E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Bleeding during surgery of orthognatism of the upper maxillary |
Saignement lors de chirurgie d'orthognatisme du maxillaire supérieur |
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E.1.1.1 | Medical condition in easily understood language |
Bleeding during an operation of the bones of the upper jaw |
Saignement durant une opération des os de la mâchoire supérieure |
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E.1.1.2 | Therapeutic area | Diseases [C] - Mouth and tooth diseases [C07] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Show that the EXACYL, in preventive, does not allow to modify the bleeding by comparison to the placebo during surgery of orthognatisme of the upper maxillary. |
Montrer que l’EXACYL, en préventif, ne permet pas de modifier le saignement par comparaison au placebo lors de chirurgie d’orthognatisme du maxillaire supérieur. |
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E.2.2 | Secondary objectives of the trial |
Compare according to the 2 groups: - The quantity of blood during the surgery - The surgical comfort - The operating duration - The variation of hemoglobin - The comfort of the patient - The number of transfused caps - Fatigue of the patient - The duration of hospitalization Describe the adverse effects and possible complications of the drip of EXACYL
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Comparer selon les 2 groupes : - la quantité de sang pendant la chirurgie - le confort chirurgical - la durée opératoire - la variation d’hémoglobine - le confort du patient - le nombre de culots transfusés - la fatigue du patient - la durée d’hospitalisation Décrire les effets indésirables et les complications possibles de la perfusion d’EXACYL
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Underage from ≥ 12 to 17 years old or an Adult from ≥ 18 years old - Patient that must be operated for an osteotomy of the upper maxillary isolated or associated with an osteotomy of the lower maxillary and / or with a génioplastie within the framework of a surgery of orthognatism - Hb = 12g / dL on the preoperative screening - Patient ASA (American Society of Anesthesiologists) 1 or 2 - Patient non pregnant - Be a person covered by Social Security - Signed Consent
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- Mineur de ≥12 à 17 ans ou Majeur ≥ 18 ans - Patient devant se faire opérer d’une ostéotomie du maxillaire supérieur isolée ou associée à une ostéotomie du maxillaire inférieur et /ou à une génioplastie dans le cadre d’une chirurgie d’orthognatisme. - Hb ≥ 12g/dL sur le bilan préopératoire - Patient ASA (American Society of Anesthesiologists) 1 ou 2 - Etre assuré social - Consentement signé |
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E.4 | Principal exclusion criteria |
Patient presenting disorders of the hemostasis Patient under anticoagulation treatment or antiagrégant Patient requiring a treatment anticoagulation in operating comment Patient presenting a contraindication to the EXACYL (renal insufficiency engraves(burns), histories of convulsions, histories of accidents thrombo-embolics venous or arterial) Surgery recognized preoperative as particularly complicated by the surgeons Pregnant Women Nursing mothers People in emergency situation Incapable people and specially protected mentioned in the article L 1121-5 to L1121-8 are not included in the study |
- Patient présentant des troubles de l’hémostase - Patient sous traitement anticoagulant ou antiagrégant - Patient nécessitant un traitement anticoagulant en post opératoire - Patient présentant une contre-indication à l’EXACYL (insuffisance rénale grave, antécédents de convulsions, antécédents d’accidents thrombo-emboliques veineux ou artériels) - Chirurgie reconnue en préopératoire comme particulièrement compliquée par les chirurgiens - Femmes enceintes - Femmes allaitantes - Personnes en situation d’urgence - Personnes incapables et spécialement protégées mentionnées à l'art L 1121-5 à L1121-8 ne sont pas incluses dans l'étude
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E.5 End points |
E.5.1 | Primary end point(s) |
Show that the EXACYL does not allow to modify the bleeding by comparison to the placebo during surgery of orthognatisme of the upper maxillary. |
Montrer que l’EXACYL ne permet pas de modifier le saignement par comparaison au placebo lors de chirurgie d’orthognatisme du maxillaire supérieur. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Quantity of blood during the whole hospitalization: bleeding during the surgery completed by the quantity of present blood in redons and the naso-gastric probe until ablation of these.
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Quantité de sang pendant l’ensemble de l’hospitalisation : saignement pendant la chirurgie complété de la quantité de sang présent dans les redons et la sonde naso-gastrique jusqu’à ablation de ceux-ci. information in other language that is applicable |
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E.5.2 | Secondary end point(s) |
Compare according to the 3 groups: - The quantity of blood during the surgery - The surgical comfort - The operating duration - The variation of hemoglobin - The comfort of the patient - The number of transfused caps - Fatigue of the patient - The duration of hospitalization Describe the adverse effects and the possible complications of the drip of EXACYL |
Comparer selon les 3 groupes : - la quantité de sang pendant la chirurgie - le confort chirurgical - la durée opératoire - la variation d’hémoglobine - le confort du patient - le nombre de culots transfusés - la fatigue du patient - la durée d’hospitalisation Décrire les effets indésirables et les complications possibles de la perfusion d’EXACYL |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Quantity of blood during the including surgery: the blood in the surgical suction, in the compresses (estimate by weighing of compresses), in the anesthetic suction (during the extubation) and in the naso-gastric probe at the end of the surgery - Operating duration - Difference between the rate of preoperative hemoglobin and the operating comment - Analog visual scale for the evaluation of the comfort of the patient to D1 - Number of transfused cap - Analog visual scale for the evaluation of the fatigue of the patient at the release of hospitalization - Incidence of the nausea and the vomitings and total dose of antiemetic - Number of thrombotic complications/cardiac complications during the period of the hospitalization |
- Quantité de sang pendant la chirurgie comprenant : le sang dans l’aspiration chirurgicale, dans les compresses (évaluer par pesage des compresses), dans l’aspiration anesthésique (lors de l’extubation) et dans la sonde naso-gastrique à la fin de la chirurgie - Durée opératoire - Différence entre le taux d’hémoglobine préopératoire et post opératoire - Echelle visuelle analogique pour l’évaluation du confort du patient à J1 - Nombre de culot transfusé - Echelle visuelle analogique pour l’évaluation de la fatigue du patient à la sortie d’hospitalisation - Incidence des nausées et vomissements et dose totale d’antiémétique - Nombre de complications thrombotiques/ de complications cardiaques pendant la période de l’hospitalisation
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Study of concept |
Etude de concept |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Dernière Visite du Dernier Patient |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 5 |