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N/A N=45 Randomized Treatment

A Clinical Study to Investigate if Transfusion of Patients Own Shed Blood Improves the Immunological Status in Comparison to Transfusion of Donor Blood ("Bank Blood")

Arthroplasty, Replacement, Knee · Blood Transfusion, Autologous · Blood Transfusion

Enrolled (actual)
45
Serious AEs
4.4%
Results posted
Oct 2010
Primary outcome: Primary: Frequency of Natural Killer Cells as Measured With Flow Cytometry. — 2.98; 2.26 total number of cells * 10^5/mL

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Bellovac ABT (Device); Allogenic Blood Transfusion (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Wellspect HealthCare
Primary completion
Jun 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Frequency of Natural Killer Cells as Measured With Flow Cytometry.
2.80; 1.79
PRIMARY
Frequency of Natural Killer Cells as Measured With Flow Cytometry.
2.80; 1.79
PRIMARY
Frequency of Natural Killer Cells as Measured With Flow Cytometry.
2.80; 1.79
PRIMARY
Natural Killer Cells (Proportion of Lymphocytes, Measured With Flow Cytometry)
11.5; 7.4
PRIMARY
Natural Killer Cells (Proportion of Lymphocytes, Measured With Flow Cytometry)
11.5; 7.4
PRIMARY
Natural Killer Cells (Proportion of Lymphocytes, Measured With Flow Cytometry)
11.5; 7.4
SECONDARY
Interferon Gamma
6.25; 6.99
SECONDARY
Interferon Gamma
6.25; 6.99
SECONDARY
Interferon Gamma
6.25; 6.99
SECONDARY
Interleukin-2
7.1; 8.8
SECONDARY
Interleukin-2
7.1; 8.8
SECONDARY
Interleukin-2
7.1; 8.8
SECONDARY
Interleukin-4
5.5; 6.2
SECONDARY
Interleukin-4
5.5; 6.2
SECONDARY
Interleukin-4
5.5; 6.2
SECONDARY
Interleukin-6
9.1; 12.5
SECONDARY
Interleukin-6
9.1; 12.5
SECONDARY
Interleukin-6
9.1; 12.5
SECONDARY
Interleukin-10
6.5; 8.9
SECONDARY
Interleukin-10
6.5; 8.9
SECONDARY
Interleukin-10
6.5; 8.9
SECONDARY
TNF-Alpha
7.6; 8.0
SECONDARY
TNF-Alpha
7.6; 8.0
SECONDARY
TNF-Alpha
7.6; 8.0
SECONDARY
Hemoglobin
11.1; 10.6
SECONDARY
Hemoglobin
11.1; 10.6
SECONDARY
Hemoglobin
11.1; 10.6
SECONDARY
Hemoglobin
11.1; 10.6
SECONDARY
Erythrocyte Volume Fraction
35.1; 33.3
SECONDARY
Erythrocyte Volume Fraction
35.1; 33.3
SECONDARY
Erythrocyte Volume Fraction
35.1; 33.3
SECONDARY
Erythrocyte Volume Fraction
35.1; 33.3
SECONDARY
Leucocyte Particle Concentration
7.2; 5.7
SECONDARY
Leucocyte Particle Concentration
7.2; 5.7
SECONDARY
Leucocyte Particle Concentration
7.2; 5.7
SECONDARY
Leucocyte Particle Concentration
7.2; 5.7
SECONDARY
Lymphocytes
33.6; 42.5
SECONDARY
Lymphocytes
33.6; 42.5
SECONDARY
Lymphocytes
33.6; 42.5
SECONDARY
Lymphocytes
33.6; 42.5

Summary

The primary objective of the study is to compare the immunological status after either autologous blood transfusion as administered by Bellovac® ABT or allogenic blood transfusion, with regards to change in Natural Killer (NK) cell frequency in patients undergoing total knee replacement.

Eligibility Criteria

Inclusion Criteria

  • Provision of informed consent
  • Male and female patients aged 18 years and over scheduled for total knee replacement
  • Subjects classified as ASA Physical Status Classification System class P1, P2 or P3 according to the American Society of Anaesthesiology

Exclusion Criteria

  • Involvement in the planning and conduct of the study (applies to both Astra Tech staff or staff at the study site)
  • Pre-operatively haemoglobin below normal range as judged by the investigator
  • Previous enrolment or randomisation to treatment in the present study
  • Expected or confirmed participation in another clinical study during the study period
  • Severe non-compliance to protocol as judged by the investigator and/or Astra Tech
  • Current symptoms of haemophilia
  • History of or presence of malignant disease with propensity for systemic spread during the last 5 years
  • Current or expected use of cytotoxic drugs
  • Current untreated anaemia (e.g. sickle cell anaemia) as deemed by investigator
  • Use of pre-donation
  • Use of recombinant erythropoetin
  • Use of other autologous blood transfusion than that with Bellovac ABT, e.g. washed and centrifuged blood like CellSaver
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00839241). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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