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Clinical Evaluation of Hemospray in Hemostasis of Active Variceal Bleeding

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ClinicalTrials.gov Identifier: NCT01783899
Recruitment Status : Completed
First Posted : February 5, 2013
Last Update Posted : December 30, 2014
Sponsor:
Collaborator:
Université Libre de Bruxelles
Information provided by (Responsible Party):
Mostafa Ibrahim, Theodor Bilharz Research Institute

Study Description
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Brief Summary:
The objective of this study is to assess the effectiveness of Hemospray in achieving initial hemostasis and decreased rate of re-bleeding in patients of acute variceal bleeding.

Condition or disease Intervention/treatment Phase
Variceal Hemorrhage Device: Hemospray Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Clinical Evaluation of Hemospray in Hemostasis of Active Variceal Bleeding
Study Start Date : January 2013
Actual Primary Completion Date : December 2013
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bleeding

Arms and Interventions
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Arm Intervention/treatment
Experimental: Hemospray Group

Hemospray device consists of a syringe containing the Hemospray powder (21 g per syringe), a delivery catheter that will be inserted into the working channel of the endoscope, and an introducer handle with a built-in carbon dioxide canister to propel the Hemospray powder out of the catheter.

In addition to Hemospray device any other required endoscopic accessories can be used during the procedure.

 Device: Hemospray

Patients will be resuscitated as needed to achieve hemodynamic stability in preparation for endoscopy within 24 hours of hospital admission.

once the bleeding point will be identified at endoscopy, the delivery catheter will be inserted through the endoscope and positioned toward the lesion, leaving 1-2 cm between the bleeding site and the catheter tip.

Hemospray will be then delivered in short spray bursts (for 1-2 seconds) until hemostasis was confirmed.

Once bleeding was controlled , the bleeding site will be observed for 5 minutes under endoscopy.

Oral food and fluid will be with held from the patient for 24 hours. Intravenous octreotide and esomeprazole will given for up to 24 hours. Patients will be closely monitored for signs of recurrent bleeding for 24 hours post procedure.

Recurrent bleeding will be diagnosed any patient experiencing recurrent bleeding will treated according to the institutional standard of care


Outcome Measures
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Primary Outcome Measures :
  1. Safety [ Time Frame: 24 hours ]
    Safety will be characterized by the incidence of all Adverse Device Effects (ADEs), non-serious and serious, possibly related to or related to the procedure and/or device that are experienced by study participants.


Secondary Outcome Measures :
  1. Effectiveness [ Time Frame: 24 hours ]
    Information on efficacy will be obtained by measurements the proportion of patients with acute (procedural) hemostasis, and the rate of recurrent bleeding within 72 hours of treatment.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria :

  • 18 Years and older
  • Bleeding Esophageal and / or Gastric varices

Exclusion Criteria:

  • Patient is: < 18 years of age
  • Unable to consent
  • Contraindicated to undergo endoscopy,
  • Already hospitalized for another illness
  • Pregnant or lactating
  • Patients with altered post-surgical anatomy of the stomach
  • Previously placed intrahepatic portosystemic shunt
  • Patient treated by other endoscopic or surgical modalities within 7 days prior to the intended application of Hemospray
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01783899


Locations
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Belgium
Erasme Hospital , ULB
Brussels, Belgium, 1070
Egypt
Theodor Bilharz Research Institute
Giza, Egypt, 12311
Sponsors and Collaborators
Theodor Bilharz Research Institute
Université Libre de Bruxelles
Investigators
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Principal Investigator: Mostafa Ibrahim, MD Université Libre de Bruxelles
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Mostafa Ibrahim, Gastroenterologist, Theodor Bilharz Research Institute
ClinicalTrials.gov Identifier: NCT01783899    
Other Study ID Numbers: Hemospray Varices
First Posted: February 5, 2013    Key Record Dates
Last Update Posted: December 30, 2014
Last Verified: December 2014
Additional relevant MeSH terms:
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Hemorrhage
Pathologic Processes