Effectiveness and Safety of CELSTAT for Hemostasis in Intraoperative Tissue Bleeding

Sponsor
Baxter Healthcare Corporation (Industry)
Overall Status
Completed
CT.gov ID
NCT02640235
Collaborator
(none)
260
25
2
19.8
10.4
0.5

Study Details

Study Description

Brief Summary

The study is to evaluate the effectiveness and safety of CELSTAT vs active control.

Condition or Disease Intervention/Treatment Phase
  • Device: CELSTAT
  • Device: Surgicel Original
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
260 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Supportive Care
Official Title:
A Prospective, Randomized, Controlled Study to Evaluate the Effectiveness and Safety of CELSTAT as an Adjunct to Hemostasis for Tissue Bleeding in Cardiothoracic, General, and Vascular Surgery.
Actual Study Start Date :
Feb 24, 2016
Actual Primary Completion Date :
Jul 21, 2017
Actual Study Completion Date :
Oct 18, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: CELSTAT

Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site

Device: CELSTAT

Active Comparator: Surgicel Original

Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site

Device: Surgicel Original

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Hemostasis Achieved at Target Bleeding Site Within 5 Minutes After Application [5 minute (post-application)]

    Hemostasis is a process to prevent and stop bleeding within damaged blood vessels. Once the product(s) is applied it absorbs blood, turns brown, and adheres to the wound, thereby preventing thrombocytes from being washed out and accelerating hemostasis. Target bleeding sites include mild to moderate parenchymal (organ tissue),vascular (small arteries or veins or surgical reconnections) and soft tissue (muscle, fat, ligament, connective tissue) bleeding.

  2. Number of Participants With Post-operative Re-bleeding at Target Bleeding Site Requiring Surgical Re-exploration [Day 1 to Day 91]

    Findings are reported in this outcome measure and would have also been reported as an AE.

Secondary Outcome Measures

  1. Time to Final Hemostasis at Target Bleeding Site by Percentage of Participants [0 to 10 minutes (post-application)]

    Data presented is an interpretation of a Kaplan-Meier plot based on quartiles of the survival distribution estimate. "Survival" times need not relate to actual survival with death being the event; the "event" may be any event of interest. The Kaplan-Meier curves and estimates of survival data have become a familiar way of dealing with differing survival times (times-to-event).

  2. Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 3 Minutes After Application [3 minutes (post application)]

    The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.

  3. Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 7 Minutes After Application [7 minutes (post application)]

    The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.

  4. Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 10 Minutes After Application [10 minutes (post application)]

    The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.

  5. Percentage of Participants With Intra-operative Re-bleeding at Target Bleeding Site After Achieving Hemostasis [0 to 10 minutes (post-application)]

    If intraoperative re-bleeding occurred, the primary endpoint was considered "treatment failure."

  6. Number of Occurrences of Treatment Emergent Adverse Events (Serious and Non-Serious) [Day 1 to Day 91]

    Adverse Events (AEs) that occurred after the start of study treatment application are referred to as "treatment-emergent AEs" (TEAE). Timeframe for tracking AE's up to Day 91 (minus/plus 10 days=from Day 81 to Day 101).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

Preoperative

  1. Subject is undergoing planned cardiothoracic, general or vascular surgery

Intraoperative

  1. Mild or moderate soft tissue, vascular or parenchymal bleeding present at target bleeding site after standard conventional surgical hemostatic methods prove to be ineffective or impractical.
Exclusion Criteria:

Preoperative

  1. Subject needs emergency surgery

  2. Subject will undergo renal transplantation, or minimally invasive/laparoscopic surgery

  3. Subject will undergo neurological or ophthalmological surgery

  4. Subject will undergo urological or gynecological surgery

  5. Subject has congenital coagulation disorder

  6. Subject is pregnant or lactating at the time of enrollment, or becomes pregnant prior to the planned surgery

Intraoperative:
  1. Occurrence of any surgical complication that requires resuscitation or deviation from the planned surgical procedure prior to identification of target bleeding site

  2. Disseminated intravascular coagulopathy

Contacts and Locations

Locations

Site City State Country Postal Code
1 Washington Hospital Center Washington District of Columbia United States 20010
2 University of Florida College of Medicine Gainesville Florida United States 32610
3 River City Clinical Research Jacksonville Florida United States 32207
4 Jacksonville Center for Clinical Research Jacksonville Florida United States 32216
5 Infectious Disease of Indiana, PSC Carmel Indiana United States 46032
6 University of Kentucky College of Medicine, Kentucky Clinic Lexington Kentucky United States 40536
7 Baystate Medical Center Springfield Massachusetts United States 01199
8 University of Massachusetts Medical School Worcester Massachusetts United States 01655
9 Henry Ford Hospital Detroit Michigan United States 48202
10 MCVI at Covenant Medical Center Saginaw Michigan United States 48602
11 Truman Medical Center Kansas City Missouri United States 64108
12 Carolinas Medical Center Charlotte North Carolina United States 28203
13 Christ Hospital, Carl and Edyth Lindner Research Center Cincinnati Ohio United States 45219
14 Allegheny General Hospital Pittsburgh Pennsylvania United States 15212
15 University of North Texas Science Center Fort Worth Texas United States 76107
16 Houston Methodist Hospital Houston Texas United States 77030
17 Texas Heart Institute, Baylor St. Luke's Medical Center Houston Texas United States 77030
18 Lake Washington Vascular Bellevue Washington United States 98004
19 Froedtert & The Medical College of Wisconsin Clinical Cancer Center Milwaukee Wisconsin United States 53226
20 University Hospital Kralovske Vinohrady, Clinic of Surgery Prague Czechia
21 University Hosptial Kralovske Vinohrady, Clinic of Cardiac Surgery Prague Czechia
22 DRK Clinics Berlin, Clinic of Surgery Berlin Germany
23 Johann Wolfgang Goethe University Hospital, Clinic of General and Visceral Surgery Frankfurt-am-Main Germany
24 Non-Public Specialist Healthcare Facility "MEDICUS" Sroda Wielkopolska Poland
25 Independent Public Teaching Hospital #2, Department of Vascular and General Surgery and Angiology Szczecin Poland

Sponsors and Collaborators

  • Baxter Healthcare Corporation

Investigators

  • Study Director: Qing Li, MD, Baxter Healthcare Corporation

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Baxter Healthcare Corporation
ClinicalTrials.gov Identifier:
NCT02640235
Other Study ID Numbers:
  • 3584-001
First Posted:
Dec 28, 2015
Last Update Posted:
Aug 3, 2020
Last Verified:
Jul 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Keywords provided by Baxter Healthcare Corporation
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Period Title: Overall Study
STARTED 131 129
COMPLETED 117 115
NOT COMPLETED 14 14

Baseline Characteristics

Arm/Group Title CELSTAT Surgicel Original Total
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original Total of all reporting groups
Overall Participants 126 124 250
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
63.5
(12.88)
63.3
(13.56)
63.4
(13.19)
Sex: Female, Male (Count of Participants)
Female
42
33.3%
48
38.7%
90
36%
Male
84
66.7%
76
61.3%
160
64%
Race/Ethnicity, Customized (Count of Participants)
American Indian or
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
Black or African
15
11.9%
12
9.7%
27
10.8%
White
108
85.7%
109
87.9%
217
86.8%
Native Hawaiian or
1
0.8%
0
0%
1
0.4%
Other
0
0%
0
0%
0
0%
Not Applicable
2
1.6%
3
2.4%
5
2%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Hemostasis Achieved at Target Bleeding Site Within 5 Minutes After Application
Description Hemostasis is a process to prevent and stop bleeding within damaged blood vessels. Once the product(s) is applied it absorbs blood, turns brown, and adheres to the wound, thereby preventing thrombocytes from being washed out and accelerating hemostasis. Target bleeding sites include mild to moderate parenchymal (organ tissue),vascular (small arteries or veins or surgical reconnections) and soft tissue (muscle, fat, ligament, connective tissue) bleeding.
Time Frame 5 minute (post-application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
Yes
94
74.6%
109
87.9%
No
32
25.4%
15
12.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CELSTAT, Surgicel Original
Comments
Type of Statistical Test Non-Inferiority
Comments The logistic regression estimates are generated from predicted values of the fitted logistic regression model. If the lower bound of the 95% confidence interval is greater than -10, Celstat is non-inferior to Surgicel. If the lower bound of the 95% confidence interval is greater than 0, Celstat will be declared superior to Surgicel.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in avg predicted proportion
Estimated Value -8.5
Confidence Interval (2-Sided) 95%
-15.6 to -1.4
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Number of Participants With Post-operative Re-bleeding at Target Bleeding Site Requiring Surgical Re-exploration
Description Findings are reported in this outcome measure and would have also been reported as an AE.
Time Frame Day 1 to Day 91

