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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01638416
Registration number
NCT01638416
Ethics application status
Date submitted
9/07/2012
Date registered
11/07/2012
Titles & IDs
Public title
Standard Issue Transfusion Versus Fresher Red Blood Cell Use in Intensive Care- A Randomised Controlled Trial
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Scientific title
A Multi-centre Randomised Double Blinded Phase III Trial of the Effect of Standard Issue Red Blood Cell Blood Units on Mortality Compared to Freshest Available Red Blood Cell Units
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Secondary ID [1]
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ANZICRCDJC006
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Universal Trial Number (UTN)
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Trial acronym
TRANSFUSE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Transfusion
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Age of Blood
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Blood transfusion
Active comparator: Standard of care - Blood Transfusion Standard of care- oldest blood.
Other: Arm B - Blood Transfusion Freshest blood.
Other interventions: Blood transfusion
Blood transfusion in ICU patients aged 18 and over.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mortality at Day 90
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Assessment method [1]
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Mortality at Day 90
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Timepoint [1]
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90 Day
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Secondary outcome [1]
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Mortality at Day 28
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Assessment method [1]
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Mortality at day 28
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Timepoint [1]
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28 day
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Secondary outcome [2]
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Persistent Organ Dysfunction Combined With Death Measured at Day 28
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Assessment method [2]
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Persistent Organ Dysfunction combined with death measured at day 28
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Timepoint [2]
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day 28
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Secondary outcome [3]
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Days Alive and Free of Mechanical Ventilation
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Assessment method [3]
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Days alive and free of mechanical ventilation
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Timepoint [3]
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day 28
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Secondary outcome [4]
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Day Alive and Free of Renal Replacement Therapy.
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Assessment method [4]
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Day alive and free of renal replacement therapy.
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Timepoint [4]
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day 28
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Secondary outcome [5]
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Blood Stream Infection in ICU (Post Randomisation)
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Assessment method [5]
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Blood stream infection in ICU (post randomisation) Time Frame is in Days
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Timepoint [5]
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While in ICU-Median duration in ICU - short term storage group was 4.2 days (2.0 - 9.3), long term storage group was 4.2 days (1.9 - 9.4)
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Secondary outcome [6]
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Length of Stay in ICU and in Hospital Post Randomisation (Days)
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Assessment method [6]
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Median duration in ICU - short term storage group was 4.2 (2.0 - 9.3), long term storage group was 4.2 (1.9 - 9.4) Median duration in Hospital - short term storage group was 14.5 (7.4 - 27.5), long term storage group was 14.7 (7.4 - 28.3) In Days
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Timepoint [6]
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Median duration in ICU- short term storage group 4.2 Days (2.0 - 9.3), long term storage group 4.2 Days (1.9 - 9.4). Median duration in Hospital- short term storage group was 14.5 days (7.4 - 27.5), long term storage group was 14.7 days(7.4 - 28.3)
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Secondary outcome [7]
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Proportion of Patients Who Suffer at Least One Febrile Non-haemolytic Transfusion Reaction in ICU
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Assessment method [7]
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Proportion of patients who suffer at least one febrile non-haemolytic transfusion reaction in ICU
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Timepoint [7]
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While in ICU-Median duration in ICU - short term storage group was 4.2 days (2.0 - 9.3), long term storage group was 4.2 days (1.9 - 9.4)
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Secondary outcome [8]
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EuroQol-5Dimension 5 Level (EQ-5D-5L) Score at Day 180 Post Randomisation
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Assessment method [8]
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EuroQol-5Dimension 5 level (EQ-5D-5L) score at day 180 post randomisation - not reported yet
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Timepoint [8]
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Day 180
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Eligibility
Key inclusion criteria
* Patients hospitalised in ICU with an anticipated ICU stay of at least 24 hours, in whom the decision has been made by medical staff to transfuse at least one RBC unit.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Age younger than 18
* Previous RBC transfusion during the current hospital admission (including transfusion in another hospital for transferred patients)
* Diagnosis of transplantation or hematologic diseases
* Pregnancy
* Cardiac surgery during the present hospital admission
* Expected to die imminently (<24hrs)
* The treating physician believes it is not in the best interest of the patient to be randomised in this trial.
