest, , Romania

Site Status

University Hospital Elias Bucharest

Bucharest, , Romania

Site Status

Emergency county hospital Cluj

Cluj-Napoca, , Romania

Site Status

Barcelona Clinic Hospital

Barcelona, , Spain

Site Status

Hospital Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

University Hospital General Del Elche

Elche, , Spain

Site Status

Hospital Universitario de Gran Canaria Dr. Negrín

Las Palmas de Gran Canaria, , Spain

Site Status

Hospital Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario Fundacion Alcorcon

Madrid, , Spain

Site Status

Quironsalud

Málaga, , Spain

Site Status

Hospital Clinico Universitario Valencia

Valencia, , Spain

Site Status

Hospital Universitari i Politecnic la Fe

Valencia, , Spain

Site Status

Hospital Universitario Rio Hortega

Valladolid, , Spain

Site Status

Countries

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Austria Belgium Croatia Czechia France Germany Netherlands Poland Romania Spain

References

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Buhre W, de Korte-de Boer D, de Abreu MG, Scheeren T, Gruenewald M, Hoeft A, Spahn DR, Zarbock A, Daamen S, Westphal M, Brauer U, Dehnhardt T, Schmier S, Baron JF, De Hert S, Gavranovic Z, Cholley B, Vymazal T, Szczeklik W, Bornemann-Cimenti H, Soro Domingo MB, Grintescu I, Jankovic R, Belda J. Prospective, randomized, controlled, double-blind, multi-center, multinational study on the safety and efficacy of 6% Hydroxyethyl starch (HES) sOlution versus an Electrolyte solutioN In patients undergoing eleCtive abdominal Surgery: study protocol for the PHOENICS study. Trials. 2022 Feb 22;23(1):168. doi: 10.1186/s13063-022-06058-6.

Reference Type DERIVED
PMID: 35193648 (View on PubMed)

Chappell D, Jacob M. Should hydroxyethyl starch be banned? Lancet. 2018 Jul 14;392(10142):118. doi: 10.1016/S0140-6736(18)31174-7. No abstract available.

Reference Type DERIVED
PMID: 30017128 (View on PubMed)

Buhre W, Diaz-Cambronero O, Schaefer S, Novacek M, Domingo MS, Stessel B, Rodriguez-Perez A, Richter T, Rohe G, Cholley B, Gruenewald M, Kuiper G, Jaber S, de Korte D, Belda J, de Abreu MG, Baronica R, Scheeren T, Ferrando-Ortola C, Szczeklik W, Tomescu D, Vyzamal T, Gavranovic Z, Argente-Navarro MP, Mazzinari G, Thaler S, Garcia-Gregorio N, Vandenbrande J, Zlotnik D, Wittenstein J, Schmier S, Rohn S, Glasmacher C, Holler M, Jungheinrich C, Niess U, Sessler DI, Westphal M. Safety and efficacy of 6% hydroxyethyl starch in patients undergoing major surgery: The randomised controlled PHOENICS trial. Eur J Anaesthesiol. 2025 Oct 24. doi: 10.1097/EJA.0000000000002307. Online ahead of print.

Reference Type DERIVED
PMID: 41133731 (View on PubMed)

Other Identifiers

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HE06-024-CP4

Identifier Type: OTHER

Identifier Source: secondary_id

HC-G-H-1504

Identifier Type: -

Identifier Source: org_study_id

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