Safe and Timely Antithrombotic Removal - Ticagrelor (STAR-T)

NCT ID: NCT04976530

Last Updated: 2025-04-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-31

Study Completion Date

2023-08-07

Brief Summary

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Prospective, multi-center, double-blind, randomized pivotal trial to evaluate the safety and effectiveness of the DrugSorb-Antithrombotic Removal (ATR) system for intraoperative removal of ticagrelor in patients undergoing urgent cardiothoracic (CT) surgery with cardiopulmonary bypass (CPB).

Detailed Description

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Antithrombotic agents such as ticagrelor can increase the risk of surgical bleeding in patients undergoing CT surgery if there is not adequate washout time of the drug. Patients who require urgent surgery may not be able to wait for the recommended washout time (up to 7 days). The intraoperative use of the DrugSorb-ATR device to remove active ticagrelor may help reduce the risk of postoperative surgical bleeding in these patients.

Conditions

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Hemorrhage, Surgical Blood Loss, Surgical Blood Loss, Postoperative Hemorrhage Postoperative

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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Control

Standard of care with Sham set-up

Group Type SHAM_COMPARATOR

Sham comparator

Intervention Type DEVICE

Sham comparator in similar position to the investigative device, but NOT integrated into the cardiopulmonary (CPB) circuit

DrugSorb-ATR Intervention

Standard of care + DrugSorb-ATR system

Group Type EXPERIMENTAL

DrugSorb-ATR system

Intervention Type DEVICE

Sorbent hemoperfusion system integrated into the cardiopulmonary bypass (CPB) circuit

Interventions

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DrugSorb-ATR system

Sorbent hemoperfusion system integrated into the cardiopulmonary bypass (CPB) circuit

Intervention Type DEVICE

Sham comparator

Sham comparator in similar position to the investigative device, but NOT integrated into the cardiopulmonary (CPB) circuit

Intervention Type DEVICE

Other Intervention Names

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Sorbent hemoperfusion system

Eligibility Criteria

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Inclusion Criteria

1. Male or female 18 years of age or older, with documented full, written informed consent
2. Requiring cardiothoracic (CT) surgery with cardiopulmonary bypass (CPB) within two days of ticagrelor discontinuation (day of last dose = day 0)

Exclusion Criteria

1. CT surgery occurring 3 days or greater following ticagrelor discontinuation
2. Heart-lung transplant procedures
3. Procedures for implant or revision of left ventricular assist device (LVAD) or right ventricular assist device (RVAD)
4. Pre-existing conditions that pose a known risk for bleeding (i.e., heparin induced thrombocytopenia /thrombosis \[HITT\], perioperative platelet count \< 50,000u/L, hemophilia, and international normalized ratio \[INR\] \>1.5)
5. Prohibited concomitant antithrombotic medications as defined in the study protocol
6. Acute sickle cell crisis
7. Known allergy to device components
8. Active (untreated) systemic infection
9. History of major organ transplantation and those currently receiving immunosuppressive medication or who are profoundly immune suppressed
10. Women with positive pregnancy test during current admission or who are breast-feeding
11. Life expectancy \<30 days
12. Inability to comply with requirements of the study protocol
13. Treatment with investigational drug or device within 30 days of current surgery
14. Previous enrollment in this trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CytoSorbents, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael J Mack, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor Scott & White The Heart Hospital

C. M Gibson, MD

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center, The Baim Institute, and Harvard Medical School

Richard Whitlock, MD

Role: PRINCIPAL_INVESTIGATOR

Hamilton General Hospital

Locations

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University of California, Davis Medical Center

Sacramento, California, United States

Site Status

Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status

MedStar Health Research Institute

Washington D.C., District of Columbia, United States

Site Status

Emory University Hospital Midtown/Emory School of Medicine

Atlanta, Georgia, United States

Site Status

Lutheran Medical Group

Fort Wayne, Indiana, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Mississippi

Jackson, Mississippi, United States

Site Status

Virtua Health

Marlton, New Jersey, United States

Site Status

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

New York University Langone Health

New York, New York, United States

Site Status

University Hospitals, Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Baylor Scott & White The Heart Hospital Plano

Plano, Texas, United States

Site Status

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

VCU Medical Center

Richmond, Virginia, United States

Site Status

Carilion Clinic

Roanoke, Virginia, United States

Site Status

University of Wisconsin-Madison

Madison, Wisconsin, United States

Site Status

The Medical College of Wisconsin, Inc.

Milwaukee, Wisconsin, United States

Site Status

St. Boniface Hospital

Winnipeg, Manitoba, Canada

Site Status

Hamilton General Hospital, Hamilton Health Sciences Corporation

Hamilton, Ontario, Canada

Site Status

Kingston Health Sciences Centre

Kingston, Ontario, Canada

Site Status

London Health Sciences Centre, University Hospital

London, Ontario, Canada

Site Status

St. Michael's Hospital, Unity Health Toronto

Toronto, Ontario, Canada

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval

Québec, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Tripathi R, Morales J, Lee V, Gibson CM, Mack MJ, Schneider DJ, Douketis J, Sellke FW, Ohman ME, Thourani VH, Storey RF, Deliargyris EN. Antithrombotic drug removal from whole blood using Haemoadsorption with a porous polymer bead sorbent. Eur Heart J Cardiovasc Pharmacother. 2022 Dec 2;8(8):847-856. doi: 10.1093/ehjcvp/pvac036.

Reference Type DERIVED
PMID: 35657375 (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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2021-01

Identifier Type: -

Identifier Source: org_study_id

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