Informations générales
  • Catégorie de maladie Grossesse et accouchement (BASEC)
  • Study Phase Phase 4 (ICTRP)
  • État du recrutement recrutement en cours (BASEC/ICTRP)
  • Lieu de l’étude
    Aarau, Bâle, Berne, Genève, Lausanne, St-Gall, Winterthur, Zurich, Autre
    (BASEC)
  • Responsable de l'étude Prof. Dr. med. Christian Haslinger swift@usz.ch (BASEC)
  • Source(s) de données BASEC: Importé de 01.07.2025 ICTRP: Importé de 20.03.2025
  • Date de mise à jour 01.07.2025 10:31
HumRes65205 | SNCTP000005946 | BASEC2024-00374 | NCT06481995

Influence of the coagulation factor (factor 13) in severe bleeding after childbirth

  • Catégorie de maladie Grossesse et accouchement (BASEC)
  • Study Phase Phase 4 (ICTRP)
  • État du recrutement recrutement en cours (BASEC/ICTRP)
  • Lieu de l’étude
    Aarau, Bâle, Berne, Genève, Lausanne, St-Gall, Winterthur, Zurich, Autre
    (BASEC)
  • Responsable de l'étude Prof. Dr. med. Christian Haslinger swift@usz.ch (BASEC)
  • Source(s) de données BASEC: Importé de 01.07.2025 ICTRP: Importé de 20.03.2025
  • Date de mise à jour 01.07.2025 10:31

Résumé de l'étude

Increased bleeding after childbirth occurs more frequently than generally assumed (about one in four women bleeds more than half a liter after vaginal births). Severe bleeding is rarer (about 7% bleed more than one liter after a vaginal birth) and often unpredictable, but it can lead to an emergency situation. Worldwide, including in Switzerland, we observe an increase in severe and critical bleeding after childbirth, with a corresponding rise in associated complications. Today, in addition to the measures taken by obstetricians, medications, coagulation factors, and finally blood transfusions are available as therapy. This aims to stop the bleeding and replace the blood loss. In earlier published studies, a strong correlation between a coagulation factor (factor 13) and postpartum blood loss has been demonstrated. In this study, we investigate the next logical step, whether the use of coagulation factor 13 as a short infusion into a vein at an earlier point of bleeding than usual actually helps to reduce blood loss and effectively avoid further complications associated with bleeding. Furthermore, we investigate which coagulation factors are significant before and after childbirth.

(BASEC)

Intervention étudiée

Administration of Fibrogammin (coagulation factor 13)

(BASEC)

Maladie en cours d'investigation

Severe bleeding after childbirth

(BASEC)

Critères de participation
Pregnant women aged 18 and over who come to the hospital for delivery. (BASEC)

Critères d'exclusion
Women with planned cesarean sections, multiple pregnancies, or known coagulation disorders are excluded from the study. (BASEC)

Lieu de l’étude

Aarau, Bâle, Berne, Genève, Lausanne, St-Gall, Winterthur, Zurich, Autre

(BASEC)

Zollikerberg

(BASEC)

Switzerland (ICTRP)

Sponsor

Prof. Dr. med. Christian Haslinger

(BASEC)

Contact pour plus d'informations sur l'étude

Personne de contact en Suisse

Prof. Dr. med. Christian Haslinger

+41 44 255 11 11

swift@usz.ch

Universitätsspital Zürich

(BASEC)

Informations générales

University of Zurich,University Hospital, Geneva,University of Lausanne Hospitals,University Hospital, Basel, Switzerland,Cantonal Hospital St. Gallen,Kantonsspital Baden,Spital Zollikerberg,Inselspital-University Hospital Bern,Cantonal Hospital Winterthur,

0041 432537575

swift@usz.ch

(ICTRP)

Informations générales

University of ZurichUniversity Hospital, GenevaUniversity of Lausanne HospitalsUniversity Hospital, Basel, SwitzerlandCantonal Hospital St. GallenKantonsspital BadenSpital ZollikerbergInselspital-University Hospital BernCantonal Hospital Winterthur

0041 432537575

swift@usz.ch

(ICTRP)

Informations scientifiques

University of Zurich,University Hospital, Geneva,University of Lausanne Hospitals,University Hospital, Basel, Switzerland,Cantonal Hospital St. Gallen,Kantonsspital Baden,Spital Zollikerberg,Inselspital-University Hospital Bern,Cantonal Hospital Winterthur,

