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Lately the investigators found that patients with severe factor XI deficiency and inhibitors could undergo major surgery with a single low dose of recombinant factor VIIa and tranexamic agent. These results encourage us to apply this treatment in clinical trial setting to patients with severe factor XI deficiency undergoing surgery instead of blood product.
Eligible patients will be those with severe factor XI deficiency who agree to participate in the study . The treatment does not apply to patients requiring coronary artery bypass or other vascular surgery.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| recombinant factor VIIa | Drug | single dose of 20ug/kg of recombinant factor VIIa along with tranexamic acid of 4 gram a day for 7 days following surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in prophylactic treatment by using single and low dose recombinant FVIIa in patients with severe FXI deficiency | End point to be assessed the degree of bleeding following major operation under rFVIIa | 1 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ophira Salomon, MD | Contact | 97235302104 | ophiras@sheba.health.gov.il | |
| Uri Seligsohn, MD | Contact | 97235302104 | Uri.Seligson@sheba.health.gov.il |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ophira Salomon | Ramat Gan | Israel |
|
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Salomon et al presented at ASH 2008 entitled |
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| ID | Term |
|---|---|
| D005173 | Factor XI Deficiency |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C103587 | recombinant FVIIa |
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| Sheba Medical Center | Ramat Gan | Israel |
| Sheba Medical Center | Tel Hashomer, Ramat-Gan | Israel |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |