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Hemostasis in Participants Receiving Peripheral Vascular Expanded Polytetrafluoroethylene (ePTFE) Graft ProsthesesPhase 3NCT00892957

FS VH S/D 500 S-apr in Vascular Surgery

A Phase 3 study testing Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) and Surgical gauze pads in people with Hemostasis in Participants Receiving Peripheral Vascular Expanded Polytetrafluoroethylene (ePTFE) Graft Prostheses, run by Baxter Healthcare Corporation at 22 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to compare safety and efficacy of FS VH S/D 500 s-apr (FS) versus manual compression in prosthetic expanded polytetrafluoroethylene (ePTFE) graft placement. Read more about this study

Who is it for?
Any age
What is being tested?
Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) and Surgical gauze pads
Could I receive a placebo?
No, everyone receives an active treatment
How many people
176 participants
Where
22 sitesUnited States
Study dates
Jul 2009to Nov 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Preoperative inclusion criteria:
  • Subjects undergoing vascular surgery (ie, conduit placement with an ePTFE graft), including arterio-arterial bypasses, including:
  • axillo-femoral
  • axillo-bifemoral
  • aorto-bifemoral
  • ilio-femoral
Show all 16Show fewer
  • femoro-femoral
  • ilio-popliteal
  • femoro-popliteal (including below knee)
  • femoro-tibial vessel bypass
  • arterio-venous shunting for dialysis access in the upper or lower extremity
  • Signed informed consent
  • Subject is of childbearing potential, presents with a negative serum or urine pregnancy test, and agrees to employ adequate birth control measures for the duration of the study.
  • Subject is willing and able to comply with the requirements of the protocol.
  • Intraoperative inclusion criterion:
  • Suture line bleeding eligible for study treatment is present after surgical hemostasis (ie, suturing). (A definition of eligible suture line bleeding is provided in the study protocol.)

Who cannot join

  • Preoperative exclusion criteria:
  • Other vascular procedures during the same surgical session (stenting and/or endarterectomy of the same artery are allowed)
  • Congenital coagulation disorders
  • Prior kidney transplantation
  • Heparin-induced thrombocytopenia
  • Known hypersensitivity to heparin
Show all 16Show fewer
  • Known hypersensitivity to aprotinin or other components of the product
  • Known severe congenital or acquired immunodeficiency (eg, HIV infection or long-term treatment with immunosuppressive drugs (eg, organ transplantation patients)
  • Prior radiation therapy to the operating field
  • Severe local inflammation at the operating field
  • Subject is pregnant or lactating at the time of enrollment
  • Subject has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study
  • Subject has previously participated in this study (Protocol No.: 550801), ie, each subject can only be enrolled once.
  • Intraoperative Exclusion Criteria:
  • Major intraoperative complications that require resuscitation or deviation from the planned surgical procedure
  • Intraoperative change in planned surgical procedure, which results in subject no longer meeting preoperative inclusion and/or exclusion criteria, (eg, abandonment of ePTFE graft placement)

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

United States22 sites
  • Study site

    Baton Rouge, Louisiana

  • Study site

    Bellevue, Washington

  • Study site

    Birmingham, Alabama

  • Study site

    Buffalo, New York

  • Study site

    Charlottesville, Virginia

  • Study site

    Dayton, Ohio

  • Study site

    Fort Wayne, Indiana

  • Study site

    Fresno, California

  • Study site

    Hackensack, New Jersey

  • Study site

    Jacksonville, Florida

  • Study site

    Lexington, Kentucky

  • Study site

    Melbourne, Florida

  • Study site

    Orange, California

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Saginaw, Michigan

  • Study site

    Salt Lake City, Utah

  • Study site

    San Antonio, Texas

  • Study site

    Seattle, Washington

  • Study site

    Southfield, Michigan

  • Study site

    The Bronx, New York

  • Study site

    Tucson, Arizona

  • Study site

    Washington D.C., District of Columbia

Other trials in United States

About this study

Official title: Clinical Evaluation of Efficacy and Safety of FS VH S/D 500 S-apr for Hemostasis in Subjects Undergoing Vascular Surgery

The purpose of this study was to compare safety and efficacy of FS VH S/D 500 s-apr (FS) versus manual compression in prosthetic expanded polytetrafluoroethylene (ePTFE) graft placement.

