- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03864055
Otogenic CSVT Retrospective Case Series and Associated Thrombophilia (CSVT PCR)
March 2, 2019 updated by: Kfir Siag, HaEmek Medical Center, Israel
Otogenic Cerebral Sinus Vein Thrombosis in Children: Retrospective Case Series and Associated Thrombophilia
The aim of this study is to report the clinical presentation, Microbiological, laboratory and imaging evaluation, prothrombotic factors analysis, medical and surgical management and outcomes in children with Otogenic Cerebral Sinus Vein Thrombosis (CSVT).
Study Overview
Status
Completed
Conditions
Detailed Description
Objective: Otogenic Cerebral Sinus Vein Thrombosis (CSVT) is a rare but serious intracranial complication of otitis media in children.
The aim of this study is to report the clinical presentation, Microbiological, laboratory and imaging evaluation, prothrombotic factors analysis, medical and surgical management and outcomes in children with otogenic CSVT.
Study design: Retrospective case series
Study Type
Observational
Enrollment (Actual)
9
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Afula, Israel, 1834111
- Haemek Medical Center
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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
No older than 18 years (Child, Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Children with otogenic CSVT
Description
Inclusion Criteria:
- age of 18 years or younger
- both sexes are included
- a clinical or radiological finding of mastoiditis in the patient's file
- Documentation of CSVT in an imaging study, either CT or MRI.
Patient's exclusion criteria
- age above 18 years
- lack of a clinical or radiological finding of mastoiditis in the patient's file
- Lack of documentation of CSVT in an imaging study, either CT or MRI.
- previous unprovoked venous thromboembolism event.
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
Cohorts and Interventions
Group / Cohort |
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Pediatric Otogenic CSVT
Children with Otogenic Cerebral Sinus Vein Thrombosis (CSVT)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical Presentation
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Clinical presentation signs and symptoms will be collected and a summary will be represented in a table including all subjects
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Cultures result
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
|
the results of cultures from blood, ear secretions, surgery samples, and PCR(polymerize chain reaction assay) will be summarized for the percentage of each pathogen and number of positive results from each type of test
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Morbidity and Mortality
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
|
The percentage of Morbidity and Mortality until the end of the follow-up period.
Morbidity will include any long term sequelae including permanent neurological deficits, chronic ear inflammation, recurrent mastoiditis, and recurrent thromboembolic events.
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
|
Surgical intervention
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Summary of all surgical interventions, and determination of the common types of surgery performed.
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
|
Thrombophilia evaluation tests
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Thrombophilia evaluation test results will be collected and a summary will be represented in a table including all subjects
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Imaging Studies results
Time Frame: All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Common diagnosis and distribution of CSVT as mentioned by the radiologist's reports
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All cases and follow up documentation reported up to a designated date 31 August 2018 predetermined by the institutional ethics committee
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kfir Siag, MD, Haemek Medical Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Ichord R. Cerebral Sinovenous Thrombosis. Front Pediatr. 2017 Jul 27;5:163. doi: 10.3389/fped.2017.00163. eCollection 2017.
- Skinner R, Koller K, McIntosh N, McCarthy A, Pizer B; United Kingdom Children's Cancer Study Group (UKCCSG); Paediatric Oncology Nursing Forum (PONF) Supportive Care Group. Prevention and management of central venous catheter occlusion and thrombosis in children with cancer. Pediatr Blood Cancer. 2008 Apr;50(4):826-30. doi: 10.1002/pbc.21332.
- Schneider S, Kapelushnik J, Kraus M, El Saied S, Levi I, Kaplan DM. The association between otogenic lateral sinus thrombosis and thrombophilia - A long-term follow-up. Am J Otolaryngol. 2018 May-Jun;39(3):299-302. doi: 10.1016/j.amjoto.2018.03.013. Epub 2018 Mar 7.
- Kenet G, Waldman D, Lubetsky A, Kornbrut N, Khalil A, Koren A, Wolach B, Fattal A, Kapelushnik J, Tamary H, Yacobovitch J, Raveh E, Revel-Vilk S, Toren A, Brenner B. Paediatric cerebral sinus vein thrombosis. A multi-center, case-controlled study. Thromb Haemost. 2004 Oct;92(4):713-8. doi: 10.1160/TH04-03-0182.
- Zanoletti E, Cazzador D, Faccioli C, Sari M, Bovo R, Martini A. Intracranial venous sinus thrombosis as a complication of otitis media in children: Critical review of diagnosis and management. Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2398-403. doi: 10.1016/j.ijporl.2015.10.059. Epub 2015 Nov 5.
- Novoa E, Podvinec M, Angst R, Gurtler N. Paediatric otogenic lateral sinus thrombosis: therapeutic management, outcome and thrombophilic evaluation. Int J Pediatr Otorhinolaryngol. 2013 Jun;77(6):996-1001. doi: 10.1016/j.ijporl.2013.03.030. Epub 2013 Apr 29.
- Kenet G, Kirkham F, Niederstadt T, Heinecke A, Saunders D, Stoll M, Brenner B, Bidlingmaier C, Heller C, Knofler R, Schobess R, Zieger B, Sebire G, Nowak-Gottl U; European Thromboses Study Group. Risk factors for recurrent venous thromboembolism in the European collaborative paediatric database on cerebral venous thrombosis: a multicentre cohort study. Lancet Neurol. 2007 Jul;6(7):595-603. doi: 10.1016/S1474-4422(07)70131-X.
- Kvaerner KJ, Bentdal Y, Karevold G. Acute mastoiditis in Norway: no evidence for an increase. Int J Pediatr Otorhinolaryngol. 2007 Oct;71(10):1579-83. doi: 10.1016/j.ijporl.2007.06.022. Epub 2007 Aug 20.
- deVeber G, Andrew M, Adams C, Bjornson B, Booth F, Buckley DJ, Camfield CS, David M, Humphreys P, Langevin P, MacDonald EA, Gillett J, Meaney B, Shevell M, Sinclair DB, Yager J; Canadian Pediatric Ischemic Stroke Study Group. Cerebral sinovenous thrombosis in children. N Engl J Med. 2001 Aug 9;345(6):417-23. doi: 10.1056/NEJM200108093450604.
- Pang LH, Barakate MS, Havas TE. Mastoiditis in a paediatric population: a review of 11 years experience in management. Int J Pediatr Otorhinolaryngol. 2009 Nov;73(11):1520-4. doi: 10.1016/j.ijporl.2009.07.003. Epub 2009 Sep 15.
- Palma S, Fiumana E, Borgonzoni M, Bovo R, Rosignoli M, Martini A. Acute mastoiditis in children: the "Ferrara" experience. Int J Pediatr Otorhinolaryngol. 2007 Nov;71(11):1663-9. doi: 10.1016/j.ijporl.2007.06.018. Epub 2007 Aug 2.
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 (Actual)
December 2, 2018
Primary Completion (Actual)
February 3, 2019
Study Completion (Actual)
February 3, 2019
Study Registration Dates
First Submitted
February 23, 2019
First Submitted That Met QC Criteria
March 2, 2019
First Posted (Actual)
March 6, 2019
Study Record Updates
Last Update Posted (Actual)
March 6, 2019
Last Update Submitted That Met QC Criteria
March 2, 2019
Last Verified
March 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Infections
- Hematologic Diseases
- Musculoskeletal Diseases
- Otorhinolaryngologic Diseases
- Embolism and Thrombosis
- Ear Diseases
- Bone Diseases
- Bone Diseases, Infectious
- Intracranial Thrombosis
- Intracranial Embolism and Thrombosis
- Thromboembolism
- Osteomyelitis
- Thrombosis
- Otitis
- Otitis Media
- Sinus Thrombosis, Intracranial
- Thrombophilia
- Mastoiditis
- Lateral Sinus Thrombosis
Other Study ID Numbers
- 108-18-EMC
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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