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Clinical Trials/2025-524553-13-00
2025-524553-13-00RecruitingPhase 2

Low-dose versus standard-dose anticoagulation with argatroban or enoxaparin during extracorporeal membrane oxygenation controlled by anti-IIa or anti-Xa assay

Fakultni Nemocnice Ostrava2 sites in 1 country200 target enrollmentStarted: March 2, 2026Last updated:

Trial Snapshot

Phase
Phase 2
Status
Recruiting
Sponsor
Enrollment
200
Locations
2
Primary Endpoint
To comprehensively compare the efficacy and safety of anticoagulation therapy in patients on ECMO support with argatroban, enoxaparin and in the combined population of patients with argatroban or enoxaparin

Study Overview

Brief Summary

Description of the efficacy and safety of low dose (LD) and standard dose (SD) anticoagulation with argatroban and enoxaparin in patients on ECMO support.

Study Design

Allocation
Randomized
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 years to 65+ years (18-64 Years, 65+ Years)
Accepts Healthy Volunteers
No

Inclusion Criteria

  • ECMO support with argatroban / enoxaparin anticoagulation
  • Age ≥ 18 years
  • Obtaining informed consent according to the procedure specified in the protocol

Exclusion Criteria

  • Inclusion in the lung transplant program at Motol Hospital
  • Known hypersensitivity to components of the investigational medicinal products
  • Allergic reaction to the active substances of the investigational medicinal products
  • Pregnancy and breastfeeding

Outcomes

Primary Outcomes

To comprehensively compare the efficacy and safety of anticoagulation therapy in patients on ECMO support with argatroban, enoxaparin and in the combined population of patients with argatroban or enoxaparin

To comprehensively compare the efficacy and safety of anticoagulation therapy in patients on ECMO support with argatroban, enoxaparin and in the combined population of patients with argatroban or enoxaparin

Secondary Outcomes

  • To determine the relationship between argatroban concentration and the incidence of bleeding and thrombotic complications and the consumption of blood derivatives and transfusion products
  • To determine the relationship between the dose or concentration of anticoagulant and laboratory parameters for monitoring anticoagulation
  • To determine the relationship between laboratory parameters and bleeding and thrombotic complications

Investigators

Sponsor
Fakultni Nemocnice Ostrava
Sponsor Class
Hospital/Clinic/Other health care facility
Responsible Party
Principal Investigator
Principal Investigator

Filip Burša, MD, Ph.D., EDEC

Scientific

Fakultni Nemocnice Ostrava

Study Sites (2)

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