Trial Outcomes & Findings for Novel PET/CT and Treatment Strategies to Reduce PTS Following DVT (NCT NCT03195777)

NCT ID: NCT03195777

Last Updated: 2026-08-18

Results Overview

Cox regression assessing the relationship between DVT-associated inflammation (at baseline) and the development of PTS. The predictor is baseline DVT inflammation (as target to background ratio of the FDG signal within the thrombus). The outcome is the development of post-thrombotic syndrome (defined as Villata Score \>/= 5 ) at any time during the 6- 24 months follow-up period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

6 - 24 month follow-up period

Results posted on

2026-08-18

Participant Flow

We conducted a prospective cohort study at Massachusetts General Hospital (Boston, MA, United States) between 12/20/2017 and 6/27/25

Participant milestones

Participant milestones
Measure
Single Arm: Observation After Imaging
This is a single-arm study, where subjects were monitored for development of PTS after baseline non-invasive imaging with FDG PET/CT. The experimental interventIon is the PET/CT imaging. PET/CT: PET/CT imaging was performed (with fluorodeoxyglucose, \[FDG\] as a tracer). Thereafter, subjects will be monitored for development of PTS. We then assessed the ability of PET/CT to predict the subsequent development of PTS.
Overall Study
STARTED
50
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
23

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Novel PET/CT and Treatment Strategies to Reduce PTS Following DVT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm: Observation After Imaging
n=50 Participants
This is a single-arm study, where subjects will be monitored for development of PTS after baseline non-invasive imaging with FDG PET/CT. The experimental interventIon is the PET/CT imaging. PET/CT: PET/CT imaging will be performed (with fluorodeoxyglucose, \[FDG\] as a tracer). Thereafter, subjects will be monitored for development of PTS. We will then assess the ability of PET/CT top predict the subsequent development of PTS.
Age, Categorical
<=18 years
0 Participants
n=298 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=298 Participants
Age, Categorical
>=65 years
13 Participants
n=298 Participants
Age, Continuous
56.9 years
STANDARD_DEVIATION 14.3 • n=298 Participants
Sex: Female, Male
Female
22 Participants
n=298 Participants
Sex: Female, Male
Male
28 Participants
n=298 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=298 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
44 Participants
n=298 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=298 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=298 Participants
Race (NIH/OMB)
Asian
1 Participants
n=298 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=298 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=298 Participants
Race (NIH/OMB)
White
45 Participants
n=298 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=298 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=298 Participants
Region of Enrollment
United States
50 participants
n=298 Participants
Deep Vein Thrombus target to background ratio
1.58 TBR (Target to Background Ratio)
n=298 Participants

PRIMARY outcome

Timeframe: 6 - 24 month follow-up period

Population: Of 50 subjects initially enrolled, 28 participants completed imaging and follow-up.

Cox regression assessing the relationship between DVT-associated inflammation (at baseline) and the development of PTS. The predictor is baseline DVT inflammation (as target to background ratio of the FDG signal within the thrombus). The outcome is the development of post-thrombotic syndrome (defined as Villata Score \>/= 5 ) at any time during the 6- 24 months follow-up period.

Outcome measures

Outcome measures
Measure
Single Arm: Observation After Imaging
n=28 Participants
This is a single-arm study, where subjects will be monitored for development of PTS after baseline non-invasive imaging with FDG PET/CT. The experimental interventIon is the PET/CT imaging. PET/CT: PET/CT imaging will be performed (with fluorodeoxyglucose, \[FDG\] as a tracer). Thereafter, subjects will be monitored for development of PTS. We will then assess the ability of PET/CT top predict the subsequent development of PTS.
Hazard Ratio: for Baseline FDG Activity Within the Thrombus vs. the Subsequent Development of Post-thrombotic Syndrome
4.09 Hazard Ratio
Interval -0.11 to 26.0

Adverse Events

Single Arm: Observation After Imaging

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm: Observation After Imaging
n=50 participants at risk
This is a single-arm study, where subjects were monitored for development of PTS after baseline non-invasive imaging with FDG PET/CT. The experimental interventIon is the PET/CT imaging. PET/CT: PET/CT imaging was performed (with fluorodeoxyglucose, \[FDG\] as a tracer). Thereafter, subjects will be monitored for development of PTS. We then assessed the ability of PET/CT to predict the subsequent development of PTS.
Nervous system disorders
Asceptic Meningitis
2.0%
1/50 • Number of events 1 • 24 months
Renal and urinary disorders
Urinary Sepsis
2.0%
1/50 • Number of events 1 • 24 months
Infections and infestations
COVID Penumonia
2.0%
1/50 • Number of events 1 • 24 months
Gastrointestinal disorders
Acute appendicitis
2.0%
1/50 • Number of events 1 • 24 months

Other adverse events

Other adverse events
Measure
Single Arm: Observation After Imaging
n=50 participants at risk
This is a single-arm study, where subjects were monitored for development of PTS after baseline non-invasive imaging with FDG PET/CT. The experimental interventIon is the PET/CT imaging. PET/CT: PET/CT imaging was performed (with fluorodeoxyglucose, \[FDG\] as a tracer). Thereafter, subjects will be monitored for development of PTS. We then assessed the ability of PET/CT to predict the subsequent development of PTS.
Gastrointestinal disorders
Ulerative Colitis
2.0%
1/50 • Number of events 1 • 24 months
Respiratory, thoracic and mediastinal disorders
interstitial lung disease
2.0%
1/50 • Number of events 1 • 24 months

Additional Information

Ahmed Tawakol, MD

Massachusetts General Hospital

Phone: 6177262000

Results disclosure agreements

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