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CTRI Number  CTRI/2024/06/068248 [Registered on: 03/06/2024] Trial Registered Prospectively
Last Modified On: 04/09/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Post-market clinical follow-up study for flowable gelatin haemostatic matrix kit in real-world patients to stop bleeding during surgery  
Scientific Title of Study   A prospective, open label, multi-center, single-arm, observational post-market clinical follow-up study to evaluate the safety and performance of flowable gelatin haemostatic matrix kit in real-world patients. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
AL/PMCFP/FGHM/R0 version 00 dated 15/01/2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Antariksh Waghmare 
Designation  Orthopedic Surgeon 
Affiliation  Shri Shankaryacharya Institute of Medical Science and Hospital 
Address  Department of OBG and Gynec, Ground Floor gynec OPD, Shri shankaracharya institute of medical sciences, junwani road Bhilai Durg Chhattisgarh 490020

Durg
CHHATTISGARH
490020
India 
Phone  9096053960  
Fax  -  
Email  antariksh373@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Piyush Patel 
Designation  Quality Head  
Affiliation  Aegis Lifesciences Private Limited  
Address  Aegis Lifesciences Private Limited, 215/216 Mahagujarat Ind. Estate, Ahmadabad.

Ahmadabad
GUJARAT
382213
India 
Phone  9898791189  
Fax    
Email  qc.aegis@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr Piyush Patel 
Designation  Quality Head  
Affiliation  Aegis Lifesciences Private Limited  
Address  Aegis Lifesciences Private Limited, 215/216 Mahagujarat Ind. Estate, Ahmadabad.


GUJARAT
382213
India 
Phone  9898791189  
Fax    
Email  qc.aegis@gmail.com  
 
Source of Monetary or Material Support  
Aegis Lifesciences Pvt. Ltd. 215/216, Mahagujarat Industrial Estate, Sarkhej-Bavla Road, Moraiya, Ta: Sanand, Dist.: Ahmedabad – 382213, Gujarat, India  
 
Primary Sponsor  
Name  Aegis Lifesciences Private Limited 
Address  Aegis Lifesciences Pvt. Ltd. 215/216, Mahagujarat Industrial Estate, Sarkhej-Bavla Road, Moraiya, Ta: Sanand, Dist.: Ahmedabad – 382213, Gujarat, India  
Type of Sponsor  Other [Medical device manufacturer] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abhinav Bhatnagar  Abhinav Multispecialty Hospital Pvt. Ltd.   Abhinav Multispecialty Hospital, First floor, Room no. 1, Orthopedic department 10 no. puliya opp swastik school lashari Bagh Nagpur Maharashtra - 440017
Nagpur
MAHARASHTRA 
0712-2641715
-
b_abhinav@hotmail.com 
Dr Antariksh Waghmare  Shri shankaracharya Institute of medical sciences   Department of OBG and Gynec, Ground Floor gynec OPD, Shri shankaracharya institute of medical sciences, junwani road Bhilai Durg Chhattisgarh 490020
Durg
CHHATTISGARH 
909653960
-
antariksh373@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee Shri Shankaracharya Institute of Medical Sciences Junwani Bhilai Junwani Durg Chhattisgarh - 490020 India   Approved 
Jasleen Hospital Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. A Patient requiring haemostasis in surgical procedures where
control of bleeding by standard surgical techniques is ineffective
or impractical.
2. A Patient or their legally designated guardian is willing to sign
Informed Consent Form (ICF)
3. A Patient willing to comply with the requirements given in ICF
including the requirements for participating till last follow-up.
4. All patients who are not allergic to gelatin. 
 
ExclusionCriteria 
Details  1. A Patient currently participating in another clinical study.
2. A Patient having known bleeding disorder (including thrombocytopenia [less than 100,000 platelet count], thrombasthenia,
haemophilia, or Von Willebrand disease)
3. A Patient having allergy to porcine gelatin
4. A Patient is known or suspected to be pregnant (verified in a manner consistent with institutions standard of care), or is lactating.
5. A Patient undergoing ophthalmic surgery.
6. A Patient requiring closure of skin incisions by Flogel because it
may interfere with the healing of skin edges.
7. A Patient requiring haemostasis in intravascular compartments because of the risk of embolization.
8. A Patient requiring hemostasis in the absence of active blood flow e.g. while the vessel is clamped or bypassed as it may result
in risk of intravascular clotting from intravascular injection.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1) Haemostasis Rate:
Time to Haemostasis (TTH): Time required to achieve haemostasis after application of the FLOGEL
2)Absorption: Determination of absorption of flowable gelatin haemostatic matrix through medical imaging techniques after 4 weeks (28 days) of its implantation. 
Pre-Operative, Operative Day 0, Day 2, Day 28, Day 60. 
 
Secondary Outcome  
Outcome  TimePoints 
Determination of safety
• Determination of complications associated with FLOGEL.
• Determination of events of re-bleeding (leading to blood-transfusion) or re-operation after achieving haemostasis.

Device Handling Characteristics:Determination of handling characteristics of flowable gelatin haemostatic matrix during its implantation.

 
Pre-Operative, Operative Day 0, Day 2, Day 28, Day 60. 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/06/2024 
Date of Study Completion (India) 12/11/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response (Others) -  Clinical Study Report

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response (Others) -  For any type of research

  5. By what mechanism will data be made available?
    Response (Others) -  at CTRI site

  6. For how long will this data be available start date provided 26-11-2024 and end date provided 26-12-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Study Design: Prospective, open-label, multi-center, single-arm, observational, post-market clinical follow-up study
Study Population: Patients, irrespective of age and gender, requiring haemostasis in surgical procedures [e.g. abdominal, anorectal, dental, ENT, Genitourinary, gynecological, hysterectomy, neurosurgery, Orthopaedic, Otolaryngological, partial nephrectomy, plastic surgery, cardiovascular, spinal, tumor surgery, hepatic] when control of bleeding by standard surgical haemostatic techniques is ineffective or impractical. However, the use of FLOGEL has not been established in the patients with known allergies to the gelatin, children and pregnant women.
Number of Subjects: Considering 10% possible loss to follow-up, a minimum of 100 subjects will be enrolled.
Number of Study Sites: Minimum 2 sites
Subject Device: FLOGEL® [Flowable Gelatin Haemostatic Matrix Kit]
Study Duration:  60 days
Study Procedure: Study sites will be responsible for screening of patients, conducting their informed consent process and conducting this study as per local regulatory requirements. Patients, upon enrolment on meeting eligibility criteria, will be participating in this study till the last followup (Day 60). Clinical data collected throughout the trial will be recorded in Case Report Form (CRF). The data will be analyzed by data management team of a third-party CRO (Contract Research Organization). Monitoring of this study will be performed by representatives of Aegis Lifesciences Pvt. Ltd.

Study Schedule: Study schedule includes pre-operative evaluation, operative day (0 day) and three follow-ups.
The follow-up days will include 2nd day, 28th day and 60th day after surgery 
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