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CompletedNCT01352143Updated Nov 20, 2013

Thrombin Generation in Neonatal Plasma After Cardiopulmonary Bypass

An observational study in Cardiopulmonary Bypass, sponsored by Emory University. Completed at 1 site in United States. Open to participants aged Up to 30 Days. Per ClinicalTrials.gov, last updated 2013-11-20.

Sponsored by Emory University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
24
Ages
Up to 30 Days
Sex
All
01

Study summary

The primary goal of this investigation is to determine the ability of recombinant activated factor VII (rFVIIa) and prothrombin complex concentrate (PCC) to improve thrombin generation in neonatal plasma after CPB.

Read the detailed description

In this investigation, the investigators propose a comparison in vitro of the ability of rFVIIa with that of PCC to increase thrombin generation in neonatal plasma after CPB. A pre-cardiopulmonary bypass (CPB) baseline blood sample will be obtained. After the termination of CPB and the administration of one round of protamine, platelets and fibrinogen (standard of care), a second blood sample will be drawn. All samples will be centrifuged to yield platelet rich plasma and stored until processing. In the pre-CPB sample, baseline thrombin generation will be measured. The post-CPB sample will be divided into three aliquots to measure thrombin generation under three different circumstances: the first will serve as a control, the second will include rFVIIa and the third PCC.

02

Conditions studied

  • Cardiopulmonary Bypass

Keywords

  • Neonates
03

In context

Lead sponsor

Emory University is the lead sponsor of 1,386 studies on the registry; 236 are open to participants now.

Of its 229 completed or terminated interventional studies of FDA-regulated products, 174 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 30 Days
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Neonates (less than 30 days of age) undergoing complex congenital cardiac surgery requiring cardiopulmonary bypass

Inclusion criteria

  1. Full-term neonates (36-42 weeks gestational age)
  2. Apgar score of 7 or more at 5 minutes after delivery
  3. Neonates undergoing elective cardiac surgery requiring CPB at Children's Healthcare of Atlanta at Egleston
  4. Parents willing to participate, and able to understand and sign the provided informed consent

Exclusion criteria

Exclusion criteria:

  1. Preterm neonates (less than 36 weeks gestation)
  2. Apgar score of less than 6 at 5 minutes after birth
  3. Emergent procedure
  4. Patients undergoing cardiac surgery not requiring CPB
  5. Neonates with a known coagulation defect or coagulopathy
  6. Mother with a known coagulation defect or coagulopathy
  7. Parents unwilling to participate or unable to understand and sign the provided informed consent
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
24 participants (actual)
Biospecimen retention
Samples without dna

Interventions

  • DrugRecombinant activated factor VII

    Plasma will be spiked in vitro with recombinant activated factor VII to assess increases in thrombin generation with and without the drug

    Also known as: NovoSeven RT, Novo Nordisk, Bagsvaerd, Denmark

  • DrugProthrombin Complex Concentrate

    Plasma will be spiked in vitro with prothrombin complex concentrate to determine increases in thrombin generation with and without the drug

    Also known as: Beriplex P/N, CSL Behring, King of Prussia, PA

06

What researchers measure

Primary outcomes

  1. Peak thrombin Generation

    The primary outcome measure is the peak amount of thrombin generated (measured in nM) as determined by the Thrombinoscope with rFVIIa as compared to PCC.

    Time frame: one year

07

Study locations

1 site
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01352143
Lead sponsor
Emory University
Collaborators
Children's Research Oversight Committee Funds
Responsible party
Nina Guzzetta, M.D. (Associate Professor of Anesthesiology, Emory University) — Principal investigator
First posted
May 11, 2011
Start date
Mar 2011
Primary completion
Jun 2012
Completion
Jun 2012
Last update
Nov 20, 2013

Study contacts

Nina A Guzzetta, M.D.
principal investigator · Emory University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2013. You cannot join it, but the record below documents what was studied.

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