Catheter-Directed Thrombolysis Versus Anticoagulation Monotherapy in Intermediate-High Risk PE
NCT05172115 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2021-12-29
Summary
In an open-label parallel groups blinded-endpoint randomized clinical trial, the investigators aim to assess the safety and efficacy of conventional catheter-directed thrombolysis (CDT) vs anticoagulation monotherapy on outcomes of patients with acute intermediate-high risk pulmonary embolism. The investigators hypothesize that CDT will have a superior efficacy and safety compared with anticoagulation-only therapy regarding the proportion of patients with a right ventricle to left ventricle (RV/LV) ratio \> 0.9 at a 3-month follow-up by an imaging core laboratory, major bleeding, severe thrombocytopenia, or vascular access complication.
Conditions
- Pulmonary Embolism
- Pulmonary Thromboembolisms
- Embolism, Pulmonary
- Right Ventricular Dysfunction
Interventions
- PROCEDURE
-
Conventional catheter-directed thrombolysis (CDT) with recombinant tissue plasminogen activator (rtPA)
Conventional catheter-directed thrombolysis with fixed-dose of 24 mg tissue plasminogen activator infusion over 24 hours
- DRUG
-
Enoxaparin
Subcutaneous enoxaparin twice-daily (1mg/kg)
Sponsors & Collaborators
-
Rajaie Cardiovascular Medical and Research Center
lead OTHER
Principal Investigators
-
Parham Sadeghipour, M.D · Rajaie Cardiovascular Medical and Research Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-22
- Primary Completion
- 2020-02-02
- Completion
- 2020-05-02
Countries
- Iran
Study Locations
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