Peroperative Administration of Tranexamic acid in gastric bypass to reduce haemorrhage in patients with morbid obesity

2024-513570-22-00 Protocol 2022-031 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 28 Apr 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 6 sites · Protocol 2022-031

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 1,524
Countries 1
Sites 6

Morbid obesity

This trial aims to investigate whether peroperative administration of TXA reduces haemorrhage rates in patients who undergo gastric bypass surgery.

Key facts

Sponsor
Sint Franciscus Vlietland Groep Stichting
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
28 Apr 2023 → ongoing
Decision date (initial)
2024-05-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-513570-22-00
EudraCT number
2022-001384-27
ClinicalTrials.gov
NCT05464394

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

This trial aims to investigate whether peroperative administration of TXA reduces haemorrhage rates in patients who undergo gastric bypass surgery.

Conditions and MedDRA coding

Morbid obesity

VersionLevelCodeTermSystem organ class
21.1 LLT 10068900 Bariatric surgery 10042613
21.0 LLT 10027966 Morbid obesity 10027433
21.1 LLT 10059610 Obesity surgery 10042613

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-513218-36-00 Peroperative Administration of Tranexamic acid in Roux-en-Y and one-anastomosis gastric bypass to reduce haemorrhage (PATRY study): a randomized controlled trial Sint Franciscus Vlietland Groep Stichting

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients aged 18 years or older, eligible for bariatric surgery according to the IFSO guidelines and undergoing a laparoscopic (Roux-en-Y or one-anastomosis) gastric bypass.

Exclusion criteria 1

  1. Patients unwilling to give informed consent, patients with a medical history of bleeding or venous thromboembolism and patients that use anticoagulants will be excluded.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Postoperative intervention due to haemorrhage (defined as: administration of packed red blood cells, surgical-, radiological-, or endoscopic intervention).

Secondary endpoints 1

  1. Use hemostatic staple devices, amount of hemostatic staples, use of fibrin sealant, the amount of blood loss peroperatively, decrease in hemoglobin postoperatively, increase in heart rate postoperatively, hematemesis and/or melena, rates of postoperative hemorrhage (i.e. hemorrhage for which extra hemoglobin monitoring and/or administration of TXA and/or reinterventions), rates of VTE, other complications, hospitalization time, painscore, side effects of TXA, duration of primary surgery.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Tranexamic Acid

SUB11214MIG · Substance

Active substance
Tranexamic Acid
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
1500 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Sodium Chloride

SUB12581MIG · Substance

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
100 ml millilitre(s)
Max total dose
100 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Sint Franciscus Vlietland Groep Stichting

4 Total trials 3 Recruiting
Academic / Non-commercial
Sponsor organisation
Sint Franciscus Vlietland Groep Stichting
Address
Kleiweg 500
City
Rotterdam
Postcode
3045 PM
Country
Netherlands

Scientific contact point

Organisation
Sint Franciscus Vlietland Groep Stichting
Contact name
Mabel Kwakkelstein

Public contact point

Organisation
Sint Franciscus Vlietland Groep Stichting
Contact name
Mabel Kwakkelstein

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 1,524 6
Rest of world 0

Investigational sites

Netherlands

6 sites · Ongoing, recruiting
Elisabeth-Tweesteden Ziekenhuis
Surgery, Dr. Deelenlaan 5, 5042 AD, Tilburg
Rijnstate Ziekenhuis Stichting
Surgery, Wagnerlaan 55, 6815 AD, Arnhem
Ziekenhuisgroep Twente Stichting
Surgery, Zilvermeeuw 1, 7609 PP, Almelo
Stichting OLVG
Surgery, Jan Tooropstraat 164, 1061 AE, Amsterdam
Zuyderland Medisch Centrum Stichting
Surgery, Henri Dunantstraat 5, 6419 PC, Heerlen
Sint Franciscus Vlietland Groep Stichting
Surgery, Kleiweg 500, 3045 PM, Rotterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2023-04-28 2024-05-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513570-22-00_TC 4
Protocol (for publication) D1_protocol PATRY 2024-513570-22-00 4
Protocol (for publication) D1_SoC Protocol 4
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 4
Subject information and informed consent form (for publication) L1_SIS and ICF Adults_TC 4
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC tranexaminezuur 1
Synopsis of the protocol (for publication) D1_Protocol synopsis NL 2024-513570-22-00 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-01 Netherlands Acceptable
2024-05-23
2024-05-23
2 SUBSTANTIAL MODIFICATION SM-1 2024-06-21 Netherlands Acceptable
2024-07-22
2024-07-22