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| Name | Class |
|---|---|
| OMRIX Biopharmaceuticals | INDUSTRY |
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The objective of this non-interventional Post Authorisation Safety Surveillance (PASS) study is to observe the clinical safety performance of EVICEL when used as suture support for haemostasis in vascular surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vascular Surgery Subjects Treated with EVICEL |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EVICEL â„¢ Fibrin Sealant (Human) | Biological | Commercial Evicel |
|
| Measure | Description | Time Frame |
|---|---|---|
| Specific Safety Parameters |
| Up to 4-weeks post-operatively |
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Inclusion Criteria:
Exclusion Criteria:
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Subjects requiring elective vascular procedures
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| Name | Affiliation | Role |
|---|---|---|
| Richard Kocharian, MD | Ethicon, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baptist Health Medical Center | Jacksonville | Florida | 32207 | United States | ||
| Memorial Hospital |
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The first subject was enrolled 04 June 2010 and the last subject was enrolled 15 April 2014. The last data point collected for the trial was 21 May 2014.
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| ID | Title | Description |
|---|---|---|
| FG000 | EVICEL® Fibrin Sealant (Human) | All procedures were performed according to the surgeon's standard of care. EVICEL® Fibrin Sealant was prepared and used according to the current approved instructions for use and product indication. The anastomoses were constructed and checked for bleeding. Anastomotic repair sutures were placed and then, if bleeding requiring adjunctive treatment persisted, arterial clamps were re-applied. The surgeon then applied EVICEL® by dripping onto the anastomotic site/s according to his/her standard practice. Arterial clamps were removed approximately 1-minute following the end of product application to allow for curing. All subjects were followed for approximately 4 weeks following surgery. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | EVICEL® Fibrin Sealant (Human) | All procedures were performed according to the surgeon's standard of care. EVICEL® Fibrin Sealant was prepared and used according to the current approved instructions for use and product indication. The anastomoses were constructed and checked for bleeding. Anastomotic repair sutures were placed and then, if bleeding requiring adjunctive treatment persisted, arterial clamps were re-applied. The surgeon then applied EVICEL® by dripping onto the anastomotic site/s according to his/her standard practice. Arterial clamps were removed approximately 1-minute following the end of product application to allow for curing. All subjects were followed for approximately 4 weeks following surgery. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Specific Safety Parameters |
| From participant flow, 283 subjects completed the study; One subject lost to follow-up had 4-week information in hospital records. | Posted | Number | participants | Up to 4-weeks post-operatively |
|
|
From enrollment through the 4-week follow-up
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | EVICEL® Fibrin Sealant (Human) | An adverse event (AE) was defined as any unfavorable and unintended sign, symptom or disease temporally associated with the use of the EVICEL® product. For the purpose of this protocol, an AE was any untoward medical occurrence in a study subject that may be related or possibly related to the EVICEL® product. The relatedness to EVICEL® was based on the investigator's assessment. In the original version of the protocol, the SAE definition did not require that the AE be related or possibly related to the treatment. This discrepancy with the AE definition resulted in the sites reporting non-EVICEL® related AEs and SAEs prior to the amended protocol implementation. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arteriovenous fistula site complication | Injury, poisoning and procedural complications |
Limitations of the study include the small number of centers involved and the observational nature of the design.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Development | Ethicon, Inc | 908-218-2492 | jbatill2@its.jnj.com |
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| ID | Term |
|---|---|
| D016491 | Peripheral Vascular Diseases |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015718 | Fibrin Tissue Adhesive |
| ID | Term |
|---|---|
| D005337 | Fibrin |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Jacksonville |
| Florida |
| 32216 |
| United States |
| Participants |
|
| Age, Continuous | The study population has a mean age of 62.2 years (std 13.9). The median is reported in the table below. | Median | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| BMI (grouped) | Number | participants |
|
| History of Smoking | Number | participants |
|
|
| 22 |
| 300 |
| 23 |
| 300 |
| Bradycardia | Cardiac disorders |
|
| Cardiac arrest | Cardiac disorders |
|
| Cardio-respiratory arrest | Cardiac disorders |
|
| Cardiogenic shock | Cardiac disorders |
|
| Diarrhoea | Gastrointestinal disorders |
|
| Groin abscess | Infections and infestations |
|
| Sepsis | Infections and infestations |
|
| Septic shock | Infections and infestations |
|
| Staphylococcal infection | Infections and infestations |
|
| Ateriovenous fistula site complication | Injury, poisoning and procedural complications |
|
| Eschar | Injury, poisoning and procedural complications |
|
| Graft thrombosis | Injury, poisoning and procedural complications |
|
| Vascular graft occlusion | Injury, poisoning and procedural complications |
|
| Vascular graft thrombosis | Injury, poisoning and procedural complications |
|
| Dehydration | Metabolism and nutrition disorders |
|
| Cerebrovascular accident | Nervous system disorders |
|
| Paraplegia | Nervous system disorders |
|
| Renal failure acute | Renal and urinary disorders |
|
| Hypotension | Vascular disorders |
|
| Peripheral vascular disorder | Vascular disorders |
|
| Steal syndrome | Vascular disorders |
|
| Thrombosis | Vascular disorders |
|
| Venous thrombosis limb | Vascular disorders |
|
| Vascular graft occlusion | Injury, poisoning and procedural complications |
|
| Hypotension | Vascular disorders |
|
| Steal Syndrome | Vascular disorders |
|
| Nodal rhythm | Cardiac disorders |
|
| Nausea | Gastrointestinal disorders |
|
| Graft infection | Infections and infestations |
|
| Arteriovenous fistula thrombosis | Injury, poisoning and procedural complications |
|
| Urine analysis abnormal | Investigations |
|
| Fluid overload | Metabolism and nutrition disorders |
|
| Hypokalaemia | Metabolism and nutrition disorders |
|
| Haematuria | Renal and urinary disorders |
|
| Urethral stenosis | Renal and urinary disorders |
|
| Erythema | Skin and subcutaneous tissue disorders |
|
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