ClinicalTrials.gg
CompletedNCT03278548PHOENICSUpdated Jan 31, 2024

Safety and Efficacy of 6% Hydroxyethyl Starch (HES) Solution Versus an Electrolyte Solution in Patients Undergoing Elective Abdominal Surgery

A Phase 4 interventional study of Volulyte 6% and Ionolyte in Hypovolaemia Due to Acute Blood Loss, sponsored by Fresenius Kabi. Completed at 61 sites in 10 countries. Open to participants aged 41 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-01-31.

Sponsored by Fresenius Kabi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
2,289
Allocation
Randomized
Ages
41 Years to 85 Years
Sex
All
01

Study summary

The aim of the study is to investigate the safety of a 6% HES (Hydroxyethyl Starch) solution (Volulyte 6%) versus an electrolyte solution (Ionolyte) in patients undergoing elective abdominal surgery.

02

Conditions studied

  • Hypovolaemia Due to Acute Blood Loss

Keywords

  • HES
  • HES 130
  • Hydroxyethyl starch
03

In context

Lead sponsor

Fresenius Kabi is the lead sponsor of 51 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
41 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female adult patients > 40 and ≤ 85 years of age. Women of child bearing potential must test negative on standard pregnancy test (urine or serum)
  • Patients undergoing elective abdominal surgery with an expected blood loss of ≥ 500 ml
  • ASA Physical Status II - III
  • Signed written form

Exclusion criteria

Exclusion:

  • to the active substances or to any of the other of the medicinal products
  • Body weight ≥ 140 kg
  • Sepsis
  • Burns
  • Renal impairment (AKIN stage ≥ 1 or chronic) or acute and/or chronic renal replacement therapy
  • Intracranial or cerebral haemorrhage
  • Critically ill patients (typically admitted to the intensive care unit)
  • Hyperhydration
  • Pulmonary oedema
  • Dehydration
  • Hyperkalaemia
  • Severe hypernatraemia
  • Severe hyperchloraemia
  • Severely impaired hepatic function
  • Congestive heart failure
  • Severe coagulopathy
  • Organ transplant patients
  • Metabolic alkalosis
  • Simultaneous participation in another interventional clinical trial (drugs or medical devices studies)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

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Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

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It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,289 participants (actual)

Study arms

  • Experimental
    Volulyte 6%

    Volulyte 6% solution for infusion

    Drug: Volulyte 6%

  • Active comparator
    Ionolyte

    Ionolyte solution for infusion

    Drug: Ionolyte

Interventions

  • Solution for infusion

    Also known as: Hydroxyethyl starch 130/0.4

  • Solution for infusion

    Also known as: Electrolyte solution

06

What researchers measure

Primary outcomes

  1. Difference in mean estimated glomerular filtration rate (eGFR) (calculated from highest cystatin-C levels measured during post-operative days 1-3 (POD 1-3)) between the two treatment groups

    Time frame: post-operative days 1-3

Secondary outcomes

  1. Renal function

    Time frame: until 1 year after surgery

  2. Calculated red blood cell (RBC) loss

    Time frame: on post-operative day 3

  3. Estimated intra-operative blood loss

    Time frame: end of surgery

  4. Coagulation

    Time frame: until post-operative day 1

  5. Inflammation

    Time frame: until post-operative day 1

  6. Adverse events

    Time frame: until post-operative day 90

  7. Major post-operative complications

    Time frame: until post-operative day 90

  8. Mortality

    Time frame: 1 year

  9. Composite of mortality and major post-operative complications (including renal)

    Time frame: until post-operative day 90

  10. Total volume of administered investigational product

    Time frame: until 24 hours after investigational product treatment start

  11. Fluid balance [Sum of volume of all intravenous medication (including investigational product and blood products) minus sum of volume of urine output (if available), drainage and estimated intra-operative blood loss]

    Time frame: until post-operative day 3

  12. Heart Rate

    Time frame: until post-operative day 3

  13. Body temperature

    Time frame: until post-operative day 3

  14. Mean arterial pressure

    Time frame: until post-operative day 3, if available

  15. Systolic arterial blood pressure

    Time frame: until end of surgery

  16. Diastolic arterial blood pressure

    Time frame: until end of surgery

  17. Central venous pressure (if available)

    Time frame: until end of surgery

  18. Haemodynamics readings as required to determine volume responsiveness [at least one parameter (stroke volume, stroke volume variation, stroke volume index, pulse pressure variation, mean arterial pressure) has to be used to guide volume administration]

