Genetic Markers of Patients With History of Pulmonary Embolism Post Total Joint Arthroplasty
NCT03275610 · Status: ENROLLING_BY_INVITATION · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-05-04
Summary
This study seeks to uncover potential genetic determinants of pulmonary embolism (PE). Our translational goal is to ultimately identify certain genetic markers that will allow us to stratify patients in terms of their PE risk post total knee or total hip arthroplasty. The clinical implications for this study would allow for better patient care by lowering the risk of post-operative bleeding while still preventing symptomatic PEs and deep vein thromboses (DVTs). We look to sample patients who have a history of PE after undergoing total knee or total hip arthroplasty. We will sample these patients' blood DNA for a set of DNA genetic markers. To do so, we will utilize the Taqman assay, which is a PCR-based 5'-nuclease allelic discrimination assay to determine single nucleotide polymorphism (SNP) genotypes at specified loci. The region flanking the SNP is amplified using two allele-specific fluorescent probes, allowing for the detection of each allele in a single tube. Using this assay, there is no post-PCR processing because the probes are included in the PCR reaction (Hui). Using this approach, we will measure the frequency of genetic mutations in patients who have developed a PE after a total joint arthroplasty. This data would then be used to perform a prospective study to determine a subset of genetic markers that can definitively be used to risk stratify patients.
Conditions
Interventions
- GENETIC
-
Blood sample
5 mL of blood withdrawn from patients with history of pulmonary embolism post total hip arthroplasty or total joint arthroplasty
Sponsors & Collaborators
-
University of Southern California
lead OTHER
Principal Investigators
-
Jay R Lieberman, MD · University of Southern California
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-04-24
- Primary Completion
- 2030-04-23
- Completion
- 2035-04-23
Countries
- United States
Study Locations
More Related Trials
-
Risk Factors for Venous Thromboembolism
NCT00018772 ·Status: COMPLETED
-
Selective Thromboembolism Prophylaxis After Arthroplasty
NCT03804697 ·Status: COMPLETED ·Phase: NA
-
Real-time Anti-Factor Xa Measurements in Surgical Patients to Examine Enoxaparin Metabolism and Optimize Enoxaparin Dose
NCT02704052 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
A New Clinic-Genetic Risk Score for Predicting Venous Thromboembolic Events in Cancer Patient
NCT03114618 ·Status: COMPLETED
-
Prophylaxis Against DVTs After Primary Hip and Knee Replacement Surgery
NCT00767559 ·Status: UNKNOWN ·Phase: NA
-
Epidemiology of Venous Thrombosis and Pulmonary Embolism
NCT00005504 ·Status: ACTIVE_NOT_RECRUITING
-
Generation of Thrombin and Prediction of Deep Vein Thrombosis Post Prosthetic Orthopedic Surgery of the Lower Limbs
NCT03634124 ·Status: COMPLETED ·Phase: PHASE3
-
Minimization of Bleeding Related Adverse Drug Events in Plastic & Reconstructive Surgery
NCT03212365 ·Status: COMPLETED ·Phase: PHASE2
-
Predictors of Anticoagulation Control on Warfarin Therapy
NCT00905177 ·Status: COMPLETED
-
Deep Vein Thrombosis (DVT) Prevention in Total Hip Arthroplasty: Continuous Enhanced Circulation Therapy (CECT) Versus Low Molecular Weight Heparin (LMWH)
NCT00358735 ·Status: COMPLETED ·Phase: NA
-
The Affect Of An Anti-Embolism Stocking Protocol
NCT06616376 ·Status: COMPLETED ·Phase: NA
-
Biomarkers in Post Thrombotic Syndrome
NCT02376764 ·Status: COMPLETED
-
Pharmacogenomics of Heparin-Induced Thrombocytopenia
NCT02717039 ·Status: RECRUITING
-
Catheter-interventional Treatment of Pulmonary Embolism
NCT05456789 ·Status: COMPLETED ·Phase: NA
-
Enoxaparin Versus Placebo for Venous Thromboembolism Prevention in Low Risk Cancer Patients After Surgical Procedures: a Randomized, Double Blind, Placebo Controlled Clinical Trial Pilot Study
NCT03988231 ·Status: WITHDRAWN ·Phase: PHASE4
-
Immunogenetics of Heparin-Induced Thrombocytopenia: Aim 2
NCT02526485 ·Status: COMPLETED
-
The Role of Platelet Surface α2β1 Integrin Expression as a Risk Factor in Thrombotic and/or Bleeding Complications
NCT00603148 ·Status: COMPLETED
-
Prophylaxis of Deep Vein Thrombosis Following Total Hip Arthroplasty
NCT02379663 ·Status: COMPLETED ·Phase: PHASE4
-
Prospective Evaluation of Bleeding Risk of Anticoagulant and Anti-platelet Therapy
NCT00625248 ·Status: COMPLETED
-
Genotype-guided Warfarin Individualized Treatment
NCT02211326 ·Status: COMPLETED ·Phase: NA
-
Incidence of Venous Thromboembolism in Patients With Pelvic and Acetabular Fractures (PAF)
NCT07165587 ·Status: COMPLETED
-
Applying Pharmacogenetic Algorithms to Individualize Dosing of Warfarin
NCT00927862 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of AVE5026 as Compared to Enoxaparin for the Prevention of Thromboembolism in Patients Undergoing Hip Fracture Surgery
NCT00721760 ·Status: COMPLETED ·Phase: PHASE3
-
Pre-operative Enoxaparin in the Surgical Management of Multi-trauma Patients Undergoing Orthopedic Surgical Procedures
NCT05081375 ·Status: TERMINATED ·Phase: PHASE4
-
A Prospective Study to Assess the Risk Factors That Contribute to Thrombosis in Patients With Lower Limb Injuries.
NCT04608591 ·Status: UNKNOWN