Outcome Measure Data

Analysis Population Description
Safety Analysis Set - all subjects who were treated with CELSTAT or Surgicel.
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 133 127
Count of Participants [Participants]
0
0%
0
0%
3. Secondary Outcome
Title Time to Final Hemostasis at Target Bleeding Site by Percentage of Participants
Description Data presented is an interpretation of a Kaplan-Meier plot based on quartiles of the survival distribution estimate. "Survival" times need not relate to actual survival with death being the event; the "event" may be any event of interest. The Kaplan-Meier curves and estimates of survival data have become a familiar way of dealing with differing survival times (times-to-event).
Time Frame 0 to 10 minutes (post-application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
75% of Patients
6
4
50% of Patients
2
3
25% of Patients
0.833
1.292
4. Secondary Outcome
Title Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 3 Minutes After Application
Description The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.
Time Frame 3 minutes (post application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
Yes
84
66.7%
79
63.7%
No
42
33.3%
45
36.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CELSTAT, Surgicel Original
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in avg predicted proportion
Estimated Value 4.7
Confidence Interval (2-Sided) 95%
-3.6 to 13.1
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 7 Minutes After Application
Description The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.
Time Frame 7 minutes (post application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
Yes
108
85.7%
118
95.2%
No
18
14.3%
6
4.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CELSTAT, Surgicel Original
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in avg predicted proportion
Estimated Value -6.2
Confidence Interval (2-Sided) 95%
-12 to -0.5
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Number of Participants Achieving Intraoperative Hemostasis at Target Bleeding Site Within 10 Minutes After Application
Description The achievement or lack of hemostasis following treatment application to the treatment bleeding site was recorded at different (intraoperative) time points during the first 10 minutes after the start of device application.
Time Frame 10 minutes (post application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
Yes
119
94.4%
120
96.8%
No
7
5.6%
4
3.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CELSTAT, Surgicel Original
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in avg predicted proportion
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-5.7 to 4.3
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Percentage of Participants With Intra-operative Re-bleeding at Target Bleeding Site After Achieving Hemostasis
Description If intraoperative re-bleeding occurred, the primary endpoint was considered "treatment failure."
Time Frame 0 to 10 minutes (post-application)

Outcome Measure Data

Analysis Population Description
PPS
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 126 124
Yes
3.3
2.6%
2.5
2%
No
96.7
76.7%
97.5
78.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection CELSTAT, Surgicel Original
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in avg predicted proportion
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-3.9 to 4.4
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Number of Occurrences of Treatment Emergent Adverse Events (Serious and Non-Serious)
Description Adverse Events (AEs) that occurred after the start of study treatment application are referred to as "treatment-emergent AEs" (TEAE). Timeframe for tracking AE's up to Day 91 (minus/plus 10 days=from Day 81 to Day 101).
Time Frame Day 1 to Day 91

Outcome Measure Data

Analysis Population Description
Safety Analysis Set
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
Measure Participants 133 127
Number [events]
289
244

