Outcomes of patients with bleeding in the gastrointestinal tract, following treatment with Hemospray

ISRCTN ISRCTN29594250
DOI https://doi.org/10.1186/ISRCTN29594250
Protocol serial number n/a
Sponsor N/A
Funder None
Submission date
20/07/2018
Registration date
05/09/2018
Last edited
19/04/2021
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The treatment of gastrointestinal bleeding can be challenging. Endoscopy (the use of a tube with a camera to see inside the body) into the stomach can deliver treatment of the bleeding in the form of injections, clips and heat therapy. Hemospray is a white powder that can be sprayed onto the bleeding lesion via an endoscope to stop gastrointestinal bleeding through formation of a barrier. The aim of this project was to study the effectiveness of Hemospray to treat gastrointestinal bleeding.

Who can participate?
Adults with gastrointestinal bleeding

What does the study involve?
Patients with gasrointestinal bleeding will have an endoscopy procedure where they are treated with Hemospray to treat the bleeding, either alone or in combination with injections, clips or heat therapy. Hemospray is currently part of standard care for patients with gastrointestinal bleeding, and its use is at the discretion of the endoscopy doctor. There is no direct participation in this study for patients, as this study was completed through observation of the medical records of these patients.

What are the possible benefits and risks of participating?
There are no known benefits of participation in this study, as Hemospray treatment is standard care for gastrointestinal bleeding. There are no known risks of participating in this study, and the only risk Hemospray treatment itself carries is the potential for an allergic reaction.


Where is the study run from?
University College London Hospital, UK

When is the study starting and how long is it expected to run for?
January 2016 to January 2026

Who is funding the study?
This study is not funded, as Hemospray treatment is part of patient’s standard of care and this study only involves observing the outcomes of this standard treatment

Who is the main contact?
Dr Rehan Haidry, Consultant Gastroenterologist, University College London Hospital (UCLH)
rehan.haidry@nhs.net

Contact information

Dr Durayd Alzoubaidi
Scientific

Charles Bell House, 43-45 Foley Street, London
London
W1W 7TS
United Kingdom

ORCiD logoORCID ID 0000-0001-8308-1667
Phone +44 (0)7723035400
Email d.alzoubaidi@ucl.ac.uk

Study information

Primary study designObservational
Study designObservational prospective multi-centre international registry
Secondary study designCase series
Study type Participant information sheet
Scientific titleOutcomes from an international multi-centre registry of patients with acute gastrointestinal bleeding undergoing endoscopic treatment with Hemospray
Study objectivesHemospray is effective in the management of gastrointestinal bleeding
Ethics approval(s)Presented to the London - South East Research Ethics Committee. The outcome was that the project would more appropriately be classified and managed as service evaluation and development rather than research, therefore no ethics approval is required.
Health condition(s) or problem(s) studiedGastrointestinal bleeding
InterventionParticipants were treated with Hemospray after endoscopic procedures as per routine clinical practice and their clinical records were observed for a 30 day period.
Intervention typeDevice
Phase
Drug / device / biological / vaccine name(s)
Primary outcome measure(s)

Endoscopic hemostasis of gastrointestinal bleeding when Hemospray is used on its own as monotherapy, dual therapy or rescue therap within 5 minutes of application of Hemospray.

Key secondary outcome measure(s)

The following are tracked over the 30 days of observation of hospital records:
1. Re-bleeding in less than 24 hours post initial endoscopy, at 24-72 hours, 4-7 days, 7-14 days and more than 14 days after the initial endoscopic therapy with Hemospray
2. 7 day and 30 day all-cause mortality
3. Baseline pathology and disease specific outcomes
4. Adverse events

Completion date01/01/2026

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration10000
Key inclusion criteria1. Aged 18 years or older
2. Gastrointestinal bleeding
Key exclusion criteria1. Allergic to Hemospray
2. Known perforation
Date of first enrolment26/12/2016
Date of final enrolment01/01/2026

Locations

Countries of recruitment

  • United Kingdom
  • England
  • France
  • Germany
  • United States of America

Study participating centre

University College London Hospital
235 Euston Road
Fitzrovia
London
NW1 2BU
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are available from Dr Durayd Alzoubaidi (d.alzoubaidi@ucl.ac.uk)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 17/06/2017 Yes No
Results article 01/01/2020 19/04/2021 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

19/04/2021: Publication reference added.
09/07/2020: The trial contact details have been made publicly visible.