Trial Outcomes & Findings for Post-thrombotic Syndrome & Predictors of Recurrence in Catheter-related Thrombosis (NCT NCT01999179)

NCT ID: NCT01999179

Last Updated: 2022-05-18

Results Overview

Percentage of participants who completed post-thrombotic syndrome assessments

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

27 participants

Primary outcome timeframe

1 year

Results posted on

2022-05-18

Participant Flow

Participant milestones

Participant milestones
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Overall Study
STARTED
27
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Overall Study
Adverse Event
1
Overall Study
Lost to Follow-up
1
Overall Study
Change in Therapy
3
Overall Study
New catheter
2

Baseline Characteristics

Post-thrombotic Syndrome & Predictors of Recurrence in Catheter-related Thrombosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=27 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Age, Continuous
59 years
n=99 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
Sex: Female, Male
Male
16 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=99 Participants
Race (NIH/OMB)
White
21 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
27 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 year

Percentage of participants who completed post-thrombotic syndrome assessments

Outcome measures

Outcome measures
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=27 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
PTS Assessment Completion
17 Participants

SECONDARY outcome

Timeframe: 1 year

Number of participants that completed sample collection for biomarker analysis to predict recurrent venous thrombosis

Outcome measures

Outcome measures
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=12 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Biomarker Sample Collection
7 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months after catheter removal

The number of participants with post-thrombotic syndrome 6 months after catheter removal in cancer patients with catheter-related thrombosis treated with 1 month of anticoagulation

Outcome measures

Outcome measures
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=20 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Number of Participants With Post-thrombotic Syndrome
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months after catheter removal

Number of participants with recurrent thrombosis in cancer patients with catheter-related thrombosis treated with 1 month of anticoagulation

Outcome measures

Outcome measures
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=20 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Number of Participants With Recurrent Thrombosis
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months after catheter removal

Number of participants with major bleeding in cancer patients with catheter-related thrombosis treated with 1 month of anticoagulation

Outcome measures

Outcome measures
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=20 Participants
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Number of Participants With Major Bleeding
1 Participants

Adverse Events

Low-molecular-weight Heparin or Direct Oral Anticoagulant

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=27 participants at risk
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Musculoskeletal and connective tissue disorders
Hematoma
3.7%
1/27 • 6 months

Other adverse events

Other adverse events
Measure
Low-molecular-weight Heparin or Direct Oral Anticoagulant
n=27 participants at risk
Enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing that was obtained by clinical team. Apixaban, rivaroxaban, dabigatran, or edoxaban at standard dosing per FDA package insert for direct oral anticoagulants. Heparin, Low-Molecular-Weight, or direct oral anticoagulants: Cancer patients will be treated with enoxaparin 1 mg/kg subcutaneously every 12 hours for one month following catheter removal or alternate enoxaparin dose or interval based on anti-factor Xa testing obtained by the clinical team or either apixaban, rivaroxaban, dabigatran, edoxaban following a catheter related blood clot
Blood and lymphatic system disorders
Bleeding
7.4%
2/27 • 6 months
General disorders
Fall
7.4%
2/27 • 6 months

Additional Information

Dr Lisa Baumann Kreuziger

Versiti

Phone: 414-937-6826

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place