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临床试验/EUCTR2009-013056-71-GR
EUCTR2009-013056-71-GR进行中(未招募)不适用

TachoSil versus current practice in dura sealing techniques for theprevention of postoperative cerebrospinal fluid (CSF) leaks in patientsundergoing skull base surgery: An open label, randomised, controlled, multicentre,parallel group efficacy and safety trial. - TASALL -TachoSil Against Liquor Leak

ycomed Danmark ApS0 个研究点目标入组 726 人开始时间: 2009年11月19日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
726

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Pre-operative Inclusion Criteria – positive response required for inclusion:
  • 1. Has written informed consent been obtained according to local regulations before any trial-related activities? (A trial-related activity is any procedure that would not have been performed during the routine management of the patient.)
  • 2. Is the patient able and willing to comply with the procedures required for trial completion?
  • 3. Is the patient 18 years or above?
  • 4. Is the patient to non-trauma related neurosurgery for pathology of the skull base resulting in opening and closing of the dura mater? Dura substitution is allowed.
  • Intra-operative Inclusion Criteria – positive response required for inclusion:
  • 5. Is the Surgical Wound Classification Class of class I (Clean surgical wound)?
  • 6. Is the surgical approach/procedure consistent with skull base surgery? I.e. at least one of
  • the following:
  • a. Lateral approach to the foramen magnum: far lateral, extreme lateral,
  • anterolateral, posterolateral,
  • b. Approach to the jugular foramen: infratemporal, juxta condylar, transjugular,
  • c. Approach to the cerebello pontine (CP) angle and petrous apex retrosigmoïd,
  • translabyrinthine, retrolabyrinthine, transcochlear (limited transpetrosal),
  • d. Approach to the middle fossa: subtemporal (+/- petrous apex drilling),
  • pterional approach (any fronto temporal approach +/- orbitozygomatic
  • deposition),
  • e. Approach to the anterior fossa: subfrontal (uni or bilateral),
  • f. Approach to the midline posterior fossa or paramedian posterior fossa.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Pre-operative Exclusion Criteria – negative response required for inclusion:
  • 1. Has the patient participated in another clinical trial with an investigational drug or device within 28 days of inclusion in this trial? (Participation in non-interventional trials is allowed)
  • 2. Has the patient previously participated in this trial?
  • 3. Does the patient have evidence of an infection indicated by any one of the following:
  • fever >101°F / 38.5°C, white blood cells (WBC) <3.5/GL or >13.0/GL (if patient on steroid treatment up to 20.00/GL), positive urine culture, positive blood culture, positive chest Xray?
  • 4. Does the patient have a known coagulopathy?
  • 5. Does the patient have a history of allergic reactions after application of human
  • fibrinogen, human thrombin and / or collagen of any origin?
  • 6. Is the patient anticipated to need additional neurosurgery within the follow-up period of Week 7±1 at the same surgical site?
  • For females of childbearing potential, i.e. neither postmenopausal (less than 12 month after the last menstruation) nor permanently sterilised (e.g. tubal occlusion, hysterectomy, bilateral salpingectomy):
  • 7. Does the female patient use an unacceptable contraceptive method or method
  • ineffective at the time of randomisation, i.e. do not use a contraceptive method which is a highly effective method of birth control; defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices or vasectomised partner?
  • 8. Has the female patient had a positive serum pregnancy test taken up to 5 days prior to surgery? All females not documented as postmenopausal or permanently sterile must have a serum pregnancy test performed.
  • 9. Breastfeeding?
  • Intra-operative Exclusion Criteria – negative response required for inclusion:
  • 10. The surgical approach/procedure is consistent with any transcranial or transfacial or combination of transcranial – transfacial approaches with wide defect in the skull base?
  • I.e. any of the following:
  • g. Trans basal approach,
  • h. Total petrosectomy,
  • i. Trans facial approach,
  • j. Trans sphenoïdal approach,
  • k. Endoscopic procedures,
  • l. Trans oral approach (and any extension: Le Fort, mandibulotomy).
  • 11. Did the arachnoid membrane remained intact during surgery and/or the liquor containing system?

研究者

发起方
ycomed Danmark ApS

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