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临床试验/CTRI/2010/091/000598
CTRI/2010/091/000598进行中(未招募)3 期

Efficacy and Safety of Long-Term (6 Months) Innohep® Treatment Versus Anticoagulation with a Vitamin K Antagonist (Warfarin) for the Treatment of Acute Venous Thromboembolism in Cancer Patients / IN 0901 INT - DVT study

EO Pharma AS0 个研究点目标入组 1,000 人开始时间: 待定最近更新:

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
1,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Observational

入排标准

入选标准

  • 1.Patients with a diagnosis of active cancer with a histologically or cytologically diagnosed solid tumour or haematological malignancy (evidence of early stage, regional or metastatic disease). Active cancer is defined as:
  • Patients diagnosed with cancer within the past 6 months, OR Patients with recurrent, advanced or metastatic disease, OR
  • Patients that have received any treatment for cancer during the previous 6 months, OR
  • Patients not in complete remission of a chronic haematological malignancy.
  • 2.Symptomatic and objectively confirmed acute proximal lower-limb deep vein thrombosis (DVT) (anatomically including popliteal, femoral [superficial and common] and iliac [external and common]) and/or pulmonary embolism (PE) (located in segmental or larger pulmonary arteries) diagnosed within 72 hours prior to randomisation. Diagnosis of DVT/PE (at randomisation and at recurrence) must be made by appropriate objective imaging.
  • 3. 18 years of age or above the legal age of consent as per country specific regulations.
  • 4.Patients with Eastern Co-operative Oncology Group (ECOG) performance status of 0, 1 or 2 prior to the VTE episode.
  • 5.Signed informed consent.

排除标准

  • 1.Life expectancy < 6 months.
  • 2.Patients with basal cell carcinoma or non-melanoma skin cancer.
  • 3.Creatinine clearance; 20 ml/min according to the abbreviated Modification of Diet in Renal Disease (aMDRD) formula.
  • 4.Contra-indications to anticoagulation:
  • a.Active or recent (< 1 month) clinically significant bleeding, including gastrointestinal bleeding or peptic ulcer.
  • b.History of bleeding disorder or coagulopathy (congenital, acquired or unexplained repeated bleeding episodes).
  • c.Uncontrolled arterial hypertension (systolic blood pressure > 180 mm Hg or diastolic blood pressure > 110 mm Hg).
  • d.Recent intracranial haemorrhage (in the last 1 month prior to randomisation) which is at high risk of rebleeding and would prohibit anticoagulant therapy, according to the Investigator's judgment.
  • e.Recent (in the last 1 month prior to randomisa-tion) brain, spinal or ophthalmic surgery.
  • f.Thrombocytopenia (platelet count < 50 x 109/ L).
  • g.Coagulopathy due to liver insufficiency as indicated by a prolonged baseline activated partial thromboplastin time (aPTT) > 1.5 x upper limit of normal (ULN) or equivalent to an aPTT ratio > 1.5 (if not receiving low molecular weight heparin [LMWH] /unfractionated heparin [UFH])
  • 5.Known hypersensitivity to the investigational product (Innohep®) or the reference product (warfarin).
  • 6.History of heparin-induced thrombocytopenia (HIT).
  • 7.Pre-randomisation therapeutic anticoagulant treatment for acute VTE administered for more than 72 hours prior to randomisation.
  • 8.Patients that had been receiving therapeutic anticoagulation at the time of the VTE event (i.e. anticoagulant failure), using any anticoagulant, such as:
  • a.Parenteral anticoagulants e.g. UFH, LMWH, fondaparinux, bivalirudin or hirudin.
  • b.Vitamin K antagonists (VKA).
  • c.New oral anticoagulants, e.g. dabigatran, rivaroxaban.
  • Note: Chronic treatment with anti-platelet agents such as low dose of aspirin (up to
  • 325 mg/day), clopidogrel or ticlopidine is
  • 9.Patients unlikely to comply with the protocol, e.g. inability to return for study visits or inability to receive/administer daily subcutaneous (SC) injection.
  • 10.Participation in another interventional study with active drug treatment or an investigational device.
  • 11.Pregnant or breast-feeding women. Pregnancy status should be checked by serum or urine pregnancy testing prior to inclusion.
  • 12.Women of childbearing potential not protected by an effective contraceptive method (as defined for contra-ception in the Informed Consent Form [ICF]) for the duration of the study.
  • 13.Sexually active fertile men if they, or their partner (being a woman of childbearing potential), is not using effective birth control.

研究者

发起方
EO Pharma AS

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