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Adjunct to Hemostasis in Vascular Surgery (Synthetic Vascular Grafts)Phase 2NCT00576420

Fibrin Sealant Vascular Surgery Study

A Phase 2 study testing FS VH S/D 500 s-apr, 60-seconds polymerization time, FS VH S/D 500 s-apr, 120-seconds polymerization time and Manual compression with surgical gauze pads in people with Adjunct to Hemostasis in Vascular Surgery (Synthetic Vascular Grafts), run by Baxter Healthcare Corporation at 11 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) for hemostasis in participants receiving prosthetic expanded polytetrafluoroethylene (ePTFE) conduits as compared to a… Read more about this study

Who is it for?
Any age
What is being tested?
FS VH S/D 500 s-apr, 60-seconds polymerization time, FS VH S/D 500 s-apr, 120-seconds polymerization time and Manual compression with surgical gauze pads
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
11 sitesUnited States
Study dates
Dec 2007to Dec 2008
Phase
Phase 2
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

  • Male or female of all ages
  • Subject undergoing peripheral vascular surgery, ie, conduit placement with an ePTFE graft such as arterio-arterial bypasses [including: axillo-femoral, ilio-femoral, femoro-femoral, ilio-popliteal, femoro-popliteal (including below knee), femoro-tibial vessel bypass], or arteriovenous dialysis access shunt in the upper or lower extremity.
  • Signed informed consent
  • Intraoperative inclusion criterion:
  • Suture line bleeding eligible for study treatment is present after surgical hemostasis (i.e., suturing).
  • Suture line bleeding eligible for study treatment is defined as: any suture line bleeding that would prevent immediate closure of the wound and require treatment of the bleeding first, and on a scale of mild, moderate, and severe, the suture line bleeding is assessed as moderate or severe. (Moderate is defined as: either more than 25% of the suture line bleeds, or at least 5 suture line bleedings are present, if counting of suture line bleedings is possible, or one pulsatile suture line bleeding is present. Severe is defined as: either more than 50% of the suture line bleeds, or at least 10 suture line bleedings present, if counting of suture line bleedings is possible, or more than one pulsatile suture line bleedings are present, or at least one spurting suture line bleeding is present.)
  • Note: Bleedings that can be treated with additional sutures are not appropriate for the study. Such anastomoses should receive additional sutures, be re-categorized, and if they still comply with the inclusion criteria, be randomized.

Who cannot join

  • Subjects concurrently participating in another clinical study treatment with another investigational drug or device within the last 30 days
  • Other vascular procedures during the same surgical session (stenting and/or endarterectomy of the same artery are allowed)
  • Arterio-arterial bypasses with more than 2 anastomoses (e.g., aorto-bifemoral, axillo-bifemoral etc.)
  • Pregnant or lactating women
  • Congenital coagulation disorders
  • Prior kidney transplantation
Show all 15Show fewer
  • Heparin-induced thrombocytopenia
  • Known prior exposure to aprotinin within the last 12 months
  • Known hypersensitivity to aprotinin or other components of the product
  • Known severe congenital or acquired immunodeficiency (e.g., HIV infection or long term treatment with immunosuppressive drugs)
  • Prior radiation therapy to the operating field
  • Severe local inflammation at the operating field.
  • Intraoperative exclusion criterion:
  • 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, (e.g. abandonment of ePTFE graft placement).

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United States11 sites
  • Study site

    Baton Rouge, Louisiana

  • Study site

    Birmingham, Alabama

  • Study site

    Charlottesville, Virginia

  • Study site

    Jacksonville, Florida

  • Study site

    Lexington, Kentucky

  • Study site

    Long Beach, California

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Salt Lake City, Utah

  • Study site

    Seattle, Washington

  • Study site

    Tucson, Arizona

  • Study site

    Virginia Beach, Virginia

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 is to evaluate the efficacy and safety of Fibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) for hemostasis in participants receiving prosthetic expanded polytetrafluoroethylene (ePTFE) conduits as compared to a control group treated by manual compression with surgical gauze pads.

Being tested
FS VH S/D 500 s-apr, 60-seconds polymerization time, FS VH S/D 500 s-apr, 120-seconds polymerization time, Manual compression with surgical gauze pads

What participants receive

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

  • FS VH S/D 500 s-apr, 60-seconds polymerization timeBiological

    FS VH S/D 500 s-apr (FS) is applied to the study suture line. The actual dose of FS VH S/D 500 s-apr depends on the length of the suture line and the intensity of bleeding and is to be decided by the surgeon, but the maximum dose per suture line shall not exceed 4 mL FS VH S/D 500 s apr. After application of FS VH S/D 500 s-apr to the study suture line is completed, the surgeon will wait for 1 minute to allow polymerization of FS VH S/D 500 s-apr.

