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Coagulopathic-induced bleeding after cardiopulmonary bypass in cardiac surgery patients is common and is associated with adverse outcomes in cardiac surgery. The hypothesis of the study is that FEIBA will be a more effective treatment than standard of care (FFP) in cardiac surgery patients who have coagulopathic-induced bleeding. This study is being conducted to determine the efficacy of FEIBA versus FFP as first line therapy in correcting coagulopathic induced microvascular bleeding in cardiac surgery patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FEIBA | Experimental |
| |
| FFP | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FEIBA | Drug | Subjects randomized to FEIBA will receive up to 2 vials of 500U of FEIBA through a preexisting central line at a rate that does not exceed 2 units per kg of body weight per minute for the study intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Total post-treatment pRBC transfusion within 24 hours of surgery | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Total pRBC transfusion after administration of study drug | From time of administration of study drug until time of discharge or up to 3 months, whichever comes first. | |
| Total units of posttreatment platelet transfusion within 24 hours of surgery | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kristine McGowan | Contact | 516-881-7035 | kmcgowan@northwell.edu |
| Name | Affiliation | Role |
|---|---|---|
| Pey-Jen Yu | Northwell Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| North Shore University Hospital | Recruiting | Manhasset | New York | 11030 | United States |
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C065655 | anti-inhibitor coagulant complex |
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| FFP | Drug | Subjects randomized to FFP will receive up to 2 units of FFP intravenously through a preexisting central line. |
|
| Total units of posttreatment cryoprecipitate transfusion within 24 hours of surgery | 24 hours |
| Total units of FEIBA given within 24 hours of surgery | 24 hours |
| Total units of Fresh Frozen Plasma (FFP) given within 24 hours of surgery | 24 hours |
| Total mLs of chest tube output within 12 hours of surgery | This is being assessed as chest tube output may be an indicator of ongoing bleeding | 12 hours |
| Incidence of adverse postoperative events | This can include thrombotic events, acute kidney injury, reoperation for bleeding, prolonged intubation, atrial fibrillation, anaphylaxis. | Perioperative |
| Length of intubation | Perioperative |
| Length of hospital stay | From date of hospital admission until date of discharge or up to 3 months, whichever comes first. |
| 30-day mortality | 30 days |