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The Fibrin Patch Soft Tissue Study

Phase 2
Completed
Conditions
Hemostasis
Interventions
Device: SURGICEL™
Registration Number
NCT00658723
Lead Sponsor
Ethicon, Inc.
Brief Summary

The effectiveness objective of this study is to evaluate whether Fibrin Patch is superior to SURGICEL™ as an adjunct to achieving hemostasis during surgical procedures involving soft tissue bleeding in abdominal, pelvic, retroperitoneal and (non-cardiac) thoracic surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
141
Inclusion Criteria
  • Subjects >= 18 years of age, requiring non-emergent, open, abdominal, retroperitoneal, pelvic or thoracic (non-cardiac) surgical procedures
  • Presence of an appropriate soft tissue Target Bleeding Site (TBS) as identified intraoperatively by the surgeon
  • Subjects must be willing to participate in the study, and provide written informed consent
Exclusion Criteria
  • Subjects with any intra-operative findings identified by the surgeon that may preclude conduct of the study procedure
  • Subject with TBS within an actively infected field
  • Bleeding site is in, around, or in proximity to foramina in bone, or areas of bony confine
  • Subjects with known intolerance to blood products or to one of the components of the study product
  • Subjects unwilling to receive blood products
  • Subjects with immunodeficiency diseases (including known HIV)
  • Subjects who are known, current alcohol and / or drug abusers
  • Subjects who have participated in another investigational drug or device research study within 30 days of enrollment
  • Female subjects who are pregnant or nursing

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2SURGICEL™SURGICEL™ Absorbable Hemostat
1Fibrin Pad-
Primary Outcome Measures
NameTimeMethod
Proportion of Subjects Achieving Hemostatic SuccessIntra-operative

Proportion of success in achieving hemostasis at 4 minutes after randomization with no re-bleeding requiring treatment during a subsequent 6-minute observation period.

Secondary Outcome Measures
NameTimeMethod
Proportion of Subjects Achieving Hemostatic Success10 minutes

The proportion of subjects achieving hemostatic success at 10 minutes following randomization

Incidence of Treatment FailuresIntra-operative

If hemostasis was not achieved within 4 minutes or if bleeding required additional intervention during the 6 minute observation period, the treatment was considered to be a failure.

Incidence of Adverse Events That Are Potentially Related to BleedingIntra-operative up to 1 month (+14 days)

The types of events that were potentially related to bleeding included operative hemorrhage and re-bleeding of the target bleeding site (TBS).

Incidence of Adverse Events Potentially Related to Transfusion ExposureIntra-operative up to 1 month (+14 days)

The types of events that were potentially related to transfusion exposure could have include hypocalcemia.

Incidence of Adverse Events30 days (+14 days)
Incidence of Adverse Events That Are Potentially Related to Thrombotic EventsIntra-operative up to 1 month (+14 days)

The types of events that were potentially related to thrombotic events included deep vein thrombosis and pulmonary embolism

Incidence of Re-treatmentIntra-operative

The outcome measure assess if re-treatment was done after release of manual compression at 4-minutes for subjects not achieving hemostatic success or if re-treatment was done during the 6-minute observation period.

In the SURGICEL group, 18 subjects had initial hemostatic success at 4 minutes, but 2 of the 18 subjects were re-treated for re-bleeding. In the SURGICEL group, 12 subjects were not hemostatic at 4-minutes and had a re-treatment.

Trial Locations

Locations (11)

University of Alabama

🇺🇸

Birmingham, Alabama, United States

Baptist Hosptial

🇺🇸

Miami, Florida, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

Emory University Hospital

🇺🇸

Atlanta, Georgia, United States

University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

Lehigh Valley Hospital

🇺🇸

Allentown, Pennsylvania, United States

The University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Long Island Jewish Medical Center

🇺🇸

NEw Hyde Park, New York, United States

Medical College of Georgia

🇺🇸

Augusta, Georgia, United States

Weill Medical Colleges of Cornell University - Methodist Hospital

🇺🇸

Houston, Texas, United States

St. Agnes Healthcare, Inc.

🇺🇸

Baltimore, Maryland, United States

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