Being tested
Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr), Surgical gauze pads
Keywords
Vascular Surgery, Arterio-arterial bypasses, Arterio-venous (AV) shunts

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr)Biological

    Also called Biological two-component fibrin sealant

    The actual dose of FS VH S/D 500 s-apr will depend on the length of the suture line and the intensity of bleeding (but shall not exceed 4 mL FS VH S/D 500 s-apr).

  • Surgical gauze padsOther

    Manual compression with surgical gauze pads

Study groups in NCT00892957
Study groupRoleWhat they receive
FS VH S/D 500 s-aprExperimentalFS VH S/D 500 s-apr will be applied to the study suture line.
Receives: Biological: Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr)
Manual compression with surgical gauze padsActive comparatorDry gauze pads will be positioned to cover the complete study suture line.
Receives: Other: Surgical gauze pads

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Achieved Hemostasis at 4 Minutes Post Treatment Application.

    Hemostasis at the study suture line must be maintained until closure of the surgical wound.

    Measured: 4 minutes post start of treatment application

  2. Hemostasis at 4 Minutes After Treatment Application at the Suture Line by Bleeding Severity - Moderate Bleeding

    Investigators were shown videos of bleeding severities to standardize assessments.

    Moderate bleeding defined as:

    • Either >25% of the suture line bleeds, or
    • ≥5 suture line bleedings were present, if counting of suture line bleedings was possible, or
    • 1 pulsatile suture line bleeding was present.

    Measured: 4 minutes post start of treatment application

  3. Hemostasis at 4 Minutes After Treatment Application at the Suture Line by Bleeding Severity - Severe Bleeding

    Investigators were shown videos of bleeding severities to standardize assessments.

    Severe bleeding defined as:

    • Either >50% of the suture line bleeds, or
    • ≥10 suture line bleedings were present, if counting of suture line bleedings was possible, or
    • >1 pulsatile suture line bleeding was present, or
    • ≥1 spurting suture line bleeding was present.

    Measured: 4 minutes post start of treatment application

Secondary outcomes (23)
  1. Percentage of Participants Who Achieved Hemostasis at 6 Minutes Post Treatment Application

    Hemostasis at the study suture line must be maintained until closure of the surgical wound.

    Measured: 6 minutes post start of treatment application

  2. Percentage of Participants Who Achieved Hemostasis at 10 Minutes Post Treatment Application

    Hemostasis at the study suture line must be maintained until closure of the surgical wound.

    Measured: 10 minutes post start of treatment application

  3. Percentage of Participants With Intraoperative Rebleeding After Hemostasis at Study Suture Line

    Intraoperative rebleeding at the study suture line after occurrence of hemostasis.

    Measured: Intraoperative day 0

  4. Percentage of Participants With Postoperative Rebleeding

    Any rebleeding requiring surgical re-exploration

    Measured: Postoperative through day 30 ± 5

  5. Percentage of Participants With Graft Occlusion

    Determined clinically and defined as absence of blood flow through the graft.