  • FS VH S/D 500 s-apr, 120-seconds polymerization timeBiological

    Treatment will be identical to the FS VH S/D 500 s-apr Group, 60 seconds polymerization time, except that the surgeons will wait 2 minutes to allow polymerization and will then open the cross clamps.

  • Manual compression with surgical gauze padsProcedure or surgery

    Treatment of the study suture line with manual compression with surgical gauze pads.

Study groups in NCT00576420
Study groupRoleWhat they receive
FS VH S/D 500 s-apr - 60-SecondsExperimentalFibrin Sealant, Vapor Heated, Solvent/Detergent-treated with 500 IU/ml thrombin and synthetic aprotinin (FS VH S/D 500 s-apr) will be applied to the study suture line, 60-second polymerization time
Receives: Biological: FS VH S/D 500 s-apr, 60-seconds polymerization time
FS VH S/D 500 s-apr - 120-SecondsExperimentalFS VH S/D 500 s-apr will be applied to the study suture line, 120-second polymerization time
Receives: Biological: FS VH S/D 500 s-apr, 120-seconds polymerization time
Control Group- Manual compression with surgical gauze padsActive comparatorTreatment of the study-suture line will be manual compression with surgical gauze pads.
Receives: Procedure: Manual compression with surgical gauze pads

What is being measured

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

  1. Percentage of Participants Achieving Hemostasis at 4 Minutes After Treatment Application at the Study Suture Line.

    Hemostasis at the study suture line must be maintained.

    Participants were considered treatment failures if they met any of the following conditions:

    • Did not achieve hemostasis at 4 minutes
    • Required additional hemostatic treatment during the first 4 minutes of the observation period
    • Experienced rebleeding after the first 4 minutes of the observation period.

    Measured: 4 minutes post start of treatment application

  2. 90% Confidence Interval for the Percentage of Participants Achieving Hemostasis at 4 Minutes After Treatment Application at the Suture Line

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

    Participants were considered treatment failures if they met any of the following conditions:

    • Did not achieve hemostasis at 4 minutes
    • Required additional hemostatic treatment other than study treatment during the first 4 minutes of the observation period
    • Experienced rebleeding after the first 4 minutes of the observation period.

    Measured: 4 minutes post start of treatment application

  3. 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.

    1. 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.
    1. 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

  4. 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 Achieving Hemostasis at 6 Minutes

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

    Measured: 6 minutes post start of treatment application start

  2. Percentage of Participants Achieving Hemostasis at 10 Minutes

    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 the 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 After Hemostasis at the Study Suture Line

    Any rebleeding requiring surgical reexploration

    Measured: Postoperative through day 30 ± 5

  5. Percentage of Participants With Any Transfusion Requirement

    Proportion of participants who required transfusions (i.e., red blood cell (RBC) concentrates, fresh frozen plasma (FFP), and platelets)

    Measured: Intraoperative (day 0) through day 30 ± 5

  6. Percentage of Participants With Graft Occlusions

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

    Measured: Day 0 (procedure day) through day 30 ± 5

  7. Percentage of Participants With Infections at the Surgical Site

    Measured: Day 0 (procedure day) through day 30 ± 5

  8. Vital Signs: Systolic and Diastolic Blood Pressure - 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: Preoperative baseline 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: Preoperative baseline 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 Respiratory Rate Measured as: Preoperative Baseline - Intraoperative Day 0; Preoperative Baseline - Postoperative Day 1; and Preoperative Baseline - Postoperative Day 14

    Measured: Preoperative baseline 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 posted19 Dec 2007 (estimated)
  2. Study startDec 2007
  3. Primary completionNov 2008
  4. Study completionDec 2008

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00576420
Sponsor's protocol ID
550602
Status last verified
Oct 2012
First submitted
18 Dec 2007
Last updated
27 Nov 2012
Data monitoring committee
No

Publications

  • Saha SP, Muluk S, Schenk W 3rd, Burks SG, Grigorian A, Ploder B, Presch I, Pavlova BG, Hantak E. Use of fibrin sealant as a hemostatic agent in expanded polytetrafluoroethylene graft placement surgery. Ann Vasc Surg. 2011 Aug;25(6):813-22. doi: 10.1016/j.avsg.2010.12.016. Epub 2011 Apr 21.

    PubMed 21514114

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FS VH S/D 500 s-apr, 60-seconds polymerization time, FS VH S/D 500 s-apr, 120-seconds polymerization time and Manual compression with surgical gauze pads in people with Adjunct to Hemostasis in Vascular Surgery (Synthetic Vascular Grafts), run by Baxter Healthcare Corporation at 11 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 7 inclusion and 15 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 11 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Achieving Hemostasis at 4 Minutes After Treatment Application at the Study Suture Line. (time frame: 4 minutes post start of treatment application). The study lists 4 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 NCT00576420, 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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