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INvestigating SIGnificant Health TrendS in the Management of Superficial Vein Thrombosis

Completed
Conditions
Superficial Vein Thrombosis
Registration Number
NCT02699151
Lead Sponsor
GWT-TUD GmbH
Brief Summary

Superficial vein thrombosis (SVT) and venous thromboembolism (VTE) are related entities. Only in the last years a series of observational studies mainly conducted in France could show that ´isolated SVT´ (without concomitant deep vein thrombosis and/or pulmonary embolism) is in fact not a benign and spontaneously healing disease but bears a potential for severe thromboembolic complications once not treated adequately. INSIGHTS-SVT study aims at collecting representative data on the current management and outcomes of SVT in Germany under real-life conditions. It will document the implementation of the recently issued national SVT guidelines issued by the Society for Angiology (DGA) and the Society for Phlebology (DGP).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1210
Inclusion Criteria
  • Confirmed, acute, isolated SVT of the lower extremities
  • written informed consent
Exclusion Criteria
  • SVT located at ≤ 3 cm of the saphenofemoral crossing (as such patients need to be treated for DVT)
  • Subjects unlikely to comply with the requirements of the protocol (due to cognitive and/or language limitations)
  • Patient(likely) not available for 1-year documentation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Efficacy: incidence of venous thromboembolism (VTE) events3 months

VTE: composite of symptomatic pulmonary embolism (PE), symptomatic deep vein thrombosis (DVT), symptomatic recurrent superficial vein thrombosis (SVT), or symptomatic progression (extension) of SVT.

This endpoint comprises symptomatic and asymptomatic VTE as reported by the treating physicians (usually diagnosed with compression ultrasonography or other appropriate methods).

Events will be adjudicated.

Safety: incidence of major and clinically relevant bleeding events3 months

Definition of bleeding events is based on American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (major bleedings) and the "Comparison of Arixtra in lower limb superficial vein thrombosis with placebo" (CALISTO) study definition (other bleedings), respectively.

Events will be adjudicated.

Secondary Outcome Measures
NameTimeMethod
Death3 months and 12 months
New or recurrent cancer3 months and 12 months
VTE rates in the subgroup of patients who underwent surgical procedures for SVT3 months and 12 months
Diagnostic procedures for venous thromboembolismthrough study completion, up to 12 months

Utilisation rates of compression ultrasonography, duplex sonography, D-Dimer tests, computer tomography and other procedures typically used for the diagnosis of VTE.

Number of days spent in rehabilitation due to VTEthrough study completion, up to 12 months
Incidence of lung embolism (LE)12 months

Symptomatic and asymptomatic events as reported by the treating physician. Events will be adjudicated.

Incidence of superficial vein thrombosis (SVT)12 months

Symptomatic recurrent SVT: new occurrence of symptomatic SVT confirmed by compression ultrasonography or duplex-ultrasonography, in any other superficial vein.

Symptomatic progression of initially diagnosed SVT: extension by at least 2 cm, confirmed compression ultrasonography or duplex ultrasonography, and \> 3 cm away from the saphenofemoral crossing.

Events will be adjudicated.

Incidence of deep vein thrombosis (DVT)12 months

Symptomatic and asymptomatic events as reported by the treating physician (usually diagnosed with compression ultrasonography or other appropriate methods).

Events will be adjudicated.

Health related quality of life on "VEnous Insufficiency Epidemiological and Economic Study" questionnaire3 months

VEINES-QOL/Sym questionnaire

Number of days in hospital due to VTEthrough study completion, up to 12 months
Numerical pain scalethrough study completion, up to 12 months

0-10 point scale

Health-related quality of life on Euroquol 5 Dimensions questionnaire3 months

EQ-5D questionnaire

Predictors of VTE during follow-upthrough study completion, up to 12 months

Trial Locations

Locations (1)

Gefäßzentrum Darmstadt

🇩🇪

Darmstadt, Germany

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