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Innohep® in Elderly Patients With Impaired Renal Function Treated for Acute Deep Vein Thrombosis
This study has been completed.
First Received: January 13, 2006   Last Updated: August 20, 2008   History of Changes
Sponsored by: LEO Pharma
Information provided by: LEO Pharma
ClinicalTrials.gov Identifier: NCT00277394
  Purpose

The objective of the study is to compare the safety of innohep® and UFH in terms of clinically relevant bleedings in elderly patients with impaired renal function for initial treatment of acute DVT.

The primary response criterion is the percentage of patients with clinically relevant bleeding events prior to day 90 +/- 5.


Condition Intervention Phase
Deep Vein Thrombosis
Drug: LMWH (Innohep®)
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety Study
Official Title: Safety Profile of Innohep Versus Subcutaneous Unfractionated Heparin in Elderly Patients With Impaired Renal Function Treated for Acute Deep Vein Thrombosis

Resource links provided by NLM:


Further study details as provided by LEO Pharma:

Primary Outcome Measures:
  • Clinically relevant bleeding events [ Time Frame: prior to day 90 +/- 5 ]

Secondary Outcome Measures:
  • Recurrence of venous thromboembolism [ Time Frame: prior to day 90 +/- 5 ]
  • Major or minor bleeding events [ Time Frame: prior to day 90 +/- 5 ]

Enrollment: 542
Study Start Date: December 2005
Study Completion Date: July 2008
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   70 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with a symptomatic and objectively confirmed VTE (lower limb DVT or PE) with mandatory presences of objectively confirmed and treatment requiring DVT, i.e. symptomatic and objectively confirmed distal DVT or objectively confirmed, symptomatic or asymptomatic proximal DVT (confirmation of DVT should be performed by ultrasonography or venography within 48 hous prior to randomisation)
  • Patients with an indication for DVT treatment with SC LMWH or UFH followed by OAC for at least 90 days
  • Hospitalized patients who, during SC anticoagulant treatment, will be followed, as specified in the protocol, on a daily basis either in the hospital or in an out-patient setting
  • Patients at or above 75 years with a creatinine clearance less than or equal to 60 mL/min calculated according to the Cockcroft-Gault formula
  • Patients at or above 70 years with a creatinine clearance less than or equal to 30 mL/min calculated according to the Cockcroft-Gault formula

Exclusion Criteria:

  • Patients receiving high dose (i.e. equivalent to a dose recommended for treatment of DVT) of UFH or LMWH or thrombolytic agents within the last 4 weeks except for UFH/LMWH during the last 36 hours prior to randomisation
  • Patients on oral anticoagulant treatment (vitamin K-antagonists) at or within last 1 week prior to randomisation
  • Patients with a symptomatic venous thromboembolism (VTE) requiring thrombolytic therapy or invasive intervention
  • End stage renal disease patients requiring dialysis
  • Surgery within 2 weeks prior to randomisation or planned surgery, epidural anaesthesia and/or spinal anaesthesia during the SC anticoagulant treatment period
  • Planned use of acetylsalicylic acid in doses above 300 mg/day, NSAID or Dextran 40 at randomisation and during the SC anticoagulant treatment period
  • Patients with a current overt bleeding or known haemorrhage condition (e.g. active G.I. ulcer)
  • Patients with a platelet count < 100 x 10 9/L
  • Patients with a known history of heparin-induced thrombocytopenia
  • Patients with known severe hepatic insufficiency manifested as international normalized ratio (INR) greater than or equal to 1.5
  • Patients with uncontrolled severe hypertension i.e. a systolic blood pressure > 220 mm Hg or diastolic blood pressure > 120 mm Hg during at least 2 measurements within 24 hours prior to randomisation
  • Patients with ischaemic stroke at or within last 1 week prior to randomisation
  • Patients with a known haemorrhagic stroke within 3 months prior to randomisation
  • Patients with known bacterial endocarditis within 3 months prior to randomisation
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00277394

Locations
Bulgaria
Bulgaria - managed by CRO
Sofia, Bulgaria
Croatia
Croatia - managed by CRO
Zagreb, Croatia
Czech Republic
Czech Republic - managed by CRO
Praha, Czech Republic
France
Hôpital de la Cavale Blanche
Brest, France, 29609
Germany
Med. Klinik IV/Klinikum Darmstadt
Darmstadt, Germany, 64297
Poland
Klinika Chirugii Naczyniowej
Szczecin, Poland, 70-111
Romania
Romania - managed by CRO
Bucharest, Romania, 010965
Serbia
Clinical Center Serbia, Institute of Cardiovascular diseases & Centre for Vascular Surgery-Belgrade
Belgrade, Serbia, 11000
Spain
Service of Geriatry, Hospital Universitario Clínico San Carlos
Madrid, Spain, 28040
Sponsors and Collaborators
LEO Pharma
Investigators
Principal Investigator: Alain Leizorovicz, MD Faculté de Médecine Laënnec
  More Information

No publications provided

Study ID Numbers: IN 0401 INT
Study First Received: January 13, 2006
Last Updated: August 20, 2008
ClinicalTrials.gov Identifier: NCT00277394     History of Changes
Health Authority: France: Afssaps - French Health Products Safety Agency;   Germany: Federal Institute for Drugs and Medical Devices;   Denmark: Danish Medicines Agency;   Spain: Spanish Agency of Medicines;   Belgium: The Federal Public Service (FPS) Health, Food Chain Safety and Environment;   Bulgaria: Bulgarian Drug Agency;   Czech Republic: State Institute for Drug Control;   Croatia: Ministry of Health and Social Care;   Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products;   Romania: National Medicines Agency;   Serbia and Montenegro: Agency for Drugs and Medicinal Devices

Keywords provided by LEO Pharma:
Acute, symptomatic and objectively confirmed DVT

Study placed in the following topic categories:
Embolism and Thrombosis
Embolism
Heparin, Low-Molecular-Weight
Tinzaparin
Vascular Diseases
Venous Thrombosis
Heparin
Thrombosis
Calcium heparin

Additional relevant MeSH terms:
Embolism and Thrombosis
Vascular Diseases
Cardiovascular Diseases
Venous Thrombosis
Thrombosis

ClinicalTrials.gov processed this record on September 11, 2009