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.
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
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
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
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.
- Conditions
- Traumatic Injury
- 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 group | Role | What they receive |
|---|---|---|
| BE1116 | Experimental | Administration by IV infusion Receives: Drug: BE1116 |
| Placebo | Placebo comparator | Administration by IV infusion Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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
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
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
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
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
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
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.
- First posted6 Oct 2022
- Study start28 Mar 2023
- Primary completion29 Oct 2024
- 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
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Traumatic InjuryStudies of the same condition, open and under way.
- More trials run by CSL BehringThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- CSL Behring
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, CSL Behring
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT05568888
- Acronym / sponsor ID
- BE1116_3006
- Conditions
- Traumatic Injury
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason 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.
- Enrolment
- 1,366 participants (actual)
- Lead sponsor
- CSL BehringIndustry (pharma, biotech, devices)
- Study start
- 28 Mar 2023 (actual)
- Primary completion
- 29 Oct 2024 (actual)
- Study completion
- 29 Oct 2024 (actual)
- First posted
- 6 Oct 2022 (actual)
- Results
- Posted 10 Nov 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BE1116 | Experimental | Drug: BE1116Administration by IV infusion |
| Placebo | Placebo comparator | Drug: PlaceboAdministration by IV infusion |
Who may qualify
- Ages
- 15 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- (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
Key exclusion criteria (4 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BE1116Also: 4-Factor Prothrombin Complex, Kcentra®, Beriplex®4-Factor Prothrombin Complex administered by intravenous (IV) infusion | Drug | BE1116 |
| PlaceboAdministered by IV infusion | Drug | Placebo |
Primary outcome
Proportion of Participants With All-cause 6-hour Mortality
Time frame: Up to 6 hours after randomization
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.
8 secondary outcomes
Proportion of Participants With All-cause 24-hour In-hospital Mortality
Time frame: Up to 24 hours after randomization
Proportion of Participants With All-cause In-hospital Mortality Up to 30 Days After Randomization
Time frame: Up to 30 days after randomization
Proportion of Participants Who Underwent Surgical or Interventional Radiological Procedures to Stop Bleeding Related to the Primary Injury
Time frame: Up to 24 hours after randomization
Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
Time frame: Up to 30 days after randomization
Number of Participants With In-hospital Overall and Related Thromboembolic Events (TEEs)
Time frame: Up to 30 days after randomization
Number of Participants With Acute Respiratory Distress Syndrome (ARDS)
Time frame: Up to 30 days after randomization
Number of Participants With Multiple Organ Failure
Time frame: Up to 30 days after randomization
Number of Participants With Acute Kidney Injury (AKI) Requiring Renal Replacement Therapy
Time frame: Up to 30 days after randomization
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
CSL Behring
113 sites in 3 countries: see every site and its status.
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.