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Anticoagulation and Inferior Vena Cava Filters in Cancer Patients With a Venous Thromboembolism
This study is currently recruiting participants.
Study NCT00423683   Information provided by North Shore Long Island Jewish Health System
First Received: January 17, 2007   Last Updated: August 4, 2009   History of Changes

January 17, 2007
August 4, 2009
January 2007
December 2009   (final data collection date for primary outcome measure)
Death due to any cause, event free survival. [ Time Frame: One year ] [ Designated as safety issue: Yes ]
Death due to any cause, event free survival.
Complete list of historical versions of study NCT00423683 on ClinicalTrials.gov Archive Site
  • Occurrence of pulmonary embolism, [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • major bleeding, thrombophlebitis, [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • cellulitis secondary to IV filter, [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • thrombosis of the IVC filter and quality of life. [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • Occurrence of pulmonary embolism,
  • major bleeding, thrombophlebitis,
  • cellulitis secondary to IV filter,
  • thrombosis of the IVC filter and quality of life.
 
Anticoagulation and Inferior Vena Cava Filters in Cancer Patients With a Venous Thromboembolism
A Randomized Control Trial of Anticoagulation and Inferior Vena Cava Filters in Cancer Patients With A Venous Thromboembolism

The development of clots is a potentially deadly complication in many cancer patients. The current optimal treatment is unknown. Evidence supporting the effectiveness of the use of Inferior Vena Caval Filters is lacking. This study will compare the two standard of care treatment options: anticoagulation with or without a inferior vena cava filter. The anticoagulation medication chosen will be Arixtra and it will be given once a day as an injection. Patients will be called at various intervals to monitor their signs and symptoms of new thromboembolisms.

The development of clots is a potentially deadly complication in many cancer patients. The current optimal treatment is unknown. Evidence supporting the effectiveness of the use of Inferior Vena Caval Filters is lacking. This study will compare the two standard of care treatment options: anticoagulation with or without an inferior vena cava filter. The anticoagulation medication chosen will be Arixtra and it will be given once a day as an injection. Patients will be called at various intervals to monitor their signs and symptoms of new thromboembolisms. Patients will be equally randomized to receive either Arixtra with or without placement of an IVC filter. Fifty three patients are expected to be enrolled in each arm. Patients will be monitored for 90 days after study enrollment. Monitoring will include telephone calls and physician visits and repeat radiologists if the patient is symptomatic of a DVT. This will also include completion of a quality of life questionnaire.

Phase III
Interventional
Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
  • Cancer
  • Thromboembolism
  • Drug: Arixtra
  • Device: Inferior Vena Cava Filter (with or without)
  • Drug: Arixtra alone
  • Device: Arixtra + filter
  • Experimental: Arixtra Alone
  • Active Comparator: Arixtra + filter
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
106
December 2009
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Cancer patient, over 18 years of age, acute radiographically confirmed denovo DVT or PE.
Both
18 Years and older
No
Contact: Myra Barginear, MD 516-975-2348 m_barginear@hotmail.com
United States
 
NCT00423683
Daniel R. Budman, MD, North Shore Long Island Jewish Health System
IRB # 06-034
North Shore Long Island Jewish Health System
GlaxoSmithKline
Principal Investigator: Myra Barginear, MD North Shore University Hospital Monter Cancer Center
Principal Investigator: Daniel R. Budman, MD North Shore University Hospital Monter Cancer Center
North Shore Long Island Jewish Health System
August 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP