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Phase 3 N=40 Randomized Treatment

The Paediatric EVICEL® Soft Tissue and Parenchymal Organ Bleeding Study

Hemorrhage · Soft Tissue Bleeding

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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