UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059135
Receipt number R000067638
Scientific Title A Prospective Interventional Study on Initial Management of Epistaxis in the Emergency Department
Date of disclosure of the study information 2025/09/19
Last modified on 2025/09/18 21:26:55

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Basic information

Public title

Study on Initial Management of Epistaxis in the Emergency Department

Acronym

Study on Initial Management of Epistaxis in the Emergency Department

Scientific Title

A Prospective Interventional Study on Initial Management of Epistaxis in the Emergency Department

Scientific Title:Acronym

Epistaxis Initial Care Study

Region

Japan


Condition

Condition

Epistaxis (Nosebleed)

Classification by specialty

Oto-rhino-laryngology Emergency medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study was intended to show the differences in hemostasis between resolvable and non-resolvable packing materials, compare patients' demographics, and assess physicians' mental workloads during the treatment of epistaxis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Hemostasis success rate (presence or absence of re-bleeding after initial emergency department management until otolaryngology evaluation on the following day).

Key secondary outcomes

Subjective Mental Workload (SMWL) score: mental demand, physical demand, time pressure, performance, effort, and frustration.
Pain score (10-point scale).
Procedure-related complications (e.g., mucosal injury, re-bleeding).
Identification of the bleeding site during initial management and accuracy confirmed by otolaryngologist evaluation.
Treatment accuracy of initial care as assessed by otolaryngologists.
Association of patient background factors (age, sex, blood pressure, use of antiplatelet/anticoagulant agents) with persistent bleeding.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Resorbable hemostatic material nasal packing

Interventions/Control_2

Non-resorbable gauze nasal packing

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adults (above 18 years) presenting to the emergency department who required treatment for epistaxis.

Key exclusion criteria

Epistaxis due to multiple trauma or a consciousness disorder.Known hemorrhagic (bleeding) disorders.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Hideaki
Middle name
Last name Moteki

Organization

Aizawa Hospital

Division name

Department of Otolaryngology

Zip code

390-8510

Address

2-5-1 Honjou Matsumoto, Nagano, Japan

TEL

0263-33-8600

Email

hideaki.moteki@aizawa-hospital.jp


Public contact

Name of contact person

1st name Hideaki
Middle name
Last name Moteki

Organization

Aizawa Hospital

Division name

Department of Otolaryngology

Zip code

390-8510

Address

2-5-1 Honjou Matsumoto, Nagano, Japan

TEL

0263-33-8600

Homepage URL


Email

hideaki.moteki@aizawa-hospital.jp


Sponsor or person

Institute

Aizawa Hospital, Department of Otolaryngology

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of jisenkai

Address

2-5-1 Honjou Matsumoto, Nagano, Japan

Tel

0263-33-8600

Email

kenkyu@ai-hosp.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 19 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

103

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2020 Year 11 Month 01 Day

Date of IRB

2020 Year 12 Month 24 Day

Anticipated trial start date

2021 Year 06 Month 01 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 19 Day

Last modified on

2025 Year 09 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067638