Influence of the coagulation factor (factor 13) in severe bleeding after childbirth
Descrizione riassuntiva dello studio
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)
Intervento studiato
Administration of Fibrogammin (coagulation factor 13)
(BASEC)
Malattie studiate
Severe bleeding after childbirth
(BASEC)
Pregnant women aged 18 and over who come to the hospital for delivery. (BASEC)
Criteri di esclusione
Women with planned cesarean sections, multiple pregnancies, or known coagulation disorders are excluded from the study. (BASEC)
Luogo dello studio
Aarau, Basilea, Berna, Ginevra, Losanna, San Gallo, Winterthur, Zurigo, Altro
(BASEC)
Zollikerberg
(BASEC)
Sponsor
Prof. Dr. med. Christian Haslinger
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Prof. Dr. med. Christian Haslinger
+41 44 255 11 11
swift@clutterusz.chUniversitätsspital Zürich
(BASEC)
Informazioni generali
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@clutterusz.ch(ICTRP)
Informazioni generali
University of ZurichUniversity Hospital, GenevaUniversity of Lausanne HospitalsUniversity Hospital, Basel, SwitzerlandCantonal Hospital St. GallenKantonsspital BadenSpital ZollikerbergInselspital-University Hospital BernCantonal Hospital Winterthur
0041 432537575
swift@clutterusz.ch(ICTRP)
Informazioni scientifiche
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@clutterusz.ch(ICTRP)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione etica Zurigo
(BASEC)
Data di approvazione del comitato etico
14.06.2024
(BASEC)
ID di studio ICTRP
NCT06481995 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Early factor XIII replacement in postpartum hemorrhage: multi-center, random-ized, controlled, investigator-initiated trial (BASEC)
Titolo accademico
Early Factor XIII Replacement in Postpartum Hemorrhage: Multi-center, Randomized, Controlled, Investigator-initiated Trial (ICTRP)
Titolo pubblico
SWIFT - SWIss Factor XIII Trial in PPH (ICTRP)
Malattie studiate
Postpartum HemorrhageCoagulation DisorderCoagulation Factor DeficiencyHemorrhagePostpartum Complication (ICTRP)
Intervento studiato
Drug: Fibrogammin (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Single (Outcomes Assessor). (ICTRP)
Criteri di inclusione/esclusione
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 disponibile
Endpoint primari e secondari
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)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
Swiss National Science Foundation, Switzerland (ICTRP)
Contatti aggiuntivi
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 secondari
BASEC 2024 - 00374 (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT06481995 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile