Whole blood may be just as good as standard transfusions for trauma bleeding
NCT ID NCT04431999
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether giving whole blood (all blood parts together) works as well as giving separate blood parts (red cells, plasma, platelets) to people with severe bleeding from trauma. About 200 patients who needed a massive transfusion were included. The goal was to see if whole blood corrects bleeding problems just as well, which could simplify emergency care.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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200 people
The number who actually took part.
- Started
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Dec 2021
- Finished
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Oct 2025
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: Severe trauma patients requiring the initiation of a massive transfusion protocol determined on 1. At least two Red flag score factors (according to pre-hospital data) : * Suspected pelvic fracture * Shock index (FC / PAS)\> = 1 * Microdose hemoglobin \<13g * Average blood pressure \<70 mmHg * Need for prehospital tracheal intubation 2. AND at least two criteria of the Assessment of Blood Consumption (ABC) score established at the patient's arrival: * Penetrating trauma * Focused Abdominal Sonography for Trauma (FAST) echo positive * Blood pressure \<90 mmHg * Respiratory rate \>120 bpm 3. AND/OR after clinical assessment and on the prediction of the practitioner in charge of the treatment of the injured person of the need to transfuse during the emergency management of the injured person Exclusion Criteria: * Non-traumatic hemorrhage * Patients transfused with more than two PRBCs before the initiation of the massive transfusion protocol. * Anti-coagulation treatment * Pregnancy * Age \< 18 years * Patient refusing administration of blood products * Patient transferred from another hospital * Patient nor transported by a physician-staffed prehospital emergency medical system * Burn patient (≥30% of body surface). * Patient under specific known transfusion protocol (for example : allo immunization...)
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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
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CHU de Grenoble
Grenoble, 38000, France
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CHU de La Cavale Blanche - Brest
Brest, 29200, France
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CHU de La Pitié-Salpêtrière
Paris, 75013, France
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CHU du Kremlin Bicêtre
Paris, 94270, France
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HIA Percy
Clamart, 92140, France
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HIA Sainte Anne
Toulon, 83000, France
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Other studies related to the condition(s) this trial covers.
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