Observational Study of Prophylaxis and Treatment of Acute Perioperative Bleeding With Beriplex® P/N (Probe Study)
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Purpose
Beriplex® P/N is made from human plasma (the liquid part of the blood) and contains the coagulation factors II, VII, IX and X which are important for blood clotting (coagulation). Lack of any of these factors means that blood does not clot as quickly as it should and so there is an increased tendency to bleed. This observational study was designed to evaluate the effectiveness of Beriplex® P/N in the prevention (prophylaxis) and treatment of bleeding during surgery (perioperative bleeding) in a routine clinical setting.
| Condition | Intervention |
|---|---|
|
Coagulation Protein Disorders Blood Loss, Surgical Perioperative Care |
Biological: Beriplex® P/N Biological: Fresh Frozen Plasma (FFP) and Beriplex® P/N Other: Fresh Frozen Plasma |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Cross-Sectional |
| Official Title: | Non-interventional Observational Study of Beriplex® P/N in Prophylaxis and Treatment of Acute Bleeding Perioperatively (Diagnostic Intervention or Surgery) |
- Adequacy of stopping or preventing bleeding [ Time Frame: Up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Transfusions required [ Time Frame: Up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Clinical trigger for administration of the intervention [ Time Frame: Up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Mortality [ Time Frame: Up to 24 hours after treatment ] [ Designated as safety issue: No ]
- International normalized ratio (INR) [ Time Frame: From 3 hours before and up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Prothrombin time (PT) [ Time Frame: From 3 hours before and up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Receipt of other blood products and /or hemostatic agents [ Time Frame: Up to 24 hours after treatment ] [ Designated as safety issue: No ]
- Vital signs [ Time Frame: From 3 hours before and up to 24 hours after treatment ] [ Designated as safety issue: No ]
| Enrollment: | 445 |
| Study Start Date: | May 2010 |
| Study Completion Date: | January 2012 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Prophylaxis Cohort
Patients with coagulopathy due to liver disease or other condition requiring correction of coagulopathy who require surgical or diagnostic intervention
|
Biological: Beriplex® P/N
Intravenous infusion, the dosage and the frequency of administration is calculated on an individual patient basis.
Other Name: Prothrombin complex concentrate
Biological: Fresh Frozen Plasma (FFP) and Beriplex® P/N
FFP is administered before Beriplex® P/N. Each treatment is given as an intravenous infusion, with the dosage of each calculated on an individual patient basis.
Other Name: Prothrombin Complex Concentrate
Other: Fresh Frozen Plasma
Intravenous infusion, the dosage and the frequency of administration is calculated on an individual patient basis.
|
|
Treatment Cohort
Patients experiencing acute bleeding perioperatively
|
Biological: Beriplex® P/N
Intravenous infusion, the dosage and the frequency of administration is calculated on an individual patient basis.
Other Name: Prothrombin complex concentrate
Biological: Fresh Frozen Plasma (FFP) and Beriplex® P/N
FFP is administered before Beriplex® P/N. Each treatment is given as an intravenous infusion, with the dosage of each calculated on an individual patient basis.
Other Name: Prothrombin Complex Concentrate
Other: Fresh Frozen Plasma
Intravenous infusion, the dosage and the frequency of administration is calculated on an individual patient basis.
|
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with coagulopathy due to liver disease or other conditions requiring correction of coagulopathy who require surgical or diagnostic intervention and patients experiencing acute bleeding perioperatively
Inclusion Criteria (All):
For all cohorts:
•≥ 16 years of age
Received treatment with:
- Beriplex® P/N
- or FFP and Beriplex® P/N (in subsequent order)
- or FFP only
INR and/or PT results available in connection with administration of Beriplex® P/N or FFP:
- within 3 hours directly before and after administration of Beriplex® P/N or FFP
In case of Beriplex® P/N use subsequent to FFP, additional results of INR and PT between the administration of the two products
Cohort P (Prophylaxis Group):
- Chronic liver disease, acute liver failure, or other conditions requiring correction of coagulopathy
- Coagulopathy (INR > 1.4 and/or PT ≥ 3 sec of upper limit of normal [ULN])
- Any planned major or minimally invasive procedure, except liver transplantation
Cohort T (Treatment Group):
- Acute perioperative bleeding (as assessed by the investigator)
Exclusion Criteria:
- Treatment with prothrombin complex concentrates (PCCs) other than Beriplex® P/N
- Acquired deficiency of the vitamin K-dependent coagulation factors (e.g., as induced by treatment with oral vitamin K antagonists)
Contacts and Locations| United Kingdom | |
| Royal Blackburn Hospital | |
| Blackburn, United Kingdom | |
| Blackpool | |
| Blackpool, United Kingdom, FY3 8NR | |
| Addenbrokes | |
| Cambridge, United Kingdom, CB23 3RE | |
| Royal Free Hospital | |
| London, United Kingdom | |
| Derriford Hospital | |
| Plymouth, United Kingdom | |
| Southhampton General Hospital | |
| Southhampton, United Kingdom | |
| Principal Investigator: | Pratima Chowdary, MRCP, FRCPath | The KD Haemophilia Centre & Haemostasis Unit, Royal Free NHS Trust |
More Information
Additional Information:
No publications provided
| Responsible Party: | CSL Behring |
| ClinicalTrials.gov Identifier: | NCT01053169 History of Changes |
| Other Study ID Numbers: | BE1116_5001, 1492 |
| Study First Received: | January 20, 2010 |
| Last Updated: | June 13, 2012 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by CSL Behring:
|
Coagulopathy Perioperative bleeding Prothrombin complex Liver disease |
Additional relevant MeSH terms:
|
Blood Loss, Surgical Coagulation Protein Disorders Blood Coagulation Disorders Hematologic Diseases Hemorrhage Pathologic Processes Intraoperative Complications |
Thrombin Hemostatics Coagulants Hematologic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013