Adverse Events

Time Frame Day 1 up to Day 101
Adverse Event Reporting Description Safety Analysis Set used.
Arm/Group Title CELSTAT Surgicel Original
Arm/Group Description Oxidized cellulose strip (CELSTAT), Single-use treatment, Intraoperative, direct application to target bleeding site CELSTAT Oxidized regenerated cellulose strip (Surgicel Original), Single-use treatment, Intraoperative, direct application to target bleeding site Surgicel Original
All Cause Mortality
CELSTAT Surgicel Original
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/133 (1.5%) 3/127 (2.4%)
Serious Adverse Events
CELSTAT Surgicel Original
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 27/133 (20.3%) 23/127 (18.1%)
Blood and lymphatic system disorders
Anaemia 1/133 (0.8%) 1 0/127 (0%) 0
Leukocytosis 1/133 (0.8%) 1 0/127 (0%) 0
Cardiac disorders
Acute Myocardial Infarction 2/133 (1.5%) 2 0/127 (0%) 0
Angina Pectoris 1/133 (0.8%) 1 0/127 (0%) 0
Atrial Fibrillation 2/133 (1.5%) 2 3/127 (2.4%) 3
Atrioventricular Block Complete 1/133 (0.8%) 1 0/127 (0%) 0
Bradycardia 1/133 (0.8%) 1 0/127 (0%) 0
Cardiac Arrest 1/133 (0.8%) 1 0/127 (0%) 0
Cardiac Failure Congestive 0/133 (0%) 0 1/127 (0.8%) 1
Pulseless Electrical Activity 0/133 (0%) 0 1/127 (0.8%) 1
Supraventricular Tachycardia 1/133 (0.8%) 1 1/127 (0.8%) 1
Tachycardia 0/133 (0%) 0 1/127 (0.8%) 1
Gastrointestinal disorders
Enterovesical Fistula 1/133 (0.8%) 1 0/127 (0%) 0
Gastrointestinal Haemorrhage 1/133 (0.8%) 1 0/127 (0%) 0
General disorders
Chest Pain 1/133 (0.8%) 1 0/127 (0%) 0
Impaired Healing 0/133 (0%) 0 1/127 (0.8%) 1
Multi-Organ Failure 1/133 (0.8%) 1 1/127 (0.8%) 1
Pyrexia 1/133 (0.8%) 1 0/127 (0%) 0
Thrombosis In Device 1/133 (0.8%) 1 0/127 (0%) 0
Infections and infestations
Bronchitis 0/133 (0%) 0 1/127 (0.8%) 1
Cellulitis 1/133 (0.8%) 1 2/127 (1.6%) 2
Pneumonia 1/133 (0.8%) 1 2/127 (1.6%) 2
Postoperative Wound Infection 1/133 (0.8%) 1 1/127 (0.8%) 1
Sepsis 2/133 (1.5%) 2 0/127 (0%) 0
Urinary Tract Infection 2/133 (1.5%) 2 0/127 (0%) 0
Injury, poisoning and procedural complications
Post Procedural Haemorrhage 1/133 (0.8%) 1 2/127 (1.6%) 2
Postoperative Thoracic Procedure Complication 1/133 (0.8%) 1 0/127 (0%) 0
Vascular Graft Occlusion 2/133 (1.5%) 2 0/127 (0%) 0
Vascular Graft Thrombosis 0/133 (0%) 0 1/127 (0.8%) 1
Wound Dehiscence 0/133 (0%) 0 2/127 (1.6%) 2
Metabolism and nutrition disorders
Hypocalcaemia 0/133 (0%) 0 1/127 (0.8%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Adenocarcinoma Metastatic 0/133 (0%) 0 1/127 (0.8%) 1
Metastases To Liver 0/133 (0%) 0 1/127 (0.8%) 1
Nervous system disorders
Cerebrovascular Accident 1/133 (0.8%) 1 0/127 (0%) 0
Encephalopathy 0/133 (0%) 0 1/127 (0.8%) 1
Partial Seizures 1/133 (0.8%) 1 0/127 (0%) 0
Syncope 1/133 (0.8%) 1 0/127 (0%) 0
Tremor 0/133 (0%) 0 1/127 (0.8%) 1
Renal and urinary disorders
