Evaluation of 4-Factor PCC in DOAC-associated Intracranial Hemorrhage

NCT ID: NCT06096051

Last Updated: 2023-10-23

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

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-13

Study Completion Date

2024-07-13

Brief Summary

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Intracranial hemorrhage (ICH) can occur due to traumatic and spontaneous events.1 The incidence of non-traumatic, spontaneous ICH is approximately 40,000 to 67,000 cases per year while the incidence of traumatic brain injury (TBI) is nearly 1.7 million annually

Detailed Description

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The authors found that AC use preinjury was associated with ICH progression, immediate neurosurgery intervention, and death after initial scan. AC use has also been associated with worse functional outcomes, and patients are less likely to be discharged home compared to those without AC use prior to injury.6 With increasing prevalence of AC, hospitals are seeing admissions for ICH, making knowledge of optimal AC reversal essential.

Conditions

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Intracranial Hemorrhage

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Interventions

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Use of fixed-dosed 4F-PCC

Determine if fixed-dose 4F-PCC is safe and effective in patients with DOAC-associated ICH when compared to weight-based dosing.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* • ≥18 years of age

* ICH (traumatic and spontaneous)
* Administration of at least one dose of 4F-PCC
* Admitted to the MHS between July 1, 2018 and May 30, 2023
* Rivaroxaban or apixaban use prior to admission

Exclusion Criteria

* • Warfarin or dabigatran use prior to admission

* Prisoners
* Pregnancy
* \<18 years of age
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Methodist Health System

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tamara Reiter, PharmD

Role: PRINCIPAL_INVESTIGATOR

Methodist Midlothian Medical Center

Locations

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Methodist Dallas Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Bethany Brauer, MPH

Role: CONTACT

214-947-1281

Colette Ngo Ndjom, MS

Role: CONTACT

214-947-4681

Facility Contacts

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Bethany Brauer, MPH

Role: primary

214-947-4681

Colette Ngo Ndjom, MS

Role: backup

217-947-4681

References

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Tenny S, Das JM, Thorell W. Intracranial Hemorrhage. 2024 Feb 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK470242/

Reference Type BACKGROUND
PMID: 29262016 (View on PubMed)

Other Identifiers

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027.PHA.2023.A

Identifier Type: -

Identifier Source: org_study_id

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