Capturing Intra-Operative Bleeding Endpoints Across a 10-Site Surgical Hemostat Trial with Clinion EDC
Overview
In surgical hemostat trials, the most important endpoint data is generated inside the operating room. This Phase III medical device study evaluated an absorbable hemostat powder against an active comparator in patients with mild or moderate soft tissue or parenchymal bleeding during general surgery.
The study’s primary endpoint focused on hemostatic success at 5 minutes after powder application, with additional assessments at 3 and 10 minutes. This made intra-operative data capture highly time-sensitive, as each site had to record the target bleeding site, device application, bleeding control, re-bleeding status, and any additional treatment required during the procedure. The public registry describes the study as a prospective, randomized, active-controlled, observer-blind, multicenter medical device trial conducted in India.
Clinion EDC supported structured capture of surgical endpoint data across 10 participating sites. The platform helped the sponsor manage procedure-specific data, endpoint timing, safety information, and site-level review within one controlled EDC workflow.
Study Snapshot
Industry
Biotech
Client
Medical device sponsor
Study Type
Interventional
Therapeutic Area
Surgical Hemostasis
Study Phase
Phase III
Study Design
Prospective, randomized, active-controlled, observer-blind, multicenter device trial
Randomization
Single blind / outcome assessor blinded
Region
India
Site Count
10 sites
Submission
DCGI regulatory
Study Duration
9 months, per registry record and project input
Products Provided
Challenges
Capturing Time-Critical Surgical Endpoints Across 10 Sites
The key endpoint was observed during surgery after the hemostat powder was applied. The challenge was making sure every site documented the same required details clearly, including the target bleeding site, hemostatic outcome, re-bleeding, and any additional treatment.
01
Documenting Hemostatic Success in a Consistent Format
The trial assessed hemostatic success at defined intra-operative timepoints after powder application. Since the outcome was observed by the surgical team during the procedure, the challenge was ensuring that each site recorded the result clearly, with the required fields completed for review.
02
Keeping Target Bleeding Site Details Linked to the Endpoint
Each subject had a target bleeding site identified during surgery. The sponsor needed the bleeding site details, device application, hemostatic outcome, re-bleeding status, and additional treatment information to stay connected within the same subject record, rather than being captured as separate notes.
03
Standardizing Data Capture Across Surgical Sites
The study involved 10 surgical centers, different procedure settings, and multiple site teams. The challenge was keeping surgeon-recorded endpoint data consistent across sites, so the sponsor could review comparable data without excessive manual reconciliation.
Solutions
A Structured Clinion EDC Workflow for Surgical Data Capture
Clinion EDC was configured to help sites document surgeon-observed endpoint data in a consistent structure. The platform supported protocol-defined timepoint fields, procedure-specific records, and centralized review across the 10-site surgical network. .
Clinion EDC supported eCRFs built around the trial's 3-, 5-, and 10-minute intra-operative hemostatic success assessments.
This helped support:
- Protocol-defined timepoint fields
- Separate capture of primary and secondary endpoint outcomes
- Structured recording of target bleeding site details
- Consistent documentation of re-bleeding and additional treatment
This gave surgical teams a consistent way to document observed intra-operative outcomes for sponsor review.
Clinion EDC was configured with study-specific CRF pages and edit checks to help sites capture data consistently across the test and comparator device groups, as well as open and minimally invasive surgery cases.
This helped support:
- Data capture by assigned device group
- Clear tracking of surgery type
- Data consistency checks across study-specific CRFs
- Structured review of comparable endpoint data
This helped the sponsor keep procedure and outcome data organized across the trial’s comparison groups.
With Clinion EDC, all 10 participating sites entered data into a single digital environment, helping the sponsor maintain consistent oversight across a surgical network spread across multiple Indian states and union territories
This helped support:
- Standardized data entry across all 10 sites
- Site-wise visibility into data completion
- Centralized data review and query management
For a trial spanning a wide surgical site network, this helped reduce variability in how intra-operative and safety data were captured from site to site.
Outcomes
Core Results
Clinion EDC helped the sponsor manage a time-critical surgical device trial with stronger consistency across endpoint capture, group-level data, and multisite review.
Intra-Operative Data Precision
Timepoint-based eCRFs helped capture hemostatic success data consistently.
Group-Level Data Clarity
Structured capture helped keep device group and surgery-type data organized.
Multisite Surgical Consistency
A shared EDC workflow helped 10 sites capture surgical trial data consistently.
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Compliance
Fully Compliant with Global Standards

