UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002898
Receipt number R000003535
Scientific Title Prospective Validation of Transfusion Criteria after Liver Resection: A Step-Escalation Design
Date of disclosure of the study information 2009/12/15
Last modified on 2010/12/16 18:05:02

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Basic information

Public title

Prospective Validation of Transfusion Criteria after Liver Resection: A Step-Escalation Design

Acronym

Prospective Validation of Transfusion after Liver Resection

Scientific Title

Prospective Validation of Transfusion Criteria after Liver Resection: A Step-Escalation Design

Scientific Title:Acronym

Prospective Validation of Transfusion after Liver Resection

Region

Japan


Condition

Condition

the patients who have malignant liver tumor and underwent liver resection in Nihon University School of Medicine

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To reduce the post operative human blood products transfusion, we prospectively clarify the optimal limit for FFP transfusion after liver resection by phase I manner.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

increase of middle grade postoperative complication without human blood products

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

The incursion criteria of this study were satisfied the following eligibility: histologically confirmed malignancies, age from 20 to 80 years, well-preserved liver function as Child-Pugh classification A, enable to curative hepatic resection and adequate bone-marrow and renal reserve (blood white cell count >3000/L, platelet >50000/L and serum creatinine <1.5mg/dL).

Key exclusion criteria

The exclusion criteria considered preoperative serum albumin is less than 3.0mg/dL, intraoperative blood loss of more than 1000ml and occurrence of unstable cardiovascular, renal conditions or other serious medical illnesses which conditions cannot be rescued without albumin administration.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shintaro Yamazaki

Organization

Nihon University School of Medicine

Division name

Department of Digestive Surgery

Zip code


Address

30-1 Ohyaguchi Kami-mach Itabashi-ku Tokyo Japan

TEL

+81-3-3972-8111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shintaro Yamazaki

Organization

Nihon University School of Medicine

Division name

Department of Digestive Surgery

Zip code


Address


TEL


Homepage URL


Email

yamazaki-nmed@umin.ac.jp


Sponsor or person

Institute

Nihon University School of Medicine partment of Digestive Surgery

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 12 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

2007 Year 07 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A dose-escalation design which commonly used in phase I study is applied with some modifications. The starting step of serum albumin value is 3.0g/dl (Step 1), which is to be reducing every 0.2g/dL by step: ex. 2.8mg/dL (Step 2), 2.6mg/dL (Step 3). The step can escalated to the next value when the serum albumin could reach to prescribed value in three patients. If the serum albumin value of post operative day (POD) 2 fell below the prescribed value, 100ml of 25% albumin was transfused on POD2 and 3 to each patient. The step was proceeded until the post operative complication (POC) without transfusion was occurred or the serum albumin considered reaching the lowest limit.


Management information

Registered date

2009 Year 12 Month 15 Day

Last modified on

2010 Year 12 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003535


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name