ClinicalTrials.gg
CompletedNCT03420352Updated Feb 5, 2018

Non-Luer Butterfly Needle With One-way Valve for the Epidural Blood Patch: Does it Alter Blood Clotting?

An interventional study of Thromboelastography in Post-Dural Puncture Headache and Low Pressure Headache, sponsored by University Hospitals, Leicester. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-05.

Sponsored by University Hospitals, Leicester · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jan 2017, registered Jan 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The Department of Health recommends using equipment which prevents wrong route drug administration. However, the epidural blood patch requires equipment that connects to the intravenous and epidural route. To comply with these recommendations a non-Luer butterfly needle with one-way valve has been produced. The one-way valve and length of tubing has the potential to activate the clotting cascade. This could reduce the time clinicians have to utilise the blood in the syringe. Also any alteration in clotting could affect the therapeutic value of the epidural blood patch. The primary objective of this research was to determine if phlebotomy using this new 21G needle altered blood clotting, determined by thromboelastograph analysis, compared to a standard 21G hypodermic needle.

Read the detailed description

Ethical approval was gained from the Health Research Authority (North West - Greater Manchester South Research Ethics Committee, REC Reference Number: 16/NW/0570). After informed consent, we enrolled participants

02

Conditions studied

  • Post-Dural Puncture Headache
  • Low Pressure Headache
03

In context

Post-Dural Puncture Headache

122 studies on the registry are indexed under Post-Dural Puncture Headache; 27 are open to participants now.

This study's enrollment of 39 is below the median of 80 across 79 interventional studies indexed under Post-Dural Puncture Headache.

Browse Post-Dural Puncture Headache studies →

Lead sponsor

University Hospitals, Leicester is the lead sponsor of 68 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Participant is willing and able to give for participation in the study.
  • Male or Female.
  • Aged 18 years or above.
  • Within first 2 days postnatal for postnatal group
  • Healthy participants must be in good health.
  • Able (in the Investigators opinion) and willing to comply with all study requirements.
  • Willing to allow his or her General Practitioner and consultant, if appropriate, to be notified of participation in the study.

Exclusion criteria

Exclusion Criteria:

  • Any medical condition
  • In postnatal group, women with haemorrhage greater than 1L
  • In postnatal group, less than 12 hours post prophylactic dalteparin
  • Any clotting abnormality
  • On any medication including herbal medication (vitamins taken during pregnancy are acceptable)
  • Age less than 18 years at recruitment
  • Adults who are not capable of giving valid consent
  • Adults with learning disabilities/ difficulties
  • Adults in emergency situations
  • Unable to speak or read English
  • Prisoners
  • Adults unable to consent for themselves
  • Any person considered to have a particularly dependent relationship with investigators
  • Any others deemed to belong to a vulnerable group.
  • Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study.
  • Participants who have participated in another research study involving an product in the past 12 weeks
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

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
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Other
    butterfly needle with valve

    thromboelastography

    Diagnostic Test: Thromboelastography

  • Other
    Standard hypodermic needle

    thromboelastography

    Diagnostic Test: Thromboelastography

Interventions

  • Diagnostic testThromboelastography

    paired TEG analysis undertaken from participants with the two different needles

06

What researchers measure

Primary outcomes

  1. Reaction Time (R-time) (Minutes)

    We will measure the thromboelastography (TEG) results of the patients blood with each needle. The TEG analysis will provide us with the R-time

    Time frame: 1 hour

  2. Maximum amplitude (millimetre) (MA)

    We will measure the thromboelastography (TEG) results of the patients blood with each needle. The TEG analysis will provide us with the MA

    Time frame: 1 hour

  3. Lysis-30 (%) (LY30)

    We will measure the thromboelastography (TEG) results of the patients blood with each needle. The TEG analysis will provide us with the LY30

    Time frame: 1 hour

07

Study locations

1 site
  • University Hospital Leicester
    Leicester, LE1 5WW, United Kingdom
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified data with all primary outcomes measures will be made available

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: From publication of paper, for as long as required

Access criteria: Data access requests will be reviewed by an external independent review panel. Requesters will be required to sign a data access agreement.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2017 to primary completion in Apr 2017, 3 months.

Of 33 non-industry interventional studies with no phase under Post-Dural Puncture Headache, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 32. This study's 3 months is below that.

Counting every sponsor, half of 34 studies reached it within 9 months; a quarter within 4 and three quarters within 32.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 19, 2018
First posted
Feb 5, 2018
StartActual
Jan 1, 2017
Primary completionActual
Apr 28, 2017
CompletionActual
Apr 28, 2017
Last update
Feb 5, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03420352
Lead sponsor
University Hospitals, Leicester
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Jan 1, 2017
Primary completion
Apr 28, 2017
Completion
Apr 28, 2017
Last update
Feb 5, 2018

Study contacts

Asif Mahmood, MBChB,FRCA
principal investigator · University Hospital Leicester

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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