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CompletedNCT06535360Updated Aug 6, 2024

Efficacy of Pathogen Inactivation Strategies for Platelet Transfusion

A Phase 4 interventional study of Platelet transfusion in Cardiopulmonary Bypass Surgery, sponsored by University of Maryland, Baltimore. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-06.

Sponsored by University of Maryland, Baltimore · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2023, 3 years 4 months ago, and no results have been posted to the registry.
  • Registered 3 years 8 months after the study started (first participant enrolled Sep 2020, registered May 2024).
Phase
Phase 4
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective randomized clinical trial designed to determine the hemostatic ability of pathogen reduced platelet, when compared to non-pathogen reduced platelets suspended in platelet additive solution.

Read the detailed description

The safety and efficacy of pathogen reduced (PRT) platelets (PLTs) have been investigated in several controlled clinical studies. Most of these clinical studies evaluated the efficacy of PRT PLTs during prophylactic transfusion evaluating post-transfusion platelet count increments, rather than platelet function during bleeding episodes. During massive transfusion events and immediate resuscitation, PLT transfusion is recognized as an important determinant of a positive patient outcome. PLT transfusion is important to control bleeding in patients undergoing cardiac surgery on cardiopulmonary bypass because cardiopulmonary bypass alters platelet function. Thus, transfusion of functional platelets is required to control bleeding post-operatively. In this context, the investigators propose to investigate whether efficient hemostasis associated with platelet transfusion differs with the use of pathogen reduced PRT PLTs compared to non-pathogen reduced PLTs that are suspended in platelet additive solution.

02

Conditions studied

  • Cardiopulmonary Bypass Surgery
03

In context

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 687 studies on the registry; 130 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 63 (70%) have results posted.

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
No

Inclusion criteria

  • Age > 18 years
  • Preoperative evaluation for risk of transfusion: platelet count \< 200,000/mcl, OR anticipated time on cardiopulmonary bypass > 90 min, OR complex cardiac surgery, OR use of preoperative antiplatelet therapy within 3-5 days of surgery.

Exclusion criteria

Exclusion Criteria:

  • Patient that lack the ability to consent
  • Patients with the diagnosis of idiopathic thrombocytopenia purpura,
  • Patient with the diagnosis of heparin-induced thrombocytopenia.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    PRT PLTs stored in PAS

    FDA approved and already used in this patient population tested for non-inferiority

    Biological: Platelet transfusion

  • Active comparator
    Non-PRT PLTs stored in platelet additive solution (PAS)

    FDA approved and already used in this patient population

    Biological: Platelet transfusion

Interventions

  • BiologicalPlatelet transfusion

    platelet administration through intravenous access

06

What researchers measure

Primary outcomes

  1. Change in Maximum Amplitude (MA) of thromboelastography (TEG)

    ΔMA observed with platelet transfusion (difference in MA measured within an hour post transfusion to MA measured immediately pre-transfusion)

    Time frame: within 60 minutes including blood for TEG testing immediately pre transfusion and blood draw post transfusion

Secondary outcomes

  1. Chest Tube Drainage

    The volume in ml of chest tube drainage during the first 24 hours post surgery

    Time frame: 24 hours

  2. Red blood cell units Transfused

    number of red blood cell units transfused

    Time frame: Within the first 24 Hrs Following Surgery

  3. Platelet Units Transfused

    number of platelet units transfused

    Time frame: Within the first 24 Hrs Following Surgery

  4. Cryoprecipitate Units Transfused

    number of Cryoprecipitate Units Transfused

    Time frame: Within the first 24 Hrs Following Surgery

  5. Plasma Units Transfused

    number of plasma units transfused

    Time frame: Within the first 24 Hrs Following Surgery

07

Study locations

1 site
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06535360
Lead sponsor
University of Maryland, Baltimore
Responsible party
Magali Fontaine (Professor of Pathology, University of Maryland, Baltimore) — Principal investigator
First posted
Aug 2, 2024
Start date
Sep 1, 2020
Primary completion
May 31, 2023
Completion
May 31, 2023
Last update
Aug 6, 2024

Study contacts

Magali Fontaine, MD, PhD
principal investigator · University of Maryland, Baltimore

Oversight

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

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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