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Traumatic InjuryPhase 3NCT05568888

Evaluation of BE1116 in Patients With Traumatic Injury and Acute Major Bleeding to Improve Survival ( TAP Study )

A Phase 3 study testing BE1116 in people with Traumatic Injury, run by CSL Behring at 113 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a prospective, multicenter, randomized, double-blind, placebo-controlled, parallel-group, large simple trial to investigate the efficacy and safety of a single intravenous (IV) infusion of BE1116 in subjects who have traumatic injury, with confirmed or suspected acute major bleeding and / or predicted to… Read more about this study

Who is it for?
Ages 15 years and older
Conditions the study is for
Traumatic Injury
What is being tested?
BE1116
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,366 participants
Where
113 sitesin 3 countries
Study dates
28 Mar 2023to 29 Oct 2024
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 15 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • (a) Estimated age ≥ 15 years. Older minimum age is required in some locations. FOR United Kingdom: Estimated or actual age ≥ 16 years FOR Australia: Estimated or actual age ≥ 18 years AND (b) Estimated or actual weight ≥ 50 kg (110 lbs).
  • Traumatic injury with confirmed or suspected acute major bleeding and/or Revised Assessment of Bleeding and Transfusion (RABT) score ≥ 2
  • Activation of massive transfusion protocol

Who cannot join

  • Healthcare professional cardiopulmonary resuscitation including chest compressions for ≥ 5 consecutive minutes at any time before randomization
  • Isolated penetrating or blunt cranial injury, or exposed brain matter
  • Isolated burns estimated to be > 20% total body surface area or suspected inhalational injury
  • Known anticoagulation treatment or a history of a TEE, within the past 3 months.

Trial locations and contacts

113 sites in 3 countries.

113 sites in 3 countries

United States90 sites
  • Summa Health System - Akron Campus

    Akron, Ohio, 44304

  • University Hospital

    Ann Arbor, Michigan, 48109

  • Grady Memorial Hospital

    Atlanta, Georgia, 30303

  • Augusta University Medical Center

    Augusta, Georgia, 30912

  • University of Colorado Aurora

    Aurora, Colorado, 80045

  • Dell Seton Medical Center

    Austin, Texas, 78701

  • UAB Hospital

    Birmingham, Alabama, 35233

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Erie County Medical Center

    Buffalo, New York, 14215

  • Cooper Health Care

    Camden, New Jersey, 08103

  • Chandler Regional Medical Center

    Chandler, Arizona, 85224

  • Carolinas Medical Center

    Charlotte, North Carolina, 28203

  • Erlanger Baroness Hospital

    Chattanooga, Tennessee, 37403

  • University of Chicago Medical Center

    Chicago, Illinois, 60637

  • University of Cincinnati Medical Center

    Cincinnati, Ohio, 45219

  • MetroHealth Medical Center

    Cleveland, Ohio, 44109

  • UC Health Memorial Hospital Central

    Colorado Springs, Colorado, 80909

  • The Ohio State University

    Columbus, Ohio, 43210

  • Denver Health and Hospital Authority

    Denver, Colorado, 80204

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Duke University

    Durham, North Carolina, 27710

  • University Medical Center El Paso

    El Paso, Texas, 79905

  • Sanford Medical Center Fargo

    Fargo, North Dakota, 58104

  • Brooke Army Medical Center

    Fort Sam Houston, Texas, 78234

  • JPS Health Network (John Peter Smith Hospital)

    Fort Worth, Texas, 76134

  • Northeast Georgia Health System

    Gainesville, Georgia, 30501

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Ben Taub General Hospital - Baylor Medical Center - Harris Health Network

    Houston, Texas, 77030

  • Memorial Hermann Hospital

    Houston, Texas, 77030

  • Indiana University Methodist Hospital

    Indianapolis, Indiana, 46202

  • St. Vincent's Hospital

    Indianapolis, Indiana, 46260

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • University of Mississippi Medical Center (UMMC)

    Jackson, Mississippi, 39216

  • UF Health Jacksonville

    Jacksonville, Florida, 32209

  • Kansas University Medical Center

    Kansas City, Kansas, 66160

  • University of Tennessee Medical Center - UTMCK

    Knoxville, Tennessee, 37920

  • University of Kentucky Albert B. Chandler Hospital

    Lexington, Kentucky, 40536

  • UAMS Medical Center

    Little Rock, Arkansas, 72205

  • LAC+USC Medical Center

    Los Angeles, California, 90033

  • Ronald Reagan UCLA Medical Center

    Los Angeles, California, 90095

  • University of Louisville Hospital

    Louisville, Kentucky, 40202

  • Medical Center of the Rockies

    Loveland, Colorado, 80538

  • Atrium Health - Medical Center of central Georgia

    Macon, Georgia, 31201

  • University Hospital

    Madison, Wisconsin, 53792

  • Regional Medical Center

    Memphis, Tennessee, 38103

  • University of Miami/Ryder Trauma Center

    Miami, Florida, 33136

  • Froedtert Memorial Lutheran Hospital

    Milwaukee, Wisconsin, 53226

  • NYU Langone

    Mineola, New York, 11501

  • Hennepin County Medical Center

    Minneapolis, Minnesota, 55415

  • University of South Alabama

    Mobile, Alabama, 36507

  • Riverside University Health System Medical Center

    Moreno Valley, California, 92555

  • J.W. Ruby Memorial Hospital

    Morgantown, West Virginia, 26505

  • Intermountain Medical Center

    Murray, Utah, 84107

  • Vanderbilt Hospital and Clinics

    Nashville, Tennessee, 37027

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • University Medical Center of New Orleans

