ClinicalTrials.gg
CompletedNCT05900037Updated Feb 12, 2026

GATT-Patch Versus SURGICEL® Original in Minimally Invasive Liver and Gallbladder Surgery

An interventional study of GATT-Patch and SURGICEL® Original in Intraoperative Bleeding, Liver Diseases and Gallbladder Diseases, sponsored by GATT Technologies BV. Completed at 6 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-02-12.

Sponsored by GATT Technologies BV · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 4 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

This is a pre-market, prospective, randomized (1:1), multicenter, pivotal clinical investigation. The purpose of this investigation is to determine the clinical performance of GATT-Patch as compared with SURGICEL® Original for the management of minimal, mild, or moderate bleeding during minimally invasive liver and gallbladder surgery.

02

Conditions studied

  • Intraoperative Bleeding
  • Liver Diseases
  • Gallbladder Diseases
  • Hemorrhage, Surgical

Keywords

  • Hemostatic patch
  • GATT-Patch
  • SURGICEL® Original
  • Liver surgery
  • Gallbladder surgery
  • Hemostasis
03

In context

Blood Loss, Surgical

213 studies on the registry are indexed under Blood Loss, Surgical; 40 are open to participants now.

This study's enrollment of 53 is below the median of 80 across 160 interventional studies indexed under Blood Loss, Surgical.

Browse Blood Loss, Surgical studies →

Lead sponsor

GATT Technologies BV is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
22 Years and older
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

  • Subject is scheduled to undergo elective minimally invasive (robotic or laparoscopic) surgery on the liver, including cholecystectomy
  • Subject is willing and able to give written for the clinical investigation participation
  • Subjects is 22 years of age or older at the time of enrollment; and
  • Subject has been informed of the nature of the clinical investigation.

A subject must meet all of the following intra-operative inclusion criteria to be enrolled into the clinical investigation:

  • Subject undergoes a fully minimally invasive surgical approach without the use of a hand port at the time of randomization and application of the patch;
  • Subject in whom the Investigator is able to identify a target bleeding site at the liver resection plane for which any applicable conventional means for hemostasis (e.g. suture, ligature or cautery) are ineffective or impractical, and the choice is made to use a hemostatic agent to stop the bleeding
  • Pressure on the surface of the hemostatic agent can be applied with the minimally invasive instruments to achieve hemostasis
  • Subject has a target bleeding site with a SBSS of 1, 2, or 3 (e.g. reflecting minimal, mild or moderate bleeding severities)

Exclusion criteria

Exclusion Criteria:

  • The target bleeding site is from a large defect in an artery or vein that requires vascular reconstruction with maintenance of vessel patency
  • Subject is scheduled to undergo surgery on organs other than the liver and its associated biliary and vascular system
  • Subject is scheduled to undergo a staged liver surgery procedure (e.g., Associating Liver Partition and Portal vein ligation for Staged hepatectomy [ALPPS])
  • Subject is taking multiple antithrombotic therapies in therapeutic dosage up to the time of surgery, but allowing exclusive use of acetylsalicylic acid
  • Subject has count \<100 x 109/L, an activated partial thrombin time of >100s, or >2.5
  • Subject has a total level of ≥2.5 mg/dl
  • Subject is pregnant, planning on becoming pregnant or actively breastfeeding during the 3-month follow-up period
  • Subject has a known to brilliant blue (FD\&C Blue #1), porcine gelatin
  • Subject who has religious objections to receiving products containing porcine
  • Subject has an active or suspected infection at the bleeding site
  • Subject in whom the device will be used at the site of a synthetic graft or patch implant
  • Subject has a of less than 3 months
  • Subject has a documented severe congenital or acquired immunodeficiency
  • Subject has had or has planned to receive any organ transplantation
  • Subject undergoes surgery with the indication of being a living liver donor
  • Subject is currently participating or has participated in another clinical investigation within the past 30 days that may affect the endpoints of the study, such as trials related to the surgical procedure and anti-coagulation
  • Subject is not appropriate for inclusion in the clinical investigation, per the medical opinion of the Investigator
  • Subject has any incidental (pre- and peri-operative) findings deemed by the Investigator to potentially jeopardize the safety or welfare of the subject
Terms in these criteria, in plain language(7)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
53 participants (actual)

Study arms

  • Experimental
    GATT-Patch

    Hemostatic Patch

    Device: GATT-Patch

  • Active comparator
    SURGICEL® Original

    Hemostatic Patch

    Device: SURGICEL® Original

Interventions

  • DeviceGATT-Patch

    GATT-Patch is a sterile, flexible and resorbable hemostatic sealing patch. It presents as a blue, soft, flexible, porcine gelatin fiber-based carrier impregnated with an NHS-POx / NU-POx granulate. GATT-Patch measures 10 cm long by 5 cm wide. GATT-Patch is active and can be applied on both sides. Blue color is an aid to visualize GATT-Patch when applied onto a bleeding location. GATT-Patch is indicated for use as an adjunct to hemostasis in surgery for minimal, mild or moderate bleeding sites when control of bleeding by standard surgical techniques (such as suture, ligature or cautery) is ineffective or impractical. GATT-Patch is intended to be used for management of hemorrhage during surgeries on the liver.

  • DeviceSURGICEL® Original

    SURGICEL® Absorbable Hemostat (oxidized regenerated cellulose) is indicated for use in surgical procedures to assist in the control of capillary, venous and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective.

