A Randomized Phase II Open Label Study to Compare the Safety and Efficacy of Subcutaneous Dalteparin Versus Direct Oral Anticoagulants for Cancer-associated Venous Thromboembolism
NCT03139487 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 176
Last updated 2020-01-06
Summary
This is an open label, multi-center, and randomized phase II trial designed to compare the safety and efficacy of direct oral anticoagulants and subcutaneous dalteparin in patients with acute venous thromboembolism and upper gastrointestinal, hepatobiliary, or pancreatic cancer, based on a group sequential design. Enrolled patients will be randomized in a 1:1 ratio. Patients will be stratified by performance status, type of cancer, chemotherapy and medical centers.
Conditions
- Cancer-associated Thrombosis
- Esophageal Cancer
- Stomach Cancer
- Hepatocellular Carcinoma
- Pancreatic Cancer
- Duodenal Cancer
- Esophagogastric Junction Cancer
- Malignant Gastrointestinal Stromal Tumor
- Ampulla of Vater Cancer
- Biliary Cancer (Cholangiocarcinoma, Gall Bladder Cancer)
Interventions
- DRUG
-
Rivaroxaban
15 mg q12 hours for 3 weeks followed by 20mg q24 hours for 21 weeks
- DRUG
-
Dalteparin
200 IU/kg q24 hours for 4 weeks followed by 150 IU/kg q24 hours for 20 weeks
- DRUG
-
apixaban
10 mg q12 hours for 7days followed by 5mg q12 hours for 21 weeks
Sponsors & Collaborators
-
Asan Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-07
- Primary Completion
- 2021-09-30
- Completion
- 2021-09-30
- FDA Drug
- Yes
Countries
- South Korea
Study Locations
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