* Known objection to the administration of human blood products
* Participation in a competing study (see below)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2017
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Sample size
Target
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Accrual to date
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Final
4994
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Alfred Hospital - Melbourne
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Recruitment hospital [2]
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Lyell McEwin Hospital - Adelaide
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Recruitment hospital [3]
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Queen Elizabeth Hospital - Adelaide
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Recruitment hospital [4]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [5]
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Albury Hospital - Albury
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Recruitment hospital [6]
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0
Bendigo Hospital - Bendigo
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Recruitment hospital [7]
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0
Logan Hospital - Brisbane
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Recruitment hospital [8]
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0
Mater Adult Hospital - Brisbane
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Recruitment hospital [9]
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Mater Private Hospital - Brisbane
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Recruitment hospital [10]
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Princess Alexandra Hospital - Brisbane
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Recruitment hospital [11]
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Royal Brisbane and Women's Hospital - Brisbane
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Recruitment hospital [12]
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Calvary Health - Canberra
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Recruitment hospital [13]
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Canberra Hospital - Canberra
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Recruitment hospital [14]
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0
Dandenong Hospital - Dandenong
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Recruitment hospital [15]
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0
Geelong Hospital - Geelong
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Recruitment hospital [16]
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0
Gold Coast Hospital - Gold Coast
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Recruitment hospital [17]
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0
Gosford Hospital - Gosford
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Recruitment hospital [18]
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0
Austin Hospital - Heidelberg
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Recruitment hospital [19]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [20]
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Cabrini Hospital - Melbourne
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Recruitment hospital [21]
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Frankston Hospital - Melbourne
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Recruitment hospital [22]
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Knox Private Hospital - Melbourne
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Recruitment hospital [23]
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Monash Medical Centre - Melbourne
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Recruitment hospital [24]
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Northern Hospital - Melbourne
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Recruitment hospital [25]
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Royal Melbourne Hospital - Melbourne
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Recruitment hospital [26]
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0
St Vincent's Hospital - Melbourne
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Recruitment hospital [27]
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Sunshine Hospital - Melbourne
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Recruitment hospital [28]
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0
Western Hospital - Melbourne
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Recruitment hospital [29]
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Calvary Mater Newcastle - Newcastle
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Recruitment hospital [30]
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John Hunter Hospital - Newcastle
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Recruitment hospital [31]
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0
Fiona Stanley Hospital - Perth
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Recruitment hospital [32]
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Royal Perth Hospital - Perth
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Recruitment hospital [33]
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St John of God Murdoch Hospital - Perth
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Recruitment hospital [34]
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Epworth Hospital - Richmond
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Recruitment hospital [35]
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0
Blacktown Hospital - Sydney
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Recruitment hospital [36]
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0
Nepean Hospital - Sydney
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Recruitment hospital [37]
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0
Prince of Wales Hospital - Sydney
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Recruitment hospital [38]
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0
Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [39]
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0
St George Hospital - Sydney
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Recruitment hospital [40]
0
0
St Vincent's Hospital - Sydney
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Recruitment hospital [41]
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Tamworth Hospital - Tamworth
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Recruitment hospital [42]
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Wollongong Hospital - Wollongong
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Recruitment postcode(s) [2]
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- Adelaide
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Recruitment postcode(s) [3]
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- Albury
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Recruitment postcode(s) [4]
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- Bendigo
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Recruitment postcode(s) [5]
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- Brisbane
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Recruitment postcode(s) [6]
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- Canberra
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Recruitment postcode(s) [7]
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- Dandenong
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Recruitment postcode(s) [8]
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- Geelong
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Recruitment postcode(s) [9]
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- Gold Coast
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Recruitment postcode(s) [10]
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- Gosford
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Recruitment postcode(s) [11]
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- Heidelberg
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Recruitment postcode(s) [12]
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- Hobart
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Recruitment postcode(s) [13]
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- Melbourne
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Recruitment postcode(s) [14]
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- Newcastle
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Recruitment postcode(s) [15]
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- Perth
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Recruitment postcode(s) [16]
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- Richmond
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Recruitment postcode(s) [17]
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- Sydney
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Recruitment postcode(s) [18]
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- Tamworth
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Recruitment postcode(s) [19]
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- Wollongong
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Recruitment outside Australia
Country [1]
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Finland
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State/province [1]
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Helsinki
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Country [2]
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Finland
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State/province [2]
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Tampere
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Country [3]
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Ireland
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State/province [3]
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Cork
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Country [4]
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Ireland
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State/province [4]
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Dublin
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Country [5]
0
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Ireland
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State/province [5]
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Galway
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Country [6]
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Ireland
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State/province [6]
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Limerick
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Country [7]
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New Zealand
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State/province [7]
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Auckland
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Country [8]
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New Zealand
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State/province [8]
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Christchurch
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Country [9]
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New Zealand
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State/province [9]
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Dunedin
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Country [10]
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New Zealand
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State/province [10]
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Hamilton
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Country [11]
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New Zealand
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State/province [11]
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Nelson
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Country [12]
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New Zealand
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State/province [12]
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Wellington
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Country [13]
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Saudi Arabia
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State/province [13]
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Riyadh
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Funding & Sponsors
Primary sponsor type
Other
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Name
Australian and New Zealand Intensive Care Research Centre
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Australian Red Cross
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Address [1]
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0
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Country [1]
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0
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Other collaborator category [2]
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Other
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Name [2]
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New Zealand Blood Service
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Irish Blood Transfusion Service
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Address [3]
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Country [3]
0
0
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Other collaborator category [4]
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Other
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Name [4]
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Finnish Red Cross Blood Service
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Address [4]
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Country [4]
0
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Other collaborator category [5]
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Government body
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Name [5]
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King Abdulaziz Medical City
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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University College Dublin
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Address [6]
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Country [6]
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Ethics approval
Ethics application status
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Summary
Brief summary
In Australia, blood for transfusion has a "use by" date of 42 days after collection. The actual age of blood given to patients depends on what is available at the time and the rate of usage. During the last decade, it has been reported that blood transfusion in patients admitted to intensive care was associated with an independent increase of mortality. Some research suggests that transfusion of fresher blood might help patients in the intensive care unit to reach a better recovery. This project will test whether patients who receive 'fresher' blood do better than patients who receive 'standard issue' blood.
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Trial website
https://clinicaltrials.gov/study/NCT01638416
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Trial related presentations / publications
Cooper DJ, McQuilten ZK, Nichol A, Ady B, Aubron C, Bailey M, Bellomo R, Gantner D, Irving DO, Kaukonen KM, McArthur C, Murray L, Pettila V, French C; TRANSFUSE Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Age of Red Cells for Transfusion and Outcomes in Critically Ill Adults. N Engl J Med. 2017 Nov 9;377(19):1858-1867. doi: 10.1056/NEJMoa1707572. Epub 2017 Sep 27. Erratum In: N Engl J Med. 2019 Aug 29;381(9):890. doi: 10.1056/NEJMx180024. Kaukonen KM, Bailey M, Ady B, Aubron C, French C, Gantner D, Irving D, Murray L, Nichol A, Pettila V, McQuilten Z, Cooper DJ. A randomised controlled trial of standard transfusion versus fresher red blood cell use in intensive care (TRANSFUSE): protocol and statistical analysis plan. Crit Care Resusc. 2014 Dec;16(4):255-61. Kekre N, Mallick R, Allan D, Tinmouth A, Tay J. The impact of prolonged storage of red blood cells on cancer survival. PLoS One. 2013 Jul 16;8(7):e68820. doi: 10.1371/journal.pone.0068820. Print 2013.
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Public notes
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Contacts
Principal investigator
Name
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D. James Cooper, A.O., M.D.
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Address
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Monash University/Alfred Hospital
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Country
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Phone
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Fax
0
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Email
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Contact person for public queries
Name
0
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/16/NCT01638416/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/16/NCT01638416/Prot_SAP_000.pdf
Informed consent form
https://cdn.clinicaltrials.gov/large-docs/16/NCT01638416/ICF_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01638416