Acute Kidney Injury 0/133 (0%) 0 1/127 (0.8%) 1
Chronic Kidney Disease 1/133 (0.8%) 1 0/127 (0%) 0
Reproductive system and breast disorders
Vaginal Haemorrhage 0/133 (0%) 0 1/127 (0.8%) 1
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure 1/133 (0.8%) 1 1/127 (0.8%) 1
Pleural Effusion 1/133 (0.8%) 1 1/127 (0.8%) 1
Pneumothorax 0/133 (0%) 0 1/127 (0.8%) 1
Pulmonary Embolism 0/133 (0%) 0 1/127 (0.8%) 1
Skin and subcutaneous tissue disorders
Erythema 1/133 (0.8%) 1 0/127 (0%) 0
Vascular disorders
Aortic Occlusion 0/133 (0%) 0 1/127 (0.8%) 1
Lymphorrhoea 1/133 (0.8%) 1 0/127 (0%) 0
Orthostatic Hypotension 0/133 (0%) 0 1/127 (0.8%) 1
Peripheral Arterial Occlusive 1/133 (0.8%) 1 0/127 (0%) 0
Peripheral Artery Stenosis 1/133 (0.8%) 1 0/127 (0%) 0
Peripheral Vascular Disorder 1/133 (0.8%) 1 0/127 (0%) 0
Other (Not Including Serious) Adverse Events
CELSTAT Surgicel Original
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 72/133 (54.1%) 68/127 (53.5%)
Blood and lymphatic system disorders
Anaemia 5/133 (3.8%) 5 6/127 (4.7%) 6
Coagulopathy 0/133 (0%) 0 1/127 (0.8%) 1
Haemolysis 1/133 (0.8%) 1 0/127 (0%) 0
Haemorrhagic Anaemia 1/133 (0.8%) 1 0/127 (0%) 0
Leukocytosis 1/133 (0.8%) 1 0/127 (0%) 0
Lymphadenopathy 0/133 (0%) 0 1/127 (0.8%) 1
Thrombocytopenia 2/133 (1.5%) 2 1/127 (0.8%) 1
Thrombocytosis 1/133 (0.8%) 1 0/127 (0%) 0
Cardiac disorders
Acute Myocardial Infarction 1/133 (0.8%) 1 0/127 (0%) 0
Atrial Fibrillation 16/133 (12%) 16 13/127 (10.2%) 13
Atrial Flutter 0/133 (0%) 0 1/127 (0.8%) 1
Bradycardia 1/133 (0.8%) 1 2/127 (1.6%) 2
Cardiac Failure Acute 0/133 (0%) 0 1/127 (0.8%) 1
Cardiac Tamponade 1/133 (0.8%) 1 0/127 (0%) 0
Cardiogenic Shock 0/133 (0%) 0 1/127 (0.8%) 1
Mitral Valve Incompetence 1/133 (0.8%) 1 1/127 (0.8%) 1
Nodal Rhythm 1/133 (0.8%) 1 0/127 (0%) 0
Pericardial Effusion 0/133 (0%) 0 1/127 (0.8%) 1
Supraventricular Tachycardia 0/133 (0%) 0 2/127 (1.6%) 2
Tachycardia 3/133 (2.3%) 3 1/127 (0.8%) 1
Ventricular Tachycardia 0/133 (0%) 0 2/127 (1.6%) 2
Ear and labyrinth disorders
Tinnitus 1/133 (0.8%) 1 0/127 (0%) 0
Vertigo 1/133 (0.8%) 1 1/127 (0.8%) 1
Vertigo Positional 0/133 (0%) 0 1/127 (0.8%) 1
Eye disorders
Conjunctival Haemorrhage 0/133 (0%) 0 1/127 (0.8%) 1
Vision Blurred 0/133 (0%) 0 1/127 (0.8%) 1
Gastrointestinal disorders
Abdominal Distension 1/133 (0.8%) 1 0/127 (0%) 0
Abdominal Mass 0/133 (0%) 0 1/127 (0.8%) 1
Abdominal Pain 1/133 (0.8%) 1 1/127 (0.8%) 1
Acquired Oesophageal Web 1/133 (0.8%) 1 0/127 (0%) 0
Ascites 0/133 (0%) 0 1/127 (0.8%) 1
Constipation 2/133 (1.5%) 2 5/127 (3.9%) 5
Diarrhoea 6/133 (4.5%) 6 3/127 (2.4%) 3
Diverticulum 1/133 (0.8%) 1 0/127 (0%) 0
Dysphagia 1/133 (0.8%) 1 3/127 (2.4%) 3
Gastrointestinal Haemorrhage 3/133 (2.3%) 3 0/127 (0%) 0
Gastrooesophageal Reflux Disease 2/133 (1.5%) 2 1/127 (0.8%) 1
Haemorrhoids 1/133 (0.8%) 1 0/127 (0%) 0
Ileus 0/133 (0%) 0 1/127 (0.8%) 1
