Determination of the Minimal Concentration of Antifibrinolytics Required to Inhibit t-PA-activated Fibrinolysis
NCT02352675 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2017-08-01
Summary
Lysine analogs, like tranexamic acid (TXA) or epsilon aminocaproic acid (EACA), are antifibrinolytic agents routinely administered in children undergoing different surgeries associated with a high bleeding risk (e.g. cardiac, craniofacial, and orthopedic surgeries). Although there is a growing literature regarding the pharmacokinetic characteristics of these drugs in children, the plasmatic concentration required to completely inhibit fibrinolysis remains to be determined. In this in vitro study, the investigators will use an experimental model of fibrinolysis designed for rotational thromboelastometry (ROTEM®) to determine the minimal concentration inhibiting fibrinolysis for both TXA and EACA. In addition, this study will be used to create and validate a new experimental assay to measure fibrinolysis and the effect of antifibrinolytic agents.
Conditions
- Congenital Heart Disease
- Fibrinolysis
- Rotational Thromboelastometry
Interventions
- OTHER
-
Intraoperative Blood Sample
Blood sample will be run using rotational thromboelastometry to determine the minimal concentration of TXA and EACA need to inhibit fibrinolysis
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
David Faraoni, MD · Boston Children's Hospital
Eligibility
- Min Age
- 2 Months
- Max Age
- 12 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-30
- Primary Completion
- 2016-03-31
- Completion
- 2016-03-31
Countries
- United States
Study Locations
More Related Trials
-
Tranexamic Acid Effect on Platelet Aggregation Following Infant Cardiopulmonary Bypass
NCT02122679 ·Status: WITHDRAWN ·Phase: PHASE4
-
Tranexamic Acid (TXA) in Pediatric Cardiac Surgery
NCT01141127 ·Status: COMPLETED ·Phase: PHASE2
-
Tranexamic Acid in Pediatric Cardiac Surgery
NCT00994994 ·Status: COMPLETED ·Phase: NA
-
Traumatic Injury Clinical Trial Evaluating Tranexamic Acid in Children: A Pilot and Feasibility Study
NCT02840097 ·Status: COMPLETED ·Phase: PHASE2
-
Non-Idiopathic Scoliosis Treated With Tranexamic Acid
NCT01089140 ·Status: TERMINATED ·Phase: PHASE2
-
Traumatic Injury Clinical Trial Evaluating Tranexamic Acid in Children: An Efficacy Study
NCT04387305 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Tranexamic Acid for Craniofacial Surgery
NCT00722436 ·Status: TERMINATED ·Phase: PHASE4
-
The Role of Tranexamic Acid in Reducing Blood Transfusion Requirements After Cardiopulmonary Bypass in Neonates
NCT01914211 ·Status: WITHDRAWN
-
Local Subfascial and Intramuscular Tranexamic Acid Administration in Pediatric Patient Undergoing Scoliosis Surgery, Double Blind Randomized Control Trial
NCT04622397 ·Status: UNKNOWN ·Phase: NA
-
Tranexamic Acid Per Inhalation for Treatment of Pulmonary Hemorrhage in Pediatric Patients
NCT03676023 ·Status: COMPLETED
-
Antithrombin III Supplementation for Cardiopulmonary Bypass in Neonates
NCT01158729 ·Status: TERMINATED ·Phase: PHASE1
-
Effect of Tranexamic Acid Based on Pharmacokinetics in Pediatric Patients Undergoing Craniosynostosis Surgery: Randomized Controlled Trial
NCT02180321 ·Status: COMPLETED ·Phase: NA
-
Fibrinogen Concentrate vs Cryoprecipitate
NCT03014700 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Tranexamic Acid and Epsilon-aminocaproic Acid in Reducing Bleeding and Transfusions in Cardiac Surgery
NCT02655653 ·Status: COMPLETED ·Phase: PHASE3
-
Fresh Frozen Plasma and Plasmalyte ® for Priming Cardiopulmonary Bypass in Infants and Children
NCT02567786 ·Status: COMPLETED ·Phase: NA
-
Modeling Blood Management and Hemolytic Risk in Pediatric Heart Surgery
NCT06721455 ·Status: RECRUITING
-
In Vivo Effects of Fibrinogen Concentrate (FC) Versus Cryoprecipitate on the Neonatal Fibrin Network Structure After Cardiopulmonary Bypass (CPB)
NCT03932240 ·Status: COMPLETED ·Phase: PHASE3
-
Tranexamic Acid Use to Reduce Blood Transfusion in Pediatric Cancer Patients Undergoing Limb Salvage Procedure
NCT04410042 ·Status: TERMINATED ·Phase: PHASE3
-
Fibrinogen Concentrate In Children After Cardiac Surgery
NCT01187225 ·Status: COMPLETED ·Phase: PHASE2
-
Topical Tranexamic Acid in Major Paediatric Spine Deformity Surgery: A Randomized Controlled Trial
NCT02093988 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Comparison of Tranexamic to Epsilon Aminocaproic Acid: a Prospective Analysis of Blood Conservation in Cardiac Surgery
NCT01248104 ·Status: COMPLETED ·Phase: NA
-
Point-of-care Measurement of the Antifibrinolytic Activity of Tranexamic Acid in Cardiac Surgery
NCT06128330 ·Status: RECRUITING ·Phase: PHASE4
-
Tranexamic Acid in Pediatric Scoliosis Surgery
NCT06091891 ·Status: RECRUITING ·Phase: NA
-
Fibrinogen Early In Severe Trauma studY Junior
NCT03508141 ·Status: UNKNOWN ·Phase: PHASE2
-
TEG Use in Children Undergoing Procedures With High Anticipated Blood Loss
NCT05379530 ·Status: NOT_YET_RECRUITING ·Phase: NA