Safety and Efficacy of Low-dose Anticoagulation With Argatroban and Enoxaparin on ECMO
NCT07499037 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2026-04-02
Summary
The standard and most common therapy is anticoagulation with heparin according to activated partial thromboplastin time (aPTT) during extracorporeal membrane oxygenation (ECMO) support. The study will focus on evaluating the efficacy and safety of new anticoagulants on ECMO, namely argatroban and enoxaparin in lower doses controlled according to targeted antiIIa and antiXa markers.
Conditions
Interventions
- DRUG
-
Low anticoagulation dose of argatroban and enoxaparin during ECMO
Study subjects in this group will receive low anticoagulation dose of argatroban and enoxaparin during ECMO
- DRUG
-
Standard anticoagulation dose of argatroban and enoxaparin during ECMO
Study subjects in this group will receive standard anticoagulation dose of argatroban and enoxaparin during ECMO
Sponsors & Collaborators
-
University Hospital, Motol
collaborator OTHER -
University Hospital Ostrava
lead OTHER
Principal Investigators
-
Filip Burša, MD,Ph.D.,EDEC · University Hospital Ostrava
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2027-01-31
- Primary Completion
- 2029-09-30
- Completion
- 2029-12-31
Countries
- Czechia
Study Locations
More Related Trials
-
New Anticoagulation Strategies of VV-ECMO
NCT03497338 ·Status: WITHDRAWN
-
D-dimer to Improve Anticoagulation Outcome During ECMO loNg-term supporteD
NCT03261284 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Antithrombin Deficiency in Patients of Intensive Care Unit Placed on Extracorporeal Membrane Oxygenation
NCT04133844 ·Status: COMPLETED
-
Fixed Low-dose Heparin Versus Standard Adjusted-dose Heparin Infusion in Adults Receiving Venovenous ECMO With a Heparin Bonded Circuit.
NCT02966080 ·Status: WITHDRAWN ·Phase: NA
-
Bivalirudin vs Heparin in ECMO Patients
NCT03707418 ·Status: WITHDRAWN ·Phase: PHASE1
-
Thrombin Generation as a New Test for Anticoagulation Management in Patients With ECMO
NCT03832842 ·Status: COMPLETED
-
Use of Bivalirudin for Anticoagulation in Patients With Extracorporeal Membrane Oxygenation
NCT06275555 ·Status: RECRUITING ·Phase: NA
-
Pharmacokinetics of Enoxaparin in Intensive Care Patients
NCT02095509 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Thrombgolytic and Anticoagulation Therapy in Submassive Pulmonary Embolism
NCT02132689 ·Status: COMPLETED ·Phase: PHASE4
-
Intravenous Continuous LMWH Seems to Be Safe Alternative to UFH in VV ECMO Patients
NCT06010446 ·Status: COMPLETED
-
Pharmacokinetic Profiles of Subcutaneous Enoxaparin for Thromboprophylaxis in Critically Ill Patients With Renal Failure Treated or Not With Continuous Veno-veinous Hemofiltration.
NCT07384598 ·Status: NOT_YET_RECRUITING ·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
-
Strategies for Anticoagulation During Venovenous ECMO
NCT04997265 ·Status: COMPLETED ·Phase: NA
-
Intermediate or Prophylactic-Dose Anticoagulation for Venous or Arterial Thromboembolism in Severe COVID-19
NCT04367831 ·Status: COMPLETED ·Phase: PHASE4
-
Predictive Factors for Response to New Oral Anticoagulants in the Treatment of Non-valvular Atrial Fibrillation..
NCT04297150 ·Status: UNKNOWN
-
Impact of Continuous Veno-venous Hemodiafiltration on Efficacy of Administration of Prophylactic Doses of Enoxaparin or Fondaparinux in Critically Ill Patients.
NCT04671160 ·Status: UNKNOWN
-
Thromboprophylaxis in Critically Ill Patients
NCT00437697 ·Status: TERMINATED ·Phase: PHASE4
-
Study to Find Out the Appropriate Initial Dose of the Anticoagulant Drug Phenprocoumon
NCT00586287 ·Status: COMPLETED ·Phase: PHASE4
-
Anti-factor Xa Based Venous Thromboembolism Prophylaxis
NCT05221879 ·Status: COMPLETED ·Phase: NA
-
A Novel Strategy of ECMO Management Using Nafamostat for Regional Combined With Low Intensity Systematic Anticoagulation
NCT06676085 ·Status: RECRUITING ·Phase: NA
-
Heparin-free Extracorporeal Membrane Oxygenation Support During Clinical Lung Transplantation
NCT05697692 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Thrombolysis on 30-day Mortality in Intermediate High Risk Pulmonary Patients With Low Bleeding Risk
NCT07374978 ·Status: COMPLETED ·Phase: NA
-
Prospective Monitoring of Non-Vitamin K Oral Anticoagulants in Older Adults With Atrial Fibrillation and Frailty
NCT04878497 ·Status: UNKNOWN
-
Point-of-Care Testing of Coagulation in Patients Treated With Direct Oral Anticoagulants 2
NCT02371070 ·Status: COMPLETED
-
Observatory of Invasive Procedures and Bleeding in Patients Treated With New Oral Anticoagulants
NCT02185027 ·Status: COMPLETED