    Time frame: until 24 hours after investigational product treatment start

  19. Partial pressure of carbon dioxide

    Time frame: until end of surgery

  20. Partial pressure of oxygen

    Time frame: until end of surgery

  21. Bicarbonate

    Time frame: until end of surgery

  22. Arterial oxygen saturation

    Time frame: until end of surgery

  23. Haemoglobin

    Time frame: until post-operative day 3

  24. Haematocrit

    Time frame: until post-operative day 3

  25. pH

    Time frame: until end of surgery

  26. Base Excess

    Time frame: until end of surgery

  27. Lactate

    Time frame: until post-operative day 3

  28. Central venous oxygen saturation (if available)

    Time frame: until post-operative day 1

  29. Serum sodium

    Time frame: until post-operative day 1

  30. Serum potassium

    Time frame: until post-operative day 1

  31. Serum calcium

    Time frame: until post-operative day 1

  32. Serum chloride

    Time frame: until post-operative day 1

  33. Length of stay in the hospital/intensive care unit

    Time frame: until post-operative day 90

  34. Hours on mechanical ventilation

    Time frame: until post-operative day 7

07

Study locations

61 sites
  • General Hospital of Barmherzige Brüder
    Sankt Veit, Austria
  • Social Medical Center East - Donauspital
    Vienna, Austria
  • Cliniques Universitaires Saint Luc
    Brussels, Belgium
  • AZ Maria Middelares
    Gent, Belgium
  • Jessa Ziekenhuis
    Hasselt, Belgium
  • Clinical Hospital Sveti Duh
    Zagreb, Croatia
  • University Hospital Sisters of Mercy
    Zagreb, Croatia
  • University Hospital Zagreb
    Zagreb, Croatia
  • Kolín Hospital
    Kolín, Czechia
  • Central Military Hospital Prague
    Prague, Czechia
  • General University Hospital in Prague
    Prague, Czechia
  • University Hospital Motol
    Prague, Czechia
  • CHU Angers
    Angers, France
  • Hospital Centre Pierre Oudot
    Bourgoin-Jallieu, France
  • CHRU Lille
    Lille, France
  • Hospital Centre Montauban
    Montauban, France
  • Montpellier University Hospital
    Montpellier, France
  • AP-HP Paris (Salpêtrière)
    Paris, France
  • Hospital Saint-Antoine
    Paris, France
  • Hôpital Européen Georges Pompidou
    Paris, France
  • University Hospital of Strasbourg
    Strasbourg, France
  • Hospital Foch Suresnes
    Suresnes, France
  • Hospital Jean Bernard
    Valenciennes, France
  • Carl-Thiem-Klinikum
    Cottbus, Germany
  • Helios Amper-Klinikum
    Dachau, Germany
  • Universitätsklinikum Carl Gustav Carus
    Dresden, Germany
  • University Hospital Schleswig-Holstein Campus Kiel
    Kiel, Germany
  • Kliniken der Stadt Köln
    Köln, Germany
  • University Hospital Marburg
    Marburg, Germany
  • University Hospital Munich
    München, Germany
  • Universitätsklinikum Münster
    Münster, Germany
  • Klinikum Oldenburg AÖR
    Oldenburg, Germany
  • Regio Klinikum Pinneberg GmbH
    Pinneberg, Germany
  • Amsterdam Medical Centre
    Amsterdam, Netherlands
  • Martini General Hospital Groningen
    Groningen, Netherlands
  • University Medical Center Groningen
    Groningen, Netherlands
  • University Medical Center (UMC) Maastricht
    Maastricht, Netherlands
  • University Clinical Center Gdansk
    Gdańsk, Poland
  • Medical University of Silesia
    Katowice, Poland
  • Wojewodzki Szpital Zespolony
    Konin, Poland
  • Szpital Specjalistyczny im. Św. Łukasza
    Końskie, Poland
  • Jagiollonian University Hospital Medical College
    Kraków, Poland
  • Medical University of Lublin
    Lublin, Poland
  • Karol Marcinkowski Medical University in Poznań
    Poznań, Poland
  • University Hospital in Wroclaw
    Wrocław, Poland
  • Klinika Wiśniowa
    Zielona Góra, Poland
  • Fundeni Clinical Institute 1
    Bucharest, Romania
  • Fundeni Clinical Institute 2
    Bucharest, Romania
  • University Hospital Elias Bucharest
    Bucharest, Romania
  • Emergency county hospital Cluj
    Cluj-Napoca, Romania
  • Barcelona Clinic Hospital
    Barcelona, Spain
  • Hospital Santa Creu i Sant Pau
    Barcelona, Spain
  • University Hospital General Del Elche
    Elche, Spain
  • Hospital Universitario de Gran Canaria Dr. Negrín
    Las Palmas de Gran Canaria, Spain
  • Hospital Gregorio Marañon
    Madrid, Spain
  • Hospital Ramón y Cajal
    Madrid, Spain
  • Hospital Universitario Fundacion Alcorcon
    Madrid, Spain
  • Quironsalud
    Málaga, Spain
  • Hospital Clinico Universitario Valencia
    Valencia, Spain
  • Hospital Universitari i Politecnic la Fe
    Valencia, Spain
  • Hospital Universitario Rio Hortega
    Valladolid, Spain
08

References and documents

Publications

  • Buhre W, de Korte-de Boer D, de Abreu MG, Scheeren T, Gruenewald M, Hoeft A, Spahn DR, Zarbock A, Daamen S, Westphal M, Brauer U, Dehnhardt T, Schmier S, Baron JF, De Hert S, Gavranovic Z, Cholley B, Vymazal T, Szczeklik W, Bornemann-Cimenti H, Soro Domingo MB, Grintescu I, Jankovic R, Belda J. Prospective, randomized, controlled, double-blind, multi-center, multinational study on the safety and efficacy of 6% Hydroxyethyl starch (HES) sOlution versus an Electrolyte solutioN In patients undergoing eleCtive abdominal Surgery: study protocol for the PHOENICS study. Trials. 2022 Feb 22;23(1):168. doi: 10.1186/s13063-022-06058-6. PubMed 35193648 ↗
  • Chappell D, Jacob M. Should hydroxyethyl starch be banned? Lancet. 2018 Jul 14;392(10142):118. doi: 10.1016/S0140-6736(18)31174-7. No abstract available. PubMed 30017128 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03278548
Lead sponsor
Fresenius Kabi
Collaborators
B. Braun Melsungen AG, European Society of Anaesthesiology and Intensive Care
Responsible party
Sponsor
First posted
Sep 11, 2017
Start date
Sep 28, 2017
Primary completion
Apr 9, 2022
Completion
Jul 6, 2022
Last update
Jan 31, 2024

Study contacts

Wolfgang F. Buhre, Prof. Dr. med.
study chair · Department of Anesthesiology and Pain Management, Maastricht University, The Netherlands

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Hydroxyethyl Starch Derivatives

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