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CoSeal Surgical Group

Phase 2

Congenital Heart Defect | Unknown | Rare Disease |Baxter International Inc.|Last Updated: Dec 15, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedNO_TREATMENT_CONTROLLED
Total Trials1
Total Enrollment35
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01330433Effects of CoSeal on Bleeding & Adhesions in Pediatric Heart SurgeryPHASE2 COMPLETED 35Aug 1, 2011Aug 1, 2015Dec 15, 20161 United States
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Study Endpoints
Primary Endpoints
Severity of Adhesions at the Retrosternal Site
Severity of adhesions data will be collected during approximately the first 30-60 minutes of the second staged surgery

Severity of adhesions at seven predefined sites (pericardial or retrosternal, inferior or diaphragmatic region, right lateral or arterial region, region around great vessels). Severity of adhesions is graded as 0 = no adhesions, 1 = filmy and avascular, 2 = requiring blunt dissection, 3 = requiring sharp dissection, 4 = requiring extensive sharp dissection. Adhesion scores for each patient will be derived from the sum of adhesion severity scores at each site, from 0 (no adhesions) to 28 (cohesive adhesions at all sites).

Severity of Adhesions at the Arterial Base Site.
Severity of adhesions data will be collected during approximately the first 30-60 minutes of the second staged surgery

Severity of adhesions at five predefined sites (retrosternal, diaphragmatic region, right lateral, left lateral, arterial base). Severity of adhesions is graded as 0 = no adhesions, 1 = filmy and avascular, 2 = requiring blunt dissection, 3 = requiring sharp dissection, 4 = requiring extensive sharp dissection. Adhesion scores for each patient will be derived from the sum of adhesion severity scores at each site, from 0 (no adhesions) to 28 (cohesive adhesions at all sites).

Severity of Adhesions at the Diaphragm Site
Severity of adhesions data will be collected during approximately the first 30-60 minutes of the second staged surgery

Severity of adhesions at five predefined sites (retrosternal, diaphragmatic region, right lateral, left lateral, arterial base). Severity of adhesions is graded as 0 = no adhesions, 1 = filmy and avascular, 2 = requiring blunt dissection, 3 = requiring sharp dissection, 4 = requiring extensive sharp dissection. Adhesion scores for each patient will be derived from the sum of adhesion severity scores at each site, from 0 (no adhesions) to 28 (cohesive adhesions at all sites).

Severity of Adhesions at the Left Lateral Site
Severity of adhesions data will be collected during approximately the first 30-60 minutes of the second staged surgery

Severity of adhesions at five predefined sites (retrosternal, diaphragmatic region, right lateral, left lateral, arterial base). Severity of adhesions is graded as 0 = no adhesions, 1 = filmy and avascular, 2 = requiring blunt dissection, 3 = requiring sharp dissection, 4 = requiring extensive sharp dissection. Adhesion scores for each patient will be derived from the sum of adhesion severity scores at each site, from 0 (no adhesions) to 28 (cohesive adhesions at all sites).

Severity of Adhesions at the Right Lateral Site
Severity of adhesions data will be collected during approximately the first 30-60 minutes of the second staged surgery

Severity of adhesions at five predefined sites (retrosternal, diaphragmatic region, right lateral, left lateral, arterial base). Severity of adhesions is graded as 0 = no adhesions, 1 = filmy and avascular, 2 = requiring blunt dissection, 3 = requiring sharp dissection, 4 = requiring extensive sharp dissection. Adhesion scores for each patient will be derived from the sum of adhesion severity scores at each site, from 0 (no adhesions) to 28 (cohesive adhesions at all sites).

Post-operative Bleeding
Post-operative bleeding data will be collected on average, during the first 36 hours after the surgery

Post-operative bleeding through surgical site drainage output.

Adhesion Burden
Time it takes for patient to be put on bypass (an average time between 0 and 120 minutes)

Skin to bypass time as an indicator of adhesion burden.

Secondary Endpoints
Hospital Stay
Length of stay after second surgery up to 1 month
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
No CoSeal Surgical SprayNO_INTERVENTIONA patient randomized to the No CoSeal Surgical Spray group will not have CoSeal Surgical Spray applied at the end of their first staged procedure.
CoSeal Spray GroupEXPERIMENTALCoSeal Spray will be applied at the end of the first staged procedure in patients randomized to the experimental group.
Interventions
NameTypeDescription
CoSeal Surgical Spray GroupDEVICEA patient randomized to the CoSeal treatment group will have CoSeal Surgical Spray applied at the end of their first staged procedure. The dose regimen is as follows: * Patients weighing \< 3kg will receive 1ml of CoSeal * Patients weighing 3-10kg will receive 1-2ml of CoSeal * Patients weighing \>10kg will receive 2-4ml of CoSeal
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Eligibility Criteria
Age RangeN/A — 17 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Have an acceptable surrogate capable of giving consent on the subject's behalf. * Pediatric patients ages 0 - 17 * Have a cardiac disease which requires staged cardiac surgery and resternotomy * Non-emergent state or emergent state with sufficient time to educate and consent ...

Countries:United States
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Competitive Landscape -Congenital Heart Defects 9 trials