Fondaparinux as Monotherapy for DVT and/or Pulmonary Embolism
1 other identifier
interventional
30
1 country
1
Brief Summary
To determine whether fondaparinux as monotherapy without warfarin is effective and safe for long-term (90 days) treatment of DVT and/or PE, thus gaining new long-term experience and data using fondaparinux.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Apr 2006
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2006
CompletedFirst Submitted
Initial submission to the registry
December 7, 2006
CompletedFirst Posted
Study publicly available on registry
December 19, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2007
CompletedFebruary 4, 2009
February 1, 2009
December 7, 2006
February 2, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Recurrent acute symptomatic DVT confirmed by venous ultrasound and/or CT scan
90 Days
Recurrent acute symptomatic PE confirmed by chest CT scan
90 Days
Major hemorrhage defined as spinal, retroperitoneal or intracranial bleeding, drop in hemoglobin ≥2g/dl or transfusion ≥2U or surgical or medical intervention, death related to bleeding
90 Days
Secondary Outcomes (1)
Comparison of Day Zero, 6 week, and Day 90 platelet counts, renal function, hematocrit and transaminase level
90 Days
Interventions
Eligibility Criteria
You may qualify if:
- Recurrent venous thromboembolism despite anticoagulation with warfarin(Or)
- Clinically important bleeding complications due to warfarin(Or)
- Inability to achieve the target INR on warfarin(Or)
- Nonbleeding side effects of warfarin, such as hair loss, rash, purple toe syndrome(Or)
- Patient with cancer on monotherapy with parenteral anticoagulation for DVT and/ or PE
- and
- Require at least 90 days of anticoagulation
- Require anticoagulation for objectively confirmed DVT and/or PE
- Age greater than 18 years
- Written informed consent
You may not qualify if:
- Patients with renal insufficiency, defined as creatinine \> 1.5 mg/dl
- Patients in whom anticoagulation with any agent is deemed unsafe due to bleeding risk.
- Pregnancy
- Known hypersensitivity to fondaparinux
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brigham and Women's Hospitallead
- GlaxoSmithKlinecollaborator
Study Sites (1)
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Related Publications (3)
Petitou M, Duchaussoy P, Herbert JM, Duc G, El Hajji M, Branellec JF, Donat F, Necciari J, Cariou R, Bouthier J, Garrigou E. The synthetic pentasaccharide fondaparinux: first in the class of antithrombotic agents that selectively inhibit coagulation factor Xa. Semin Thromb Hemost. 2002 Aug;28(4):393-402. doi: 10.1055/s-2002-34309.
PMID: 12244487BACKGROUNDBuller HR, Davidson BL, Decousus H, Gallus A, Gent M, Piovella F, Prins MH, Raskob G, van den Berg-Segers AE, Cariou R, Leeuwenkamp O, Lensing AW; Matisse Investigators. Subcutaneous fondaparinux versus intravenous unfractionated heparin in the initial treatment of pulmonary embolism. N Engl J Med. 2003 Oct 30;349(18):1695-702. doi: 10.1056/NEJMoa035451.
PMID: 14585937BACKGROUNDBuller HR, Davidson BL, Decousus H, Gallus A, Gent M, Piovella F, Prins MH, Raskob G, Segers AE, Cariou R, Leeuwenkamp O, Lensing AW; Matisse Investigators. Fondaparinux or enoxaparin for the initial treatment of symptomatic deep venous thrombosis: a randomized trial. Ann Intern Med. 2004 Jun 1;140(11):867-73. doi: 10.7326/0003-4819-140-11-200406010-00007.
PMID: 15172900BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Samuel Z. Goldhaber, MD
Brigham and Women's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 7, 2006
First Posted
December 19, 2006
Study Start
April 1, 2006
Study Completion
July 1, 2007
Last Updated
February 4, 2009
Record last verified: 2009-02