NCT01218074

Brief Summary

Many patients undergo cardiac surgery without proper suspension of antiaggregation drugs. This is blamed to increase dramatically bleeding and use of allogenic blood transfusions. The investigators test the hypothesis that routine use of aggregometry could show antiaggregated patient and lead to normalization of platelet function via administration of Desmopressin thus limiting bleeding and transfusions.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2010

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 5, 2010

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 11, 2010

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2010

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2017

Completed
Last Updated

January 26, 2018

Status Verified

January 1, 2018

Enrollment Period

5.8 years

First QC Date

October 5, 2010

Last Update Submit

January 24, 2018

Conditions

Keywords

bleedingblood sparing proceduredesmopressinaggregometrythromboelastography

Outcome Measures

Primary Outcomes (1)

  • Bleeding Volume

    Total amount of bleeding in the first 12 hours after cardiac surgery expressed as milliliters of blood in the chest drains reservoir.

    12 hours after end of operation

Secondary Outcomes (1)

  • Use of allogenic blood transfusions.

    In hospital stay (usually 5 to 8 days after operation)

Study Arms (2)

Thromboelastography alone

ACTIVE COMPARATOR

Patients undergo standard of care Thromboelastography to evaluate overall coagulation performances.

Device: Thromboelastography Alone

Aggregometry+Tromboelastography

EXPERIMENTAL

Patients undergo standard thromboelastography and subsequent aggregometry to test effectiveness of residual antiaggregation drugs. Patients found to have altered value undergo optimization with desmopressin.

Device: Aggregometry+Thromboelastography

Interventions

Patients undergo standard thromboelastography and subsequent aggregometry to test effectiveness of residual antiaggregation drugs. Patients found to have altered value undergo optimization with desmopressin.

Aggregometry+Tromboelastography

Patients undergo standard of care Thromboelastography to evaluate overall coagulation performance.

Thromboelastography alone

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • all patients undergoing surgical myocardial revascularization.

You may not qualify if:

  • none.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

European Hospital

Rome, 00149, Italy

Location

MeSH Terms

Conditions

Hemorrhage

Interventions

Thrombelastography

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Blood Coagulation TestsHematologic TestsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative Techniques

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Project Leader Luca Weltert

Study Record Dates

First Submitted

October 5, 2010

First Posted

October 11, 2010

Study Start

December 1, 2010

Primary Completion

September 1, 2016

Study Completion

September 1, 2017

Last Updated

January 26, 2018

Record last verified: 2018-01

Locations