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Shock, Hemorrhagic clinical trials

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NCT ID: NCT06111261 Not yet recruiting - Bleeding Clinical Trials

Initial Resuscitation With Albumin in Hemorrhagic Shock to Reduce Positive Fluid Balance

ABSOLUTE
Start date: November 15, 2023
Phase: N/A
Study type: Interventional

This study is designed to evaluate the effect of early albumin transfusion within massive transfusion protocol on fluid balance and reduced requirement of transfusion.

NCT ID: NCT06070350 Not yet recruiting - Trauma Injury Clinical Trials

Massive Transfusion in Children-2: A Trial Examining Life Threatening Hemorrhage in Children

MATIC-2
Start date: September 1, 2024
Phase: Phase 3
Study type: Interventional

The MATIC-2 is a multicenter clinical trial enrolling children who are less than 18 years of age with hemorrhagic shock potentially needing significant blood transfusion. The primary objective of the clinical trial is to determine the effectiveness of Low Titer Group O Whole Blood (LTOWB) compared to component therapy (CT), and Tranexamic Acid (TXA) compared to placebo in decreasing 24-hour all-cause mortality in children with traumatic life threatening hemorrhage.

NCT ID: NCT05953376 Not yet recruiting - Trauma Clinical Trials

Empiric Calcium in Massive Transfusion

Start date: January 2025
Phase: Phase 3
Study type: Interventional

Calcium helps blood to clot and thereby stop bleeding. Trauma patients who experience large volume blood loss often require blood transfusions and bleeding is the most common cause of death. The purpose of this study is to see if giving intravenous calcium immediately to patients who require large volume blood transfusion will decrease transfusion requirements, vasopressor use and mortality in bleeding trauma patients.

NCT ID: NCT04987411 Not yet recruiting - Trauma Clinical Trials

Detection of Exhaled Methane Levels in Hemorrhagic Shock

Start date: November 1, 2021
Phase:
Study type: Observational

This prospective observational study aims to test the efficacy of the continuous measurement of exhaled methane levels in monitoring the hemodynamic state of severely injured, bleeding trauma patients.

NCT ID: NCT04331457 Not yet recruiting - Ischemic Stroke Clinical Trials

Predictors Of Stroke Outcome In Chidren

Start date: December 1, 2020
Phase:
Study type: Observational

Stroke can be defined as an abrupt loss of brain function that is caused by decreased cerebral blood flow. Stroke can occur at all stages of life, but presentation is variable depending on age, involved artery, and underlying risk factors.

NCT ID: NCT02880163 Not yet recruiting - Trauma Clinical Trials

REVIVE: Reducing Exsanguination Via In-Vivo Expandable Foam

REVIVE
Start date: October 1, 2023
Phase: N/A
Study type: Interventional

The purpose of this study is to demonstrate safety, effectiveness and benefit-risk profile of ResQFoam for the inhospital treatment of exsanguinating, intraabdominal haemorrhage due to trauma in patients where emergent laparotomy is required.

NCT ID: NCT01780129 Not yet recruiting - Shock, Septic Clinical Trials

Polydatin Injectable (HW6) for Shock Treatment

PIST
Start date: February 2013
Phase: Phase 2
Study type: Interventional

HW6 can prolong animal's survival time and increase the survival rate. HW6 enhances cardiac function, improves microcirculation, and increases blood pressure and pulse pressure, and improves blood perfusion of important organs; HW6's anti-shock activity comes from a combined multiple target pharmacological effects. Based on a completed phase II trial conducted in China, HW6 can effectively treatment shock patient. This is a phase II clinical study to further evaluate the efficacy and safety of Polydatin Injectable 100mg/5mL/via (HW6) in the treatment of shock in the United States. Patients with traumatic/hemorrhagic shock or septic shock admitted to the emergency room or ICU with systolic blood pressure < 90mmHg, or is on vasopressor(s) for systolic blood pressure stabilization, regardless the types of completed, on-going, or projected Standard of Care or surgery will be recruited to participant in the trial. A total of 120 patients with traumatic/hemorrhagic shock and 120 patients with septic shock will be enrolled. For each type of shock, sixty patients each will be in test group and control group. Both adult males and females aged 18-80 years are eligible. The primary clinical endpoint is the time length (TL) between the start of HW6 administration to the onset of the first treatment success, that is: the systolic blood pressure is stabilized at ≥90mmHg and MAP≥65mmHg for 1 hour without the use of vasopressors. Several secondary endpoints and biomarkers will be measured. Efficacy data will be compared using group t-test or Wilcoxon log-rank test between treatment groups and placebo groups. Safety data will also be reported accordingly.