Long Term Outcomes of Venous Thromboembolism (LOVE)

February 15, 2017 updated by: Ostfold Hospital Trust

Long Term Outcomes of Venous Thromboembolism -the LOVE Study-

This prospective observational follow-up study is designed to assess the long-term outcomes after Venous thromboembolism (VTE) and to assess the effect of the new oral anticoagulant (NOAC) rivaroxaban on the prevalence of post-thrombotic syndrome (PTS).

The study will not be testing any formal hypothesis.

Study Overview

Status

Recruiting

Conditions

Detailed Description

This prospective observational follow-up study is designed to assess the long-term outcomes after VTE and to assess the effect of NOAC (rivaroxaban) on the prevalence of PTS. All patients diagnosed and treated for VTE at SØF from 01.01.2011 will be invited to participate in this study. Newly diagnosed patients will be recruited and followed-up according to the study schedule which is based on state of the art international guidelines.

First follow-up will be performed at the end of treatment period, which is usually 3 or 6 months after an event of VTE, or at one year if patients will be put on permanent AC. Thereafter, patients will be followed-up annually for at least 5 years or up to the end of the study, i.e for 10 years.

The primary endpoints of the study are the development of PTS and CTEPH after VTE. There will be 3 visits: at 3 or 6 months depending on the duration of AC, at 2 and 5 years, in addition to a visit for TTE at 6 months. Remaining follow-ups will be performed by phone or by mail. All patients with PE will be examined by TTE 6 months after the diagnosis of PE. Those with signs of PAH will be referred for further work-up to establish the presence or absence of CTEPH at specialized centres. Patients with DVT will be evaluated for PTS at 2 and 5 years and for CTEPH if they develop dyspnoea. As for part b of the primary objective, the study will allow inclusion of patients with previous DVT diagnosed after 01.01.11.

Study Type

Observational

Enrollment (Anticipated)

460

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Oslo, Norway, 0450
        • Not yet recruiting
        • Ullevål University Hospital
    • Akershus
      • Lørenskog, Akershus, Norway, 1478
        • Recruiting
        • Akershus University Hospital
    • Ostfold
      • Fredrikstad, Ostfold, Norway, 1606
        • Recruiting
        • Ostfold Hospital Trust
        • Principal Investigator:
          • Kristin K Utne, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients diagnosed with VTE in Østfold who fulfil study criteria will be invited to participate.

Description

Inclusion Criteria:

  • Patients with objectively verified first time DVT diagnosed after 01.01.11 for study A, OR objectively verified DVT and/or PE dignosed after 01.04.14 for study B.

    • 18 years of age
  • Signed informed written consent

Exclusion Criteria:

  • Patients who refuse to consent
  • Patients who have been treated with other anticoagulants than thoose included in the study
  • Patients who can not participate due to logistic reasons

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Control
  • Time Perspectives: Cross-Sectional

Cohorts and Interventions

Group / Cohort
Group A
Patients treated with Warfarin for VTE
Grup B
Patients treated with Rivaroxaban for VTE

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Prevalence of post thrombotic syndrome and chronic thromboembolic pulmonary hypertension
Time Frame: 5 years

Determine the prevalence of post thrombotic syndrome as defined by Villalta score at 2- and 5 years in an unselected population of venous thromboembolism patients.

Prevalence of chronic thromboembolic pulmonary hypertension in at 2- and 5 years in an unselected population of pulmonary embolism patients.

5 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Bleeding
Time Frame: 9 years
Rate of bleeding during treatment with anticoagulation
9 years
Recurrence rate
Time Frame: 9 years
Recurrence rate during treatment and after discontinuation of anticoagulation.
9 years
Mortality rate
Time Frame: 9 years
Mortality rate following deep vein thrombosis and /or pulmonary embolism.
9 years
Severity of pulmonary embolism
Time Frame: 9 years
Severity of PE based on CT (Fredrikstad score) and troponin level.
9 years
Incidence of cancer
Time Frame: 9 years
Incidence of cancer after diagnosis of venous tromboembolism in screened and unscreened patients
9 years
Compliance in the use of Elastic compression stockings
Time Frame: 9 years
Compliance in the use of Elastic compression stockings
9 years
Risk factors
Time Frame: 9 years
Risk factors for venous thromboembolism
9 years
Resource utilization
Time Frame: 9 years
Resource utilization (number of contacts with health care providers, INR tests during anticoagulation)
9 years
Post thrombotic syndrome according to CEAP
Time Frame: 9 years
PTS according to CEAP score
9 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Kristin K Utne, MD, Ostfold Hospital Trust
  • Study Director: Waleed Ghanima, PhD, Ostfold Hospital Trust

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2014

Primary Completion (Anticipated)

October 1, 2023

Study Completion (Anticipated)

October 1, 2023

Study Registration Dates

First Submitted

August 6, 2014

First Submitted That Met QC Criteria

October 15, 2014

First Posted (Estimate)

October 20, 2014

Study Record Updates

Last Update Posted (Actual)

February 16, 2017

Last Update Submitted That Met QC Criteria

February 15, 2017

Last Verified

February 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • LOVE1213

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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