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ONE WEEK VERSUS FOUR WEEK HEPARIN PROPHYLAXIS AFTER LAPAROSCOPIC SURGERY FOR COLORECTAL CANCER.

Phase 3
Conditions
The Primary Study Objective is to Assess the Efficacy and
Safety of Extended 4-week Heparin Prophylaxis Compared to
Prophylaxis Given for 8±2 Days After Planned Laparoscopic
Surgery for Colorectal Cancer.
The Clinical Benefit Will be Evaluated as the Difference in
the Incidence of VTE or VTE-related Death Occurring Within 30 Days
From Surgery in the Two Study Groups.
Interventions
Drug: Heparin, Low-Molecular-Weight
Registration Number
NCT01589146
Lead Sponsor
University Of Perugia
Brief Summary

Overall, only limited evidence exists regarding the clinical benefit of antithrombotic prophylaxis after laparoscopic surgery for cancer. Four studies reported on the incidence of venous thromboembolism (VTE) after laparoscopic surgery for cancer. These studies differ concerning study design, site of cancer, regimens for antithrombotic prophylaxis and reported incidence of VTE.

The aim of this multicenter, randomized study is to assess the clinical benefit of extended (4 weeks) compared to short (one week) heparin prophylaxis after laparoscopic surgery for colorectal cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
400
Inclusion Criteria
  • Consecutive patients who had
  • planned laparoscopic surgery for
  • colorectal cancer will be included in the study provided no exclusion criteria will be found
Exclusion Criteria
  • age < 18 years
  • surgery for non-cancer disease
  • duration of surgery < 45 min
  • other indication for anticoagulant therapy
  • known cerebral metastases
  • kidney or liver failure
  • known hemorrhagic diathesis or high risk for bleeding
  • history of intracerebral bleeding or neurosurgery within 6 months, history of heparin induced thrombocytopenia
  • pregnancy or lactation
  • refusal of informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
extended heparinHeparin, Low-Molecular-Weight-
Primary Outcome Measures
NameTimeMethod
symptomatic objectively confirmed VTE, asymptomatic ultrasonography-confirmed DVT or VTE-related death30 days
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Internal and Cardiovascular Medicine - University of Perugia

🇮🇹

Perugia, Italy

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