跳至主要内容
临床试验/2023-508532-56-00
2023-508532-56-00招募中3 期

Low INR to Minimize bleeding with mechanical valves Trial (LIMIT)

Hamilton Health Sciences Corporation21 个研究点 分布在 6 个国家目标入组 975 人开始时间: 2023年11月23日最近更新:

试验速览

阶段
3 期
状态
招募中
入组人数
975
试验地点
21
主要终点
Thrombosis/thromboembolism (composite of ischemic stroke, systemic thromboembolism, valve thrombosis) and major bleeding.

研究概览

简要总结

Evaluate the safety and efficacy of a common, lower INR range in patients with bileaflet aortic mechanical valves.

研究设计

分配方式
Randomized
主要目的
Low INR to Minimize bleeding with mechanical valves Trial (LIMIT)
盲法
None

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Have had a bileaflet mechanical heart valve implant in the aortic position at least 3 months ago (greater than or equal to 3 months)
  • Be at least 18 years of age at the time of enrollment (greater than or equal to 18 years of age)
  • Provide written informed consent (either from the patient or substitute decision-maker)

排除标准

  • Have a second implanted mechanical valve (any position)
  • Lower boundary of planned INR range is less than 2.0
  • Pregnant or expecting to become pregnant during the study follow-up

结局指标

主要结局

Thrombosis/thromboembolism (composite of ischemic stroke, systemic thromboembolism, valve thrombosis) and major bleeding.

Thrombosis/thromboembolism (composite of ischemic stroke, systemic thromboembolism, valve thrombosis) and major bleeding.

次要结局

  • All-cause mortality (selected rather than cardiovascular mortality, as cause-specific mortality is often difficult to ascertain or define in complex cardiovascular patients in whom multi-end-organ dysfunction may accompany cardiovascular decline)
  • All clinically important bleeding
  • Minor bleeding
  • All stroke
  • Ischemic stroke
  • Hemorrhagic stroke
  • Type 1, 2 or 3 myocardial infarction
  • Systemic thromboembolism
  • Valve thrombosis
  • Pulmonary embolism
  • Deep vein thrombosis
  • New renal replacement therapy
  • Time in therapeutic range
  • Proportion of patients with extreme INR values (>4)

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Dr. Emilie Belley-Cote

Scientific

Hamilton Health Sciences Corporation

研究点 (21)

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