ACTIVE_NOT_RECRUITING

GATT-Patch Versus SURGICEL® Original in Minimally Invasive Liver and Gallbladder Surgery

Conditions

Intraoperative Bleeding Liver Diseases Gallbladder Diseases Hemorrhage, Surgical Hemostatic patch GATT-Patch SURGICEL® Original Liver surgery Gallbladder surgery Hemostasis

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a pre-market, prospective, randomized (1:1), multicenter, pivotal clinical investigation. The purpose of this investigation is to determine the clinical performance of GATT-Patch as compared with SURGICEL® Original for the management of minimal, mild, or moderate bleeding during minimally invasive liver and gallbladder surgery.

Official Title

A Prospective, Multicenter, Randomized Clinical Investigation Evaluating GATT-Patch for Hemostasis During Minimally Invasive Liver and Gallbladder Surgery

Quick Facts

Study Start:2023-10-06

Study Completion:2025-10-11

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05900037

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:22 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* Subject is scheduled to undergo elective minimally invasive (robotic or laparoscopic) surgery on the liver, including cholecystectomy * Subject is willing and able to give written informed consent for the clinical investigation participation * Subjects is 22 years of age or older at the time of enrollment; and * Subject has been informed of the nature of the clinical investigation. * Subject undergoes a fully minimally invasive surgical approach without the use of a hand port at the time of randomization and application of the patch; * Subject in whom the Investigator is able to identify a target bleeding site at the liver resection plane for which any applicable conventional means for hemostasis (e.g. suture, ligature or cautery) are ineffective or impractical, and the choice is made to use a hemostatic agent to stop the bleeding * Pressure on the surface of the hemostatic agent can be applied with the minimally invasive instruments to achieve hemostasis * Subject has a target bleeding site with a SBSS of 1, 2, or 3 (e.g. reflecting minimal, mild or moderate bleeding severities)	* The target bleeding site is from a large defect in an artery or vein that requires vascular reconstruction with maintenance of vessel patency * Subject is scheduled to undergo surgery on organs other than the liver and its associated biliary and vascular system * Subject is scheduled to undergo a staged liver surgery procedure (e.g., Associating Liver Partition and Portal vein ligation for Staged hepatectomy \[ALPPS\]) * Subject is taking multiple antithrombotic therapies in therapeutic dosage up to the time of surgery, but allowing exclusive use of acetylsalicylic acid * Subject has platelet count \<100 x 109/L, an activated partial thrombin time of \>100s, or international normalized ratio \>2.5 * Subject has a total bilirubin level of ≥2.5 mg/dl * Subject is pregnant, planning on becoming pregnant or actively breastfeeding during the 3-month follow-up period * Subject has a known hypersensitivity to brilliant blue (FD\&C Blue #1), porcine gelatin * Subject who has religious objections to receiving products containing porcine * Subject has an active or suspected infection at the bleeding site * Subject in whom the investigational device will be used at the site of a synthetic graft or patch implant * Subject has a life expectancy of less than 3 months * Subject has a documented severe congenital or acquired immunodeficiency * Subject has had or has planned to receive any organ transplantation * Subject undergoes surgery with the indication of being a living liver donor * Subject is currently participating or has participated in another clinical investigation within the past 30 days that may affect the endpoints of the study, such as trials related to the surgical procedure and anti-coagulation * Subject is not appropriate for inclusion in the clinical investigation, per the medical opinion of the Investigator * Subject has any incidental (pre- and peri-operative) findings deemed by the Investigator to potentially jeopardize the safety or welfare of the subject

Inclusion Criteria

Exclusion Criteria

* Subject is scheduled to undergo elective minimally invasive (robotic or laparoscopic) surgery on the liver, including cholecystectomy
* Subject is willing and able to give written informed consent for the clinical investigation participation
* Subjects is 22 years of age or older at the time of enrollment; and
* Subject has been informed of the nature of the clinical investigation.
* Subject undergoes a fully minimally invasive surgical approach without the use of a hand port at the time of randomization and application of the patch;
* Subject in whom the Investigator is able to identify a target bleeding site at the liver resection plane for which any applicable conventional means for hemostasis (e.g. suture, ligature or cautery) are ineffective or impractical, and the choice is made to use a hemostatic agent to stop the bleeding
* Pressure on the surface of the hemostatic agent can be applied with the minimally invasive instruments to achieve hemostasis
* Subject has a target bleeding site with a SBSS of 1, 2, or 3 (e.g. reflecting minimal, mild or moderate bleeding severities)

* The target bleeding site is from a large defect in an artery or vein that requires vascular reconstruction with maintenance of vessel patency
* Subject is scheduled to undergo surgery on organs other than the liver and its associated biliary and vascular system
* Subject is scheduled to undergo a staged liver surgery procedure (e.g., Associating Liver Partition and Portal vein ligation for Staged hepatectomy \[ALPPS\])
* Subject is taking multiple antithrombotic therapies in therapeutic dosage up to the time of surgery, but allowing exclusive use of acetylsalicylic acid
* Subject has platelet count \<100 x 109/L, an activated partial thrombin time of \>100s, or international normalized ratio \>2.5
* Subject has a total bilirubin level of ≥2.5 mg/dl
* Subject is pregnant, planning on becoming pregnant or actively breastfeeding during the 3-month follow-up period
* Subject has a known hypersensitivity to brilliant blue (FD\&C Blue #1), porcine gelatin
* Subject who has religious objections to receiving products containing porcine
* Subject has an active or suspected infection at the bleeding site
* Subject in whom the investigational device will be used at the site of a synthetic graft or patch implant
* Subject has a life expectancy of less than 3 months
* Subject has a documented severe congenital or acquired immunodeficiency
* Subject has had or has planned to receive any organ transplantation
* Subject undergoes surgery with the indication of being a living liver donor
* Subject is currently participating or has participated in another clinical investigation within the past 30 days that may affect the endpoints of the study, such as trials related to the surgical procedure and anti-coagulation
* Subject is not appropriate for inclusion in the clinical investigation, per the medical opinion of the Investigator
* Subject has any incidental (pre- and peri-operative) findings deemed by the Investigator to potentially jeopardize the safety or welfare of the subject

Contacts and Locations

Principal Investigator

Stuart Head, MD PhD

STUDY_DIRECTOR

GATT Technologies BV

Study Locations (Sites)

University of Southern California

Los Angeles, California, 90033

United States

Washington University

Saint Louis, Missouri, 63110

United States

Capital Health

Pennington, New Jersey, 08534

United States

Weill-Cornell

New York, New York, 10065

United States

Atrium Health

Charlotte, North Carolina, 28204

United States

Intermountain Healthcare

Murray, Utah, 84111

United States

Collaborators and Investigators

Sponsor: GATT Technologies BV

Stuart Head, MD PhD, STUDY_DIRECTOR, GATT Technologies BV

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-10-06

Study Completion Date2025-10-11

Study Record Updates

Study Start Date2023-10-06

Study Completion Date2025-10-11

Terms related to this study

Keywords Provided by Researchers

Hemostatic patch
GATT-Patch
SURGICEL® Original
Liver surgery
Gallbladder surgery
Hemostasis

Additional Relevant MeSH Terms

Intraoperative Bleeding
Liver Diseases
Gallbladder Diseases
Hemorrhage, Surgical