Efficacy of a Novel Hemostatic Powder in GI Bleeding
GRAPHE
A Novel Hemostatic Powder for the Endoscopic Treatment of Gastrointestinal Bleeding: Evaluation of Efficacy, Feasibility and Rebleeding Predictive Factors Results From a Multicenter Prospective Study Performed in Routine Practice
1 other identifier
observational
200
2 countries
19
Brief Summary
Hemospray™ is a new endoscopic hemostatic powder. Aims of this multicenter prospective study is to determine effectiveness of Hemospray™ on short and medium term in different clinical situations, predictive factors of rebleeding after Hemospray™ application, and feasibility of the application of hemostatic powder in routine clinical practice studying in a large sample of patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2014
Shorter than P25 for all trials
19 active sites
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
October 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 29, 2015
CompletedFirst Posted
Study publicly available on registry
November 4, 2015
CompletedSeptember 10, 2021
September 1, 2021
3 months
October 29, 2015
September 8, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques.
Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques.
30 days
Secondary Outcomes (1)
Rebleeding rate at days 8 and 30, defined as the percentage of patients with >2g/dL hemoglobin AND/OR exteriorization of hematemesis AND/OR exteriorization of melena
30 days
Interventions
All upper gastro-intestinal bleeding need endoscopic hemostasis. Endoscopic hemostasis conventional methods are injection of saline with epinephrine, placement of hemoclips and thermic or plasma coagulation. Hemospray™ will be sprayed onto bleeding lesions seen in endoscopy after failure of conventional methods or in salvage therapy at the discretion of endoscopists. Retrospective analysis of prospectively cellected data.
Eligibility Criteria
All adult patients who received hemostatic powder for upper GI bleeding will be included in the study. Pregnant and adult under guardianship will be excluded.
You may qualify if:
- Male or female aged 18 and over who need the use of Hemospray® under their care in an emergency.
- Upper gastrointestinal hemorrhage.
- Patients who received the information note of the study and agreeing to participate (non-oral opposition gathered in the patient's medical record)
- Patient under guardianship, curatorship.
- Pregnant woman.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
Angers University Hospital
Angers, 49933, France
Besançon University Hospital
Besançon, 25030, France
Bordeuax University Hospital
Bordeaux, 33076, France
Lille University Hospital
Lille, 59037, France
Limoges University Hospital
Limoges, 87042, France
La Conception University Hospital
Marseille, 13005, France
La Timone University Hospital
Marseille, 13005, France
Nantes University Hospital
Nantes, 44093, France
Nîmes University Hospital
Nîmes, 30029, France
Cochin University Hospital
Paris, 75000, France
Georges Pompidou University Hospital (AP-HP)
Paris, 75000, France
Henri Mondor University Hospital (AP-HP)
Paris, 75000, France
Lariboisière University Hospital (AP-HP)
Paris, 75000, France
Rouen University Hospital
Rouen, 76031, France
Saint-Brieuc University Hospital
Saint-Brieuc, 22000, France
Clinique des Cèdres
Toulouse, 31000, France
Tours University Hospital
Tours, 37044, France
Vichy Hospital
Vichy, 03200, France
Monaco University Hospital
Monaco, 98012, Monaco
Related Publications (1)
Haddara S, Jacques J, Lecleire S, Branche J, Leblanc S, Le Baleur Y, Privat J, Heyries L, Bichard P, Granval P, Chaput U, Koch S, Levy J, Godart B, Charachon A, Bourgaux JF, Metivier-Cesbron E, Chabrun E, Quentin V, Perrot B, Vanbiervliet G, Coron E. A novel hemostatic powder for upper gastrointestinal bleeding: a multicenter study (the "GRAPHE" registry). Endoscopy. 2016 Dec;48(12):1084-1095. doi: 10.1055/s-0042-116148. Epub 2016 Oct 19.
PMID: 27760437DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 29, 2015
First Posted
November 4, 2015
Study Start
October 1, 2014
Primary Completion
January 1, 2015
Study Completion
January 1, 2015
Last Updated
September 10, 2021
Record last verified: 2021-09