UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047657
Receipt number R000054334
Scientific Title Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study
Date of disclosure of the study information 2022/05/06
Last modified on 2023/05/07 16:58:45

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Basic information

Public title

Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study

Acronym

Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study

Scientific Title

Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study

Scientific Title:Acronym

Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study

Region

Japan


Condition

Condition

pregnancy

Classification by specialty

Obstetrics and Gynecology Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Postpartum hemorrhage is a leading cause of maternal mortality worldwide. It is associated with hemostatic impairment which may deteriorate bleeding. To evaluate hemostasis is the key element of postpartum hemorrhage. Sonorheometry coagulation assay, Quantra Hemostasis Analyzer, is a point-of-care testing device which is recently introduced in clinical practice. This newer sonorheometry coagulation assay has been investigated for correlation between conventional viscoelastic testing, such as thromboslastometry and theomboelastography in these several years. Evidence is growing in cardiac surgery, however, investigation in obstetric patients is limited. In obstetric setting,Kodali et al. demonstrated the good correlation between clot stiffness and fibrinogen contribution to clot stiffness in Quantra and serum fibrinogen level when the sample blood from term parturients is diluted in vitro to simulate acquired hypofibrinogenemia.The Quantra QStat system includes tests to assess coagulation and clot lysis characteristics via the intrinsic and extrinsic pathways and includes a test with tranexamic acid.
The primary purpose of this study is to evaluate this new system in obstetric and non-obstetric population. The secondary purpose is to investigate the correlation with thromboelastography and the conventional coagulation tests.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Variables of Quantra Qstat system and correlation between obstetric and non-obstetric patients: clot time(CT), Clot stiffness (CS), platelet contribution to CS (PCS), fibrinogen contribution to CS (FCS), and Clot stability to lysis (CSL) .

Key secondary outcomes

Correlation with Quantra variables and TEG6s variables and conventional coagulation tests.
TEG6s variables: Clotting time (CK R), clot strength value (CRT MA) on the standard citrated kaolin assay, fibrinogen contribution to MA (CFF MA), and fibrinolysis (CRT LY30) .
conventional coagulation tests: PT, aPTT, INR, fibrinogen, antithrombin, and fibrin degenerating product.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

drawing 10 mL of blood from non-laboring parturients between 37 to 41 weeks of gestation .

Interventions/Control_2

For control group, 10 mL of blood is drawn from non-obstetric women.

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

18 years-old <=

Age-upper limit

45 years-old >=

Gender

Female

Key inclusion criteria

1) age 18-45 years old at informed consent
2) diagnosed pregnant and registered for delivery in our hospital(obstetric group)
3) not pregnant and plans gynecological surgery at our hospital (control group)
4) informed and consented to the study

Key exclusion criteria

1)known coagulation abnormality and/or thrombocytopenia < 100 9/L
2) found coagulation abnormality and/or thrombocytopenia < 100 9/L at drawing blood
3) judged improper by the reseacher

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Hisako
Middle name
Last name Okada

Organization

Juntendo University Urayasu Hospital

Division name

Department of Anesthesiology and Pain Medicine

Zip code

2790021

Address

2-1-1, Tomioka, Urayasu, Chiba, 2790021

TEL

0473533111

Email

h-okada@juntendo.ac.jp


Public contact

Name of contact person

1st name Hisako
Middle name
Last name Okada

Organization

Juntendo University Urayasu Hospital

Division name

Department of Anesthesiology and Pain Medicine

Zip code

2790021

Address

2-1-1, Tomioka, Urayasu, Chiba, 2790021

TEL

0473533111

Homepage URL


Email

h-okada@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Heiwa Bussan

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Juntendo Clinical Research and Trial center

Address

3-1-3,Hongo,Bunkyo-ku,Tokyo 113-8431,Japan

Tel

03-3814-5672

Email

jcrtc_operation@juntendo.ac.jp


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

順天堂大学医学部附属浦安病院


Other administrative information

Date of disclosure of the study information

2022 Year 05 Month 06 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

Enrolling by invitation

Date of protocol fixation

2022 Year 05 Month 05 Day

Date of IRB

2022 Year 06 Month 20 Day

Anticipated trial start date

2022 Year 07 Month 01 Day

Last follow-up date

2023 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 05 Month 06 Day

Last modified on

2023 Year 05 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054334


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name