Point-of-care diagnosis and monitoring of fibrinolysis resistance in the critically ill: results from a feasibility study.
Lucy A Coupland, David J Rabbolini, Jonathan G Schoenecker...
https://pubmed.ncbi.nlm.nih.gov/36765421/Actively Recruiting
Led by Anders Aneman · Updated on 2024-11-08
150
Participants Needed
4
Research Sites
21 weeks
Total Duration
Blood clotting problems often occur in critically ill patients, such as those with severe infections or serious injuries, which can lead to life-threatening complications like organ failure due to excessive clot formation. This research is focused on using Viscoelastic Testing VET technology to identify patients at risk of excessive clotting, evaluate new blood clotting drugs, and guide the use of blood-altering treatments in critical care settings. The study aims to better understand why fibrinolysis resistance happens in severe infections and trauma, which may improve personalized treatment approaches. The study uses Viscoelastic Testing technology called ClotPro4 to assess blood clot breakdown activity by analyzing key proteins involved in fibrinolysis. It observes patients with sepsis or trauma admitted to intensive care units ICUs who meet specific clinical criteria, including those expected to stay in ICU beyond the immediate days and requiring organ support or blood transfusion risk. The project involves testing blood samples at multiple time points after ICU admission to study clotting activity and response to potential treatments. Participants will undergo blood testing using VET at admission and at 24 hours, 48 hours, 5, 7, 10, and 15 days after ICU admission. Researchers will analyze blood clotting and fibrinolysis profiles to detect abnormalities and understand enzyme activity changes. The study will monitor patients closely in ICU with laboratory evaluations and data collection to inform future clinical trials aimed at personalizing treatment for fibrinolysis resistance. Total participation time varies depending on ICU stay and recovery.
CONDITIONS
Fibrinolysis Resistance in Infection and Trauma
A
Anders Aneman, MD, PhD, EDIC, FCICM
L
Lucy Coupland, Nurs Cert, BSci (hons), PhD
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Anders Aneman
Lead Sponsor
Liverpool Hospital, South Western Sydney Local Health District
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 15 days from ICU admission
Participants undergo viscoelastometric testing and laboratory evaluation to assess fibrinolysis capacity and enzyme activity.
7 visits at admission, 24 hours, 48 hours, 5 days, 7 days, 10 days, and 15 days post ICU admission
Duration - Up to 15 days from ICU admission
Participants are monitored to understand fibrinolysis resistance mechanisms and potential treatment options in severe infection and trauma.
Includes assessments coinciding with diagnostic evaluations during ICU stay
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Lucy A Coupland, David J Rabbolini, Jonathan G Schoenecker...
https://pubmed.ncbi.nlm.nih.gov/36765421/Anders Aneman
Lead Sponsor
Liverpool Hospital, South Western Sydney Local Health District
Collaborating Sponsor