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Global Anticoagulant Registry in the FIELD- Venous Thromboembolic Events

Completed
Conditions
Venous Thromboembolism
Deep Vein Thrombosis
Pulmonary Embolism
Registration Number
NCT02155491
Lead Sponsor
Thrombosis Research Institute
Brief Summary

The protocol is a large registry to describe acute, sub-acute and extended duration of anticoagulation management, clinical and economic duration of anticoagulation management, clinical and economic outcomes in patients with treated acute VTE (DVT and PE) in the real-world setting.

Main objectives are to clarify the:

* treatment related details for acute VTE (either conventional anticoagulation therapy, treatment with a direct oral anti-coagulant or other modalities of treatment)

* Rate of early and late symptomatic VTE recurrence

* Rate and nature of complications of VTE including post thrombotic syndrome and chronic thromboembolic pulmonary hypertension

* Rate of bleeding complications

* Rate of all-cause mortality at six months

Detailed Description

Other objectives are to clarify the additional outcomes of:

* Stroke (Measured by number of incidences)

* Transient Ischemic Attack (TIA) (Measured by number on incidences)

* ST Elevated Myocardial Infarction (STEMI) (Measured by number of incidences)

* Non-ST Elevated Myocardial Infraction (NSTEMI) (Measured by number of incidences)

* Unstable Angina (Measured by number of incidences)

* Quality of life and patient reported outcomes and costs associated with the management of VTE.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10679
Inclusion Criteria
  • Written informed consent
  • Age 18 years and over
  • Treated first time or recurrent DVT (lower or upper extremity), PE alone or overlapping DVT and PE confirmed by appropriate diagnostic methods (patients must be assessed for eligibility within 30 days of diagnosis)
  • Patients included with recurrent VTE must have completed treatment for the previous VTE episode
Exclusion Criteria
  • Patients for whom long-term follow-up is not envisaged within the enrolling hospital or the associated primary care physician
  • Patients participating in an interventional study that dictates treatments, visit frequency, or diagnostic procedures
  • Patients with only superficial vein thrombosis (SVT)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Anticoagulation therapy persistence36 months

Estimation of Anticoagulation therapy will be compared to actual total time Anticoagulation therapy was used by patients.

Hospitalization36 months

Measured by number of occurrences.

All cause of mortality36 months

Causes of death: PE, stroke, cardiac, cancer-related, other...

IVC filter placement36 months

Measured by number of occurrences.

International Normalized Ratio (INR) Values in Patients treated with Vitamin K Antagonists36 months

Will be assessed by frequency of INR monitoring, and number of INR readings taken before patient achieved optimum range.

Rate of recurrent symptomatic VTE (DVT and fatal or non-fatal PE)36 months

Rate of recurrent symptomatic VTE (DVT and fatal or non-fatal PE)

Post Thrombotic Syndrome36 months

Measured by number of occurrences and severity.

Chronic thromboembolic pulmonary hypertension36 months

Measured by number of occurrences and severity.

Other urgent interventions for VTE36 months

Measured by number of occurrences.

Bleeding events36 months

Frequency, location, severity (classified as major or non-major)

Secondary Outcome Measures
NameTimeMethod
Myocardial Infarction36 months

Measured by number of occurrences of both ST-Elevated Myocardial Infarction and Non-ST Elevated Myocardial Infarction (STEMI/NSTEMI).

Quality of life and patient treatment satisfaction over a three year period36 months

Measured by Questionnaire.

Unstable angina36 months

Measured by number of occurrences.

Stroke36 months

Ischemic stroke, hemorrhagic stroke

Trans Ischemic Attack (TIA)36 months

Measured by number of occurrences.

Trial Locations

Locations (1)

Dr Terence Hart

🇺🇸

Muscle Shoals, Alabama, United States

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