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出境医 / 临床实验 / Perioperative Modification of Hemostasis During Ventricular Assist Device Implantation (HemostVAD)

Perioperative Modification of Hemostasis During Ventricular Assist Device Implantation (HemostVAD)

Study Description
Brief Summary:

Implanting a ventricular assist device (VAD) is a promising therapy for end-stage cardiac failure. However, the implantation of these devices is associated with a high risk of severe hemorrhages and massive blood product transfusion in the first 48 hours following the implantation. The primary purpose of this study is to assess the functionality of the von Willebrand Factor (vWF) which is essential for hemostasis. The hypothesis is that the high shear stress generated by these VAD expose ADAMTS13 cleaving site on the vWF. This result in a loss of high molecular weight vWF and an acquired von Willebrand syndrome.

The secondary purpose of the protocol is to assess platelet function after the implantation of VAD. Indeed, platelet function might be affected shortly after the implantation of the device.


Condition or disease Intervention/treatment
End-stage Heart Failure Device: ventricular assist device implantation

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 45 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Perioperative Modification of Hemostasis During Ventricular Assist Device Implantation
Actual Study Start Date : June 21, 2019
Estimated Primary Completion Date : June 21, 2022
Estimated Study Completion Date : June 21, 2022
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Von Willebrand Factor activity [ Time Frame: From Baseline to 48 hours ]
    Change of Von Willebrand Factor from Baseline to 48 hours


Biospecimen Retention:   Samples Without DNA
  • Whole blood
  • Plasma

Eligibility Criteria
Contacts and Locations
Tracking Information
First Submitted Date May 17, 2019
First Posted Date May 29, 2019
Last Update Posted Date April 22, 2020
Actual Study Start Date June 21, 2019
Estimated Primary Completion Date June 21, 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 28, 2019)
Von Willebrand Factor activity [ Time Frame: From Baseline to 48 hours ]
Change of Von Willebrand Factor from Baseline to 48 hours
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Perioperative Modification of Hemostasis During Ventricular Assist Device Implantation
Official Title Perioperative Modification of Hemostasis During Ventricular Assist Device Implantation
Brief Summary

Implanting a ventricular assist device (VAD) is a promising therapy for end-stage cardiac failure. However, the implantation of these devices is associated with a high risk of severe hemorrhages and massive blood product transfusion in the first 48 hours following the implantation. The primary purpose of this study is to assess the functionality of the von Willebrand Factor (vWF) which is essential for hemostasis. The hypothesis is that the high shear stress generated by these VAD expose ADAMTS13 cleaving site on the vWF. This result in a loss of high molecular weight vWF and an acquired von Willebrand syndrome.

The secondary purpose of the protocol is to assess platelet function after the implantation of VAD. Indeed, platelet function might be affected shortly after the implantation of the device.

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples Without DNA
Description:
  • Whole blood
  • Plasma
Sampling Method Probability Sample
Study Population Patient with end-stage heart failure (acute or chronic) under surgery for implantation of a ventricular assist device.
Condition End-stage Heart Failure
Intervention Device: ventricular assist device implantation

Blood sampling in patients under surgery for ventricular assist device implantation at five time points:

  • After anesthetic induction
  • Before starting the device
  • 2h, 6h and 48h after starting the device
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: May 28, 2019)
45
Original Estimated Enrollment Same as current
Estimated Study Completion Date June 21, 2022
Estimated Primary Completion Date June 21, 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Age over 18 years old
  • Who gave his consent to the study
  • With an end-stage heart-failure
  • Under surgery for a ventricular assist device implantation
  • Scheduled or in emergency

Exclusion Criteria:

  • Preoperative anemia less than 7 g/dL
  • Subject under the protection of justice
  • Subject under guardianship or curatorship
  • Pregnancy
  • Breastfeeding
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Charles TACQUARD 0369551608 ext +33 charlesambroise.tacquard@chru-strasbourg.fr
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03966313
Other Study ID Numbers 7287
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party University Hospital, Strasbourg, France
Study Sponsor University Hospital, Strasbourg, France
Collaborators Not Provided
Investigators Not Provided
PRS Account University Hospital, Strasbourg, France
Verification Date April 2020