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CompletedNCT07354178Updated Jan 21, 2026

Study of Collagen-Based Thrombin Hemostat for the Control of Bleeding in Spinal Surgery

An interventional study of CollaStat® and Floseal® in Spinal Tumor, Spinal Injury and Hemostasis, sponsored by DALIM TISSEN Co., Ltd.. Completed at 3 sites in South Korea. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-01-21.

Sponsored by DALIM TISSEN Co., Ltd. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Oct 2024, registered Nov 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

This clinical trial evaluates the effectiveness and safety of a collagen-based hemostatic agent containing thrombin in patients undergoing spinal surgery. The study compares this investigational product with an existing hemostatic agent to assess whether it performs equally well in controlling surgical bleeding. Patients with spinal stenosis, tumors, or trauma who require spinal surgery will be enrolled. The hemostat will be applied intraoperatively when grade 3 bleeding is observed. The study aims to determine how well the product works in achieving hemostasis and its safety when it is used during surgery.

Read the detailed description

This was a randomized, single-blind, active-controlled clinical trial designed to assess the non-inferiority of a collagen-based thrombin-containing topical hemostat (CollaStat) compared to an existing hemostatic agent (Floseal) in patients undergoing spinal surgery. The investigational product was designed to be highly biocompatible to reduce adverse effects in case of in-body residue after application. Patients who underwent spinal surgery due to spinal stenosis, tumors, or trauma were enrolled and randomized in a 1:1 ratio. The hemostatic products were applied intraoperatively at bleeding sites classified as grade 3. For grade 4 or 5 bleeding, temporary hemostatic procedures were performed first to reduce bleeding intensity before applying the assigned hemostat. The study's primary endpoint was the hemostasis success rate, defined as the achievement of hemostasis within 1 minute, 2 minutes, 3 minutes, 6 minutes, and 10 minutes of product application without additional intervention. Secondary outcomes included time to hemostasis, number of hemostatic units used per patient, volume of postoperative surgical drainage, length of hospital stay, incidence of intraoperative rebleeding, occurrence of postoperative hematoma or surgical site infection, and overall hemostatic effect assessed across all treated bleeding sites.

02

Conditions studied

  • Spinal Tumor
  • Spinal Injury
  • Hemostasis
  • Spinal Stenosis
  • Spinal Surgery
  • Intraoperative Bleeding
03

In context

Spinal Cord Neoplasms

105 studies on the registry are indexed under Spinal Cord Neoplasms; 27 are open to participants now.

This study's enrollment of 130 is above the median of 50 across 69 interventional studies indexed under Spinal Cord Neoplasms.

Browse Spinal Cord Neoplasms studies →

Lead sponsor

DALIM TISSEN Co., Ltd. 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
20 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

  1. An individual who has voluntarily signed the written consent form for participating in the research as a trial subject
  2. Patients aged 20 or older
  3. Patients who are able to participate throughout the entire clinical trial period
  4. Patient scheduled to have spinal surgery due to spinal stenosis, spinal tumor, injury, etc.
  5. Patients for whom hemostasis is difficult to achieve using standard procedures
  6. Patients with grade 3 or higher bleeding * Grade 4 or 5 bleeding is reduced to grade 3 by normal procedures (compression, sutures, electrosurgical scalpel, etc.).

Exclusion criteria

Exclusion Criteria:

  1. Pregnant women or those planning to become pregnant within 1 month after application of the collagen-based hemostat
  2. Individuals with to bovine-, porcine-, or animal-derived materials
  3. Individuals deemed inappropriate for participation by the investigators
  4. Patients who are using treatments that may affect the test results
  5. Patients with active infections at the surgical site
  6. Patients with to the use of local hemostatic materials
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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
130 participants (actual)

Study arms

  • Experimental
    Study Group

    Group applied with CollaStat®

    Device: Floseal®

  • Active comparator
    Control Group

    Group applied with Floseal®

    Device: CollaStat®

Interventions

  • DeviceCollaStat®

    Clinical subjects are enrolled after the clinical investigator confirms that there are bleeding sites where hemostasis by normal procedures (compression, suturing, electrosurgical scalpel, etc.) is ineffective or difficult to perform. To arrest intraoperative bleeding, the study group is treated with Dalim Tissen's CollaStat® and compressed with general gauze.

  • DeviceFloseal®

    Clinical subjects are enrolled after the clinical investigator confirms that there are bleeding sites where hemostasis by normal procedures (compression, suturing, electrosurgical scalpel, etc.) is ineffective or difficult to perform. To arrest intraoperative bleeding, the control group is treated with Baxter's Floseal® and compressed with general gauze

06

What researchers measure

Primary outcomes

  1. Hemostasis success rate

    After applying the haemostatic agent to the bleeding site, gentle compression is performed using surgical gauze. After lifting the gauze and washing off the excess hemostatic agent, check if hemostasis is maintained

    Time frame: Hemostasis at the first bleeding site is confirmed at 1 minute, 2 minutes, 3 minutes, 6 minutes, and 10 minutes

Secondary outcomes

  1. Time to hemostasis

    Record the time point when hemostasis is achieved.

    Time frame: Intraoperation

  2. Number of hemostats used

    Record the number of hemostats used until hemostasis.

    Time frame: Intraoperation

  3. Length of Hospital Stay

    Length of hospital stay is defined as the number of days from the date of surgery (Visit 2) to the date of hospital discharge.

    Time frame: From the date of surgical operation (Visit 2) until the date of hospital discharge, assessed up to 1 week (±3 days) after surgery

  4. Incidence of adverse events

    Adverse events include hematoma and infection.

    Time frame: From first application of the investigational medical device through end of follow-up (up to 8 weeks post-surgery)

  5. Drain amount

    Record the drain amount until the 3rd postoperative day.

    Time frame: 3 days after surgery

  6. Presence of rebleeding at the index bleeding site

    Time frame: From first application (Visit 2; day of surgery) through end of follow-up (up to 8 weeks post-surgery)

  7. Evaluation of Handling Characteristics (as Assessed by the Surgeon)

    Hemostasis will be assessed intraoperatively at all treated bleeding sites after application of the investigational product (IP). Only the assigned IP should be used for the same patient.

    Time frame: Intraoperative

07

Study locations

3 sites
  • Gangnam Severance Hospital
    Seoul, Gangnam-gu 06273, South Korea
  • Yongin Severance Hospital
    Yongin-si, Giheung-gu 16995, South Korea
  • Severance Hospital, Yonsei University Health Syetem
    Seoul, Seodaemun-gu 03722, South Korea
08

References and documents

Individual participant data

Plan to share: Undecided — Undecided. The plan for sharing individual participant data has not yet been determined.

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 Jan 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07354178
Lead sponsor
DALIM TISSEN Co., Ltd.
Responsible party
Sponsor
First posted
Jan 21, 2026
Start date
Oct 22, 2024
Primary completion
Jun 19, 2025
Completion
Aug 18, 2025
Last update
Jan 21, 2026

Oversight

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

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

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