Reagent shortage
A Pilot Study on the Impact of Rejuvenated Autologous Blood Transfusion on VO2 Max in Healthy Subjects
Sponsor study identifier
interventional
9
1 country
1
Study Start
September 29, 2017
Actual (reported)Primary Completion
April 18, 2018
Actual (reported)Study Completion
April 18, 2018
Actual (reported)To compare the physiologic benefits of rejuvenated RBCs (rejRBCs) to standards RBCs (PRBCs), we will emulate critical conditions by safely maximizing stress on the cardiovascular system, in an elective, feasible volunteer study. Maximal oxygen uptake (VO2max) will be measured in an anemic, post-donation, pre-transfusion state, and also after transfusing 14-day-old, autologous blood randomized to standard storage or standard storage with rejuvenation. We hypothesize that transfusion of standard PRBCs is less effective at increasing oxygen delivery (measured by VO2max) compared with transfusion of rejRBCs.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
April 18, 2018
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 20, 2017
Actual (reported)March 24, 2017
Actual (reported)September 29, 2017
Actual (reported)April 18, 2018
Actual (reported)April 18, 2018
Actual (reported)January 11, 2021
Actual (reported)Change in VO2max
Change in VO2max from "anemic" (pre-transfusion) VO2max and after transfusion of 2 units of either standard PRBCs or rej-PRBCs "post-Tx" VO2max.
Day 16 to Day 18 post transfusion
Change in Lactate
Change in lactate from "anemic" (pre-transfusion) VO2max and after transfusion of 2 units of either standard PRBCs or rej-PRBCs "post-Tx" VO2max
Day 16 to Day 18 post transfusion
Change in "Post-Tx" VO2max From Baseline
Baseline to Day 18 post transfusion
Washed and Rejuvenated autologous blood
Washed autologous blood (so as to maintain equivalent unit volume and Hct)
Rejuvenation refers to the process of adding a mix of solutes (Rejuvesol®, Citra Labs, Braintree, MA; consists of sodium pyruvate, inosine, adenine, mono- and dibasic sodium phosphate) to older, stored (i.e., 2-3 DPG-depleted) blood to immediately restore 2,3-DPG and ATP levels in the stored red blood cells15. Rejuvenation was originally developed to prolong the storage life of rare-phenotype RBC units. It is FDA-approved for use in RBC units stored in CPD, CPDA-1, and AS-1. The major contraindication for the use of Rejuvesol® is in RBC units stored for fewer than 6 days due to high baseline 2,3-DPG and ATP levels. Rejuvenated units must be washed prior to administration to remove residual Rejuvesol that is not approved for iv administration in such concentrations.
Duke University Medical Center
Durham, North Carolina, 27514, United States
Early termination leading to small numbers of subjects analyzed.
Ian J Welsby, BSc MBBS
Duke University
9 participants (actual enrollment reported by the registry).
First Submitted
March 20, 2017
First Posted
March 24, 2017
Study Start
September 29, 2017
Evaluation of Two Epoetin Alfa Dosing Strategies in Subjects With Chronic Kidney Disease Receiving Hemodialysis
Autologous RBCs will be washed prior to transfusion to maintain blinding and equalize volume and Hct with the rejuvenated and washed intervention arm
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Primary Completion
April 18, 2018
Actual (reported)Study Completion
April 18, 2018
Actual (reported)Last Updated
January 11, 2021
Results First Posted
January 11, 2021
Record last verified: 2020-12
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Source: ClinicalTrials.gov.
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