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Trial · NCT05081063

Low-Titer O Positive Whole Blood Versus Component Therapy for Emergent Transfusion in Trauma Patients

NCT05081063, Phase 3, Completed, Loma Linda University; results first posted 2025-08-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Low-Titer O Positive Whole Blood Versus Component Therapy for Emergent Transfusion in Trauma Patients. Trials, record NCT05081063. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05081063

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Low-Titer O Positive Whole Blood Versus Component Therapy for Emergent Transfusion in Trauma Patients
NCT number
NCT05081063
Status
Completed
Phases
Phase 3
Enrollment
199 participants, actual
Lead sponsor
Loma Linda University
Conditions
Hemorrhagic Shock, Acute Blood Loss Anemia, Traumatic Brain Injury
Interventions
Routine labs
First posted
2021-10-18
Last updated
2025-08-08
Results first posted
2025-08-08
Limitations and caveats
Sample size Difference between size of groups Pragmatic randomization scheme

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPacked Red Blood Cells Equivalents Units Transfused (1 Whole Blood Unit Treated as 1 Packed Red Blood Cell Unit and 1 Fresh Frozen Plasma Unit)
The total transfusion requirement of packed red blood cells was analyzed for the duration of the inpatient hospitalization for patients surviving at least 24 hours. This time is defined as a time period up to 30 days.
assessment of pRBC equivalents transfused in each arm, an increase in HGB by 1g/dl per unit transfused will be considered successful A blood draw of 5ml will be obtained and tested to assess HGB level. An increase in HGB by 1g/dl per unit transfused will be considered a successful result.
SecondaryMortality
In patients surviving at least 24 hours who were included in analysis of outcome measures, we assessed survival to hospital discharge. This means the duration of time in the hospital up to discharge with a maximum of 30 days.
Assessment of mortality This is a composite measurement which includes the following in order to be assessed as pulseless with no respiratory drive or brain death: 1. there is no evidence of arousal or awareness to maximal external stimuli 2. pupils are fixed in a midsized or dilated position and non reactive to light 3. corneal, oculocephalic and oculovestibular reflexes are absent 4. There is no facial movement to noxious stimuli 5. the gag reflex is absent to bilateral posterior pharyngeal stimuli 6. the cough reflex is absent to deep tracheal suctioning 7. there is no brain mediated motor response to noxious stimuli of the limbs 8. spontaneous respirations are not observed when apnea test targets reach pH \<7.30 and PaCO2 \>60mmhg

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPacked Red Blood Cells Equivalents Units Transfused (1 Whole Blood Unit Treated as 1 Packed Red Blood Cell Unit and 1 Fresh Frozen Plasma Unit)
The total transfusion requirement of packed red blood cells was analyzed for the duration of the inpatient hospitalization for patients surviving at least 24 hours. This time is defined as a time period up to 30 days.
Population of patients surviving 24 hours analyzed for transfusion measuresunitsMEAN
SECONDARYMortality
In patients surviving at least 24 hours who were included in analysis of outcome measures, we assessed survival to hospital discharge. This means the duration of time in the hospital up to discharge with a maximum of 30 days.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Packed Red Blood Cells Equivalents Units Transfused (1 Whole Blood Unit Treated as 1 Packed Red Blood Cell Unit and 1 Fresh Frozen Plasma Unit)Low Titer O+ Whole Blood3.8Standard Deviation 5.6units
Packed Red Blood Cells Equivalents Units Transfused (1 Whole Blood Unit Treated as 1 Packed Red Blood Cell Unit and 1 Fresh Frozen Plasma Unit)Component Therapy5.7Standard Deviation 6.2units
MortalityLow Titer O+ Whole Blood4Participants
MortalityComponent Therapy13Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLow Titer O+ Whole Blood52
Overall StudySTARTEDComponent Therapy147
Overall StudyCOMPLETEDLow Titer O+ Whole Blood52
Overall StudyCOMPLETEDComponent Therapy147
Overall StudyNOT COMPLETEDLow Titer O+ Whole Blood0
Overall StudyNOT COMPLETEDComponent Therapy0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLow Titer O+ Whole Blood1752
Total, all-cause mortalityComponent Therapy37147
Total, other adverse eventsLow Titer O+ Whole Blood052
Total, other adverse eventsComponent Therapy0147
Total, serious adverse eventsLow Titer O+ Whole Blood052
Total, serious adverse eventsComponent Therapy0147

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23979267BACKGROUNDPubMed
30160310BACKGROUNDPubMed
31464874BACKGROUNDPubMed
32744830BACKGROUNDPubMed
33831229BACKGROUNDPubMed
40237834DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Low Titer O+ Whole Blood vs Component Therapy: MortalityTrial comparisons
Low Titer O+ Whole Blood vs Component Therapy: deaths from any causeTrial comparisons
Low Titer O+ Whole Blood vs Component Therapy: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05081063

GET https://conductscience.org/api/trials/v1/NCT05081063/registered