NCT05794165Enrolling By Invitation2 期
Antithrombin to Improve Thromboprophylaxis and Reduce the Incidence of Trauma-Related Venous Thromboembolism (TRAIT)
适应症
干预措施
相关药物
试验速览
- 阶段
- 2 期
- 状态
- Enrolling By Invitation
- 发起方
- Bryan Cotton
- 入组人数
- 314
- 试验地点
- 4
- 主要终点
- Number of participants with incidences of venous thromboembolism (VTE )
研究概览
简要总结
The purpose of this study is to determine if additional interventions will assist with decreasing the risk and/or severity of thromboembolism (clotting complications) in patients who have experienced a major traumatic event.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
This will be a double-blind study.
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admission to trauma service
- •Polytraumatic injuries OR pelvic/long bone fracture
- •Planned admission to trauma ICU or step-down/SIMU setting (this includes STICU, SIMU/TIMU, BICU, and BIMU)
- •Informed consent obtained
排除标准
- •Prisoners (defined as those directly admitted from correctional facility)
- •Known or suspected pregnancy
- •≥ 20% total body surface area (TBSA) burned
- •Nonsurvivable head injuries
- •Known hematologic or immunologic disorders
- •Known prehospital anticoagulant use
- •Patients initially placed on unfractionated heparin for thromboprophylaxis
- •Known allergy to Antithrombin or it's components
- •Enrollment in another interventional study unless approved by Trial Principal Investigator
研究组 & 干预措施
Thrombate infusion
Experimental
干预措施: Thrombate infusion (Drug)
Placebo
Placebo Comparator
干预措施: Placebo (Drug)
结局指标
主要结局
Number of participants with incidences of venous thromboembolism (VTE )
时间窗: 14 days post hospital admission
Number of participants with incidence of antifactor Xa (anti-FXa) of ≥0.2 IU/mL
时间窗: 14 days post hospital admission
次要结局
- Change in level of Inflammatory marker Interleukin-1 alpha (IL1a) as assessed by a blood test(From time of hospital admission to day 7)
- Time taken to achieve anti-FXa of ≥0.2 IU/mL(14 days post hospital admission)
- Number of enoxaparin dose escalations(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Number of incidences of participants with other thrombotic complications (arterial thrombosis, myocardial infarction, stroke)(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Level of Anti-FXa(from the time of hospital admission up to hospital day 7)
- Antithrombin (AT) activity level(from the time of hospital admission up to hospital day 7)
- Change in level of the endothelial marker syndecan-1 as assessed by a blood test(time of hospital admission, day1, day2, day 3, day 4, day 5, day6, day 7)
- Change in level of the endothelial marker thrombomodulin as assessed by a blood test(From the time of hospital admission to day 7)
- Change in level of Inflammatory marker Tumor necrosis factor alpha (TNFα) as assessed by a blood test(From time of hospital admission to day 7)
- Change in level of Inflammatory marker Interleukin-8 (IL-8) as assessed by a blood test(From time of hospital admission to day 7)
- Change in level of Inflammatory marker Interleukin-6(IL-6) as assessed by a blood test(time of hospital admission, day1, day2, day 3, day 4, day 5, day6, day 7)
- Change in level of Inflammatory marker Interleukin-1 beta (IL1b) as assessed by a blood test(From time of hospital admission to day 7)
- Number of incidences of participants with bleeding events (interoperative bleeding, abdominal bleeding)(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Number of hospital free days(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Number of Ventilator free days(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Number of ICU free days(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
- Change in level of Inflammatory marker Interferon -gamma (INFg) as assessed by a blood test(From time of hospital admission to day 7)
- Number of participants with In-hospital mortality(from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first))
研究者
Bryan Cotton
Professor
The University of Texas Health Science Center, Houston
研究点 (4)
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