Liberal Transfusion Strategy in Elderly Patients
NCT03369210 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 2470
Last updated 2025-08-07
Summary
In this prospective, multicentre, open, randomised, controlled clinical trial elderly patients (≥ 70 years) undergoing intermediate- or high-risk non-cardiac surgery will be randomised either to a liberal group (patients receive a RBC unit each time Hb falls ≤ 9 g/dl (≤ 5.6mmol/l) with a target range for the post-transfusion Hb level of 9-10.5 g/dl (5.6-6.5 mmol/l)) or restrictive group (patients receive a single RBC unit each time Hb falls ≤ 7.5 g/dl (≤ 4.7 mmol/l) with a target range for the post-transfusion Hb level of 7.5-9 g/dl (4.7-5.6 mmol/l). Primary efficacy endpoint: is a composite of death from any cause and anaemia-associated, ischaemic events (defined as acute myocardial infarction, acute ischaemic stroke, acute kidney injury stage III, acute mesenteric ischaemia, acute peripheral vascular ischaemia) within 90 days after surgery.
Conditions
- Transfusion-dependent Anemia
- Surgery
- Anemia
Interventions
- DRUG
-
red blood cell transfusion trigger
patients receive a RBC unit with different target ranges for the post-transfusion Hb levels
Sponsors & Collaborators
-
Wuerzburg University Hospital
collaborator OTHER -
Johann Wolfgang Goethe University Hospital
lead OTHER
Principal Investigators
-
Patrick Meybohm, MD · Wuerzburg University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-12-04
- Primary Completion
- 2025-06-30
- Completion
- 2026-07-31
Countries
- Germany
Study Locations
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