ClinicalTrials.gg
Not yet recruitingNCT07840352SAFE-PLASMAUpdated Sep 30, 2026

Safety And Field Evaluation of Plasma Lyophilized for Acute and Surgical Management Applications

A Phase 4 interventional study of Freeze-Dried Plasma and Conventional Plasma in Thromboembolic Event and FDP, sponsored by Teleflex. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Teleflex · Phase 4, Interventional, and Treatment

Updated Sep 25, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
867
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the safety of freeze-dried plasma (FDP), known as EZPLAZ, with conventional plasma in adults who need a plasma transfusion. Plasma is the liquid part of blood that contains proteins that help blood clot. The main question is whether the risk of blood clots or death within 7 days after the first transfusion is not unacceptably higher with FDP than with conventional plasma.

Participating hospitals will follow a randomly assigned schedule that determines which plasma product enrolled participants receive during each week. Participants will receive the product assigned to their hospital for that week during the first 24 hours of treatment. The treating physician will determine how much plasma is needed. After the first 24 hours, participants may receive either product if additional plasma is required.

Participants will be followed for 28 days after their first study transfusion. Information about blood clots, transfusion reactions, or other medical problems, and survival. Trial information will come from routine medical care and medical records. Follow-up after hospital discharge may include telephone contact with the participant or their legally authorized representative. No additional laboratory tests are required solely for this study.

02

Conditions studied

  • Thromboembolic Event
  • FDP

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Keywords

  • freeze-dried plasma
  • lyophilized plasma
  • EZPLAZ
  • Plasma transfusion
  • conventional plasma
  • transfusion safety
  • cluster randomized trial
  • SAFE-PLASMA
03

In context

Thromboembolism

288 studies on the registry are indexed under Thromboembolism; 42 are open to participants now.

This study's planned enrollment of 867 is above the median of 173 across 155 interventional studies indexed under Thromboembolism.

Browse Thromboembolism studies →

Lead sponsor

Teleflex is the lead sponsor of 11 studies on the registry; 4 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
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. Patients must be aged ≥ 18 years old and require plasma transfusion for one of the following indications:

  1. Management of preoperative or bleeding patients who require replacement of multiple plasma coagulation factors (e.g., liver disease, disseminated intravascular coagulation [DIC])
  2. Patients undergoing massive transfusion who have coagulation deficiencies
  3. Patients taking warfarin who are bleeding or need to undergo an invasive procedure before vitamin K could reverse the warfarin effect or who need only transient reversal of warfarin effect

Exclusion criteria

Exclusion Criteria:

  1. Patients aged \< 18 years old
  2. Receipt of any plasma product within 72 hours prior to the expected start of the index transfusion episode
  3. Known intolerance to plasma or to any (including citrate) in the product (IP) formulation
  4. Known history of any of the following:

    1. reaction to plasma or plasma-derived products
    2. Immunoglobulin A (IgA) deficiency with documented antibodies against IgA
    3. Congenital disorder
    4. Congenital or acquired thrombophilia
  5. Extracorporeal membrane oxygenation (ECMO) therapy at the time of screening
  6. Undergoing or may require therapeutic plasma exchange (TPE) for thrombotic thrombocytopenic purpura (TTP)
  7. Prisoner
  8. Adults under legal guardianship or state custody, as defined by applicable local regulations
  9. Trauma patients with the following:

    1. Traumatic cardiac arrest lasting > 5 minutes
    2. Glasgow Coma Score (GCS) of ≤ 8, with an exception for drug-induced lowered GCS
    3. Injury deemed nonsurvivable by trial team using established trauma assessment criteria
    4. Injury Severity Score (ISS) of 75 (when available)
    5. Known complete cervical spinal cord transection
    6. Third-degree burns of > 20% total body surface area
  10. Female patients who are pregnant
  11. Current or planned participation in any phase of another investigational trial during participation in this trial
  12. Patients who self-report previous enrollment in the SAFE-PLASMA trial at any participating medical center
Terms in these criteria, in plain language(5)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Excipients

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

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.

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
867 participants (estimated)

Study arms

  • Experimental
    Freeze-Dried Plasma (FDP)

    Participants enrolled during a center's assigned freeze-dried period receive EZPLAZ during the index transfusion episode, defined as the first 24 hours beginning with the first assigned plasma infusion. The treating physician determines the number of units required according to clinical need. After this period, either freeze-dried or conventional plasma may be administered if additional plasma is needed.

