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Extracorporeal Membrane Oxygenation ComplicationNCT03754868

Evaluation of Coagulation Factors and Point-of-care Devices During Veno-venous ECMO Therapy

An observational study of Extracorporeal Membrane Oxygenation Complication and Coagulation Factor Deficiency, run by University Hospital Goettingen at 1 site in Germany.

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

Hemorrhagic and thromboembolic complications are common in Veno-venous ECMO therapy. The aim of this study is to provide a detailed analysis of the activity of different coagulation factors and changes in functional coagulation measurements as in rotational thrombelastometry and multiple electrode aggregometry in the… Read more about this study

Who is it for?
Ages 18 to 90 years
What is being tested?
Detailed coagulation monitoring
How many people
20 participants
Where
1 siteGermany
Study dates
Jul 2014to Jun 2015
Phase
Observational
Are there results?
None posted in the registry

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 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with the need for Veno-venous ECMO therapy treated in a tertiary intensive care unit.

Who may be able to join

  • Need for a Veno-venous extracorporeal membrane oxygenation therapy

Who cannot join

  • Known coagulation disorders
  • Refusal to participate

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • University Medical Center Goettingen

    Göttingen, 37075

Other trials in Germany

About this study

Official title: Analysis of the Activity of Different Coagulation Factors and Monitoring of Coagulation Using Point-of-care Devices During a Veno-venous ECMO Therapy

Hemorrhagic and thromboembolic complications are common in Veno-venous ECMO therapy. The aim of this study is to provide a detailed analysis of the activity of different coagulation factors and changes in functional coagulation measurements as in rotational thrombelastometry and multiple electrode aggregometry in the course of ECMO therapy.

Being tested
Detailed coagulation monitoring
Keywords
ECMO, Coagulation monitoring, point-of-care

What participants receive

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

  • Detailed coagulation monitoringDiagnostic test

    Monitoring of coagulation using activity of coagulation factors, rotational thrombelastometry and multiple electrode aggregometry

What is being measured

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

  1. Changes in the activity of coagulation factor II [%] during Veno-venous ECMO therapy

    Repeated assessment of the activity of coagulation factor II in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  2. Changes in the activity of coagulation factor V [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor V in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  3. Changes in the activity of coagulation factor VII [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor VII in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  4. Changes in the activity of coagulation factor VIII [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor VIII in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  5. Changes in the activity of coagulation factor IX [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor IX in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  6. Changes in the activity of coagulation factor X [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor X in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  7. Changes in the activity of coagulation factor XII [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor XII in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  8. Changes in the activity of coagulation factor XIII [%] during Veno-venous ECMO

    Repeated assessment of the activity of coagulation factor XIII in % through standard coagulometric methods.

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

Secondary outcomes (35)
  1. vWF-Antigen

    Measurement of the vWF-Antigen

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  2. Changes in the vWF:Ristocetin-Cofaktor-Activity in % during Veno-venous ECMO therapy

    Repeated assessments of the vWF:Ristocetin-Cofaktor-Activity [%]

    Measured: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation

  3. Changes in CT-EXTEM

    Changes in clotting time (CT) in the extrinsically activated assay (EXTEM) of rotational thrombelastometry (ROTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  4. Changes in CT-INTEM

    Changes in clotting time (CT) in the intrinsically activated assay (INTEM) of rotational thrombelastometry (ROTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  5. Changes in CT-FIBTEM

    Changes in clotting time (CT) in the extrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of Cytochalasin D to inhibit platelet aggregation (FIBTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  6. Changes in CT-HEPTEM

    Changes in clotting time (CT) in the intrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of heparin to eliminate heparin effects (HEPTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  7. Changes in CFT-EXTEM

    Changes in clot formation time (CFT) in the extrinsically activated assay (EXTEM) of rotational thrombelastometry (ROTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  8. Changes in CFT-INTEM

    Changes in clot formation time (CFT) in the intrinsically activated assay (INTEM) of rotational thrombelastometry (ROTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  9. Changes in CFT-FIBTEM

    Changes in clot formation time (CFT) in the extrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of Cytochalasin D to inhibit platelet aggregation (FIBTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  10. Changes in CFT-HEPTEM

    Changes in clot formation time (CFT) in the intrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of heparin to eliminate heparin effects (HEPTEM), results were noted in seconds.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  11. Changes in MCF-EXTEM

    Changes in maximum clot firmness (MCF) in the extrinsically activated assay (EXTEM) of rotational thrombelastometry (ROTEM), results were noted in millimeters.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  12. Changes in MCF-INTEM

    Changes in maximum clot firmness (MCF) in the intrinsically activated assay (INTEM) of rotational thrombelastometry (ROTEM), results were noted in millimeters.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  13. Changes in MCF-FIBTEM

    Changes in maximum clot firmness (MCF) in the extrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of Cytochalasin D to inhibit platelet aggregation (FIBTEM), results were noted in millimeters.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  14. Changes in MCF-HEPTEM

    Changes in maximum clot firmness (MCF) in the intrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of heparin to eliminate heparin effects (HEPTEM), results were noted in millimeters.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  15. Changes in Alpha angle-EXTEM

    Changes in Alpha angle in the extrinsically activated assay (EXTEM) of rotational thrombelastometry (ROTEM), results were noted in degree.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  16. Changes in Alpha angle-INTEM

    Changes in Alpha angle in the intrinsically activated assay (INTEM) of rotational thrombelastometry (ROTEM), results were noted in degree.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  17. Changes in Alpha angle-FIBTEM

    Changes in Alpha angle in the extrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of Cytochalasin D to inhibit platelet aggregation (FIBTEM), results were noted in degree.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  18. Changes in Alpha angle-HEPTEM

    Changes in Alpha angle in the intrinsically activated assay of rotational thrombelastometry (ROTEM) with the addition of heparin to eliminate heparin effects (HEPTEM), results were noted in degree.

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  19. Changes in arachidonic acid induced platelet aggregation assessed by multiple elcetrode aggregometry (MEA)(ASPItest)

    Platelet aggregation after stimulation with arachidonic acid was recorded in aggregational units (AU).

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  20. Changes in adenosine diphosphate (ADP) induced platelet aggregation assessed by multiple elcetrode aggregometry (MEA)(ADPtest)

    Platelet aggregation after stimulation with ADP was recorded in aggregational units (AU).

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  21. Changes in thrombin-receptor activating peptide (TRAP) induced platelet aggregation assessed by multiple elcetrode aggregometry (MEA)(TRAPtest)

    Platelet aggregation after stimulation with TRAP was recorded in aggregational units (AU).

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 4 days, 7 days and 11 days after canulation

  22. Light transmission aggregometry

    Measurement of platelet function

    Measured: 6 hours and 7 days after canulation

  23. Quick

    Measurement of Quick in %

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  24. activated partial thromboplastin time (aPTT)

    Measurement of aPTT in seconds

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  25. Fibrinogen

    Measurement of fibrinogen concentration in mg/dl

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  26. Platelet count

    Measurement of platelet count/µl

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  27. activated clotting time (ACT)

    Measurement of ACT in seconds

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  28. Antithrombin III (ATIII)

    Measurement of ATIII in %

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  29. Measurement of Anti-Xa-Activity in %

    Measurement of Anti-Xa-Activity by chromogenic assay to determine heparin effect

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 3 days, 4 days, 5, days, 6 days, 7 days, 10, days, 11 days 14 days, 17 days, 19 days and 21 days after canulation

  30. D-Dimers

    Measurement of D-Dimers

    Measured: Pre-canulation, 6 hours, 1 day, 2 days, 3 days, 4 days, 5, days, 6 days, 7 days, 10, days, 11 days 14 days, 17 days, 19 days and 21 days after canulation

  31. hemoglobin

    hemoglobin concentration in g/dl

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  32. leucocyte count

    leucocyte count/µl

    Measured: Pre-canulation, 6 hours and daily from day 1- day 21after canulation

  33. Hemorrhagic complications

    Structured documentation of hemorrhagic complications

    Measured: Daily from day 1-21

  34. Thrombotic complications

    Structured documentation of thrombotic complications

    Measured: Daily from day 1-21

  35. Oxygenator State

    Structured documentation of the state of the oxygenator including search for thrombotic material

    Measured: Daily from day 1-21

Timeline

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

  1. First posted27 Nov 2018
  2. Study startJul 2014
  3. Primary completionJun 2015
  4. Study completionJun 2015

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03754868
Sponsor's protocol ID
19/5/13
Status last verified
Nov 2018
First submitted
7 Nov 2018
Last updated
27 Nov 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Extracorporeal Membrane Oxygenation Complication and Coagulation Factor Deficiency, run by University Hospital Goettingen at 1 site in Germany.

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 1 inclusion and 2 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 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Changes in the activity of coagulation factor II [%] during Veno-venous ECMO therapy (time frame: Pre-canulation and 6 hours, 1 day, 3 days, 7 days, 11 days, 15 days and 21 days after canulation). The study lists 8 primary outcomes in all. 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 27 Nov 2018.

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