RecruitingPhase 2NCT05820126

Cold Versus Room Temperature Storage of Platelets for Bleeding in Hematologic Malignancy - a Pilot Trial


Sponsor

Ottawa Hospital Research Institute

Enrollment

50 participants

Start Date

May 16, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a pilot trial to discover the feasibility of recruiting 50 pts over the course of 12 months. The trial is testing the efficacy of using cold-stored vs. room temperature stored (current standard of care) platelets to treat bleeding in persons with hematological disorders and thrombocytopenia.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Adult patients (age ≥ 18) admitted to Malignant Hematology ward with hematologic malignancy or marrow aplasia, this may include patients undergoing chemotherapy, immunotherapy, or hematopoietic stem cell transplant or patients admitted for symptom management.
  • Moderate thrombocytopenia, platelet concentration 10-100 x109/L
  • Platelet transfusion ordered to treat bleeding

Exclusion Criteria13

  • Severe thrombocytopenia (platelet concentration <10 x 109/L)
  • Known platelet refractoriness requiring HLA or HPA selected platelet concentrates
  • International normalized ratio (INR) >2.0
  • Activated partial thromboplastin time (aPTT) >40 seconds
  • Therapeutic anticoagulation (unfractionated heparin, low molecular weight heparin, warfarin, direct oral anticoagulant)
  • Known congenital bleeding disorder
  • History of unprovoked venous thromboembolic disease
  • Transfusion of platelet concentrate for >grade 2 bleeding in preceding 24 hours
  • Order for multiple platelet transfusion at once
  • Refusal of blood transfusion
  • Prior participation in CoVeRTS-HM trial
  • Participation in other clinical trials with interventions that may affect CoVeRTS-HM treatment or outcome
  • Unable or unwilling to provide informed consent

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Interventions

BIOLOGICALCold-stored platelet concentrate

Patients will be transfused a unit of pooled, pathogen reduced platelets that have been stored for \>24 hours at 1-6˚C


Locations(1)

The Ottawa Hospital - General Campus

Ottawa, Ontario, Canada

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NCT05820126


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