    Biological: Freeze-Dried Plasma

  • Active comparator
    Conventional Plasma

    Participants enrolled during a center's assigned conventional plasma period receive conventional plasma during the index transfusion episode, defined as the first 24 hours beginning with the first assigned plasma infusion. The treating physician determines the number of units required according to clinical need. After this period, either freeze-dried or conventional plasma may be administered if additional plasma is needed.

    Biological: Conventional Plasma

Interventions

  • BiologicalFreeze-Dried Plasma

    Single-donor human plasma supplied in freeze-dried form and reconstituted with sterile water before transfusion. Administered by intravenous or intraosseous infusion as prescribed by the treating physician and in accordance with institutional transfusion policies. Dose is determined by clinical need.

    Also known as: EZPLAZ, FDP, Lyophilized plasma

  • Conventional plasma products selected, prepared, and administered according to each institution's standard of care. The protocol does not restrict the types of conventional plasma used. The treating physician determines the dose based on clinical need.

    Also known as: FFP, PF24, PF24RT24

06

What researchers measure

Primary outcomes

  1. Proportion of participants with a thrombotic/thromboembolic event, or death

    Proportion of participants experiencing at least one thrombotic event, thromboembolic event, or death.

    Time frame: Within 7 days after the start of plasma transfusion.

Secondary outcomes

  1. Proportion of participants with serious adverse events

    Proportion of participants experiencing at least one serious adverse event, including acute and delayed reactions, evaluated at each specified time point.

    Time frame: Within 24 hours, 7 days, and 28 days after plasma infusion

  2. Proportion of participants with treatment emergent adverse events

    Proportion of participants experiencing at least one treatment emergent adverse event

    Time frame: Within 24 hours after the start of plasma infusion

  3. Proportion of participants with unexpected adverse events

    Proportion of participants experiencing at least one unexpected adverse event, as defined in the protocol

    Time frame: Within 28 days after plasma infusion

  4. Proportion of participants with acute transfusion reactions

    Proportions of participants experiencing any acute transfusion reactions and bloodstream infection

    Time frame: Within 24 hours post infusion

  5. Proportion of participants who die

    Proportion of participants who die after the start of the Index Transfusion Episode

    Time frame: Within 6 hours and 24 hours after the start of the Index Transfusion Episode

  6. Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) levels

    AST and ALT values obtained during routine clinical care, when available, summarized by laboratory parameter and time point

    Time frame: Pre-transfusion and 7 days post-transfusion

  7. Creatinine Levels

    Creatinine values obtained during routine clinical care, when available, summarized at each timepoint

    Time frame: Pre-transfusion and 7 days post-transfusion

  8. Blood Urea Nitrogen (BUN)

    BUN values obtained during routine clinical care, when available, summarized at each time point.

    Time frame: Pre-transfusion and 7 days post-transfusion

  9. Volume of Blood Components and Crystalloid Fluids Administered at infusion

    Total volume of each blood component and crystalloid fluid administered during the plasma infusion period, normalized by participant body weight

    Time frame: From start to complete of plasma infusion

  10. Systolic and Diastolic Blood Pressure

    Change in blood pressure, summarized separately for systolic and diastolic measurements. Mean change from baseline is calculated when paired measurements are available

    Time frame: Pre-infusion and 1-hour post-infusion

  11. Heart Rate

    Change in heart rate. Mean change from baseline is calculated when paired measurements are available, otherwise, mean observed values are reported.

    Time frame: Pre-infusion and 1 hour post-infusion

  12. Respiratory Rate

    Change in respiratory rate. Mean change from baseline is calculated when paired measurements are available, otherwise, mean observed values are reported.

    Time frame: Pre-infusion and 1 hour post-infusion

  13. Body Temperature

    Change in body temperature. Mean change from baseline is calculated when paired measurements are available, otherwise, mean observed values are reported.

    Time frame: Pre-infusion and 1 hour post-infusion

  14. Oxygen Saturation

    Change in oxygen saturation. Mean change from baseline is calculated when paired measurements are available, otherwise, mean observed values are reported.

    Time frame: Pre-infusion and 1 hour post-infusion

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Sep 25, 2026
Show all 2 updates
  1. Sep 30, 2026
    Minor edits only
    + 2 other changes: index terms and conditions
  2. Sep 25, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07840352
Lead sponsor
Teleflex
Collaborators
Westat, United States Army Medical Materiel Development Activity
Responsible party
Sponsor
First posted
Sep 25, 2026
Start date
Oct 2027 (estimated)
Primary completion
Apr 2031 (estimated)
Completion
May 2031 (estimated)
Last update
Sep 30, 2026

Oversight

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

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