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Xueshuantong Injection (Lyophilized) in the Prevention of Venous Thromboembolism (VTE) in Hospitalized Patients

Active, not recruiting
Conditions
Venous Thromboembolism (VTE)
Thromboembolism
Registration Number
NCT06443905
Lead Sponsor
China-Japan Friendship Hospital
Brief Summary

The purpose of this study is to explore the efficacy, safety and cost-effectiveness of Xueshuantong (lyophilized) for the prevention of venous thromboembolism (VTE) in patients at risk of bleeding.

Detailed Description

This is a non-randomized, observational study.

This study primarily aims to investigate the efficacy, safety, and cost-effectiveness of using Xueshuantong injection (lyophilized) for preventing venous thromboembolism (VTE) in patients susceptible to bleeding. The subjects of the study comprise patients during the perioperative period (undergoing procedures lasting 45 minutes or longer), patients with a confirmed spontaneous cerebral hemorrhage (ICH), and patients with a confirmed acute ischemic stroke (AIS).

Additional objectives of this study including:

1. to evaluate the possible dose-dependency of Xueshuantong injection (lyophilized);

2. to evaluate the impact in coagulation function after administration of Xueshuantong injection (lyophilized)

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
21600
Inclusion Criteria
  • Men or women of ≥18 year old;

  • Hospitalized between Jan 1, 2016 and Aug. 1, 2023;

  • Received intravenous (IV) Xueshuantong (lyophilized) for ≥3 days;

  • Who also meet one of the following criteria:

    1. Perioperative patients:

      Performed any of the following surgical procedures (≥ 45 minutes in duration) during hospitalization- general surgery, orthopedic surgery, obstetrics and gynecology surgery, neurosurgery, urology surgery, cardiothoracic surgery, obesity surgery or cancer surgery;

    2. Hospitalization due to acute spontaneous cerebral hemorrhage:

      Diagnosed as cerebral hemorrhage (acute/subacute), or subarachnoid hemorrhage, with clinical manifestations such as conscious disturbance, dyskinesia, or sensory dysfunction. Presence of cerebral hemorrhage was confirmed by imaging;

    3. Hospitalization due to acute ischemic stroke:

Diagnosed as ischemic stroke, ischemic stroke (acute/subacute), cerebral infarction, or cerebral infarction (acute/subacute), acute stage or subacute stage of ischemic stroke, with clinical manifestations such as disturbance of consciousness, motor dysfunction, or sensory dysfunction. Presence of cerebral hemorrhage was confirmed by imaging.

Exclusion Criteria
  • Received any traditional Chinese medicine (TCM) that contains total saponins of panax notoginseseng (PNS) other than Xueshuantong (lyophilized);
  • Females who are pregnant or breast-feeding;
  • Diagnosed venous thromboembolism occurred before enrollment;
  • Received intravenous thrombolytic therapy for other reasons during hospitalization;
  • Received prophylactic or therapeutic doses of anticoagulants after major surgery;
  • Placed vena cava filters for VTE prophylaxis before surgery;
  • Received therapeutic dose of anticoagulants during the patient's hospital stay (AIS patients);

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of VTEWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Incidence of venous thromboembolism (VTE)

Secondary Outcome Measures
NameTimeMethod
Incidence of PTEWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Pulmonary thromboembolism (PTE).

Length of stayWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Time from admission to discharge

Incidence of proximal DVTWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Proximal deep venous thrombosis (DVT).

Incidence of symptomatic VTEWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Symptomatic venous thromboembolism (VTE).

Incidence of non-symptomatic VTEWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Non-symptomatic venous thromboembolism (VTE)

MortalityWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Deaths of all causes.

Incidence of distal DVTWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Distal deep venous thrombosis (DVT).

Wound healing timeWithin 14 days after admission (perioperative), within 14 days after admission (SCH), within 7 days after admission (AIS)

Healing time after surgery

Trial Locations

Locations (14)

The Third Hospital of Changsha

🇨🇳

Changsha, Hunan, China

China-Japan Friendship Hospital

🇨🇳

Beijing, Beijing, China

Dongguan Chinese Medicine Hospital

🇨🇳

Dongguan, Guangdong, China

Jingjiang Chinese Medicine Hospital

🇨🇳

Jingjiang, Jiangsu, China

Foshan Hospital of Traditional Chinese Medicine

🇨🇳

Foshan, Guangdong, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Liuzhou, Guangxi, China

Guangzhou Red Cross Hospital

🇨🇳

Guangzhou, Guangdong, China

The First People's Hospital of Nanning

🇨🇳

Nanning, Guangxi, China

The People's Hospital of Wuzhou

🇨🇳

Wuzhou, Guangxi, China

Yulin Second People's Hospital

🇨🇳

Yulin, Guangxi, China

Wuzhou Red Cross Hospital

🇨🇳

Wuzhou, Guangxi, China

Hebei General Hospital

🇨🇳

Shijiazhuang, Hebei, China

Liaocheng People's Hospital

🇨🇳

Liaocheng, Shandong, China

Qilu Hospital of Shandong University Dezhou Hospital

🇨🇳

Dezhou, Shandong, China

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