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临床试验/ISRCTN92114384
ISRCTN92114384进行中(未招募)3 期

PROthrombin complex concentrate versus fresh frozen Plasma for bleeding in adults undergoing HEart SurgerY (PROPHESY-2 trial): a phase III, randomised control trial

Queen Mary University of London0 个研究点目标入组 496 人开始时间: 2024年4月16日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
入组人数
496

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Age =18 years
  • 2. Undergoing cardiac surgery (Elective and Urgent procedures) not described in the exclusion criteria

排除标准

  • 1. Emergency and Salvage procedures (as per definitions in section 6.0)
  • 2. First-time isolated coronary artery bypass graft (CABG) surgery given the low risk of significant bleeding
  • 3. First time isolated aortic valve replacement (excluding active endocarditis)
  • 4. First time isolated mitral valve replacement
  • 5. Surgeries that do not involve cardiopulmonary bypass
  • 6. Heart transplant
  • 7. Use of warfarin within 3 days prior to surgery
  • 8. Use of direct oral anticoagulants (i.e. dabigatran, rivaroxban, apixaban or edoxaban etc) within 48 hours prior to surgery (or 72 hours if patient has renal impairment – i.e. estimated glomerular filtration rate of <30 ml/min)
  • 9. Any contraindication to PCC or FFP or LG-Octaplas, for example: known or suspected allergy to heparin, Sodium citrate dihydrate, sodium dihydrogenphosphate dihydrate and Glycine, History of Heparin-induced thrombocytopenia, history of blood transfusion reaction due to IgA deficiency with known antibodies against IgA
  • 10. Patients refusing blood transfusion for any reason
  • 11. Inherited bleeding disorder (i.e. any inherited clotting factor deficiencies, or platelet disorders)
  • 12. Pregnancy as PCC is contraindicated
  • 13. Documented thrombophilia defects (antiphospholipid syndrome, severe protein S deficiency, antithrombin deficiency)
  • 14. Documented venous thromboembolism in the last 3 months prior to surgery
  • 15. Patients who are expected to require Extracorporeal Membrane Oxygenation after cardiac surgery
  • 16. Patient previously randomised into this trial and has not reached 90 days post randomisation

研究者

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