Last reviewed · How we verify
NCT05959252: BLUSH
BivaLirudin versUS Heparin in Extracorporeal Membrane Oxygenation
Phase 2 trial testing Unfractionated heparin in Extracorporeal Membrane Oxygenation Complication in 80 participants. Currently enrolling.
1 December 2025
Quick facts
| Lead sponsor | Sydney Local Health District |
|---|---|
| Phase | Phase 2 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 80 |
| Start date | 1 May 2024 |
| Primary completion | 1 December 2025 |
| Estimated completion | 1 May 2026 |
| Sites | 1 location across Australia |
Drugs / interventions tested
- Unfractionated heparin — full drug profile →
- Bivalirudin (BIVALIRUDIN) — full drug profile →
Conditions studied
- Extracorporeal Membrane Oxygenation Complication — all drugs for Extracorporeal Membrane Oxygenation Complication →
Sponsor
Sydney Local Health District — full company profile →
Who can join
18 and older, any sex, with Extracorporeal Membrane Oxygenation Complication. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The goal of this open label randomised clinical trial is to compare Bivalirudin versus Heparin for anticoagulation in patients requiring extracorporeal membrane oxygenation support. The main question it aims to answer are include the ability to maintain anticoagulation within defined therapeutic range, bleeding and thrombotic complications and a comparison of the total cost of anticoagulation care. Participants will be randomised to either anticoagulation with Bivalirudin or anticoagulation with Unfractionated Heparin.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
-
Anticoagulation in venovenous extracorporeal membrane oxygenation.
Jung C, Stueber T, Mirus M, Heubner L, et al · · 2025 · cited 5× · PMID 40103791 · DOI 10.3389/fmed.2025.1530411 -
Between a rock and a hard place: anticoagulation management for ECMO.
Buchtele N, Levy JH. · · 2024 · cited 5× · PMID 38457000 · DOI 10.1007/s00063-024-01116-0 -
Extracorporeal membrane oxygenation for cardiac arrest: what, when, why, and how.
Brandorff M, Owyang CG, Tonna JE. · · 2023 · cited 1× · PMID 38009280 · DOI 10.1080/17476348.2023.2288160 -
Anticoagulation during extracorporeal membrane oxygenation: questioning the current standards in balancing the risks of thrombosis and bleeding.
Gratz J, Buscher H, Schaden E. · · 2025 · PMID 40877110 · DOI 10.1016/j.bja.2025.07.060
Verify or expand the search:
- PubMed search for NCT05959252
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Unfractionated heparin
Trials testing the same drug.
- NCT07361783 — Impact of Pre-Hospital Heparin Loading in STEMI Patients for Primary PCI: The HELP-PCI 2 Trial · NA · recruiting
- NCT06442267 — Comparing Anticoagulation Strategies Using UFH, Argatroban and LMWH for ECMO Support · Phase 4 · recruiting
- NCT06174961 — The Effect of Exercise on Pharmacodynamics and Pharmacokinetics of a Single Dose of Unfractionated Heparin · Phase 4 · completed
- NCT05255848 — Nebulised Heparin in Patients With COVID-19 Pneumonia · Phase 2, PHASE3 · unknown
- NCT05247424 — Pretreatment With Unfractionated Heparin for ST Elevation Myocardial Infarction · Phase 4 · completed
Other recruiting trials for Extracorporeal Membrane Oxygenation Complication
Currently open trials in the same condition.
- NCT06814340 — "Continuous Positive Airway Pressure on Venovenous extracorporeaL Membrane Oxygenation for Acute respIratory Distress sy · Phase 3 · recruiting
- NCT06469801 — ECMO ABI Detection With Hyperfine · NA · recruiting
- NCT06276010 — Use of Nafamostat Mesilate for Anticoagulation in Patients With ECMO · NA · recruiting
- NCT06275555 — Use of Bivalirudin for Anticoagulation in Patients With Extracorporeal Membrane Oxygenation · NA · recruiting
- NCT06792643 — Cangrelor on Top of anticoagUlation in Patients With myocaRdial Infarction-related Cardiogenic Shock/Cardiac Arrest rece · Phase 2 · recruiting
Other Sydney Local Health District trials
Trials by the same sponsor.
- NCT06552312 — A Modified Delphi for ECPR Post Resuscitation Care · active not recruiting
- NCT06578468 — End-Tidal Oxygen for Intubation in the Emergency Department · NA · recruiting
- NCT05006339 — The Use of Remote Monitoring for Orthodontic Retention Review · NA · recruiting
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05959252 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Sydney Local Health District
- Last refreshed: 13 August 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05959252.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing