Residual Vein Thrombosis Establishes the Optimal Duration of Oral Anticoagulants (DACUS)
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Purpose
ABSTRACT Background The optimal duration of oral anticoagulant treatment in patients with idiopathic venous thromboembolism is still uncertain . The present study addressed the possible role of the Residual Vein Thrombosis in assessing the need for a prolonged anticoagulation.
Methods Patients with a first episode of symptomatic unprovoked or provoked proximal Vein Thrombosis (VT) were given Oral Anticoagulant Treatment (OAT) for 3 months. Residual Vein Thrombosis (RVT), ultrasonographically-detected, will be then assessed. Patients without RVT did not continue OAT, whereas those with RVT will be randomized to either stop or continue OAT for 9 more months. Patients were followed-up prospectively focusing on the study outcomes: occurrence of recurrent venous thromboembolism and major bleeding over a period of at least 12 months after OAT discontinuation.
| Condition | Intervention | Phase |
|---|---|---|
|
Deep Vein Thrombosis |
Drug: Warfarin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Residual Vein Thrombosis (RVT) Establishes the Optimal Duration of Oral Anticoagulants After a First Episode of Deep Vein Thrombosis of the Lower Limbs |
- Recurrent Venous Thromboembolism
- major and minor haemorrhage
- death
| Estimated Enrollment: | 250 |
| Study Start Date: | November 2003 |
| Estimated Study Completion Date: | September 2006 |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- First episode of unprovoked and provoked proximal DVT of the lower limbs and treated for 3 month with oral anticoagulants
Exclusion Criteria:
- Active cancer,
- Limited life expectancy,
- Antiphospholipid antibody syndrome, or an other known thrombophilic status (such as antithrombin deficiency),
- Serious liver disease,
- Renal insufficiency (serum creatinine > 2 mg/dL).
Contacts and Locations
More Information
No publications provided by Azienda Ospedaliera Universitaria Policlinico
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00438230 History of Changes |
| Other Study ID Numbers: | 000743 |
| Study First Received: | February 20, 2007 |
| Last Updated: | February 21, 2007 |
| Health Authority: | Italy: National Bioethics Committee |
Keywords provided by Azienda Ospedaliera Universitaria Policlinico:
|
Residual vein thrombosis Optimal duration Oral anticoagulants |
Additional relevant MeSH terms:
|
Thrombosis Venous Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases |
Anticoagulants Warfarin Hematologic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 13, 2013