    Also known as: Surgicel Absorbable Hemostat

06

What researchers measure

Primary outcomes

  1. Rate of hemostasis within 7 minutes from introduction of the first (piece of) patch through the trocar without rebleeding at the 10-minute time point from initiating pressure on the entire surface of the hemostatic agent

    SBSS 0

    Time frame: During surgical procedure

Secondary outcomes

  1. Median time in seconds from introducing the hemostatic agent through the trocar and achieving hemostasis

    SBSS 0

    Time frame: During surgical procedure

  2. Median time in seconds from introducing the hemostatic agent through the trocar to initiating pressure on the entire surface of the agent

    SBSS 0

    Time frame: During surgical procedure

  3. Median time in seconds to hemostasis from initiating pressure on the entire surface of the agent

    SBSS 0

    Time frame: During surgical procedure

  4. Percentage of hemostasis from initiating pressure on the entire surface of the agent at 30, 60, 120, 180, 240, 300, 360, 420, 480, 540 and 600 seconds

    SBSS 0-5

    Time frame: During surgical procedure

  5. Kaplan-Meier estimated distribution of time to hemostasis from initiating pressure on the entire surface of the agent

    SBSS 0

    Time frame: During surgical procedure

  6. Treatment failure, defined as no hemostasis with the agent at 10 minutes from initiating pressure on the entire surface of the agent

    SBSS 1-5 at the 10 minute timepoint

    Time frame: During surgical procedure

  7. Rebleeding after the 10-minute time point from initiating pressure on the entire surface of the agent but before subject wound closure

    SBSS 1-5 after initially SBSS 0

    Time frame: During surgical procedure

  8. Number of times an additional (piece of) hemostatic agent needs to be used to achieve hemostasis

    SBSS 1-5

    Time frame: During surgical procedure

Other outcomes

  1. Conversion from minimally invasive to open surgery, and reasons for conversion

    SBSS 1-5

    Time frame: During surgical procedure

  2. Procedure duration

    Time in minutes

    Time frame: During surgical procedure

  3. Duration of hepatic blood inflow reduction

    Time in minutes

    Time frame: During surgical procedure

  4. Estimated blood loss during surgery

    mL

    Time frame: During surgical procedure

  5. Number and type of blood transfusions during hospitalization

    Platelets, Erythrocytes, Plasma

    Time frame: During surgical procedure

  6. Duration of Intensive Care Unit (ICU) stay

    Time in Days

    Time frame: During hospitalization up to hospital discharge after the surgical procedure, estimated up to 30 days

  7. Total hospitalization time

    Time in Hours

    Time frame: From surgery to discharge from the ICU, estimated up to 30 days

  8. Postoperative drainage volume, characteristics, and duration

    Serous, sanguineous, serosanguineous, other Sanguineous Serosanguinous Serous, Sanguineous, Serosanguineous, Purulent, Other

    Time frame: During hospitalization up to hospital discharge after the surgical procedure, estimated up to 30 days

  9. Rate of subjects requiring reoperation

    Occurrence yes/no

    Time frame: During postoperative 3-months follow-up

  10. Rate of subjects with liver resection surface complications on ultrasound

    Fluid collection, biloma, hematoma, patch encapsulation, patch rolling up on the surface

    Time frame: At 6 week follow-up visit

  11. Amount of hemostatic material needed versus bleeding surface

    cm2 patch per cm2 bleeding

    Time frame: During surgical procedure

  12. GATT-Patch device-specific user satisfaction questionnaire

    Likert scale (strongly disagree, disagree, neutral, agree, strongly agree) with (strongly) agreeing meaning a better outcome

    Time frame: At completion of the surgical procedure, at day 0

07

Study locations

6 sites
  • University of Southern California
    Los Angeles, California 90033, United States
  • Washington University
    St Louis, Missouri 63110, United States
  • Capital Health
    Pennington, New Jersey 08534, United States
  • Weill-Cornell
    New York, New York 10065, United States
  • Atrium Health
    Charlotte, North Carolina 28204, United States
  • Intermountain Healthcare
    Murray, Utah 84111, United States
08

References and documents

Publications

  • Boerman MA, Roozen E, Sanchez-Fernandez MJ, Keereweer AR, Felix Lanao RP, Bender JCME, Hoogenboom R, Leeuwenburgh SC, Jansen JA, Van Goor H, Van Hest JCM. Next Generation Hemostatic Materials Based on NHS-Ester Functionalized Poly(2-oxazoline)s. Biomacromolecules. 2017 Aug 14;18(8):2529-2538. doi: 10.1021/acs.biomac.7b00683. Epub 2017 Jul 25. PubMed 28699748 ↗
  • Roozen EA, Warle MC, Lomme RMLM, Felix Lanao RP, van Goor H. New polyoxazoline loaded patches for hemostasis in experimental liver resection. J Biomed Mater Res B Appl Biomater. 2022 Mar;110(3):597-605. doi: 10.1002/jbm.b.34938. Epub 2021 Sep 18. PubMed 34536065 ↗

Individual participant data

Plan to share: Yes — Undecided

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 Oct 2023 to primary completion in Jul 2025, 21 months.

Of 40 interventional studies with no phase under Blood Loss, Surgical, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 23. This study's 21 months is above that.

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

Registered
May 19, 2023
First posted
Jun 12, 2023
StartActual
Oct 2, 2023
Primary completionActual
Jul 7, 2025
CompletionActual
Aug 5, 2025
Last update
Feb 12, 2026
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 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05900037
Lead sponsor
GATT Technologies BV
Responsible party
Sponsor
First posted
Jun 12, 2023
Start date
Oct 2, 2023
Primary completion
Jul 7, 2025
Completion
Aug 5, 2025
Last update
Feb 12, 2026

Study contacts

Stuart Head, MD PhD
study director · GATT Technologies BV

Oversight

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

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This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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