    Measured: post-op discharge/day 1, post-op day 14 and day 30

  6. Percentage of Participants With Infection at the Surgical Site

    Measured: post-op discharge/day 1, post-op day 14 and day 30

  7. Number of Participants With Infections by Grade

    Infections were recorded according to:

    • Grade I: only dermis affected
    • Grade II: infection invades subcutaneous region but not the arterial implant
    • Grade III: the arterial implant is infected

    Measured: post-op discharge/day 1, post-op day 14 and day 30

  8. Vital Signs: Systolic and Diastolic Blood Pressure (BP)- Preoperative Baseline

    Measured: Within 14 days prior to date of surgery

  9. Percent Change in Vital Signs: Systolic and Diastolic Blood Pressure

    Percent Change in Systolic and Diastolic Blood Pressure (BP) Measured as: Preoperative Baseline - Intraoperative Day 0; Preoperative Baseline - Postoperative Day 1; and Preoperative Baseline - Postoperative Day 14

    Measured: Within 14 days prior to surgery through postoperative day 14

  10. Vital Signs: Heart Rate - Preoperative Baseline

    Measured: Within 14 days prior to date of surgery

  11. Percent Change in Vital Signs: Heart Rate

    Percent Change in Heart Rate Measured as: Preoperative Baseline - Intraoperative Day 0; Preoperative Baseline - Postoperative Day 1; and Preoperative Baseline - Postoperative Day 14

    Measured: Within 14 days prior to surgery through postoperative day 14

  12. Vital Signs: Respiratory Rate - Preoperative Baseline

    Measured: Within 14 days prior to date of surgery

  13. Percent Change in Vital Signs: Respiratory Rate

    Percent Change in Heart Rate Measured as: Preoperative Baseline - Postoperative Day 1; and Preoperative Baseline - Postoperative Day 14

    Measured: Within 14 days prior to surgery through postoperative day 14

  14. Laboratory Values Over Time: Hemoglobin

    Measured: Preoperative baseline through postoperative Day 14

  15. Laboratory Values Over Time: Hematocrit

    Measured: Preoperative baseline through postoperative Day 14

  16. Laboratory Values Over Time: Erythrocytes

    Measured: Preoperative baseline through postoperative Day 14

  17. Laboratory Values Over Time: Leukocytes, Basophils, Eosinophils, Lymphocytes, Neutrophils, and Monocytes

    Measured: Preoperative baseline through postoperative Day 14

  18. Laboratory Values Over Time: Platelets

    Measured: Preoperative baseline through postoperative Day 14

  19. Laboratory Values Over Time: Creatinine, Bilirubin, and Blood Urea Nitrogen (BUN)

    Measured: Preoperative baseline through postoperative Day 14

  20. Laboratory Values Over Time: Alanine Aminotransferase (ALT)

    Measured: Preoperative baseline through postoperative Day 14

  21. Laboratory Values Over Time: Aspartate Aminotransferase (AST)

    Measured: Preoperative baseline through postoperative Day 14

  22. Laboratory Values Over Time: Activated Partial Thromboplastin Time (aPTT)

    Measured: Preoperative baseline through postoperative Day 14

  23. Laboratory Values Over Time: International Normalized Ratio(INR)

    Measured: Preoperative baseline through postoperative Day 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 May 2009 (estimated)
  2. Study startJul 2009
  3. Primary completionOct 2010
  4. Study completionNov 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
176 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00892957
Sponsor's protocol ID
550801
Status last verified
Oct 2012
First submitted
4 May 2009
Last updated
27 Nov 2012
Data monitoring committee
No

Publications

  • Saha SP, Muluk S, Schenk W 3rd, Dennis JW, Ploder B, Grigorian A, Presch I, Goppelt A. A prospective randomized study comparing fibrin sealant to manual compression for the treatment of anastomotic suture-hole bleeding in expanded polytetrafluoroethylene grafts. J Vasc Surg. 2012 Jul;56(1):134-41. doi: 10.1016/j.jvs.2012.01.009. Epub 2012 May 25.

    PubMed 22633423

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) and Surgical gauze pads in people with Hemostasis in Participants Receiving Peripheral Vascular Expanded Polytetrafluoroethylene (ePTFE) Graft Prostheses, run by Baxter Healthcare Corporation at 22 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Nov 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Who Achieved Hemostasis at 4 Minutes Post Treatment Application. (time frame: 4 minutes post start of treatment application). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00892957, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Nov 2012.

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