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NCT03045068 · ClinicalTrials.gov registry record · Phase 4

Platelet Transfusion During Neonatal Open Heart Surgery

A Phase 4 study, sponsored by The University of Texas Health Science Center, Houston.

Completed
Registry status
Phase 4
Development phase
46
Enrollment target

NCT03045068: Completed Phase 4 study, sponsored by The University of Texas Health Science Center, Houston.

NCT03045068 is a Phase 4 study that has completed, run by The University of Texas Health Science Center, Houston. The registered enrollment target is 46 participants, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (91% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT03045068, a Phase 4 study, has completed, sponsored by The University of Texas Health Science Center, Houston.

COMPLETED
Registry status
Phase 4
Development phase
46 participants
Enrollment target

Study Summary

Hypothesis: Dilutional thrombocytopenia after cardiopulmonary bypass (CPB) is universal and administration of donor apheresis platelets just prior to termination of bypass will assist in early correction of coagulopathy, early hemostasis and lesser donor exposure of blood products after cardiac surgery. Background: What is the Problem? - Bleeding, Transfusion and Outcomes 1. Excessive bleeding after neonatal cardiac surgery has been independently associated with increased adverse events, morbidity and mortality.1,2 Bleeding after neonatal open-heart surgery has multiple etiologies such as immaturity of the building blocks of coagulation, effects of deep hypothermia, longer CPB times, altered flow states and dilutional state induced by being on CPB leading to low platelet count, low platelet function, low fibrinogen levels, altered fibrinogen polymerization, complement activation, etc.2,3 The strongest predictor of transfusion after cardiopulmonary bypass in children was deemed to be the CPB circuit volume and the effect of hemodilution.4 2. The dilutional coagulopathy after neonatal CPB requires intense damage control resuscitation with massive transfusion of platelets, packed red blood cells (PRBC), cryoprecipitate, fresh frozen plasma (FFP) and supplemental factor concentrates. In a previous study at this institution (IRB# HSC-MS-13-0647), we have shown that in neonates undergoing open-heart surgery there was a significant drop in platelet counts after bypass (71% change, baseline= 268 ± 90, Post CPB= 76 ± 27, 109/L). Associated with this drop , the average intraoperative transfusion load in neonates undergoing cardiac surgery with CPB at our institution constitutes of PRBC= 63± 43 ml/kg, FFP=51± 21 ml/kg, cryoprecipitate =12+6 ml/kg, platelets = 28 +16 ml/kg and cell-saver =27± 10 ml/kg. In addition 72% of these patients were exposed to a 3-factor prothrombin complex concentrate (Bebulin®). Although this "throw the kitchen sink" approach is effective in achie

Primary Outcome

All Blood products administered (PRBC, FFP, Cryo, Platelets) from termination of CPB to first 24 hours post op

Interventions

  • BIOLOGICAL Platelet Transfusion
  • BIOLOGICAL FFP and Cryoprecipitate
  • BIOLOGICAL PRBC and cell saver Transfusion
  • BIOLOGICAL Factor Concentrate (Bebulin)

Trial Details

FieldValue
Enrollment Target 46 participants
Start Date 2017-04-11
Est. Completion 2018-11-01
Phase Phase 4

What the finished NCT03045068 record still lists

NCT03045068 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 46 participants, a relatively small participant target, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (91% lower).

The record links to 0 conditions, and to 4 interventions - of which Platelet Transfusion is the first listed.

NCT03045068 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT03045068 about?

NCT03045068 is a clinical study titled "Platelet Transfusion During Neonatal Open Heart Surgery". Hypothesis: Dilutional thrombocytopenia after cardiopulmonary bypass (CPB) is universal and administration of donor apheresis platelets just prior to termination of bypass will assist in early correction of coagulopathy, early hemostasis and lesser donor exposure of blood products after cardiac sur...

What is the current status of trial NCT03045068?

This trial is currently completed. It is a Phase 4 study. The enrollment target is 46 participants. The study started on 2017-04-11. Estimated completion is 2018-11-01.

What interventions are being tested in trial NCT03045068?

The interventions under investigation include: Platelet Transfusion (BIOLOGICAL), FFP and Cryoprecipitate (BIOLOGICAL), PRBC and cell saver Transfusion (BIOLOGICAL), Factor Concentrate (Bebulin) (BIOLOGICAL).

Who is sponsoring clinical trial NCT03045068?

This trial is sponsored by The University of Texas Health Science Center, Houston, which has 732 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT03045068's enrollment target sits among peer trials

46 1348th of 2000 higher than 647 of 2,000 other Phase 4 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 4 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT03045068, the US trial registry maintained by the National Library of Medicine. NCT03045068 (small enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.