The Effectiveness of Hemopatch® in the Reduction of Post-surgical Serous Drainage

NCT ID: NCT04904653

Last Updated: 2024-03-06

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-08

Study Completion Date

2024-12-31

Brief Summary

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Hemopatch is an alternative to reduce morbidity associated with axillary lymphadenectomy surgery, possibly contributing to improved patient management, clinical outcomes, and hospital costs. We propose a multicenter, controlled, and randomized trial to study the efficacy of Hemopatch in reducing serous wound drainage.

Detailed Description

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Conditions

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Hemopatch Breast Cancer Axillary Lymphadenectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

After axillary node dissection, patients will be randomised to:

* Hemopatch Group: Hemopatch (hemostatic device and surgical sealant) + suction drainage
* Control group: no sealant (liquid, gel or patch) + suction drain
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Hemopatch Group:

Hemopatch + suction drainage

Group Type EXPERIMENTAL

Hemopatch

Intervention Type DEVICE

HEMOPATCH Sealing Hemostat ("HEMOPATCH") consists of a soft, thin, pliable, flexible pad of collagen derived from bovine dermis, coated with NHS-PEG (pentaerythritol polyethylene glycol ether tetra-succinimidyl glutarate).

Due to its flexible structure, the application of HEMOPATCH to the site where hemostasis / sealing is desired is easily controlled. For differentiation, the non-coated side is marked with blue squares using a biocompatible colorant.

HEMOPATCH is supplied in the following 3 sizes:

* HEMOPATCH 27 x 27 mm
* HEMOPATCH 45 x 45 mm
* HEMOPATCH 45 x 90 mm

Control group

No sealant (liquid, gel or patch) + suction drain

Group Type OTHER

Control group

Intervention Type OTHER

No sealant (liquid, gel or patch) + suction drain

Interventions

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Hemopatch

HEMOPATCH Sealing Hemostat ("HEMOPATCH") consists of a soft, thin, pliable, flexible pad of collagen derived from bovine dermis, coated with NHS-PEG (pentaerythritol polyethylene glycol ether tetra-succinimidyl glutarate).

Due to its flexible structure, the application of HEMOPATCH to the site where hemostasis / sealing is desired is easily controlled. For differentiation, the non-coated side is marked with blue squares using a biocompatible colorant.

HEMOPATCH is supplied in the following 3 sizes:

* HEMOPATCH 27 x 27 mm
* HEMOPATCH 45 x 45 mm
* HEMOPATCH 45 x 90 mm

Intervention Type DEVICE

Control group

No sealant (liquid, gel or patch) + suction drain

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Preoperative:

* Female gender
* Age ≥ 18 years
* Breast cancer N+
* Conservative Surgery: Lumpectomy or Quadrantectomy
* Berg levels 1-2 axillary lymphadenectomy

Intraoperative:

* Axillary incision separated from the incision for the breast lesion
* Placement of a closed low pressure suction drain in the axillary fossa
* Hemostasis and lymphostasis using clips, electrocautery, electric scalpel or bipolar coagulation

Postoperative:

\- Patients with ≥ 10 axillary nodes removed

Exclusion Criteria

Preoperative:

* Mastectomy
* Previous radiation therapy
* Previous axillary emptying
* Liver pathology
* Diabetic decompensation: defined as any episode that has required medical attention in an emergency service or hospital admission; and also that which has required a modification of the patient's drugs, or an increase of more than 20% of the total daily dose.
* Known allergies to any component of Hemopatch (proteins of bovine origin or PEG)
* Psychiatric disorder that conditions the non-understanding of the questionnaire, or incapacitation of the patient to understand it
* Simultaneous participation in another clinical study
* PCR positive for SARS-CoV-2

Intraoperative:

* Level 3 axillary dissection (severe axillary involvement)
* Unexpected surgical contraindication
* Hemostasis and lymphostasis: ultrasonic techniques or other advanced energy techniques are excluded.
* Use of fibrin sealants (eg: Tisseel, Artiss, Tachosil), cyanoacrylate type adhesives (eg: Glubran-2) or other types of products (oxidized cellulose format, powders or gelatin sheets or collagen).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Asociación De Cirujanos De Mama De Toledo

OTHER

Sponsor Role collaborator

Instituto de Investigación Hospital Universitario La Paz

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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General Surgery and Digestive System Service

Toledo, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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María García Ávila, MD

Role: CONTACT

638432910

Facility Contacts

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Justo Álvarez Martín, MD

Role: primary

Other Identifiers

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HVST-HEMO-20

Identifier Type: -

Identifier Source: org_study_id

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