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Optimal Duration of Anticoagulation Therapy for Low-risk Pulmonary Embolism Patients with Cancer

Phase 4
Recruiting
Conditions
Pulmonary embolism
Registration Number
JPRN-jRCTs051200135
Lead Sponsor
Ono Koh
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
330
Inclusion Criteria

1. Patients with active cancer (solid and hematologic malignancies) presenting with objectively newly confirmed PE who are scheduled to be treated by anticoagulation therapy.
2. Patients with an simplified PESI score of 1 or less

Exclusion Criteria

1. Contraindicated patients for rivaroxaban (Clinically significant liver disease, Bacterial endocarditis, Active bleeding, Inadequate contraceptive measures if of childbearing potential, Concomitant use of strong cytochrome P-450 3A4 inhibitors or inducers or P-glycoprotein inhibitors or inducers, etc)
2. Expected life expectancy <6 months
3. Patients who do not provide written informed consent.
4. Patients who judged to be inappropriate for enrolment by the physician (including patients at a high risk of gastrointestinal or genitourinary bleeding)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
VTE recurrence event at 18 months
Secondary Outcome Measures
NameTimeMethod
Major bleeding event (ISTH criteria) at 18 months.<br>Clinically relevant non-major bleeding event at 18 months.<br>All bleeding event at 18 months<br>All-cause death at 18 months.<br>PE-related death at 18 months.<br>Bleeding-related death at 18 months<br>Symptomatic VTE recurrence event at 18 months.<br>Adverse event during invasive procedures at 18 months.<br>A composite of PE-related death, symptomatic recurrent VTE, and major bleeding (ISTH criteria) at 3 months.<br>PE-related death at 3 months.<br>Symptomatic VTE recurrence event at 3 months.<br>Major bleeding event (ISTH criteria) at 3 months.<br>VTE recurrence or bleeding events requiring hospitalization at 3 months
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