TachoSil® Versus Surgicel® Original for the Secondary Treatment of Local Bleeding in Adult and Pediatric Patients Undergoing Hepatic Resection Surgery

Phase 3

Completed

• Conditions: Hemorrhage
• Interventions: Device: Surgicel® Original; Biological: TachoSil®

• Registration Number: NCT01192022
• Lead Sponsor: Takeda

Brief Summary

The efficacy and safety of TachoSil® as secondary hemostatic treatment in hepatic resection surgery will be compared to the standard USA licensed hemostatic agent, Surgicel® Original. Hemostatic efficacy will be evaluated intraoperatively after application of randomized treatment.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-08
• Study First Submitted: 2010-08-27
• Study First Submitted QC: 2010-08-30
• Study First Posted: 2010-08-31
• Primary Completion: 2013-05
• Study Completion: 2013-05
• Results First Submitted: 2015-08-13
• Status Verified: 2015-10
• Results First Submitted QC: 2015-10-22
• Last Update Submitted: 2015-10-22
• Results First Posted: 2015-11-25
• Last Update Posted: 2015-11-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 253

Inclusion Criteria

• Resection of at least the equivalent tissue volume of 1 anatomical segment of the liver
• Minor to moderate (oozing/diffuse) bleeding from the resection area persisting after conventional resection procedure and primary control of arterial pulsating bleeding or major venous hemorrhage by sutures, ligations, clips, vascular stapler, point electrocautery or focal radiofrequency ablation
• Need for additional supportive hemostatic treatment
• Expected ability to lightly press the trial treatment to the liver resection wound for 3 minutes

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Exclusion Criteria

• Indication for emergency surgery
• Known coagulopathy (as judged relevant by the investigator)
• Known or suspected hypersensitivity to any ingredient of the investigational medicinal products (e.g. human fibrinogen, human thrombin and/or collagen of any origin)
• Patient unwilling to receive blood products
• Known current alcohol or drug abuse
• Pregnancy, breastfeeding, no use of acceptable contraceptive method in females of childbearing potential
• Dry surgical field of the targeted application area
• Occurrence of any serious surgical complication
• Disseminated intravascular coagulopathy (DIC), i.e. microvascular bleeding
• Application of topical hemostatic material on the liver resection wound
• Radiofrequency precoagulation of the liver resection wound except focal radiofrequency ablation of vessels as primary hemostatic treatment

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Surgicel® Original	Surgicel® Original	Surgicel® Original absorbable patches, applied topically, once, intraoperatively to stop bleeding. The number of patches used was determined by the surgeon based on the size of the wound. If bleeding did not stop after 5 minutes treatment was repeated.
TachoSil®	TachoSil®	TachoSil® absorbable patches, applied topically, once, intraoperatively to stop bleeding. The number of patches used was determined by the surgeon based on the size of the wound. If bleeding did not stop after 5 minutes treatment was repeated.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants With Intraoperative Hemostasis at Target Bleeding Site Within 3 Minutes	within 3 minutes	3 Minutes after the patch was applied to the target bleeding area, the area was observed to see if the bleeding stopped.

Secondary Outcome Measures

Name	Time	Method
Percentage of Participants With Intraoperative Hemostasis at Target Bleeding Site Within 5 Minutes	within 5 minutes	3, 4 and 5 minutes after the patch was applied to the target bleeding area, the area was observed to see if the bleeding stopped.
Time to Intraoperative Hemostasis at Target Bleeding Site	10 minutes	The target bleeding area was observed at 3, 4, 5, 8, 9, and 10 minutes after the patch was applied to see if the bleeding stopped, and time in minutes until bleeding stopped was recorded.