St George's Hospital UK Study of the use of recombinant factor VIIa in pelvic fracture and acetabular reconstruction

ISRCTN ISRCTN02543733
DOI https://doi.org/10.1186/ISRCTN02543733
Secondary identifying numbers N0236106542
Submission date
12/09/2003
Registration date
12/09/2003
Last edited
10/07/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Michael Grounds
Scientific

Adult Intensive Care Unit
St James Wing
St George's Hospital
Blackshaw Road
Tooting
London
SW17 0QT
United Kingdom

Study information

Study designSingle centre randomised double-blind parallel group placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesThis study will evaluate the possible effect of recombinant factor VIIa (rFVIIa) in the treatment of severe bleeding in severely injured trauma patients undergoing major orthopaedic reconstructive surgery.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Acetabular reconstruction
InterventionUse of recombinant factor VIIa in pelvic fracture and acetabular reconstruction
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Recombinant factor VIIa (rFVIIa)
Primary outcome measureTotal volume of perioperative blood loss
Secondary outcome measures1. perioperative transfusion requirement (total volume of allogeneic blood components and salvaged RBC, total number of units of allogeneic blood components)
2. number of patients transfused with allogeneic blood components
3. total volume of crystalloid (Hartmann's solution, dextrose saline, normal saline) and colloid (succinylated gelatin) fluids infused
4. total operating time
5. time taken after entry to intensive care unit (ICU) or recovery unit to reach normal body temperature (36.3–37.1°C) and acid–base status (blood pH 7.35–7.45 with standard base excess –2 to +2)
6. time spent in ICU after surgery
7. days of hospitalization
8. number of times a patient was returned to the operating theatre
Overall study start date01/06/2002
Completion date31/03/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants48
Key inclusion criteria1. 18–60 yr old
2. major pelvic–acetabular fracture caused by trauma
3. scheduled for semi-elective ‘large’ reconstruction surgery with the potential of blood loss exceeding 50% of circulating blood volume
Key exclusion criteria1. history of thrombosis (deep vein thrombosis, pulmonary embolism, cerebral thrombosis)
2. severe head injuries or an abnormal CT scan of the head due to head injuries
3. base deficit of greater than 15 mEq litre–1 or severe acidosis (pH<7.0.) before surgery
4. body weight exceeding 135 kg
5. known or suspected allergy to any drug that may be administered during the course of the study
6. cardiac arrest after trauma and before surgery at St George's Hospital
7. known congenital bleeding disorders
8. known pregnancy or positive pregnancy test at enrolment
9. previous participation in this study
10. previous receipt of rFVIIa within 48 h of screening
11. currently participating or having participated in another investigational drug study within the last 30 days
Date of first enrolment01/06/2002
Date of final enrolment31/03/2005

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Adult Intensive Care Unit
London
SW17 0QT
United Kingdom

Sponsor information

Department of Health (UK)
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Hospital/treatment centre

St George's Healthcare NHS Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2005 Yes No