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临床试验/2024-515450-24-00
2024-515450-24-00招募中2 期

The Effect of tinzaparin on Biomarkers in FIGO Stage III-IV Ovarian Cancer Patients Undergoing Neoadjuvant Chemotherapy – A randomized pilot study

Region Oestergoetland5 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2024年10月25日最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
40
试验地点
5
主要终点
Level of CA-125 measured before cycles one-four of chemotherapy and preoperatively before DPDS.

研究概览

简要总结

The primary objective of the study is to evaluate the effects of tinzaparin on changes in levels of CA-125 in EOC patients who receive NACT.

入排标准

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

入选标准

  • Epithelial ovarian, fallopian tube or peritoneal cancer, or abdominal cancer where a biopsy indicates an origin from the ovary, fallopian tube or peritoneum.
  • Histology diagnosis of either high grade serous carcinoma, endometroid carcinoma or clear cell carcinoma.
  • FIGO stage III-IV disease.
  • Planned for platinum doublet regimen.
  • WHO Performance Status 0-1
  • CA-125-level ≥250 kIE/L at diagnosis
  • Weight 50-150 kg
  • Age 18 and above

排除标准

  • Concomitant treatment with heparins, low molecular weight heparins, warfarin or non-vitamin K antagonist oral anticoagulants. Platelet inhibitors are allowed.
  • Treatment with heparins, low molecular weight heparins or non-vitamin K antagonist oral anticoagulants within the last year.
  • Known or suspected allergies against any product included in the study
  • Abdominal surgery or other major surgery within the last year
  • Thromboembolic disease within the last year
  • Serious hemorrhage or conditions predisposing to serious hemorrhage. Serious hemorrhage is defined as fulfilling any one of these three criteria: a) occurs in a critical area or organ (e.g. intracranial, intraspinal, intraocular, retroperitoneal, intra-articular or pericardial, intra-uterine or intramuscular with compartment syndrome), b) causes a fall in hemoglobin level of 20 g/L (1.24 mmol/L) or more, or c) leads to transfusion of two or more units of whole blood or red blood cells.
  • Severe coagulation disorder
  • Platelets <100 x10^9/L (analyzed no more than 14 days before start of treatment with investigational product)
  • E-GFR <30ml/min (analyzed no more than 14 days before start of treatment with investigational product)

结局指标

主要结局

Level of CA-125 measured before cycles one-four of chemotherapy and preoperatively before DPDS.

Level of CA-125 measured before cycles one-four of chemotherapy and preoperatively before DPDS.

次要结局

  • Levels of hemoglobin, platelets, leucocytes, CRP, albumin, IL-6 and VEGF before every cycle of chemotherapy, preoperatively before DPDS and three weeks after the last cycle of chemotherapy.
  • CA-125 measured before cycles five-seven of chemotherapy and three weeks after the last cycle of chemotherapy
  • The compliance to tinzaparin injections and occurrence of adverse events related to tinzaparin will be evaluated.
  • Objectively confirmed VTE, i.e. pulmonary embolism, lower-limb deep vein thrombosis or upper extremity deep vein thrombosis. Death due to VTE.

研究者

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

Anna Karlsson

Scientific

Region Oestergoetland

研究点 (5)

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