New bleeding treatment tested in Kids' heart surgery
NCT ID NCT04376762
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared two treatments for bleeding after heart surgery in children aged 2 years or younger. One group received a purified fibrinogen concentrate, the other received cryoprecipitate (a blood product). The goal was to see if the concentrate works as well as cryoprecipitate to reduce the need for blood transfusions. The trial included 31 children and will help plan a larger study.
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 (Fibryga) and cryoprecipitate
- What this could lead to
- If it works, this could offer a safer, more standardized option to control bleeding in young children after heart surgery.
- What could go wrong
- This is a small pilot study with only 31 children, so results may not apply to all patients. The trial is not designed to prove superiority, only to guide a larger study.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
31 people
The number who actually took part.
- Started
-
Oct 2021
- Finished
-
May 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
-
Up to 24 months
- 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: * pediatric (age 24 months or younger) patients undergoing elective cardiac surgery with CPB (n=30) in-whom fibrinogen supplementation after separation from CPB is indicated, based on the presence of clinically-significant bleeding and documentation of low fibrinogen level on viscoelastic point-of-care testing (MCF \< 10 mm on the FIBTEM assay of ROTEM). Exclusion Criteria: * gestational age \< 33 weeks at birth * gestational age \< 35 weeks on the day of surgery * emergency surgery * patient or parent history of coagulopathy/clotting abnormalities * patient history of thrombophilia * refusal to participate in the study, * known severe allergic reaction/anaphylaxis to fibrinogen concentrate, * administration of fibrinogen concentrate or cryoprecipitate in the 24 hours prior to surgery * baseline fibrinogen level higher than 300 mg/dL (to avoid the risk of increasing the fibrinogen level above the normal upper level of 400 mg/dL)
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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
-
University of Virginia Health System
Charlottesville, Virginia, 22908, United States
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