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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

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Market & Valuation

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Trial Design

RandomizedNO_TREATMENT_CONTROLLED
Total Trials1
Total Enrollment35

FDA Designations

No designations recorded

Clinical trial landscape

CoSeal Surgical Group · 1 trial · 3 indications

Phase 2 1
NCT01330433Effects of CoSeal on Bleeding & Adhesions in Pediatric Heart SurgeryCongenital Heart Defect
COMPLETED35 Analytics
PHASE2COMPLETED
Effects of CoSeal on Bleeding & Adhesions in Pediatric Heart Surgery
Congenital Heart DefectUnlock trial analytics

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 to 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 (matched to "Congenital Heart Defect")

Frequently asked questions about CoSeal Surgical Group

What is CoSeal Surgical Group used for?

CoSeal Surgical Group is an investigational product being studied for use in congenital heart defect surgery. A Phase 2 clinical trial evaluated its effects on bleeding and adhesions in pediatric heart surgery, with the goal of reducing surgery-induced tissue adhesions and hemorrhage in patients undergoing procedures for congenital heart defects.

Who makes CoSeal Surgical Group?

CoSeal Surgical Group is being developed by Baxter International Inc., a company publicly traded under the ticker symbol BAX. The product is currently in clinical development and has not been approved for commercial use.

What phase is CoSeal Surgical Group in?

CoSeal Surgical Group is in Phase 2 clinical development. It is an investigational product, meaning it has not yet received regulatory approval and is still being studied for safety and efficacy in patients with congenital heart defects.

What clinical trials is CoSeal Surgical Group in?

CoSeal Surgical Group has one completed Phase 2 clinical trial, identified as NCT01330433, titled 'Effects of CoSeal on Bleeding & Adhesions in Pediatric Heart Surgery.' The trial enrolled 35 participants in the United States and studied the product's effects on bleeding and adhesions in pediatric heart surgery.

Is CoSeal Surgical Group FDA approved?

CoSeal Surgical Group is not FDA approved. It is an investigational product currently in Phase 2 clinical development. The completed trial NCT01330433 studied its effects on bleeding and adhesions in pediatric heart surgery, but the product has not yet received regulatory approval for any use.