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Hemorrhage clinical trials

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NCT ID: NCT02503527 Terminated - Clinical trials for Aneurysmal Subarachnoid Hemorrhage

Efficacy and Safety Study of a Low-carbohydrate Tube Feed in Critically Ill Patients Under Insulin Therapy

Start date: August 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to determine the efficacy and safety of a diabetes-specific tube feed in comparison to an isocaloric, isonitrogenous standard enteral formula in critically ill patients receiving insulin treatment for blood glucose management.

NCT ID: NCT02503319 Withdrawn - Clinical trials for Postpartum Hemorrhage

Clinical Study to Assess the Equivalence of Tranexamic Acid vs Oxytocin in Reducing the PPH (TRANOXY2015)

TRANOXY2015
Start date: January 2016
Phase: Phase 3
Study type: Interventional

The purpose of this study was to evaluate that the tranexamic acid (TXA)Intravenous and oral, is equivalent oxytocin (OXY),intramuscularly, in reducing the blood loss in post partum period (mL) in patients at the end of pregnancy ( 37-42 w ) at low risk of post partum hemorrhage (PPH). The PPH means a blood loss equal to or greater than 500 ml after a vaginal delivery ( the bleeding is defined severe if it exceeds 1000 mL). PPH is called "primary" when blood loss arose within 24 hours after birth. This is a open-trial randomized, longitudinal, controlled that including 486 subjects .

NCT ID: NCT02501941 Completed - Clinical trials for Traumatic Brain Injury

Spreading Depolarization and Ketamine Suppression

SAKS
Start date: July 2015
Phase: Phase 1
Study type: Interventional

Hypothesis: Cortical spreading depolarizations are inhibited by the NMDA receptor antagonist Ketamine Aim 1: To demonstrate, in a group of patients with acute severe brain injury requiring surgery including traumatic brain injury and aneurysmal subarachnoid hemorrhage, whether use of continuous infusion of ketamine decreases frequency of occurrence of cortical spreading depolarizations.

NCT ID: NCT02501434 Suspended - Clinical trials for Intracranial Aneurysm

Aneurysmal Subarachnoid Hemorrhage Trial RandOmizing Heparin

ASTROH
Start date: April 2016
Phase: Phase 2
Study type: Interventional

A Blind-adjudication Multi-center Phase II Randomized Clinical Trial of Continuous Low-dose Intravenous Heparin Therapy in Coiled Low-grade Aneurysmal Subarachnoid Hemorrhage Patients with Significant Hemorrhage Burden. - STUDY IS TEMPORARILY SUSPENDED WITH PLAN TO RESUME SOON. NO SAFETY CONCERNS

NCT ID: NCT02495506 Completed - Surgery Clinical Trials

Transfusion of Cold-stored Platelet Concentrates

4CPLT
Start date: March 2015
Phase: N/A
Study type: Interventional

This study will investigate the effects of Leukocyte reduced cold-stored platelet transfusions used in treatment of immediate postoperative blood loss in patients undergoing thoracic surgery in combination with extracorporal circulation. Today platelet concentrates are stored at 22 degrees C . This is a prospective, randomized, unblinded, non-inferiority two-arm study. Aim of study is to compare platelet function in bleeding patients transfused with leukoreduced platelet concentrates stored cold (4 degrees C) and in room temperature (22 degrees C). Storage time for RCT platelet concentrates are up to 7 days. Patients with expected time on extracorporal circulation more than 120 minutes and/or medical platelet inhibitors will be included. Platelet function will be assessed by use of Multiplate Aggregometry, Thromboelastography (TEG) and/or Thromboelastometry (ROTEM). In addition post operative bleeding, and adverse events will be recorded. After completion of recruitment of patients to RCT study of platelet stored cold for up to 7 days, a follow up prospective observational study of platelets stored cold for up to 14 days is performed. Additonal information 2019, May 03: This trial was registered on Clinical Trials.gov with an original plan to use non-inferiority testing of between-group differences in platelet function. Due to lack of evidence needed to set acceptable tolerance margins for the non-inferiority testing, independent reviewers with expertise in clinical trial design recommended they be replaced by standard tests of superiority, commensurate with the early phase of the trial. Further, post-operative chest tube drainage was chosen as the primary outcome to better present the pilot study's focus on the control of clinically significant bleeding.

NCT ID: NCT02492087 Recruiting - Clinical trials for Postpartum Haemorrhage

Topical Tranexamic Acid in Caesarean Section

TXACS
Start date: August 2015
Phase: Phase 3
Study type: Interventional

The objective of this study is to investigate whether topical application of tranexamic acid into the uterine cavity and the surgical site intra-operatively can reduce blood loss and provide better surgical haemostasis in parturients with moderate to high risk for bleeding undergoing caesarean deliveries.

NCT ID: NCT02488798 Completed - Clinical trials for Postmenopausal Bleeding

Office Hysteroscopy and 3D Power Doppler Vaginal Ultrasound in Assessment of Postmenopausal Bleeding

Start date: June 2013
Phase: N/A
Study type: Observational

100 patients with postmenopausal bleeding were assessed with 2D vaginal ultrasound and 3D power Doppler ultrasound using the international endometrial tumor analysis group and office hysteroscopy with taking samples for histopathological analysis.

NCT ID: NCT02488525 Terminated - Heart Failure Clinical Trials

Prevention of Hemorrhage After Implantation of Mechanical Circulatory Support

PHAM
Start date: January 20, 2016
Phase: Phase 3
Study type: Interventional

Main objective of the study is to demonstrate that a prophylactic treatment with VWF factor concentrate after implantation of continuous-flow left ventricular assist device (CF-LVAD) reduces the frequency of clinically significant bleeding within 3 months after implantation in comparison to the usual care. Adult patients with functional defects of VWF measured after implantation of continuous LVAD are randomly assigned to prophylactic treatment.

NCT ID: NCT02484924 Completed - Clinical trials for Acute Coronary Syndrome

The Risk of Major Bleeding With Novel Anti-platelets: A Comparison of Ticagrelor With Clopidogrel in a Real World Population of 5000 Patients Treated for Acute Coronary Syndrome

ROBOT-ACS
Start date: June 2010
Phase:
Study type: Observational

A retrospective real world analysis of bleeding events with ticagrelor compared to clopidogrel in ACS patients.

NCT ID: NCT02483351 Completed - Clinical trials for Subarachnoid Hemorrhage

Aneurysmal Subarachnoid Hemorrhage: Red Blood Cell Transfusion and Outcome

SAHaRA Pilot
Start date: October 2015
Phase: Phase 2/Phase 3
Study type: Interventional

The purpose of this study is to determine the feasibility of conducting a large trial examining the effect on clinical outcome of a liberal red blood cell (RBC) transfusion strategy compared to a restrictive strategy (usual care) in patients with aneurysmal subarachnoid hemorrhage (SAH).