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In Vivo Recovery and Survival Study of Platelets Collected on Trima Accel System and Stored in InterSol Solution

An In Vivo Recovery and Survival Study of Platelets Collected on the Trima Accel System and Stored in InterSol Solution

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03097289
Enrollment
33
Registered
2017-03-31
Start date
2017-07-26
Completion date
2017-11-24
Last updated
2018-12-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Volunteers

Keywords

Healthy Adults

Brief summary

The purpose of this study is to evaluate the quality of platelets collected on the Trima Accel system after storage for 5 days in a Platelet Additive Solution (PAS), called InterSol.

Detailed description

Platelets suspended in platelet additive solutions (PAS) have been collected and transfused in Europe for over 20 years. These PAS solutions outside of the United States (US) are not tied to an apheresis device; however in the US, PAS solutions have traditionally been linked to a corresponding apheresis device. Currently in the US, there are two solutions approved by the Food and Drug Administration (FDA) as a PAS for the replacement of 65% plasma in platelet components. Isoplate Solution is approved for use with the Trima Accel® Automated Blood Collection System (Trima Accel System) and InterSol Solution is approved for use with the Amicus Separator System. Terumo BCT is pursuing FDA clearance for InterSol in combination with the Trima Accel system in order to provide blood centers with the option to use InterSol as well as Isoplate Solution when collecting platelets to be stored in a PAS. This is a prospective, open-label, multicenter, controlled study. Up to 40 healthy adult subjects will be enrolled in this study to ensure 24 evaluable subjects across two Investigational Sites. Evaluable is defined as the subject completing the recovery and survival procedure and neither the subject or the product meeting any of the Clinical Investigation Plan (CIP) analysis exclusion criteria. The additional platelet donors account for screen failures, incomplete procedures and CIP exclusions. Two (2) sets of platelets will be collected from each subject: 1. A Test unit - A hyperconcentrated platelet product collected on the Trima Accel system and diluted to a final ratio of 65% InterSol/35% plasma through the addition of InterSol directly to the platelet bag by the Trima Accel system after collection. 2. A Control sample - Fresh platelets prepared from a whole blood sample drawn from the same subject on Study Day 5 in accordance with standard procedure. Eligible donors who have signed an informed consent will be enrolled. SUBJECT PROCEDURES Screening can be performed within 5 days of the apheresis procedure or combined with the Apheresis visit. The following evaluations will be performed: 1. Informed consent will be obtained prior to initiating any study specific procedures 2. Eligibility will be confirmed 3. Demographics (age, gender, race, ethnic origin), height, and weight 4. Record medical history as per AABB criteria for healthy donors Apheresis Visit The following procedures will be performed: 1. Eligibility will be confirmed 2. Finger stick hemoglobin 3. Apheresis procedure Apheresis procedures will be run according to the instructions and precautions described in the commercially available Trima Accel Operator's Manual. The Investigator or designee will perform the venipuncture, monitor the subject during the collection, assess and provide any interventions for adverse effects, remove the needle, dress the puncture site and monitor subject through recovery. The following information will be documented: 1. Trima procedure details 2. Adverse events (AEs) 3. Medications to treat adverse events 4. Device deficiencies Infusion Day Visit Five (5) days after a study subject has completed the apheresis procedure to collect Test platelets, they will return for the donation of fresh Control platelets, reinfusion of radiolabeled Test and Control platelets, and post-infusion sampling. The following procedures will be conducted: 1. Confirm eligibility 2. Conduct pregnancy test for women of childbearing potential (serum or urine) 3. Review adverse events since the previous visit 4. Collect a whole blood sample for the production of Control platelets 5. Radiolabel Test and Control platelets and prepare for infusion 6. Infuse radiolabeled combined Test and Control platelets into subject's vein 7. Collect a 5-10 mL blood sample for pre- and post-infusion testing using the opposite arm as for the infusion The following will be documented: 1. Vital signs (blood pressure, heart rate, temperature) 2. Adverse events 3. Medications to treat adverse events The subject will return to the study site daily (except on weekends) between Study Day 6 and Study Day 12 . A total of 5 blood samples are required to be collected in this 7 day period in order for the subject's data to be evaluable. The subject will also return to the study site for a final visit on Study Day 16. At each of these visits a blood sample will be collected for testing. The following will be documented: 1. Adverse events 2. Medications to treat adverse events

Interventions

A platelet apheresis procedure involves connecting the blood in the donor's vein through tubing to a machine that separates the blood components. After the separation, the desired component of the blood is removed (platelets and plasma), while the remainder of the blood components are reinfused back into the patient. To prevent clotting, an anticoagulant (ACDA) is used throughout the procedure. Following each blood collection, Platelet Additive Solution (PAS), InterSol, will be added to the platelet product to prepare the final product for 5 day storage. The entire procedure is painless and should take 90 to 120 minutes.

