Clinical Safety and Performance of GATT-Patch in Open Liver Surgery

NCT ID: NCT04819945

Last Updated: 2024-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-16

Study Completion Date

2022-02-24

Brief Summary

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The purpose of this study is to determine the clinical safety and performance of GATT-Patch for management of haemorrhage during elective open liver surgery.

Detailed Description

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The GATT-Patch study is a prospective, single arm, multicenter, pre-market, first-in-man clinical investigation, that intents to determine the clinical safety and performance of GATT-Patch for management of haemorrhage during elective open liver surgery.

The clinical investigation will be carried out in a maximum of 7 sites in The Netherlands, treating an estimated total of 51 participants. All participants will be thoroughly screened and if found eligible, treated with GATT-Patch during open liver surgery. Participants will be followed for 6 weeks with an additional ultrasound assessment at the 6 week follow up visit.

The participant enrolment period is expected to take approximately 6 months, with a total expected duration of the clinical investigation of approximately 8 months.

Conditions

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Hemorrhage, Surgical

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GATT-Patch

GATT-Patch will be used to control bleeding during open liver surgery. Each surgery will be performed according to the standard procedures at the hospital, with the exception of the use of GATT-Patch.

Group Type EXPERIMENTAL

GATT-Patch

Intervention Type DEVICE

Use of GATT-Patch for minimal, mild or moderate bleeding sites in open liver surgery

Interventions

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GATT-Patch

Use of GATT-Patch for minimal, mild or moderate bleeding sites in open liver surgery

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Participant is scheduled to undergo an elective open surgery on the liver;
* Participant is willing and able to give written informed consent for investigation participation;
* Participant is 18 years of age or older at the time of enrollment;
* Participant has been informed of the nature of the clinical investigation.


* Participant in whom the Investigator is able to identify a target bleeding site at the liver resection plane for which any applicable conventional means for hemostasis (e.g. suture, ligature or cautery) are ineffective or impractical and the choice is made to use a topical hemostat for control of hemostasis; and the choice is made to use a topical hemostat for control of hemostasis;
* Participant has a minimal, mild, or moderate target bleeding;

Exclusion Criteria

* Participant is scheduled to undergo surgery on other organs besides the liver (e.g. pancreas, colon, lungs);
* Participant is taking multiple antithrombotic therapies in therapeutic dosage up to the time of surgery, allowing exclusive use of acetylsalicylic acid;
* Participant has platelet count \<100 x 10ˆ9/L, an activates partial thrombin time of \>100s, or international normalized ratio \>2.5;
* Participant is pregnant, planning on becoming pregnant or actively breast-feeding during the follow-up period;
* Participant has a known hypersensitivity to brilliant blue (FD\&C Blue #1);
* Participant has an active or suspected infection at the surgical site;
* Participant has a total bilirubin level of ≥ 2.5 mg/dl
* Participant has had or has planned to receive any organ transplantation;
* Participant has American Association of Anesthesiologists (ASA) classification of 4/5;
* Participant has a life expectancy of less than 3 months;
* Participant has a documented severe congenital or acquired immunodeficiency;
* Participant in whom the investigational device will be used at the site of a synthetic graft or patch implant;
* Participant is currently participating or has participated in another clinical investigation within the past 30 days that may affect the endpoints of the study, such as trials related to the surgical procedure, and on anti-coagulation;
* Participant is not appropriate for inclusion in the clinical investigation, per the medical opinion of the Investigator;
* Participant has any incidental (pre- and peri-operative) findings deemed by the Investigator to potentially jeopardize the safety or welfare of the patient
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avania

INDUSTRY

Sponsor Role collaborator

GATT Technologies BV

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stuart Head, MD PhD

Role: STUDY_DIRECTOR

GATT Technologies BV

Hans de Wilt, Prof. dr.

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Harry van Goor, Prof. dr.

Role: STUDY_CHAIR

Radboud University Medical Center

Locations

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Radboud University Medical Center

Nijmegen, Gelderland, Netherlands

Site Status

Erasmus University Medical Center

Rotterdam, South Holland, Netherlands

Site Status

University Medical Center Groningen

Groningen, , Netherlands

Site Status

Countries

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Netherlands

References

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de Wilt JHW, Verhoef C, de Boer MT, Stommel MWJ, van der Plas-Kemper L, Garms LM, van der Zijden CJ, Head SJ, Bender JCME, van Goor H, Porte RJ. Clinical Safety and Performance of GATT-Patch for Hemostasis in Minimal to Moderate Bleeding During Open Liver Surgery. J Surg Res. 2024 Jun;298:316-324. doi: 10.1016/j.jss.2024.03.033. Epub 2024 Apr 18.

Reference Type DERIVED
PMID: 38640617 (View on PubMed)

Roozen EA, Lomme RMLM, Calon NUB, Ten Broek RPG, van Goor H. Efficacy of a novel polyoxazoline-based hemostatic patch in liver and spleen surgery. World J Emerg Surg. 2023 Mar 14;18(1):19. doi: 10.1186/s13017-023-00483-x.

Reference Type DERIVED
PMID: 36918896 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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DHF-01-QR-021

Identifier Type: -

Identifier Source: org_study_id

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