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临床试验/NCT01590342
NCT01590342终止2 期

Efficacy of Diclofenac for Patients With Acute Submassive Pulmonary Embolism: a Randomized Clinical Trial

Ministry of Health, Spain1 个研究点 分布在 1 个国家目标入组 34 人开始时间: 2012年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
终止
发起方
入组人数
34
试验地点
1
主要终点
Right ventricular dysfunction assessed by transthoracic echocardiography

研究概览

简要总结

The primary objective is to demonstrate the clinical benefits of diclofenac (added to standard anticoagulant therapy) over placebo in normotensive patients with acute symptomatic pulmonary embolism and right ventricular dysfunction.

The secondary objective is to assess the safety after administration of diclofenac in normotensive patients with acute symptomatic pulmonary embolism and right ventricular dysfunction.

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
Double (Participant, Investigator)

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

  • Acute symptomatic PE confirmed by multidetector CT angiography, a high-probability V/Q scan, or by the presence of deep vein thrombosis confirmed by lower limb ultrasound testing in patients with nonconclusive V/Q scan;
  • first symptoms occurring ten days or less before randomization;
  • haemodynamic stability (systolic blood pressure > 100 mm Hg, no need of inotropic support, pulmonary resuscitation, intubation or thrombolytic treatment);
  • right ventricular dysfunction assessed by transthoracic echocardiography within the first 12 hours after diagnosis of PE;
  • signed informed consent.

排除标准

  • Previous diagnosis of chronic thromboembolic pulmonary hypertension;
  • active bleeding, or clinically relevant bleeding in the previous month before diagnosis of PE;
  • peptic ulcer;
  • major surgery, or severe trauma in the previous month before diagnosis of PE;
  • indication for chronic anticoagulation;
  • pregnancy or breast feeding;
  • renal insufficiency (serum creatinine > 2 mg/dL) or severe hepatic impairment;
  • hypersensitivity to diclofenac, sodium metabisulfite, or acetylsalicylic acid;
  • bronchial asthma;
  • severe congestive heart failure;
  • inflammatory bowel disease.

研究组 & 干预措施

Placebo

Placebo Comparator

干预措施: Placebo (Drug)

Diclofenac

Active Comparator

干预措施: Diclofenac (Drug)

结局指标

主要结局

Right ventricular dysfunction assessed by transthoracic echocardiography

时间窗: 36-48 hours after administration of the first dose of diclofenac/placebo

次要结局

  • Right ventricular dysfunction assessed by transthoracic echocardiography(Seven days after administration of diclofenac/placebo)

研究者

发起方
Ministry of Health, Spain
申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

David Jimenez

Clinical researcher

Ministry of Health, Spain

研究点 (1)

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