Status:

COMPLETED

Type O Whole Blood and Assessment of Age During Prehospital Resuscitation Trial

Lead Sponsor:

Jason Sperry

Collaborating Sponsors:

United States Department of Defense

Conditions:

Hemorrhagic Shock

Traumatic Injury

Eligibility:

All Genders

18-89 years

Phase:

PHASE3

Brief Summary

Open label, multi-center, pre-hospital randomized trial utilizing 10 level-1 trauma centers designed to determine the efficacy and safety of low titer whole blood resuscitation as compared to standard...

Eligibility Criteria

Inclusion

  • ) Injured patients at risk of hemorrhagic shock being transported from scene or referral hospital to a participating TOWAR trial site that meet requirements for initiation of blood or blood component transfusion
  • AND
  • 2A.) Systolic blood pressure ≤ 90mmHg and tachycardia (HR ≥ 108) at scene, at outside hospital or during transport OR
  • 2B.) Systolic blood pressure ≤ 70mmHg at scene, at outside hospital or during transport

Exclusion

  • Wearing NO TOWAR opt-out bracelet
  • Age \> 90 or \< 18 years of age
  • Isolated fall from standing injury mechanism
  • Known prisoner or known pregnancy
  • Traumatic arrest with \> 5 minutes of CPR without return of vital signs
  • Brain matter exposed or penetrating brain injury (GSW)
  • Isolated drowning or hanging victims
  • Objection to study voiced by subject or family member at the scene
  • Inability to obtain IV or intraosseous access
  • Isolated burns without evidence of traumatic injury

Key Trial Info

Start Date :

April 19 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 12 2025

Estimated Enrollment :

1020 Patients enrolled

Trial Details

Trial ID

NCT04684719

Start Date

April 19 2022

End Date

August 12 2025

Last Update

August 22 2025

Active Locations (10)

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Page 1 of 3 (10 locations)

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

2

University of Louisville

Louisville, Kentucky, United States, 40292

3

University of Mississippi Medical Center (UMMC)

Jackson, Mississippi, United States, 39216

4

University of Cincinatti

Cincinnati, Ohio, United States, 45267