NCT03871452

Brief Summary

The objective of this study was to prospectively compare effectiveness of Ankaferd Blood Stopper (ABS) with dry sponges in cessation of bleeding in adult trauma cases with external bleeding due to extremity lacerations. Methods: The study was conducted on patients with bleeding associated with extremity lacerations. All consecutive patients presented to the emergency department of the high-volume training hospital in Istanbul were recruited within the study period

Trial Health

87
On Track

Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

October 1, 2018

Completed
10 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 11, 2018

Completed
12 days until next milestone

Study Completion

Last participant's last visit for all outcomes

October 23, 2018

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

March 5, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 12, 2019

Completed
Last Updated

March 12, 2019

Status Verified

March 1, 2019

Enrollment Period

10 days

First QC Date

March 5, 2019

Last Update Submit

March 10, 2019

Conditions

Keywords

Ankaferd BloodStopper, laceration, bleeding

Outcome Measures

Primary Outcomes (2)

  • Bleeding control

    Group I were compressed with ABS-soaked wet sponge, and group II were treated with compression using dry sterile sponges. The compresses were briefly removed at one-minute intervals and bleeding status were checked. This process was continued for a maximum of 10 minutes. The time when both stopped the bleeding was noted for comparison.The main issue here was to see how long the ABS had taken control of the bleeding

    1-10 minute

  • Repetition of bleeding

    Wounds were monitored for half an hour for bleeding recurrence

    0-30 minute

Secondary Outcomes (1)

  • Wound infection

    3-5 days

Other Outcomes (1)

  • Suture removal

    8-12 days

Study Arms (2)

ABS in external bleeding

ACTIVE COMPARATOR

Drug Ankaferd Blood Stopper Bleeding control in 10 minutes with ABS

Procedure: Ankaferd Blood Stopper in theTraumatic Bleeding

Repetition of ABS stopped bleeding

ACTIVE COMPARATOR

Repetition of ABS stopped bleeding

Procedure: Ankaferd Blood Stopper in theTraumatic Bleeding

Interventions

ankaferd blood stpper They were trained to apply compression of approximately 3-kg weight after irrigation with saline in patients with active bleeding who met inclusion criteria. Bleeding was controlled in every minute and data were collected. Traditional methods such as primary suturing were performed in patients whose bleeding did not stop within 10 minutes. Patients whose bleeding was stopped were monitored for half an hour for bleeding recurrence. The patients were divided into two groups; ones treated by ABS soaked wet compresses (group I) and ones treated by dry sponge compresses

ABS in external bleedingRepetition of ABS stopped bleeding

Eligibility Criteria

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

You may qualify if:

  • Adult patients (18 years-old and above)
  • presented with isolated cuts on the extremities
  • cuts sized between 1 and 5 centimeters .

You may not qualify if:

  • Patients under 18 years of age
  • with only superficial abrasions
  • with lacerations smaller than 1 cm and larger than 5 cm
  • irregular laceration borders or star-like lacerations
  • deep lacerations requiring subcutaneous suturing
  • lacerations requiring additional interventions such as tendon repair controlled bleeding
  • grade III and IV systemic diseases (advanced heart failure, uncontrolled hypertension, etc.) according to American Society of Anesthesiologists (ASA) classification,
  • who received radiotherapy or chemotherapy for malignancies within the last three months
  • with the history of hematologic diseases such as leukemia
  • using medications leading to hemorrhage risk (oral anticoagulants, aspirin, etc.)
  • congenital coagulation factor deficiency such as hemophilia
  • multiple trauma and abnormal vital signs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nazmiye Koyuncu

Istanbul, 0620, Turkey (Türkiye)

Location

Related Publications (8)

  • Beyazit Y, Kurt M, Kekilli M, Goker H, Haznedaroglu IC. Evaluation of hemostatic effects of Ankaferd as an alternative medicine. Altern Med Rev. 2010 Dec;15(4):329-36.

  • Goker H, Haznedaroglu IC, Ercetin S, Kirazli S, Akman U, Ozturk Y, Firat HC. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper. J Int Med Res. 2008 Jan-Feb;36(1):163-70. doi: 10.1177/147323000803600121.

  • Ucar Albayrak C, Caliskan U, Haznedaroglu IC, Goker H. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper. J Int Med Res 2008; 36:163-170. J Int Med Res. 2008 Nov-Dec;36(6):1447-8; author reply 1448-9. No abstract available.

  • Ozel Demiralp D, Haznedaroglu IC, Akar N. Functional proteomic analysis of Ankaferd(R) Blood Stopper. Turk J Haematol. 2010 Jun 5;27(2):70-7. doi: 10.5152/tjh.2010.03.

  • Tuncer I, Doganay L, Ozturk O. Instant control of fundal variceal bleeding with a folkloric medicinal plant extract: Ankaferd Blood Stopper. Gastrointest Endosc. 2010 Apr;71(4):873-5. doi: 10.1016/j.gie.2009.08.021. Epub 2009 Nov 17. No abstract available.

  • Ozaslan E, Purnak T, Yildiz A, Haznedaroglu IC. Bleeding due to slippage of elastic band during variceal ligation: successful use of Ankaferd blood stopper. Indian J Gastroenterol. 2010 Jul;29(4):166-8. doi: 10.1007/s12664-010-0043-y. Epub 2010 Sep 3.

  • Al B, Yildirim C, Cavdar M, Zengin S, Buyukaslan H, Kalender ME. Effectiveness of Ankaferd blood stopper in the topical control of active bleeding due to cutaneous-subcutaneous incisions. Saudi Med J. 2009 Dec;30(12):1520-5.

  • Koyuncu N. The Effectiveness of Ankaferd Blood Stopper in the Management of Traumatic Bleeding. Adv Ther. 2019 May;36(5):1143-1149. doi: 10.1007/s12325-019-00935-4. Epub 2019 Mar 21.

MeSH Terms

Conditions

Hemostatic DisordersLacerationsHemorrhage

Interventions

ankaferd blood stopper

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesHemorrhagic DisordersHematologic DiseasesHemic and Lymphatic DiseasesWounds and InjuriesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Cagatay Nuhoglu, MD

    Haydarpasa Numune Education and Research Hospital/İSTANBUL/TURKEY

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
I don't understand very well.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SEQUENTIAL
Model Details: The study was conducted on patients with bleeding associated with extremity lacerations. All consecutive patients presented to the emergency department of the high-volume training hospital in Istanbul were recruited within the study period
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
specialist of emergency medicine

Study Record Dates

First Submitted

March 5, 2019

First Posted

March 12, 2019

Study Start

October 1, 2018

Primary Completion

October 11, 2018

Study Completion

October 23, 2018

Last Updated

March 12, 2019

Record last verified: 2019-03

Data Sharing

IPD Sharing
Will not share

Locations