- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02706249
Study Of Weight-Based Versus Standard Dose Enoxaparin Thromboprophylaxis In High-Risk Hospitalized Cancer Patients
A Randomized, Phase II Study Of Weight-Based Versus Standard Dose Enoxaparin Thromboprophylaxis In High-Risk Hospitalized Cancer Patients
Studieöversikt
Detaljerad beskrivning
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
Kontakter och platser
Studieorter
-
-
Massachusetts
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Boston, Massachusetts, Förenta staterna, 02215
- Beth Israel Deaconess Medical Center
-
-
Ohio
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Cleveland, Ohio, Förenta staterna, 44195
- Cleveland Clinic Foundation
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Participants must have histologically or cytologically confirmed diagnosis of solid tumor malignancy, lymphoma or multiple myeloma.
- Cancer diagnosis or received treatment (chemotherapy or radiotherapy) for malignancy within the previous 6 months
One or more Padua-based risk factor:
- History of previous venous thromboembolic event (excluding superficial vein thrombosis)
- Reduced mobility (ECOG performance status 3 or 4, see Appendix A)
- Established hereditary thrombophilia (e.g. Factor V Leiden, G20210 prothrombin mutation, protein C or S deficiency, antithrombin deficiency).
- Recent surgery within the last 30 days
- Age ≥ 70 years
- Congestive heart failure (NYHA class III or IV)
- Complicated respiratory insufficiency (defined as an increased requirement for supplementary oxygen of at least 2L)
- Acute myocardial infarction or ischemic stroke
- Obesity (BMI ≥ 30)
- Receiving hormonal agents (e.g. tamoxifen, estrogen, testosterone)
- Acute infection (i.e. requiring antimicrobial therapy)
- Age ≥ 18 years
- Life expectancy of greater than 30 days
- Platelet count ≥ 100,000/mcL
- Creatinine < 1.5 mg/dL or estimated creatinine clearance ≥ 50 mL/min/1.73 m2
- Ability to understand and the willingness to sign a written informed consent document
- Weight between 50kg to 130 kg.
Exclusion Criteria:
- History of allergic reactions attributed to heparin or low molecular weight heparin
- Active bleeding or otherwise considered high risk for hemorrhage (e.g. known acute gastrointestinal ulcer)
- Any history of significant hemorrhage (requiring hospitalization or transfusion) within the last 6 months (excluding hemorrhage during operative procedure).
- History of heparin induced Thrombocytopenia
- Presence of coagulopathy (PT or PTT> 1.2 x upper limit of normal)
- Known diagnosis of disseminated intravascular coagulation
- Currently receiving therapeutic anticoagulant therapy or dual antiplatelet therapy (eg. aspirin and clopidogrel)
- Uncontrolled arterial hypertension (systolic blood pressure > 200mmHg, diastolic >110mmHg)
- Active peptic ulcer disease
- Bacterial Endocardititis
- Received any type of Pharmacologic Thromboprophylaxis (e.g. low molecular weight heparin or heparin) for >48 hours during current hospitalization
- Known brain metastases
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Aktiv komparator: A: Standard Dose Enoxaparin
Participants will receive Enoxaparin 40 mg subcutaneously once daily. On study Enoxaparin will be administered for up 14 days during hospitalization. After the day 14 assessment, treatment arms will be un-blinded in order to appropriately schedule a bilateral lower extremity ultrasound for participants enrolled onto Arm A at day 17. |
Andra namn:
|
Aktiv komparator: B: Weight Adjusted Enoxaparin
Participants will receive Enoxaparin at 1mg/kg subcutaneously once daily with maximum dose of 100 mg daily. Participants who weigh more than 100kg will be capped at 100mg. On study Enoxaparin will be administered for up 14 days during hospitalization. |
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Total Number of Venous Thromboembolic Events (VTE) in Standard Dose Enoxaparin Arm at 17 Days
Tidsram: 17 days only measured in Arm A (Standard dose enoxaparin)
|
To investigate the numbers of VTE in hospitalized cancer patients receiving standard dose
|
17 days only measured in Arm A (Standard dose enoxaparin)
|
Number Participants With Major Hemorrhage
Tidsram: 14 days
|
Number of major hemorrhage in weight-adjusted enoxaparin arm and standard-dose enoxaparin arm
|
14 days
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Number of Symptomatic Venous Thromboembolic Events (VTE)
Tidsram: 14 days
|
Comparing number of symptomatic VTE (data collected prior to unblinding) for the standard dose (Arm A) versus intermediate dose enoxaparin (Arm B).
|
14 days
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Jeffrey Zwicker, MD, Beth Israel Deaconess Medical Center
Publikationer och användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 15-547
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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