Multi-national Study Investigating the Effect and Safety of rFXIII on Transfusion Needs in Patients Undergoing Heart Surgery
A Multi-Centre, Randomised, Double-Blind, Placebo Controlled Trial on Efficacy and Safety of FXIII Replenishment With Two Different Doses of Recombinant Factor XIII Following Cardiopulmonary Bypass Surgery
3 other identifiers
interventional
479
10 countries
32
Brief Summary
This trial is conducted in Canada, Asia, Europe and USA. The aim of this clinical trial is to investigate the effect and safety of rFXIII on transfusion needs in patients undergoing heart surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jul 2009
32 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 3, 2009
CompletedFirst Posted
Study publicly available on registry
June 5, 2009
CompletedStudy Start
First participant enrolled
July 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2011
CompletedResults Posted
Study results publicly available
November 13, 2014
CompletedMarch 7, 2017
January 1, 2017
1.6 years
June 3, 2009
September 22, 2014
January 23, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Subjects Avoiding Any Allogeneic Transfusions for Seven Days Post-operative or Until Discharge, Whichever Came First
Proportion of patients avoiding blood products given via allogeneic transfusion. Blood products were defined as any of the following: RBC, platelets, FFP, fibrinogen concentrate and clotting factor(s) concentrate, including cryoprecipitate.
measured ongoing from dosing until day 7 or discharge, whichever came first
Secondary Outcomes (4)
Percentage of Subjects With Thromboembolic Events
measured from screening until 5-7 weeks post Trial Drug Administration
Percentage of Subjects With rFXIII Antibody Reaction
measured from screening until 5-7 weeks post Trial Drug Administration
Percentage of Subjects With Critical Adverse Events
measured from screening until 5-7 weeks post Trial Drug Administration
Percentage of Subjects With Serious Adverse Events
measured from screening until 5-7 weeks post Trial Drug Administration
Study Arms (3)
FXIII17.5IU/Kg
EXPERIMENTALRecombinant factor XIII at a single dose of 17.5 IU/kg lean body mass (LBM) was administered via slow i.v. push at a rate not exceeding two mL per minute.
FXIII35IU/Kg
EXPERIMENTALRecombinant factor XIII at a single dose of 35 IU/kg lean body mass (LBM) was administered via slow i.v. push at a rate not exceeding two mL per minute.
Placebo
PLACEBO COMPARATORRecombinant factor XIII placebo was administered as a single dose via slow i.v. push at a rate not exceeding two mL per minute.
Interventions
Single dose via slow intravenous (i.v.) push at a rate not exceeding two mL per minute
Single dose via slow intravenous (i.v.) push at a rate not exceeding two mL per minute
Eligibility Criteria
You may qualify if:
- \- Planned coronary artery bypass grafting (CABG) or CABG plus single heart valve replacement/repair or planned replacement/repair of a single heart valve
You may not qualify if:
- Known intolerance to protamine
- Known or suspected allergy to the used antifibrinolytic agent
- Refusal to receive blood or blood product
- Planned surgery including the aortic arch and/or descending aorta
- Planned surgery including any implantable ventricular assist device
- Adult congenital heart diseases
- Two or more previous cardiac surgery procedures
- Any known autoimmune diseases: Collagen vascular disease (Systemic lupus erythematosus, Rheumatoid arthritis, Sjögrens syndrome) - Endocrine: hyperthyroidism (Graves disease), adrenal insufficiency, Hashimoto's thyroiditis - Neurologic: Multiple sclerosis, myasthenia gravis - Skin: pemphigous vulgaris Hematologic: Pernicious anaemia, Autoimmune haemolytic anaemia - Vasculitis - Primary or secondary antiphospholipid syndrome
- Weight above 140 kg
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (32)
Novo Nordisk Investigational Site
Atlanta, Georgia, 30322-1059, United States
Novo Nordisk Investigational Site
Durham, North Carolina, 27710, United States
Novo Nordisk Investigational Site
Portland, Oregon, 97239-3098, United States
Novo Nordisk Investigational Site
Allentown, Pennsylvania, 18105, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
Providence, Rhode Island, 02905, United States
Novo Nordisk Investigational Site
Houston, Texas, 77030, United States
Novo Nordisk Investigational Site
Toronto, Ontario, M5B 1W8, Canada
Novo Nordisk Investigational Site
Montreal, H1T 1C8, Canada
Novo Nordisk Investigational Site
Ottawa, K1Y 4W7, Canada
Novo Nordisk Investigational Site
Québec, G1V 4G5, Canada
Novo Nordisk Investigational Site
Toronto, M5G-2C4, Canada
Novo Nordisk Investigational Site
København Ø, 2100, Denmark
Novo Nordisk Investigational Site
Berlin, 13353, Germany
Novo Nordisk Investigational Site
Frankfurt am Main, 60590, Germany
Novo Nordisk Investigational Site
Ludwigshafen, 67063, Germany
Novo Nordisk Investigational Site
München, 80636, Germany
Novo Nordisk Investigational Site
Petah Tikva, 49100, Israel
Novo Nordisk Investigational Site
Ramat Gan, 52621, Israel
Novo Nordisk Investigational Site
Bologna, 40138, Italy
Novo Nordisk Investigational Site
Milan, 20132, Italy
Novo Nordisk Investigational Site
San Donato Milanese (MI), 20097, Italy
Novo Nordisk Investigational Site
Numakunai, 020-8505, Japan
Novo Nordisk Investigational Site
Osaka, 565-8565, Japan
Novo Nordisk Investigational Site
Tokyo, 113-843, Japan
Novo Nordisk Investigational Site
Madrid, 28007, Spain
Novo Nordisk Investigational Site
Madrid, 28034, Spain
Novo Nordisk Investigational Site
Valencia, 46026, Spain
Novo Nordisk Investigational Site
Lund, 221 85, Sweden
Novo Nordisk Investigational Site
Cambridge, CB23 3RE, United Kingdom
Novo Nordisk Investigational Site
Sheffield, S5 7AU, United Kingdom
Novo Nordisk Investigational Site
Southampton, SO16 6YD, United Kingdom
Related Publications (2)
Song HK, von Heymann C, Jespersen CM, Karkouti K, Korte W, Levy JH, Ranucci M, Saugstrup T, Sellke FW. Safe application of a restrictive transfusion protocol in moderate-risk patients undergoing cardiac operations. Ann Thorac Surg. 2014 May;97(5):1630-5. doi: 10.1016/j.athoracsur.2013.12.025. Epub 2014 Mar 19.
PMID: 24655469RESULTKarkouti K, von Heymann C, Jespersen CM, Korte W, Levy JH, Ranucci M, Sellke FW, Song HK. Efficacy and safety of recombinant factor XIII on reducing blood transfusions in cardiac surgery: a randomized, placebo-controlled, multicenter clinical trial. J Thorac Cardiovasc Surg. 2013 Oct;146(4):927-39. doi: 10.1016/j.jtcvs.2013.04.044. Epub 2013 Jun 29.
PMID: 23820174DERIVED
Related Links
Results Point of Contact
- Title
- Public Access to Clinical Trials
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2009
First Posted
June 5, 2009
Study Start
July 1, 2009
Primary Completion
February 1, 2011
Study Completion
February 1, 2011
Last Updated
March 7, 2017
Results First Posted
November 13, 2014
Record last verified: 2017-01