- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02614573
International Normalised Ratio Evaluation by Generalist Practitioners in Full-time Care Establishments for the Elderly (INR-Cap pilote)
International Normalised Ratio Evaluation by Generalist Practitioners in Full-time Care Establishments for the Elderly: a Pilot Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The secondary objectives of this study are to:
A. Estimate the intra-patient variability of capillary INR measures.
B. Estimate the time spent in the target INR (TTR) window of dependent elderly patients in nursing homes, under AVK treatment, and with a capillary INR monitoring strategy.
C. Estimate the number of venous thromboembolic events and bleeding events over the 6-month observation period.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Pont St Esprit, France, 30130
- EHPAD de l'Hôpital de Pont Saint Esprit
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patient resides at the establishment for the dependent elderly (nursing home (EHPAD)) in Pont-Saint-Esprit, France
- The patient must be insured or beneficiary of a health insurance plan
- The patient treated with vitamin K antagonist for over six months
- The patient must have given his/her informed and signed consent
- For adults under guardianship, the legal guardian must have given free and informed consent and signed the consent
Exclusion Criteria:
- The patient is under judicial protection
- The general practitioner in charge of the patient at the EHPAD does not want to participate in the study
- It is impossible to correctly inform the patient, or his/her legal guardian
- The patient, or his/her legal guardian, refuses to sign the consent
- The patient is participating in another interventional study, or has participated in another interventional study within the past three months
- The patient is in an exclusion period determined by a previous study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: The study population
The clinical phases of this study will be held in the nursing home (EHPAD; principal building + 2 annexes) of Pont-Saint-Esprit, located in France.
Patients are elderly dependents treated by anti-vitamin K for more than 6 months.
|
We will be using the CoagucheckXSR device for capillary INR measures performed by nurses every 7 days during the 6 months of the study, plus after related intercurrent events. If capillary INR is <2 or >3 (with a tolerance of 1.9 to 3.1 given the margin of measurement inaccuracy of the coagulometer), then a classic venous measure is performed. If both tests agree, adaptation of treatment as indicated. If slightly discordant results, then the INR values are considered discordant and the decision to adjust the treatment dose and the next monitoring date for venous INR is made based on the value of the venous INR, according to the predefined protocol. If clinically significant discordance (> 0.3), a venous INR is reperformed within 24 hours and if the discrepancy persists, dose adjustment is made according to the venous INR and the predefined protocol. If capillary INR is > 4, then verification by venous measure and refer to general practitioner.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Is the capillary INR concordant with the venous INR ? yes/no
Time Frame: 6 months
|
Primary Outcome Measure as stated in protocol: Clinical concordances and clinical discrepancies between the capillary INR and venous INR every time they are concomitant
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The number of thromboembolic events per patient
Time Frame: 6 months
|
6 months
|
The number of bleeding events per patient
Time Frame: 6 months
|
6 months
|
The number of thromboembolic or bleeding events per patient
Time Frame: 6 months
|
6 months
|
Coefficient of variation for capillary INR measures per patient
Time Frame: 6 months
|
6 months
|
Time in therapeutique range (days)
Time Frame: 6 months
|
6 months
|
Collaborators and Investigators
Investigators
- Study Director: Chloé Sikirdji, Interne, Centre Hospitalier Universitaire de Nîmes
- Principal Investigator: Jean-François Clape, MD, Centre Hospitalier Universitaire de Nîmes
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- LOCAL/2015/CS-01
- 2015-A01056-43 (Other Identifier: RCB number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Aged
-
Samsung ElectronicsCompletedAged | Adults | Middle Age | Aged, 80 and OverKorea, Republic of
-
Consorci Sanitari de l'Alt Penedès i GarrafRecruitingAged | Patient Safety | Aged, 80 and Over | Restraint, PhysicalSpain
-
University Hospital, ToulouseNot yet recruiting
-
The Hong Kong Polytechnic UniversityThe University of Hong Kong; Education University of Hong KongRecruiting
-
Abbott NutritionCompleted
-
Pontificia Universidad Catolica de ChileNot yet recruiting
-
National Yang Ming UniversityCompleted
Clinical Trials on CoagucheckXSR Capillary INR measures
-
University Hospital, CaenUnknownBlood Coagulation Disorders | Blood Coagulation Disorder With Prolonged Bleeding Time | Blood Coagulation Disorder With Prolonged Coagulation TimeFrance