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临床试验/NCT03590743
NCT03590743终止4 期

A Phase IV, Randomized, Double Blind Study Evaluating the Safety and Efficacy of Apixaban in Subjects With Calf Vein Thrombosis

Mayo Clinic2 个研究点 分布在 1 个国家目标入组 5 人开始时间: 2019年2月19日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
终止
发起方
Mayo Clinic
入组人数
5
试验地点
2
主要终点
Number of Subjects Who Experience Either Major Bleeding or Clinically Relevant Non-major Bleeding Within 3 Months

研究概览

简要总结

The primary objective is to evaluate whether apixaban is more effective in treating patients with isolated calf vein thrombosis (DVT) than serial imaging of the DVT for preventing thrombus spread, pulmonary embolism (PE) and/or recurring DVTs.

详细描述

This is a randomized double-blind placebo controlled superiority clinical trial. Patients will be identified at the time of the diagnosis of acute calf deep vein thrombosis and approached at that time. If they agree they would be randomly assigned to placebo or apixaban treatment for three months. Along with this they will also undergo repeat ultrasounds at 7, 14, and 90 days along with telephone follow-up at 30 and 60 days.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Single Group
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

盲法说明

Double blind, placebo controlled

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

Apixaban

Active Comparator

Apixaban 5mg (10 mg twice daily for 7 days followed by 5 mg twice daily for 3 months).

干预措施: Apixaban (Drug)

Placebo

Placebo Comparator

Patients will receive matching placebo.

干预措施: Placebo (Other)

结局指标

主要结局

Number of Subjects Who Experience Either Major Bleeding or Clinically Relevant Non-major Bleeding Within 3 Months

时间窗: Within 3 months of therapy initiation

Major bleeding is defined as overt bleeding plus a hemoglobin decrease of ≥ 2 g/dL or transfusion of ≥ 2 units of packed red blood cells, or bleeding at a critical site: intracranial, intraspinal, intraocular, retroperitoneal, pericardial intra-articular, intramuscular with compartment syndrome, or fatal bleeding. Clinically relevant non-major bleeding is defined as any overt, actionable sign of hemorrhage meeting at least one of the following criteria: (i) requiring nonsurgical, medical intervention by a healthcare professional, (ii) leading to hospitalization or increased level of care, or (iii) prompting evaluation. All patients who received at least one dose of study medication will be included in the safety analysis. All suspected bleeding events will be evaluated by a central, blinded, independent adjudication committee.

Number of Subjects Who Experience a Composite Venous Thromboembolism (VTE) Event Within 3 Months

时间窗: Within 3 months of therapy initiation

The composite VTE event will include thrombus propagation either within the calf veins or into proximal deep veins (popliteal, femoral or iliac veins), symptomatic or incidental VTE recurrence or all-cause mortality within 3 months of therapy initiation. All suspected VTE events will be evaluated by a central, blinded, independent adjudication committee.

次要结局

  • Net Clinical Benefit or Harm for the Two Strategies(Within 3 months of therapy initiation.)
  • Mean Time of Thrombus Propagation(Within 3 months of therapy initiation)

研究者

发起方
Mayo Clinic
申办方类型
Other
责任方
Principal Investigator
主要研究者

Robert D. McBane

Director Vascular Medicine Division, Professor of Medicine

Mayo Clinic

研究点 (2)

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