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临床试验/NCT05878899
NCT05878899已完成3 期

Postpartum Heparin Against Venous Thromboembolism: a Pilot Randomized Controlled Trial

University Hospital, Geneva1 个研究点 分布在 1 个国家目标入组 77 人开始时间: 2022年5月3日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
入组人数
77
试验地点
1
主要终点
Recruitement rate

研究概览

简要总结

In previous attemps to answer the question of risk-benefit of postpartum thromboprophylaxis, researchers were faced with low recruitement rates. The goal of this pilot feasibility randomized controlled trial of postpartum pharmacological thromboprophylaxis is to examine the feasibility (recruitement rate) and participation rate at the Geneva University Hospitals

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • adult women within 48h of delivery, with:
  • ≥2 of the following risk factors Age ≥35 years Pre-pregnancy BMI 30.0-34.9kg/m2 Current smoking Elective cesarean section Postpartum hemorrhage Antenatal immobility
  • and/or ≥1 of the following risk factors: Emergency cesarean section Pre-pregnancy BMI ≥35kg/m2 Known low-risk thrombophilia (heterozygous factor V Leiden; heterozygous G20210 prothrombin mutation) Pre-eclampsia Pre-term delivery (<37th week of gestation) Peripartum systemic infection (defined as fever with use of antibiotics) Intra-uterine growth restriction (birth weight <5th percentile)

排除标准

  • any indication for therapeutic anticoagulation
  • a high-risk of postpartum venous thromboembolism (personal history, high-risk thrombophilia)
  • an increased bleeding risk
  • a contra-indication to the use of heparin

研究组 & 干预措施

Enoxaparin

Experimental

Enoxaparin 20-60mg o.d., according to bodyweight, for 10 days postpartum.

干预措施: Enoxaparin (Drug)

结局指标

主要结局

Recruitement rate

时间窗: 6 months

Number of study inclusion per month

Study participation

时间窗: Within 48 hours after delivery

Proportion of eligible women who are presented the study and who accept to participate

次要结局

  • Venous thromboembolism(Within 90 day after delivery)
  • Satisfaction with study intervention(After completion of the 10 days of study drug)
  • Bleeding(Within 90 day after delivery)
  • Surgical site complication(Within 90 day of delivery)
  • Heparin-induced thrombocytopenia(Within 90 day of delivery)
  • Septic pelvic thrombophlebitis(Within 90 day of delivery)
  • All-cause mortality(Within 90 day of delivery)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Marc Blondon

Principal Investigator

University Hospital, Geneva

研究点 (1)

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