Thrombocytopenic patients (platelet count less than or equal to 100x109/L) in Intensive Care and due to undergo an interventional procedure. MedDRA version: 19.0 Level: PT Classification code 10036898 Term: Prophylaxis System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Adult patients (age 18 years or above) • Platelet count =100 x 109/L • Inpatient on a critical care ward • Due to undergo an interventional procedure Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: • Active bleeding • History of ischaemic heart disease (myocardial infarction or angina), stroke or transient ichaemic attack (TIA) • Admission to ICU with traumatic brain injury or seizures • Congenital bleeding disorder • Pregnant or breastfeeding • History of anaphylaxis to desmopressin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: This is a feasibility trial, to evaluate whether it is feasible to administer desmopressin (or placebo) prior to an interventional procedure, in order to reduce the patient's risk of bleeding. The primary outcome will measure the proportion of eligible patients who are randomised into trial and receive the IMP.; Secondary Objective: Although this trial is primarily looking at feasibility (testing whether it is feasible to administer desmopressin in this setting), we will also look at several measures of efficacy. These include laboratory tests to check platelet function, bleeding events and the need for blood products (red cells, platelets) after the procedure. ;Primary end point(s): The primary outcome is the proportion of eligible patients who are randomised into trial and receive the IMP - this will determine whether it is feasible to administer desmopressin to patients in this setting. ;Timepoint(s) of evaluation of this end point: 40 patients randomised into the trial. | — |
Countries
United Kingdom
Contacts
NHS Blood and Transplant Clinical Trials Unit