    New Orleans, Louisiana, 70112

  • Rutgers New Jersey Medical School

    Newark, New Jersey, 07103

  • University of Oklahoma Health Science Center

    Oklahoma City, Oklahoma, 73104

  • UNMC (University of Nebraska Medical Center)

    Omaha, Nebraska, 68198

  • UC Irvine

    Orange, California, 92868

  • Penn Presbyterian Medical Center

    Philadelphia, Pennsylvania, 19104

  • Temple University Hospital

    Philadelphia, Pennsylvania, 19140

  • Banner - University Medical Center Phoenix

    Phoenix, Arizona, 85006

  • Valleywise Medical Center

    Phoenix, Arizona, 85008

  • St. Joseph's Hospital and Medical Center

    Phoenix, Arizona, 85013

  • University of Pittsburgh Medical Center Presbyterian

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health and Sciences University Hospital

    Portland, Oregon, 97239

  • Brown University (Rhode Island Hospital)

    Providence, Rhode Island, 02903

  • Jamaica Hospital Medical Center

    Richmond Hill, New York, 11418

  • North Memorial Hospital

    Robbinsdale, Minnesota, 55422

  • UC Davis Medical Center

    Sacramento, California, 95817

  • Health Partners Regions Hospital

    Saint Paul, Minnesota, 55101

  • University of Utah Hospital

    Salt Lake City, Utah, 84132

  • University Hospital

    San Antonio, Texas, 78229

  • UC San Diego Medical Center

    San Diego, California, 92103

  • San Francisco General Hospital and Trauma Center

    San Francisco, California, 94110

  • HonorHealth Scottsdale Osborn Medical Center

    Scottsdale, Arizona, 85251

  • Harborview Medical Center

    Seattle, Washington, 98104

  • LSU Health Shreveport

    Shreveport, Louisiana, 71103

  • Sanford USD Medical Center

    Sioux Falls, South Dakota, 57117

  • SSM Health St. Louis

    St Louis, Missouri, 63104

  • Barnes Jewish Hospital

    St Louis, Missouri, 63110

  • Mercy Health - St. Vincent Medical Center

    Toledo, Ohio, 43608

  • Capital Health Regional Medical Center

    Trenton, New Jersey, 08638

  • University Medical Center Tucson

    Tucson, Arizona, 85719

  • UT Health Tyler

    Tyler, Texas, 75701

  • MedStar Washington Medical Center

    Washington D.C., District of Columbia, 20010

  • George Washington University Hospital

    Washington D.C., District of Columbia, 20037

  • Reading Hospital

    West Reading, Pennsylvania, 19611

  • Wake Forest Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

United Kingdom14 sites
  • Queen Elizabeth Hospital

    Birmingham, B15 2GW

  • Southmead Hospital

    Bristol, BS10 5NB

  • Cambridge Addenbrookes University

    Cambridge, CB2 0QQ

  • University Hospital Coventry

    Coventry, CV2 2DX

  • Hull Royal Infirmary Hull University Teaching Hospitals NHS Trust

    Hull, HU3 2JZ

  • Leeds Teaching Hospital

    Leeds, LS1 3EX

  • Aintree University Hospital

    Liverpool, L9 7AL

  • St. Georges Hospital

    London, SW17 0QT

  • Imperial College Healthcare

    London, SW7 1LY

  • Royal Victoria Infirmary

    Newcastle upon Tyne, NE14LP

  • Queen's Medical Centre, Nottingham University Hospitals NHS Trust

    Nottingham, NG7 2UH

  • John Radcliffe Hospital

    Oxford, OX3 9DU

  • Sheffield Teaching Hospital

    Sheffield, S10 2JF

  • Royal Stoke University Hospital

    Stoke-on-Trent, ST4 6QG

Other trials in United Kingdom

Australia9 sites
  • Royal Adelaide

    Adelaide, South Australia, 5000

  • Royal Hobart Hospital

    Hobart, Tasmania, 7000

  • St. George Hospital

    Kogarah, Sydney

  • Alfred Hospital

    Melbourne, Victoria, 3004

  • Royal Perth Hospital

    Perth, Western Australia, 6000

  • Liverpool Hospital

    Sydney, Liverpool, NSW 2170

  • John Hunter Hospital

    Sydney, New Lambton, 2305

  • Royal Prince Alfred Hospital

    Sydney, New South Wales

  • Westmead Hospital

    Westmead, Sydney, 2145

Other trials in Australia

About this study

Official title: A Prospective, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Large Simple Trial Evaluating the Use of BE1116 (4-Factor Prothrombin Complex Concentrate [Kcentra® / Beriplex®]) to Improve Survival in Patients With Traumatic Injury and Acute Major Bleeding

This is a prospective, multicenter, randomized, double-blind, placebo-controlled, parallel-group, large simple trial to investigate the efficacy and safety of a single intravenous (IV) infusion of BE1116 in subjects who have traumatic injury, with confirmed or suspected acute major bleeding and / or predicted to receive a large volume blood product transfusion.

Being tested
BE1116, Placebo
Medical subject headings
Wounds and Injuries

What participants receive

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

  • BE1116Drug

    Also called 4-Factor Prothrombin Complex, Kcentra®, Beriplex®

    4-Factor Prothrombin Complex administered by intravenous (IV) infusion

  • PlaceboDrug

    Administered by IV infusion

Study groups in NCT05568888
Study groupRoleWhat they receive
BE1116ExperimentalAdministration by IV infusion
Receives: Drug: BE1116
PlaceboPlacebo comparatorAdministration by IV infusion
Receives: Drug: Placebo

What is being measured

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

  1. Proportion of Participants With All-cause 6-hour Mortality

    Here, the percentage of participants with all-cause mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

    Measured: Up to 6 hours after randomization

Secondary outcomes (8)
  1. Proportion of Participants With All-cause 24-hour In-hospital Mortality

    In-hospital mortality up to 24 hours after randomization was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

    Measured: Up to 24 hours after randomization

  2. Proportion of Participants With All-cause In-hospital Mortality Up to 30 Days After Randomization

    In-hospital mortality was recorded and assessed for the primary hospitalization only. Here, the percentage of participants with all-cause in hospital mortality has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

    Measured: Up to 30 days after randomization

  3. Proportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary Injury

    Here, the percentage of participants with who underwent surgical or interventional radiological procedures to stop bleeding related to the primary injury has been reported. Percentages were rounded off if the second digit after the decimal point is equal to or more than five.

    Measured: Up to 24 hours after randomization

  4. Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs)

    The number of participants with treatment-emergent SAEs considered related to IP that occurred during primary hospitalization within the 30 days after randomization are summarized by treatment arm.

    Measured: Up to 30 days after randomization

  5. Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)

    The TEEs may be symptomatic or asymptomatic, and arterial or venous (eg, deep vein thrombosis, pulmonary embolism, ischemic stroke [including thromboembolic stroke], myocardial infarction). The observed in-hospital overall and related to IP TEEs are reported here.

    Measured: Up to 30 days after randomization

  6. Number of Participants With Acute Respiratory Distress Syndrome (ARDS)

    ARDS will be assessed using the Berlin definition based on four criteria: timing, chest imaging, origin of edema, oxygenation (mild, moderate or severe) and high-flow nasal oxygen.

    Measured: Up to 30 days after randomization

  7. Number of Participants With Multiple Organ Failure

    Multiple organ failure will be assessed using the Denver post injury multiple organ failure score. The Denver score rates the dysfunction of 4 organ systems (pulmonary, renal, hepatic, and cardiac), which are each graded on a scale from 0 to 3, where 0 represents "mild" and 3 was "severe". Multiple organ failure is defined as a score > 3.

    Measured: Up to 30 days after randomization

  8. Number of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement Therapy

    Renal replacement therapy included dialysis, hemofiltration, or hemodiafiltration. AKI according to the Kidney Disease Improving Global Outcomes (KDIGO) guidelines is diagnosed if any one of the following happens: • Serum creatinine increases by ≥ 0.3 mg/dL (≥ 26.5 μmol/L) within 48 hours • Serum creatinine increases to ≥ 1.5 times the baseline level, within the past 7 days • Urine levels drops to less than 0.5 mL/kg/hour for 6 hours

    Measured: Up to 30 days after randomization

Timeline

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

  1. First posted6 Oct 2022
  2. Study start28 Mar 2023
  3. Primary completion29 Oct 2024
  4. Study completion29 Oct 2024

Why it stopped: Study was terminated early because mortality was lower than expected and a significant increase in sample size would have been required to meet statistical goals of the study. No safety reasons were involved in the decision to terminate the study.

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,366 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05568888
Sponsor's protocol ID
BE1116_3006
Other IDs
2021-005060-21
Status last verified
Nov 2025
First submitted
3 Oct 2022
Last updated
10 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BE1116 in people with Traumatic Injury, run by CSL Behring at 113 sites in 3 countries.

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 3 inclusion and 4 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: stopped early, as of the sponsor's last update on 10 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 113 sites in United States, United Kingdom, Australia. 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. Some participants in this study may receive a placebo. 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 10 Nov 2025). 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?

Proportion of Participants With All-cause 6-hour Mortality (time frame: Up to 6 hours after randomization). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Dec 2025.

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