Bleeding breakthrough fizzles: fibrinogen trial for chemo patients halted after just one patient
NCT ID NCT05091684
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a single injection of fibrinogen concentrate followed by a platelet transfusion in blood cancer patients with severe bleeding who did not respond to standard platelet transfusions. The goal was to see if it improved blood clotting. However, the trial was terminated early after enrolling only one participant, so no meaningful conclusions can be drawn.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fibrinogen concentrate
- What this could lead to
- If it worked, this could offer a way to manage severe bleeding in patients who don't respond to platelet transfusions.
- What could go wrong
- The trial was terminated early with only 1 participant, so there is very little data. It is unclear if the approach is safe or effective.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
1 person
The number who actually took part.
- Started
-
Feb 2022
- Finished
-
Jun 2023
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient affiliated to a social security regimen or beneficiary of the same * Signed written informed consent form * Confirmed diagnosis of a hematological malignancy and undergoing intensive chemotherapy, autologous stem cell transplantation or allogeneic stem cell transplantation * Grade ≥ II hemorrhagic symptoms according to WWorld Health Organization classification * Failure or impossibility to use Human Leucocyte Antigen-matched platelet unit * Body weight between 38 and 78 Kgs * Transfusion refractoriness as defined by Corrected count increment ≤ 5 and platelet level \< 20.109.L-1 Exclusion Criteria: * Pregnant women * Patient under guardianship or deprived of his liberty or any condition that may affect the patient's ability to understand and sign the informed consent * Refusing participation * Patient presenting non-malignant hematological disease * Patient with high plasmatic concentration of fibrinogen (\>5g/L) * Patient who received fibrinogen within 20 days before inclusion * Contra-indication to fibrinogen (fibrinogen concentrate) or any excipient (fibrinogen concentrate) * Patient with disseminated intravascular coagulopathy * Patient with thromboembolic history * Patient who received L-Asparaginase or acquired hypofibrinogenemia following treatment by L-Asparaginase * Patient with known risk of thrombophilia (deficiency for antithrombin 3, C protein or factor V) * Patient with anti-thrombotic treatment (anti-platelet or anti-coagulant therapy) at the time of enrolment * Elevated body temperature ≥ 38.5°C * Hospital stay for invasive surgery * Patient with acute myeloid leukemia during the induction phase of chemotherapy.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
CHU de Saint-Etienne
Saint-Etienne, 42055, France
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