Phase 3
N=40
The Paediatric EVICEL® Soft Tissue and Parenchymal Organ Bleeding Study
Hemorrhage · Soft Tissue Bleeding
Bottom Line
View on ClinicalTrials.gov: NCT02227706 ↗Enrolled (actual)
40
Serious AEs
17.5%
Results posted
Aug 2020
Primary outcome: Primary: Absolute Time to Haemostasis — 4.0; 4.0 Minutes
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- EVICEL® Fibrin Sealant (Biological); SURGICEL® Absorbable Hemostat (Device)
- Age
- Pediatric
- Sex
- All
- Sponsor
- Ethicon, Inc.
- Primary completion
- Apr 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Absolute Time to Haemostasis |
4.0; 4.0 | — |
| SECONDARY Number of Participants Achieving Haemostasis at 4 Minutes |
16; 13 | — |
| SECONDARY Number of Participants Achieving Haemostasis at 7 Minutes |
20; 16 | — |
| SECONDARY Number of Participants Achieving Haemostasis at 10 Minutes |
19; 18 | — |
| SECONDARY Incidence of Treatment Failures (Number of Participants) |
1; 5 | — |
| SECONDARY Estimated Blood Loss |
50.0; 50.0 | — |
| SECONDARY Blood Transfusion |
7; 3; 13; 17 | — |
| SECONDARY Participants Receiving a Blood Transfusion |
3; 0; 4; 1; 0; 2 | — |
| SECONDARY Changes in Laboratory Parameters Haemoglobin and Mean Corpuscular Haemoglobin Concentration |
-13.2; -10.6; -5.3; -3.4 | — |
| SECONDARY Changes in Laboratory Parameters Haematocrit |
-0.0; -0.0 | — |
| SECONDARY Changes in Laboratory Parameters Platelet Count and White Cell Count |
27.4; 7.6; 2.0; 1.4 | — |
| SECONDARY Changes in Laboratory Parameters Red Blood Cell Count |
-0.3; -0.4 | — |
| SECONDARY Changes in Laboratory Parameters Mean Corpuscular Haemoglobin |
-0.1; 0.2 | — |
| SECONDARY Changes in Laboratory Parameters Mean Corpuscular Volume |
0.9; 1.5 | — |
| SECONDARY Changes in Laboratory Parameters Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils |
9.0; 10.1; -7.2; -11.6; -0.8; 1.5 | — |
| SECONDARY Changes in Laboratory Parameters Activated Partial Thromboplastin Time and Prothrombin Time |
-0.9; -2.2; 0.7; 0.1 | — |
| SECONDARY Changes in Laboratory Parameters International Normalised Ratio |
0.1; -0.0 | — |
Summary
To evaluate the safety and effectiveness of EVICEL® Fibrin Sealant (Human) as an adjunct to achieve haemostasis during surgery in paediatric patients.
Eligibility Criteria
Inclusion Criteria
- Paediatric subjects birth to <18 years of age, requiring non-emergent laparoscopic or open (through peritoneum or pleura) abdominal, retroperitoneal, pelvic or thoracic (non-cardiac) surgical procedures. i) The first 36 subjects to be enrolled will be subjects ≥1 years to <18 years of age. ii) The next 4 subjects to be enrolled will be subjects birth to <1years of age.
- The subject and/or subject's parent or legal guardian must be willing to give permission for the subject to participate in the trial, and provide written informed consent for the subject. If possible, assent must be obtained from paediatric subjects who possess the intellectual and emotional ability to comprehend the concepts involved in the trial. If the paediatric subject is not able to provide assent (due to age, maturity and/or inability to intellectually and/or emotionally comprehend the trial), the parent/legal guardian's written informed consent for the subject will be acceptable for the subject to be included in the study; and
- Presence of an appropriate mild or moderate bleeding soft tissue or parenchymal organ Target Bleeding Site identified intra-operatively by the surgeon;
Exclusion Criteria
- Subjects with known intolerance to blood products or to one of the components of the study product or is unwilling to receive blood products;
- Female subjects, who are of childbearing age (i.e. adolescent), who are pregnant or nursing;
- Subject is currently participating or, during the study is planned to participate in any other investigational device or drug trial without prior approval from the Sponsor;
- Subjects who are known, current alcohol and/or drug abusers;
- Subjects admitted for trauma surgery;
- Subjects with any pre or intra-operative findings identified by the surgeon that may preclude conduct of the study procedure;
- Subjects with Target Bleeding Site in an actively infected field (Class III Contaminated or Class IV Dirty or Infected)
- Anastomotic bleeding sites will not be considered for randomization.
Data sourced from ClinicalTrials.gov (NCT02227706). 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.