Impaired Gastric Emptying 2/133 (1.5%) 2 0/127 (0%) 0
Nausea 9/133 (6.8%) 9 4/127 (3.1%) 4
Rectal Haemorrhage 0/133 (0%) 0 1/127 (0.8%) 1
Vomiting 2/133 (1.5%) 2 2/127 (1.6%) 2
General disorders
Asthenia 0/133 (0%) 0 1/127 (0.8%) 1
Catheter Site Pain 1/133 (0.8%) 1 0/127 (0%) 0
Chest Pain 2/133 (1.5%) 2 4/127 (3.1%) 4
Device Leakage 0/133 (0%) 0 1/127 (0.8%) 1
Device Occlusion 1/133 (0.8%) 1 0/127 (0%) 0
Fatigue 0/133 (0%) 0 1/127 (0.8%) 1
General Physical Health Deterioration 0/133 (0%) 0 1/127 (0.8%) 1
Hyperthermia 0/133 (0%) 0 1/127 (0.8%) 1
Impaired Healing 0/133 (0%) 0 1/127 (0.8%) 1
Implant Site Pain 1/133 (0.8%) 1 0/127 (0%) 0
Implant Site Swelling 1/133 (0.8%) 1 0/127 (0%) 0
Mucosal Inflammation 1/133 (0.8%) 1 0/127 (0%) 0
Oedema Peripheral 3/133 (2.3%) 3 3/127 (2.4%) 3
Peripheral Swelling 1/133 (0.8%) 1 0/127 (0%) 0
Polyp 1/133 (0.8%) 1 0/127 (0%) 0
Pyrexia 1/133 (0.8%) 1 1/127 (0.8%) 1
Stent-Graft Endoleak 1/133 (0.8%) 1 0/127 (0%) 0
Hepatobiliary disorders
Cholelithiasis 1/133 (0.8%) 1 0/127 (0%) 0
Hyperbilirubinaemia 2/133 (1.5%) 2 1/127 (0.8%) 1
Ischaemic Hepatitis 1/133 (0.8%) 1 0/127 (0%) 0
Immune system disorders
Drug Hypersensitivity 2/133 (1.5%) 2 0/127 (0%) 0
Infections and infestations
Bronchitis 2/133 (1.5%) 2 1/127 (0.8%) 1
Cellulitis 0/133 (0%) 0 2/127 (1.6%) 2
Clostridium Difficile Colitis 0/133 (0%) 0 1/127 (0.8%) 1
Endometritis 0/133 (0%) 0 1/127 (0.8%) 1
Fungal Skin Infection 0/133 (0%) 0 1/127 (0.8%) 1
Gastritis Viral 0/133 (0%) 0 1/127 (0.8%) 1
Gastrointestinal Infection 0/133 (0%) 0 1/127 (0.8%) 1
Groin Infection 1/133 (0.8%) 1 0/127 (0%) 0
Implant Site Infection 1/133 (0.8%) 1 0/127 (0%) 0
Incision Site Infection 1/133 (0.8%) 1 0/127 (0%) 0
Liver Abscess 0/133 (0%) 0 1/127 (0.8%) 1
Oral Candidiasis 1/133 (0.8%) 1 0/127 (0%) 0
Oral Fungal Infection 0/133 (0%) 0 1/127 (0.8%) 1
Pneumonia 0/133 (0%) 0 1/127 (0.8%) 1
Post Procedural Cellulitis 1/133 (0.8%) 1 0/127 (0%) 0
Postoperative Abscess 1/133 (0.8%) 1 0/127 (0%) 0
Postoperative Wound Infection 2/133 (1.5%) 2 1/127 (0.8%) 1
Sinusitis 0/133 (0%) 0 1/127 (0.8%) 1
Soft Tissue Infection 1/133 (0.8%) 1 0/127 (0%) 0
Urinary Tract Infection 4/133 (3%) 4 6/127 (4.7%) 6
Viral Upper Respiratory Tract Infection 1/133 (0.8%) 1 0/127 (0%) 0
Wound Infection 1/133 (0.8%) 1 1/127 (0.8%) 1
Injury, poisoning and procedural complications
Anaemia Postoperative 4/133 (3%) 4 4/127 (3.1%) 4
Corneal Abrasion 1/133 (0.8%) 1 0/127 (0%) 0
Fall 0/133 (0%) 0 2/127 (1.6%) 2
Incision Site Erythema 0/133 (0%) 0 1/127 (0.8%) 1
Incision Site Swelling 1/133 (0.8%) 1 0/127 (0%) 0
Inflammation Of Wound 0/133 (0%) 0 1/127 (0.8%) 1
Post Procedural Discharge 1/133 (0.8%) 1 0/127 (0%) 0
Post Procedural Haemorrhage 1/133 (0.8%) 1 0/127 (0%) 0
Postoperative Ileus 3/133 (2.3%) 3 1/127 (0.8%) 1
Postoperative Wound Complication 1/133 (0.8%) 1 1/127 (0.8%) 1
Procedural Dizziness 0/133 (0%) 0 1/127 (0.8%) 1
