Trial Outcomes & Findings for Fibrinogen Concentrate vs Cryoprecipitate (NCT NCT03014700)
NCT ID: NCT03014700
Last Updated: 2019-05-07
Results Overview
For our study, 1 donor exposure = 1 unit of blood product transfusion. A blood product includes red blood cells, fresh frozen plasma, cryoprecipitate, and platelets.
COMPLETED
PHASE4
60 participants
From administration of the drug during surgery to ICU arrival postoperatively (up to 24 hours)
2019-05-07
Participant Flow
Participant milestones
| Measure |
Cryoprecipitate Arm
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Overall Study
STARTED
|
30
|
30
|
|
Overall Study
COMPLETED
|
25
|
29
|
|
Overall Study
NOT COMPLETED
|
5
|
1
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Fibrinogen Concentrate vs Cryoprecipitate
Baseline characteristics by cohort
| Measure |
Cryoprecipitate Arm
n=30 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=30 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
Total
n=60 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
4 months
n=39 Participants
|
4 months
n=41 Participants
|
4 months
n=35 Participants
|
|
Sex: Female, Male
Female
|
16 Participants
n=39 Participants
|
9 Participants
n=41 Participants
|
25 Participants
n=35 Participants
|
|
Sex: Female, Male
Male
|
14 Participants
n=39 Participants
|
21 Participants
n=41 Participants
|
35 Participants
n=35 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=39 Participants
|
3 Participants
n=41 Participants
|
4 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Black or African American
|
3 Participants
n=39 Participants
|
5 Participants
n=41 Participants
|
8 Participants
n=35 Participants
|
|
Race (NIH/OMB)
White
|
22 Participants
n=39 Participants
|
18 Participants
n=41 Participants
|
40 Participants
n=35 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=39 Participants
|
1 Participants
n=41 Participants
|
1 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
4 Participants
n=39 Participants
|
3 Participants
n=41 Participants
|
7 Participants
n=35 Participants
|
PRIMARY outcome
Timeframe: From administration of the drug during surgery to ICU arrival postoperatively (up to 24 hours)For our study, 1 donor exposure = 1 unit of blood product transfusion. A blood product includes red blood cells, fresh frozen plasma, cryoprecipitate, and platelets.
Outcome measures
| Measure |
Cryoprecipitate Arm
n=30 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=30 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Total Units of Intraoperative Allogenic Donor Transfusions (ADT) Administered During Procedure Through ICU Arrival.
|
5 ADT units
Interval 4.0 to 7.0
|
4 ADT units
Interval 3.0 to 5.0
|
SECONDARY outcome
Timeframe: From administration end of surgery to 24 hours post operativelyPopulation: Participants who completed the protocol are included in the analysis
Volume of chest tube drainage evaluated over first 24 hours post operatively
Outcome measures
| Measure |
Cryoprecipitate Arm
n=25 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=29 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Chest Tube Output
|
18.05 ml/kg
Interval 10.94 to 26.03
|
16.11 ml/kg
Interval 12.56 to 25.0
|
SECONDARY outcome
Timeframe: From administration of the drug during surgery to extubation in the ICU (up to 30 days)Population: Participants who completed the protocol are included in the analysis
Outcome measures
| Measure |
Cryoprecipitate Arm
n=25 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=29 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Hours of Mechanical Ventilation
|
30.32 hours
Interval 18.68 to 98.73
|
27.10 hours
Interval 20.42 to 51.58
|
SECONDARY outcome
Timeframe: From administration of the drug during surgery to discharge from the ICU (up to 3 months)Population: Participants who completed the protocol are included in the analysis
Outcome measures
| Measure |
Cryoprecipitate Arm
n=25 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=29 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Length of Stay in Intensive Care Unit (ICU)
|
4.50 days
Interval 2.0 to 6.0
|
3.00 days
Interval 2.0 to 7.0
|
SECONDARY outcome
Timeframe: From administration of the drug during surgery to discharge from the hospital (up to 6 months)Population: Participants who completed the protocol are included in the analysis
Outcome measures
| Measure |
Cryoprecipitate Arm
n=25 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=29 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Length of Stay in Hospital
|
8.00 days
Interval 5.0 to 19.0
|
7.00 days
Interval 4.0 to 11.0
|
SECONDARY outcome
Timeframe: From administration of the drug to 30 days following surgeryPopulation: Participants who completed the protocol are included in the analysis
Outcome measures
| Measure |
Cryoprecipitate Arm
n=25 Participants
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=29 Participants
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Count of Participants Who Died Within 30 Days Following Procedure
|
0 Participants
|
1 Participants
|
Adverse Events
Cryoprecipitate Arm
Fibrinogen Concentrate Arm
Serious adverse events
| Measure |
Cryoprecipitate Arm
n=30 participants at risk
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=30 participants at risk
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Chest Exploration
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
6.7%
2/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
General disorders
Death
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
Nervous system disorders
Stroke
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
Cardiac disorders
Tamponade
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
Vascular disorders
Thrombosis requiring Intervention
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
Other adverse events
| Measure |
Cryoprecipitate Arm
n=30 participants at risk
Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
Cryoprecipitate: Subject will be administered Cryoprecipitate to control bleeding after open heart surgery when randomized to Cryoprecipitate group
|
Fibrinogen Concentrate Arm
n=30 participants at risk
Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
Fibrinogen Concentrate: Subject will be administered Fibrinogen Concentrate to control bleeding after open heart surgery when randomized to Fibrinogen Concentrate group
|
|---|---|---|
|
Infections and infestations
Infection (with positive culture within 14 days)
|
3.3%
1/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
Surgical and medical procedures
Repeat Surgery (less than 7 days)
|
6.7%
2/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
0.00%
0/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
|
Cardiac disorders
Arrhythmia requiring treatment
|
20.0%
6/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
16.7%
5/30 • Day of procedure through 30 days postoperatively or hospital discharge
|
Additional Information
Glyn David Williams
Stanford university School of Medicine
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: OTHER