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NCT03634215

Estimation of Coagulation Factor XIII Activity Based on the Initial Plasma Fibrinogen Level in Trauma

Completed Last updated 4 January 2023
What this trial tests

trial testing fibrinogen plasma concentration, coagulation factor XIII activity in Multiple Trauma in 357 participants. Completed in 31 March 2019.

Timeline
1 September 2018
Primary endpoint
31 January 2019
31 March 2019

Quick facts

Lead sponsorMasaryk Hospital Krajská zdravotní a.s.
StatusCompleted
Study typeOBSERVATIONAL
Enrollment357
Start date1 September 2018
Primary completion31 January 2019
Estimated completion31 March 2019
Sites3 locations across Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Masaryk Hospital Krajská zdravotní a.s.

Who can join

18 and older, any sex, with Multiple Trauma or Coagulation Disorder. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Coagulation factor XIII (FXIII), a plasma transglutaminase, is known as the final enzyme of the coagulation cascade, responsible for a cross-linking of fibrin to strengthen blood clot. It also minimizes fibrin degradation by its cross-linking it with alfa2-antiplasmin molecules. It has been found that similar to plasma fibrinogen level, FXIII activity can be reduced in the early phase of severe trauma. Therefore, its immediate substitution is of potential therapeutic interest in trauma-induced coagulopathy. However, unlike plasma fibrinogen level evaluation, measurement of the FXIII activity is not routinely available. Therefore, targeted substitution of FXIII is practically impossible. The plasma fibrinogen level is routinely measured in severe trauma patients. Based on pathophysiologic assumptions and a limited number of published data we hypothesize that the FXIII activity correlates with fibrinogen level. In such case, indirect FXIII activity prediction by fibrinogen level measurement would be a convenient approach to enable FXIII targeted substitution. Therefore we decided to perform a prospective observational clinical trial to determine whether the low plasma fibrinogen level in severe trauma correlates with decreased FXIII activity.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Recent advances in use of fresh frozen plasma, cryoprecipitate, immunoglobulins, and clotting factors for transfusion support in patients with hematologic disease.
    Nair PM, Rendo MJ, Reddoch-Cardenas KM, Burris JK, et al · · 2020 · cited 19× · PMID 32892846 · DOI 10.1053/j.seminhematol.2020.07.006

Verify or expand the search:

Other recruiting trials for Multiple Trauma

Currently open trials in the same condition.

Other Masaryk Hospital Krajská zdravotní a.s. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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