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Completed

NCT Number: NCT01527357

A Study of Fibrocaps™ in Surgical Bleeding

The purpose of this study is to confirm the superiority of Fibrocaps plus gelatin sponge, as compared to gelatin sponge alone, for achieving hemostasis.

The investigational products were used in participants with mild to moderate surgical bleeding during spine, liver, vascular or soft tissue surgery, when control of mild to moderate bleeding by standard surgical techniques is ineffective and/or impractical.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Militair Hospitaal Koningin Astrid, Brussells, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has signed an institutional review board/independent ethics committee (IRB/IEC)-approved informed consent document
  • Is undergoing one of the 4 surgical procedures described
  • Is at least 18 years old at time of consent
  • If female and of child-bearing potential, has negative pregnancy test during screening and is not breast-feeding
  • If able to reproduce, agrees to use a medically accepted form of contraception from the time of consent to completion of all follow-up study visits when engaging in heterosexual intercourse
  • Has not received blood transfusion between screening and study treatment
  • Has mild to moderate surgical bleeding
  • Does not have intra-operative complications
  • Has not used a topical hemostat containing thrombin prior to study treatment
  • Has an approximate bleeding site surface area of less than or equal to 100 cm^2

Exclusion criteria

  • Has known antibodies or hypersensitivity to thrombin or other coagulation factors
  • Has history of heparin-induced thrombocytopenia (only for vascular subjects where heparin use is required)
  • Has known allergy to gelatin sponge
  • Is unwilling to receive blood products
  • Has liver enzymes appropriate for the study, considering their disease
  • Has appropriate level of platelets per liter (PLT/L) during screening
  • Has any clinically-significant coagulation disorder that may interfere with the assessment of efficacy or pose a safety risk to the subject according to the Investigator, or baseline abnormalities during screening that are not explained by current drug treatment (e.g., warfarin, heparin)

Treatment and study plan

Fibrocaps

Biological

Human fibrinogen and thrombin powder, for topical administration.

Other names: PRO-0601, Fibrin sealant

Gelatin sponge

Biological

Absorbable gelatin sponge for topical administration.

Other names: Gelfoam, Spongostan

Primary outcomes

  1. Time to Hemostasis (TTH) for Participants Receiving Spinal Surgery

    Time frame: Within 5 minutes

    The measurement of TTH begins at t=0, which is the time the study product is applied to the Target Bleeding Site (TBS) and ends when hemostasis is achieved or 5-minutes, whichever occurs first, based on data collected by surgery type and treatment.

  2. Time to Hemostasis (TTH) for Participants Receiving Vascular Surgery

    Time frame: Within 5 minutes

    The measurement of TTH begins at t=0, which is the time the study product is applied to the Target Bleeding Site (TBS) and ends when hemostasis is achieved or 5-minutes, whichever occurs first, based on data collected by surgery type and treatment.

  3. Time to Hemostasis (TTH) for Participants Receiving Hepatic Resection

    Time frame: Within 5 minutes

    The measurement of TTH begins at t=0, which is the time the study product is applied to the Target Bleeding Site (TBS) and ends when hemostasis is achieved or 5-minutes, whichever occurs first, based on data collected by surgery type and treatment.

  4. Time to Hemostasis (TTH) for Participants Receiving Soft Tissue Dissection

    Time frame: Within 5 minutes

    The measurement of TTH begins at t=0, which is the time the study product is applied to the Target Bleeding Site (TBS) and ends when hemostasis is achieved or 5-minutes, whichever occurs first, based on data collected by surgery type and treatment.

Secondary outcomes

  1. Restricted Mean TTH

    Time frame: Within 5 minutes

    Restricted mean TTH over 5 minutes is computed using Irwin's estimator, based on data collected by surgery type and treatment.

  2. Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE)

    Time frame: Within 29 days

    An adverse event (AE) is any untoward medical occurrence (including clinically significant changes in laboratory values or other clinical tests) experienced by a participant administered a pharmaceutical product regardless of causal relationship with the treatment. A TEAE is any adverse event reported on the case report form that occurs after start of treatment or any adverse event with a missing start date.

  3. Number of Participants Who Require Alternative Hemostatic Agents at 5 Minutes

    Time frame: At 5 minutes

    If hemostasis is not achieved within 5 minutes, the treatment is considered to have failed, and the surgeon is to implement additional hemostatic measures.

  4. Number of Participants Who Required Red Blood Cells

    Time frame: Within 29 days

    Red blood cells are defined as including World Health Organization (WHO) DRUG terms of "Blood cells, packed human", "Blood, whole", "Red blood cells", "Red blood cells, concentrated" and "Red blood cells, leucocyte depleted".

Sponsors and collaborators

Lead sponsor

Mallinckrodt

Industry

Registry information

Official study title

A Phase 3, Randomized, Single-blind, Controlled Trial of Topical Fibrocaps™ in Intraoperative Surgical Hemostasis

Acronym: FINISH-3

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Feb 7, 2012
Registry last updated
Dec 18, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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