0041 432537575

swift@usz.ch

(ICTRP)

Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)

Commission cantonale de Zurich

(BASEC)

Date d'approbation du comité d'éthique

14.06.2024

(BASEC)


Identifiant de l'essai ICTRP
NCT06481995 (ICTRP)

Titre officiel (approuvé par le comité d'éthique)
Early factor XIII replacement in postpartum hemorrhage: multi-center, random-ized, controlled, investigator-initiated trial (BASEC)

Titre académique
Early Factor XIII Replacement in Postpartum Hemorrhage: Multi-center, Randomized, Controlled, Investigator-initiated Trial (ICTRP)

Titre public
SWIFT - SWIss Factor XIII Trial in PPH (ICTRP)

Maladie en cours d'investigation
Postpartum HemorrhageCoagulation DisorderCoagulation Factor DeficiencyHemorrhagePostpartum Complication (ICTRP)

Intervention étudiée
Drug: Fibrogammin (ICTRP)

Type d'essai
Interventional (ICTRP)

Plan de l'étude
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Single (Outcomes Assessor). (ICTRP)

Critères d'inclusion/exclusion
Inclusion Criteria:

- planned vaginal delivery

- singleton vital pregnancy

- gestational age at delivery >= 30+0 weeks

- maternal weight at admission for delivery <100 kg

Exclusion Criteria:

- Antithrombotic therapy in pregnancy (therapeutic dosage) until admission for
delivery (LMWH, UFH)

- diagnosis of preeclampsia (ISSHP classification , eclampsia or HELLP syndrome),

- known history of deep vein thrombosis or pulmonary embolism,

- known diagnosis of bleeding disorder or thrombophilia,

- known thrombocytopenia during second half of pregnancy with thrombocytes < 100 G/L,

- known anemia during second half of pregnancy with Hb<80 g/L,

- known sickle cell disease,

- known malignant tumor(s),

- participation in another study with investigational drug within the 30 days
preceding and during the present study,

- inability to follow the procedures of the study, e.g. due to language problems,

- known or suspected non-compliance, drug or alcohol abuse.

Exclusion criteria prior randomization

- Maternal fever =39.0C

- unplanned cesarean delivery is performed,

- Measured Blood Loss remains < 700 mL after administration of 1g tranexamic acid .

- Postpartum hemorrhage due to occult bleeding (intra-abdominal, retroperitoneal,
parametric), (ICTRP)

non disponible

Critères d'évaluation principaux et secondaires
Blood Loss during post partum hemorrhage (ICTRP)

Outcome of postpartum hemorrhage;Changes in hematological standard value: hemoglobin;Changes in hematological standard value: leucocyte count;Changes in hematological standard value; thrombocyte count;Hospital costs;Breastfeeding;Patient survey (in a subgroup of patients only) (ICTRP)

Date d'enregistrement
non disponible

Inclusion du premier participant
non disponible

Sponsors secondaires
Swiss National Science Foundation, Switzerland (ICTRP)

Contacts supplémentaires
Christian Haslinger, Prof. Dr.;Bego?a Martinez de Tejada, MD PhD;David Baud, MD PhD;Beatrice Mosimann, Prof. Dr.;Tina Fischer, MD;Leonhard Sch?ffer, Prof. Dr.;Michael Winter, MD;Jarmila Zdanowicz, MD;Leila Sultan-Beyer, MD;Christian Haslinger, Prof. Dr, Christian.haslinger@usz.ch, 0041 432537575, University of Zurich,University Hospital, Geneva,University of Lausanne Hospitals,University Hospital, Basel, Switzerland,Cantonal Hospital St. Gallen,Kantonsspital Baden,Spital Zollikerberg,Inselspital-University Hospital Bern,Cantonal Hospital Winterthur, (ICTRP)

ID secondaires
BASEC 2024 - 00374 (ICTRP)

Résultats-Données individuelles des participants
non disponible

Informations complémentaires sur l'essai
https://clinicaltrials.gov/ct2/show/NCT06481995 (ICTRP)

Résultats de l'essai

Résumé des résultats

non disponible

Lien vers les résultats dans le registre primaire

non disponible