StAtins for Venous Event Reduction in Patients With Venous Thromboembolism: A Pilot Study Assessing Feasibility of an RCT to Evaluate if Generic Rosuvastatin Reduces the Risk of Recurrent VTE in Patients With Symptomatic Major VTE.
试验速览
- 阶段
- 2 期
- 入组人数
- 312
- 试验地点
- 6
- 主要终点
- Number of participants recruited per center per month - [Study Feasibility]
研究概览
简要总结
The SAVER pilot is a randomized, open-label pilot study to determine the feasibility of recruitment. In addition to feasibility data, the investigators will carefully collect clinical data to determine if rosuvastatin can reduce post-thrombotic syndrome (PTS) in venous thromboembolism (VTE) patients.
Eligible consenting patients who developed acute, symptomatic, and objectively confirmed proximal leg deep vein thrombosis (DVT) and/or PE will be randomized and equally allocated to 2 trial arms, either the treatment group (rosuvastatin tablet (20 mg/day) or the control group (usual care). The pilot trial consists of up to 4 study contacts over 6 months: screening, randomization, telephone follow-up (90 days), and final study visit (180 days).
详细描述
The SAVER pilot is a randomized, open-label pilot study to determine the feasibility of recruitment. In addition to feasibility data, the investigators will carefully collect clinical data to determine if rosuvastatin can reduce post-thrombotic syndrome (PTS) in venous thromboembolism (VTE) patients.
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SCREENING: Research coordinators at each pilot site will screen patients for eligibility and will complete detailed logs of all patients meeting inclusion (both enrolled and excluded). After providing informed consent, eligibility will be confirmed by the following tests : a lipid profile, A1C test/ CBC, transaminase (ALT) levels, Creatinine and pregnancy test (if a female of child bearing potential). Consenting participants who (following screening) do not meet eligibility criteria will be followed up to establish feasibility outcomes.
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RANDOMIZATION: Randomization will be conducted using an Interactive Web based Randomization System in a 1:1 ratio for treatment (20mg rosuvastatin od) or control (no study drug).
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STUDY DRUG DISPENSING: Participants randomized to the treatment arm will be dispensed x 200 20mg tablets of rosuvastatin along with a medication diary.They will be educated on study drug dosing regimen (20mg tablet od), how to complete their medication diary and on the possible side-effects of rosuvastatin. They will be advised to contact either the study coordinator, investigator or go directly to the emergency department should they experience any symptoms in particular anything muscle related.
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BASELINE. Assessments include;
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Demographic data;
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Concomitant medications (antiplatelet, anti-inflammatories, anticoagulation);
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Type of index VTE;
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PTS Villalta leg assessment conducted by both the participant (Patient Reported Villalta [PRV] questionnaire) and a qualified blinded independent observer (The Villalta scale is the most extensively validated tool and is recommended by the ISTH) - (Primary Outcome);
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Risk factors for recurrent VTE, bleeding and arterial vascular events;
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Medical history including prior VTE, Arterial disease, Liver disease and Glucose Intolerance.
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90 DAY FOLLOW UP [Treatment arm only]: Participants randomized to treatment will be followed up via telephone or email at 90 days (+/- 21 days);
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Participants will be asked questions to screen for;
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Study outcomes: Suspected VTE, Arterial, Bleeding and/ or Muscle Events Patients who report any unexplained muscle symptoms will be asked to have their Creatine kinase (CK) levels tested within 2 weeks of reporting the symptoms. Study drug will be discontinued if CK levels are markedly elevated (> 10 x ULN).;
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Study Drug compliance
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Adverse events.
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Concomitant medication will be reviewed in case of any contraindications. Changes or additions in concomitant anticoagulation therapy, anti-platelet or anti - inflammatory medication will also be recorded.
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Study coordinators will log all follow up contact attempts.
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FINAL STUDY VISIT (180 days (+/- 21 days): All study participants will be asked to attend an in person study visit at 180 days (+/-21) for;
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
- All
- 接受健康志愿者
- 否
入选标准
- •Symptomatic objectively confirmed proximal leg DVT (above the trifurcation of the popliteal vein) and/or PE (segmental or greater) diagnosed in the last 30 days.
排除标准
- •Unable or unwilling to provide written informed consent
- •≤ 18 years of age
- •Currently prescribed a statin
- •A medical history or current diagnosis of any of the following:
- •Abdominal aortic aneurysm,
- •Peripheral arterial disease,
- •Transient ischemic attack (TIA),
- •Myocardial infarction (MI),
- •Acute coronary syndromes,
- •Stable angina,
- •Coronary or other arterial revascularization
- •LDL-C >4.91 mmol/L
- •LDL-C between 1.81mmol/L to 4.9mmol/L AND 10 ASCVD risk score >10%
- •Diabetes mellitus or pre-diabetes
- •Contraindication to rosuvastatin;
- •Hypersensitivity or intolerance to statins;
- •History of muscle disorders or statin-related muscle pain;
- •Liver disease (active liver disease or unexplained elevations of serum transaminases exceeding 3 times the upper limit of normal);
- •Chronic kidney disease (Creatinine clearance < 30ml/min)
- •Currently pregnant or breast feeding;
- •Taking cyclosporine.
- •Life expectancy less than 3 months, as judged by the investigator
- •Unstable medical or psychological condition that would interfere with trial participation.
研究组 & 干预措施
Treatment group
20 mg tablet of rosuvastatin PO once-a-day starting at the time of randomization until the completion of follow-up at 6 months.
干预措施: Rosuvastatin (Drug)
结局指标
主要结局
Number of participants recruited per center per month - [Study Feasibility]
时间窗: 3 years
Study feasibility as indicated by the number of participants recruited per center per month.
Incidence of PTS
时间窗: 180 days (+/- 21 days)
Incidence of post thrombotic syndrome (PTS), as measured by the Villalta scale at 6 months by both an 'Blinded Independent Assessor' and self reported by the participant.
次要结局
- Non-major VTE(180 days (+/- 21 days))
- Muscle Toxicity(180 days (+/- 21 days))
- Symptomatic recurrent major VTE(180 days (+/- 21 days))
- Components of major VTE(180 days (+/- 21 days))
- Arterial Vascular Events(180 days (+/- 21 days))
- All-cause mortality(180 days (+/- 21 days))
- Bleeding(180 days (+/- 21 days))