Clinical Use of Pathogen Reduced Red Blood Cell Suspension

NCT ID: NCT03426553

Last Updated: 2018-12-24

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-15

Study Completion Date

2018-12-17

Brief Summary

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The aim of the study is to evaluate the effectiveness and safety of the application of pathogen inactivated RBC suspension in children with oncological and hematological diseases.

Detailed Description

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Assumed scope of study:

The study will include 70 patients: 35 patients to the test group, who will get transfusions with pathogen-inactivated red blood cell suspension; 35 patients to the control group, who will get transfusions with irradiated red blood cell suspension.

Methods:

* Selection of patients suitable to participate in the study.
* A few days before the assumed transfusion date, select/prepare a red blood cell suspension corresponding to ABO and Rh systems, with no more than 14 days of storage. Conduct direct antiglobuline test (DAT), indirect antiglobuline test (IAT) and test for individual compatibility with the patient's serum.
* Before performing transfusion (on the day of transfusion), determine the initial indices of the patient (Hb, Hct, Haptoglobin). Determine the red blood cell suspension indices (Hb, Hct, extracellular potassium, free hemoglobin, hemolysis percentage).
* Perform transfusion. Evaluate the presence and severity of post-transfusion reactions and complications.
* Measure the patient's Hb, Hct, potassium and haptoglobin levels the next day after the transfusion.
* Perform DAT 3 to 5 five days after the transfusion.
* Perform IAT 2 to 3 weeks after the transfusion.
* Evaluate the need for transfusions over the follow-up period (30 days).

Conditions

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Oncologic Disorders Hematologic Diseases

Keywords

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Patogen inactivation Pathogen reduction clinical use riboflavin+UV RBC transfusion whole blood

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Riboflavin+UV RBC

35 patients who met all inclusion and exclusion criteria received transfusion with RBC suspension from whole blood, treated with riboflavin and ultraviolet pathogen reduction technology

Group Type EXPERIMENTAL

Riboflavin+UV RBC

Intervention Type BIOLOGICAL

35 patients who met all inclusion and exclusion criteria received transfusion with RBC suspension from whole blood, treated with riboflavin and ultraviolet pathogen reduction technology

irradiated RBC

35 patients who met all inclusion and exclusion criteria received transfusion with irradiated RBC suspension

Group Type ACTIVE_COMPARATOR

irradiated RBC

Intervention Type BIOLOGICAL

35 patients who met all inclusion and exclusion criteria received transfusion with irradiated RBC suspension

Interventions

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Riboflavin+UV RBC

35 patients who met all inclusion and exclusion criteria received transfusion with RBC suspension from whole blood, treated with riboflavin and ultraviolet pathogen reduction technology

Intervention Type BIOLOGICAL

irradiated RBC

35 patients who met all inclusion and exclusion criteria received transfusion with irradiated RBC suspension

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

Patients who need supportive transfusion therapy with RBC suspension

Exclusion Criteria

* Active bleeding
* Sepsis/severe infection (any infectious disease requiring pressor agents, infusion and respiratory support)
* Positive DAT and / or IAT before transfusion
* Double populations for ABO and RH blood group antigens
* Severe hepatomegaly/splenomegaly
* Patients receiving chemotherapy (at the time of need for transfusion)
* Patients receiving antithymocyte immunoglobulin and also within 7 days after its completion
* Patients requiring transfusion of only irradiated blood components
Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federal Research Institute of Pediatric Hematology, Oncology and Immunology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pavel Trakhtman, PhD

Role: STUDY_DIRECTOR

Federal Research Center for pediatric hematology, oncology and immunology

Locations

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Federal Research Center for pediatric hematology, oncology and immunology

Moscow, , Russia

Site Status

Countries

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Russia

Other Identifiers

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Rb+UV_WB_01_2017

Identifier Type: -

Identifier Source: org_study_id