The HIT-TRAP Trial
Recruitment status was Active, not recruiting
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Purpose
Randomised, double blind trial in non-intensive care trauma patients comparing unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) in heparin-induced thrombocytopenia (HIT).
| Condition | Intervention | Phase |
|---|---|---|
|
Heparin-Induced Thrombocytopenia |
Drug: Standard heparin (UFH) versus certoparin (LMWH) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Randomized-Double Blind Trial to Assess the Incidence and Clinical Relevance of Heparin-Induced Thrombocytopenia (HIT) Antibodies in Trauma Patients Treated With Unfractionated or Low-Molecular Weight Heparin, the HIT-TRAP Trial |
- Frequency of formation of HIT-antibodies during prophylactic treatment with UFH or LMWH in trauma-surgical patients
- Thromboembolic complications (TECs) during inpatient period in relation to heparin received and HIT-antibody status
- TECs during 3 months following discharge in relation to heparin received and HIT-antibody status
| Estimated Enrollment: | 600 |
| Study Start Date: | January 2003 |
| Estimated Study Completion Date: | November 2005 |
This is a randomised, double blind trial including trauma patients with need for thrombosis prophylaxis with heparin. Patients receive either unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH).
Heparin-induced thrombocytopenia (HIT) antibodies are measured on days 1 and 10. There are daily platelet counts. On discharge an ultrasound doppler of the lower extremities is performed to rule out deep vein thrombosis (DVT).
Three months after discharge every patient is answering a questionnaire about thromboembolic complications following discharge.
The key questions of the study are whether the two heparins cause HIT-antibodies in differing frequencies, and if yes, whether these differences lead to different clinical outcomes.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- trauma-surgical patient
- consent given
- minimum age 18
- expected inpatient period at least 7 days
- need for thrombosis prophylaxis with heparin
Exclusion Criteria:
- intolerance of one of the study drugs
- malignancy with life expectancy < 3 months
- pregnancy/lactation
- drug or alcohol abuse
- fibrinolytic therapy
- need for extracorporal circulation (e.g. cardiopulm. bypass, hemodialysis) at study entry
- participation in another clinical trial within 30 days prior to intended inclusion
Contacts and Locations| Germany | |
| Ernst-Moritz-Arndt University, Depts. of Transfusion Medicine / Trauma surgery | |
| Greifswald, Germany, 17489 | |
| Principal Investigator: | Andreas Greinacher, Prof. Dr. | Ernst-Moritz-Arndt University Greifswald, Germany |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00196417 History of Changes |
| Other Study ID Numbers: | 001 |
| Study First Received: | September 12, 2005 |
| Last Updated: | September 12, 2005 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University Medicine Greifswald:
|
heparin-induced thrombocytopenia HIT unfractionated heparin UFH |
low-molecular-weight heparin LMWH thrombosis prophylaxis HIT-antibody |
Additional relevant MeSH terms:
|
Thrombocytopenia Blood Platelet Disorders Hematologic Diseases Calcium heparin Certoparin Heparin Heparin, Low-Molecular-Weight Dalteparin |
Anticoagulants Hematologic Agents Therapeutic Uses Pharmacologic Actions Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013