NCT02595385

Brief Summary

The aim of this study is to compare retrograde autologous priming (RAP) of the bypass circuit to cell salvage (CS) as part of blood conservation strategies in adult cardiac surgery. It hypothesizes that RAP is at least as effective as cell salvage in terms of blood conservation but at the same time more cost effective.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
240

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2015

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

February 1, 2015

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

October 16, 2015

Completed
18 days until next milestone

First Posted

Study publicly available on registry

November 3, 2015

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2016

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2016

Completed
Last Updated

November 3, 2015

Status Verified

November 1, 2015

Enrollment Period

1 year

First QC Date

October 16, 2015

Last Update Submit

November 2, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of units of packed red blood cells transfused

    through study completion, an average of 2 weeks

Secondary Outcomes (1)

  • Adverse reaction to RAP measured by systolic BP <90mmHg during initiation of bypass.

    intra-operatively

Study Arms (4)

RAP

ACTIVE COMPARATOR

Retrograde Autologous Prime of the bypass circuit. To remove 500-900ML of fluid.

Procedure: Retrograde Autologous Prime

CS

ACTIVE COMPARATOR

Reinfusion of shed blood during the operation

Device: Cell Salvage

RAP and CS

ACTIVE COMPARATOR

RAP and CS used in combination

Device: Cell SalvageProcedure: Retrograde Autologous Prime

Control

NO INTERVENTION

No intervention

Interventions

Reinfusion of shed blood during the operation

CSRAP and CS

Removal of fluid from the bypass circuit

RAPRAP and CS

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Less than 80 years of age
  • Undergoing single procedure surgery
  • Be on single anti-platelet therapy
  • To have stopped warfarin pre-operatively with a INR of \<1.5
  • Have stable coronary disease
  • Have good Left Ventricular function

You may not qualify if:

  • Redo procedures
  • Emergency Surgery
  • Be on dual antiplatelet therapy
  • Have pre-operative kidney dysfunction with eGFR \<60ml/min
  • Have post-operative drainage \>200ml per hour or require re-exploration for bleeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Medicine

Belfast, United Kingdom

RECRUITING

MeSH Terms

Interventions

Operative Blood Salvage

Intervention Hierarchy (Ancestors)

Tissue and Organ HarvestingTransplantationSurgical Procedures, Operative

Study Officials

  • Reuben Jeganathan

    Belfast Health and Social Care Trust

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Administrator

Study Record Dates

First Submitted

October 16, 2015

First Posted

November 3, 2015

Study Start

February 1, 2015

Primary Completion

February 1, 2016

Study Completion

August 1, 2016

Last Updated

November 3, 2015

Record last verified: 2015-11

Locations