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Washed Versus Standard Blood Cell Transfusions in Pediatric Open Heart Surgery
This study is currently recruiting participants.
Verified by University of Rochester, July 2008
Sponsored by: University of Rochester
Information provided by: University of Rochester
ClinicalTrials.gov Identifier: NCT00693498
  Purpose

Background: Children having open heart surgery to repair congenital heart defects demonstrate a large inflammatory response to the heart-lung machine and to surgery itself. In general, the more intense their inflammatory response, the more critically ill they are following surgery. These children routinely require large numbers of blood transfusions during and following surgery as part of their medical management that adds to their heightened inflammatory state. Whether additional steps to "wash" blood products and remove the substances contributing to post-transfusion inflammation will limit this response, and improve the health of children following open heart surgery, remains to be studied.

Aims: To compare the inflammatory response in children having open heart surgery who receive washed versus unwashed blood transfusions.

Methods: We will randomly assign children having open heart surgery to one of two groups: group 1 will receive blood transfusions per the current standard of care, group 2 will receive blood transfusions that have been washed in addition to the current standard of care. We will then use blood tests to measure the inflammatory response in children of each group. We will compare the results to determine whether washing blood transfusions decreases inflammation and post-operative complications following open heart surgery.

Conclusion: We believe that washing blood transfusions given to children following open heart surgery will decrease their inflammatory response and improve their overall health.


Condition Intervention
Congenital Heart Disease
Biological: Standard leukoreduced irradiated blood cell transfusion
Biological: Washed leukoreduced irradiated blood cell transfusions

MedlinePlus related topics: Blood Transfusion and Donation Heart Diseases Heart Surgery
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Standard vs. Washed Blood Cell Transfusions in Pediatric Cardiac Surgery: Impact on Post-Operative Inflammation as Evidenced by the IL-6 to IL-10 Ratio.

Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • IL-6 to IL-10 ratio [ Time Frame: days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • wrCRP levels [ Time Frame: days ] [ Designated as safety issue: No ]

Estimated Enrollment: 128
Study Start Date: July 2008
Estimated Study Completion Date: November 2009
Estimated Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Standard leukoreduced irradiated blood cell transfusion group
Biological: Standard leukoreduced irradiated blood cell transfusion
standard vs washed blood cell transfusions
2: Experimental
Washed leukoreduced irradiated blood cell transfusion group
Biological: Washed leukoreduced irradiated blood cell transfusions
washed leukoreduced irradiated blood cell transfusions

  Eligibility

Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. age < 18 years
  2. surgical repair at URMC by the pediatric cardiac surgical team
  3. informed consent signed by the parent or legal guardian, and if applicable, assent obtained from the subject.

Exclusion Criteria:

  1. Age ≥18 years
  2. inability to provide consent/assent; 3) subjects having "emergent" surgical procedures. Subjects with chronic inflammatory or autoimmune disorders will not be excluded
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00693498

Contacts
Contact: Jill Cholette, MD 585-275-0189 Jill_Cholette@urmc.rochester.edu
Contact: Jill Cholette, MD 585-275-0189

Locations
United States, New York
University of Rochester Recruiting
Rochester, New York, United States, 14642
Contact: Jill Cholette, MD     585-275-0189     Jill_Cholette@urmc.rochester.edu    
Principal Investigator: Jill M Cholette, MD            
Sponsors and Collaborators
University of Rochester
Investigators
Principal Investigator: Jill Cholette, MD University of Rochester
  More Information

Responsible Party: University of Rochester ( Jill M. Cholette, MD )
Study ID Numbers: 24518
Study First Received: June 5, 2008
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00693498  
Health Authority: United States: Institutional Review Board

Keywords provided by University of Rochester:
pediatrics
congenital heart disease

Study placed in the following topic categories:
Heart Diseases
Cardiovascular Abnormalities
Congenital Abnormalities
Heart Defects, Congenital
Inflammation

Additional relevant MeSH terms:
Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 16, 2009