Procedural Haemorrhage 1/133 (0.8%) 1 1/127 (0.8%) 1
Procedural Hypotension 4/133 (3%) 4 6/127 (4.7%) 6
Procedural Nausea 0/133 (0%) 0 1/127 (0.8%) 1
Procedural Pain 2/133 (1.5%) 2 0/127 (0%) 0
Rib Fracture 0/133 (0%) 0 1/127 (0.8%) 1
Seroma 1/133 (0.8%) 1 0/127 (0%) 0
Skin Abrasion 1/133 (0.8%) 1 0/127 (0%) 0
Wound 1/133 (0.8%) 1 0/127 (0%) 0
Wound Dehiscence 2/133 (1.5%) 2 0/127 (0%) 0
Wound Haematoma 0/133 (0%) 0 1/127 (0.8%) 1
Wound Secretion 0/133 (0%) 0 1/127 (0.8%) 1
Investigations
Alanine Aminotransferase Increased 1/133 (0.8%) 1 2/127 (1.6%) 2
Anticoagulation Drug Level Below Therapeutic 0/133 (0%) 0 1/127 (0.8%) 1
Blood Alkaline Phosphatase Increased 1/133 (0.8%) 1 1/127 (0.8%) 1
Blood Creatinine Increased 0/133 (0%) 0 2/127 (1.6%) 2
Blood Gases Abnormal 0/133 (0%) 0 1/127 (0.8%) 1
Blood Glucose Increased 0/133 (0%) 0 1/127 (0.8%) 1
Blood Parathyroid Hormone Increased 1/133 (0.8%) 1 0/127 (0%) 0
Blood Potassium Decreased 1/133 (0.8%) 1 0/127 (0%) 0
Blood Urea Increased 0/133 (0%) 0 1/127 (0.8%) 1
Breath Sounds Abnormal 1/133 (0.8%) 1 0/127 (0%) 0
Cardiac Index Decreased 0/133 (0%) 0 1/127 (0.8%) 1
Heart Rate Increased 1/133 (0.8%) 1 0/127 (0%) 0
Transaminases Increased 1/133 (0.8%) 1 2/127 (1.6%) 2
Urine Output Decreased 0/133 (0%) 0 2/127 (1.6%) 2
Weight Decreased 1/133 (0.8%) 1 0/127 (0%) 0
White Blood Cell Count Increased 1/133 (0.8%) 1 0/127 (0%) 0
Metabolism and nutrition disorders
Decreased Appetite 1/133 (0.8%) 1 0/127 (0%) 0
Dehydration 0/133 (0%) 0 1/127 (0.8%) 1
Electrolyte Imbalance 2/133 (1.5%) 2 0/127 (0%) 0
Fluid Overload 1/133 (0.8%) 1 1/127 (0.8%) 1
Gout 0/133 (0%) 0 1/127 (0.8%) 1
Hyperglycaemia 1/133 (0.8%) 1 0/127 (0%) 0
Hyperkalaemia 1/133 (0.8%) 1 0/127 (0%) 0
Hypermagnesaemia 1/133 (0.8%) 1 0/127 (0%) 0
Hypernatraemia 0/133 (0%) 0 1/127 (0.8%) 1
Hypocalcaemia 1/133 (0.8%) 1 3/127 (2.4%) 3
Hypoglycaemia 3/133 (2.3%) 3 3/127 (2.4%) 3
Hypokalaemia 7/133 (5.3%) 7 2/127 (1.6%) 2
Hypomagnesaemia 3/133 (2.3%) 3 0/127 (0%) 0
Hyponatraemia 4/133 (3%) 4 1/127 (0.8%) 1
Malnutrition 0/133 (0%) 0 2/127 (1.6%) 2
Metabolic Acidosis 1/133 (0.8%) 1 0/127 (0%) 0
Vitamin D Deficiency 0/133 (0%) 0 1/127 (0.8%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 2/133 (1.5%) 2 0/127 (0%) 0
Arthritis 0/133 (0%) 0 1/127 (0.8%) 1
Muscular Weakness 2/133 (1.5%) 2 1/127 (0.8%) 1
Musculoskeletal Pain 2/133 (1.5%) 2 0/127 (0%) 0
Neck Pain 1/133 (0.8%) 1 0/127 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate Cancer 1/133 (0.8%) 1 0/127 (0%) 0
Nervous system disorders
Carotid Artery Stenosis 1/133 (0.8%) 1 0/127 (0%) 0
Carpal Tunnel Syndrome 1/133 (0.8%) 1 0/127 (0%) 0
Cerebrovascular Accident 1/133 (0.8%) 1 0/127 (0%) 0
Dizziness 1/133 (0.8%) 1 0/127 (0%) 0
Dizziness Postural 0/133 (0%) 0 1/127 (0.8%) 1
Dysgeusia 2/133 (1.5%) 2 0/127 (0%) 0
Headache 1/133 (0.8%) 1 1/127 (0.8%) 1
