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This study is a post market, multi-centre, randomised study evaluating PerClot compared to usual care. PerClot is a CE marked device and is currently used as a haemostat in gynaecological surgery throughout Europe. The purpose of this study is to collect additional post market data on its use in this indication.
This study is a post market, multi-centre, randomised study evaluating PerClot compared to usual care.
All subjects in this randomized study will undergo a laparoscopic or open gynecological procedure such as hysterectomy, cystectomy, myomectomy, endometrial excision or ablation. Subjects will be randomized to receive PerClot or usual care.
This research will utilize a multi-center, prospective, randomized controlled study. The study will be conducted in2 study sites in Europe. An assumed sample of 90 subjects will be enrolled to evaluate the time to haemostasis. The enrollment of subjects to receive treatment will be based upon specific inclusion and exclusion criteria. Subjects will be randomized on a 1:1 basis to receive either PerClot or usual care. Data collected from both arms will be compared.
Usual care will be at the discretion of the surgeon and may include any other haemostat or diathermy/electrocautery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PerClot | Active Comparator | PerClot® Polysaccharide Hemostatic System (PerClot) is a medical device composed of absorbable polysaccharide particles (AMPs) and delivery applicators. Investigators will have the option to choose 3g or 5g dependent on the requirements of the patient |
|
| Usual Care | Active Comparator | Usual care will consist of any other haemostat the Investigator would normally use in the control of bleeding i.e arista, Floseal, surgical, surgiflo. If the Investigator would not normally use a haemostat to control bleeding then electrocautery or diathermy may be used in this arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PerClot | Device | Haemostatic device for the control of bleeding from capillary, venous or arteriolar vessels by pressure, ligature or other conventional means is either ineffective or impractical. |
| Measure | Description | Time Frame |
|---|---|---|
| achievement of haemostasis (yes/no). | visual observation of cessation of bleeding | measured up to 10 minutes after application |
| Measure | Description | Time Frame |
|---|---|---|
| Absence of re-intervention for post-operative bleeding | No return to OR for bleeding | within 30 days of initial surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Absence of proven infection | No positive culture of blood results which indicate infection | within 30 days of initial surgery |
| Absence of bleeding related adverse events | No adverse events which are specifically caused by bleeding |
Inclusion Criteria:
Exclusion Criteria:
• Subject with a history of pelvic or abdominal radiotherapy (within 8 weeks)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bellvitge Hospital | Barcelona | 08907 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40934160 | Derived | Ponce J, Garcia-Tejedor A, Barahona M, Cappuccio S, Costantini B, Fedele C, Marti-Cardona L, Scambia G. Effectiveness and safety of an absorbable modified polymer starch powder hemostat versus usual care in gynecology procedures: A prospective, multi-center, and randomized study. PLoS One. 2025 Sep 11;20(9):e0331376. doi: 10.1371/journal.pone.0331376. eCollection 2025. |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| D010048 | Ovarian Cysts |
| D008595 | Menorrhagia |
| D009369 | Neoplasms |
| D007889 | Leiomyoma |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D004564 | Electrocoagulation |
| ID | Term |
|---|---|
| D002425 | Cautery |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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| Floseal, Surgicel, Surgiflo, Arista | Device | Haemostatic device for the control of bleeding |
|
| Electrocautery/Diatermy | Procedure | Procedure for the control of bleeding |
|
| within 30 days of initial surgery |
| D000091662 | Genital Diseases |
| D003560 | Cysts |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
| D014592 | Uterine Hemorrhage |
| D014591 | Uterine Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008599 | Menstruation Disturbances |
| D009379 | Neoplasms, Muscle Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |