Effect of blood volume management during bone tumor surgery
Official title: The Effect of Acute Normovolemic Hemodilution on Intraoperative Allogeneic Transfusion in Bone Tumor Surgery: a Prospective, Randomized Controlled Trial
Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT06459141 · Data updated 2026-11-12
This study is testing if a method called acute normovolemic hemodilution can help reduce the need for blood transfusions during bone tumor surgeries for patients aged 18 to 75.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | June 7, 2024 |
| Main results expected | May 2028 |
| Study ends | May 2028 |
| Registry record updated | June 25, 2026 |
| Trial ID | NCT06459141 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 who are scheduled for elective bone tumor resection surgery with a preoperative hemoglobin level of at least 11 g/dL.
✕Probably not a fit
Patients with conditions such as cardiopulmonary insufficiency, hepatic and renal dysfunction, or those undergoing palliative operations may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial investigates the impact of acute normovolemic hemodilution (ANH) on reducing the need for blood transfusions during bone tumor surgeries. It aims to determine if ANH, when combined with goal-directed fluid therapy, can minimize intraoperative allogeneic red blood cell transfusions, which are associated with increased postoperative complications. The study will involve patients aged 18 to 75 undergoing elective bone tumor resection, assessing blood loss and transfusion requirements. By evaluating the efficacy of ANH in this context, the trial seeks to improve patient outcomes and reduce the risks associated with blood transfusions.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the need for blood transfusions and improve recovery outcomes for patients undergoing bone tumor surgery.
How similar studies have gone: While the efficacy of acute normovolemic hemodilution has been controversial, this study aims to clarify its role in a specific surgical context, making it a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. age 18 to 75 years; 2. undergoing elective bone tumor resection surgery; 3. preoperative hemoglobin ≥11 g/dL; Exclusion Criteria: 1. using a tourniquet; 2. palliative operation or minimally invasive surgery; 3. BMI\<18.5 or \>30Kg/m\^2; 4. international normalized ratio (INR) \>1.5 or platelet count \<100 × 10\^9/L; 5. cardiopulmonary insufficiency; 6. hepatic and renal dysfunction; 7. active infectious disease; 8. allergy to succinyl gelatin; 9. pregnancy; 10. declined participation in the study or declined blood transfusion
Where it's running
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The Second Affiliated Hospital of Zhejiang University anesthesiology department
Hangzhou, Zhejiang, China Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.