Sponsors

Terumo BCT
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Intervention model description

Apheresis platelets will be collected on the Trima Accel system and stored in 65% InterSol/35% plasma for all subjects

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. Age 18 years or older 2. Normal health status as per AABB criteria for a healthy donor 3. Able to commit to the study schedule 4. Meets the inclusion criteria defined by the Blood Center for an apheresis platelet with PAS collection on the Trima Accel system. These criteria are based on FDA Regulations and AABB standards. Note: Participants who are deferred from volunteer community donations because of travel restrictions, piercings, or tattoos may participate in the study, as products are not transfused 5. Participants of child-bearing potential (either male or female) must agree to use an effective method of contraception during the course of the study 6. Female of childbearing potential must be willing to take a pregnancy test prior to infusion of radiolabeled platelets 7. Has given written informed consent

Exclusion criteria

1. Previously received radiation therapy 2. Has been diagnosed with a platelet disorder (ie, platelet dysfunction) 3. Already participated in 4 research studies involving radioisotopes within the contemporaneous calendar-year 4. Pregnant or nursing females 5. Participation currently, or within the last 12 months, in another investigational trial that would potentially interfere with the analysis of this investigation 6. History of known hypersensitivity to indium or chromium 7. Treatment with aspirin or aspirin containing medications within 7 days of apheresis or treatment with non-steroidal anti inflammatory drugs (NSAID), anti-platelet agents or other drugs affecting platelet viability within 3 days of apheresis (eg, ibuprofen or other NSAIDs)

Design outcomes

Primary

MeasureTime frameDescription
Recovered Percentage of the Extrapolated Platelet Count at Time 011 days (+/- 1 day)The percent recovery of platelets stored in InterSol for 5 Days as compared to fresh controls. Percent recovery was expressed as a percentage and was extrapolated for a value at Time 0. The FDA acceptance criteria for recovery is \>66% of control with a 1-sided 97.5% confidence limit.
Number of Days of Platelet Survival11 days (+/- 1 day)Survival of platelets stored in InterSol for 5 Days as compared to fresh controls. Survival was expressed in days and was approximated using linear regression. The FDA acceptance criteria for survival is \>58% of control with a 1-sided 97.5% confidence limit

Countries

United States

Participant flow

Recruitment details

A participant was considered enrolled upon signing the informed consent form.

Pre-assignment details

33 participants consented/enrolled: 1 screen-failed; 32 participants started an apheresis procedure and were therefore included in the Safety Analysis Set 6 participants did not complete all study procedures, resulting in 26 participants completing the study; 2 participants met the Full Analysis set exclusion criteria 24 = Full Analysis set

Participants by arm

ArmCount
Platelets Stored in InterSol
Healthy adult volunteer blood donors will undergo apheresis for a single hyperconcentrated platelet product. Platelets will be stored in 65% InterSol/35% plasma for 5 days. Following storage for 5 days, an aliquot of Test platelets will be radiolabeled with either 111In or 51Cr. Similarly an aliquot of freshly prepared platelets derived from a whole blood sample donated on Day 5 (Control) will be tagged with the radiolabel not used in the Test platelets. The labeled aliquots will then be infused simultaneously on Day 5 back to the autologous donor.
32
Total32

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyCollected platelet product unusable3
Overall StudyEquipment failure2

Baseline characteristics

CharacteristicPlatelets Stored in InterSol
Age, Customized
Age ≥ 18 years
32 Participants
Height68.3 inches
STANDARD_DEVIATION 3.24
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
Race/Ethnicity, Customized
Asian
0 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
Race/Ethnicity, Customized
White
31 Participants
Region of Enrollment
United States
32 participants
Sex: Female, Male
Female
13 Participants
Sex: Female, Male
Male
19 Participants
Weight196.5 pounds
STANDARD_DEVIATION 48.27

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 32
other
Total, other adverse events
6 / 32
serious
Total, serious adverse events
0 / 32

Outcome results

Primary

Number of Days of Platelet Survival

Survival of platelets stored in InterSol for 5 Days as compared to fresh controls. Survival was expressed in days and was approximated using linear regression. The FDA acceptance criteria for survival is \>58% of control with a 1-sided 97.5% confidence limit

Time frame: 11 days (+/- 1 day)

Population: The Full Analysis Set (FAS) consisted of all completed procedures/products where the corresponding Test and Control values for primary endpoint were valid. Data points could be excluded from FAS if:~1. Primary endpoint laboratory samples were lost/not available~2. Failure of site to follow post-collection handling procedures for endpoint assays

ArmMeasureValue (MEAN)Dispersion
Test Platelets Collected and Stored in InterSolNumber of Days of Platelet Survival5.40 daysStandard Deviation 0.991
Control PlateletsNumber of Days of Platelet Survival7.93 daysStandard Deviation 1.483
Primary

Recovered Percentage of the Extrapolated Platelet Count at Time 0

The percent recovery of platelets stored in InterSol for 5 Days as compared to fresh controls. Percent recovery was expressed as a percentage and was extrapolated for a value at Time 0. The FDA acceptance criteria for recovery is \>66% of control with a 1-sided 97.5% confidence limit.

Time frame: 11 days (+/- 1 day)

Population: The Full Analysis Set (FAS) consisted of all completed procedures/products where the corresponding Test and Control values for primary endpoint were valid. Data points could be excluded from FAS if:~1. Primary endpoint laboratory samples were lost/not available~2. Failure of site to follow post-collection handling procedures for endpoint assays

ArmMeasureValue (MEAN)Dispersion
Test Platelets Collected and Stored in InterSolRecovered Percentage of the Extrapolated Platelet Count at Time 045.15 percent of extrapolated platelet countStandard Deviation 12.256
Control PlateletsRecovered Percentage of the Extrapolated Platelet Count at Time 056.02 percent of extrapolated platelet countStandard Deviation 13.162

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026