Hypoaesthesia 1/133 (0.8%) 1 1/127 (0.8%) 1
Hypoglossal Nerve Disorder 1/133 (0.8%) 1 0/127 (0%) 0
Neuralgia 1/133 (0.8%) 1 0/127 (0%) 0
Paraesthesia 1/133 (0.8%) 1 3/127 (2.4%) 3
Restless Legs Syndrome 1/133 (0.8%) 1 0/127 (0%) 0
Psychiatric disorders
Anxiety 2/133 (1.5%) 2 2/127 (1.6%) 2
Confusional State 0/133 (0%) 0 1/127 (0.8%) 1
Delirium 1/133 (0.8%) 1 0/127 (0%) 0
Depression 1/133 (0.8%) 1 0/127 (0%) 0
Insomnia 2/133 (1.5%) 2 1/127 (0.8%) 1
Renal and urinary disorders
Acute Kidney Injury 4/133 (3%) 4 2/127 (1.6%) 2
Calculus Bladder 1/133 (0.8%) 1 0/127 (0%) 0
Chronic Kidney Disease 0/133 (0%) 0 2/127 (1.6%) 2
Dysuria 0/133 (0%) 0 1/127 (0.8%) 1
Haematuria 1/133 (0.8%) 1 0/127 (0%) 0
Oliguria 0/133 (0%) 0 1/127 (0.8%) 1
Renal Cyst 1/133 (0.8%) 1 0/127 (0%) 0
Urinary Retention 2/133 (1.5%) 2 3/127 (2.4%) 3
Reproductive system and breast disorders
Epididymal Tenderness 1/133 (0.8%) 1 0/127 (0%) 0
Scrotal Swelling 1/133 (0.8%) 1 0/127 (0%) 0
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure 2/133 (1.5%) 2 1/127 (0.8%) 1
Atelectasis 0/133 (0%) 0 4/127 (3.1%) 4
Cough 2/133 (1.5%) 2 1/127 (0.8%) 1
Dyspnoea 4/133 (3%) 4 1/127 (0.8%) 1
Epistaxis 1/133 (0.8%) 1 1/127 (0.8%) 1
Hypoxia 1/133 (0.8%) 1 0/127 (0%) 0
Lung Infiltration 1/133 (0.8%) 1 0/127 (0%) 0
Pleural Effusion 6/133 (4.5%) 6 6/127 (4.7%) 6
Pneumothorax 1/133 (0.8%) 1 2/127 (1.6%) 2
Productive Cough 1/133 (0.8%) 1 0/127 (0%) 0
Pulmonary Embolism 1/133 (0.8%) 1 0/127 (0%) 0
Pulmonary Hypertension 1/133 (0.8%) 1 0/127 (0%) 0
Respiratory Distress 0/133 (0%) 0 1/127 (0.8%) 1
Respiratory Failure 2/133 (1.5%) 2 4/127 (3.1%) 4
Skin and subcutaneous tissue disorders
Blister 1/133 (0.8%) 1 0/127 (0%) 0
Decubitus Ulcer 1/133 (0.8%) 1 0/127 (0%) 0
Dermatitis Allergic 0/133 (0%) 0 1/127 (0.8%) 1
Drug Eruption 0/133 (0%) 0 1/127 (0.8%) 1
Dry Skin 0/133 (0%) 0 1/127 (0.8%) 1
Hyperhidrosis 0/133 (0%) 0 2/127 (1.6%) 2
Pruritus 1/133 (0.8%) 1 1/127 (0.8%) 1
Pruritus Allergic 1/133 (0.8%) 1 0/127 (0%) 0
Pruritus Generalised 0/133 (0%) 0 1/127 (0.8%) 1
Psoriasis 0/133 (0%) 0 1/127 (0.8%) 1
Skin Irritation 1/133 (0.8%) 1 0/127 (0%) 0
Vascular disorders
Deep Vein Thrombosis 2/133 (1.5%) 2 0/127 (0%) 0
Haematoma 1/133 (0.8%) 1 0/127 (0%) 0
Hypertension 5/133 (3.8%) 5 4/127 (3.1%) 4
Hypotension 3/133 (2.3%) 3 3/127 (2.4%) 3
Hypovolaemic Shock 1/133 (0.8%) 1 0/127 (0%) 0
Thrombophlebitis 0/133 (0%) 0 1/127 (0.8%) 1
Vasodilatation 0/133 (0%) 0 1/127 (0.8%) 1

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Clinical Trials Disclosure Group
Organization Baxter Healthcare Corporation
Phone (224) 948-7359
Email Global_CORP_ClinicalTrialsDisclosure@baxter.com
Responsible Party:
Baxter Healthcare Corporation
ClinicalTrials.gov Identifier:
NCT02640235
Other Study ID Numbers:
  • 3584-001
First Posted:
Dec 28, 2015
Last Update Posted:
Aug 3, 2020
Last Verified:
Jul 1, 2020