Efficacy of Intermittent Pneumatic Compression (IPC) on Venous Thromboembolism Incidence in Intensive Care Unit (ICU) Patients With High Bleeding Risk
CIREA1
Evaluation of Intermittent Pneumatic Compression (IPC) of the Lower Limbs Associated With Elastic Stockings (ES) Compared to ES Alone on Venous Thromboembolism Incidence in Patients With High Bleeding Risk Hospitalized in Intensive Medical Care Units
1 other identifier
interventional
408
1 country
10
Brief Summary
This multicentre open-label randomized parallel-group trial aims to evaluate the association intermittent pneumatic compression + elastick stockings versus elasting stockings alone on symptomatic or asymptomatic venous thromboembolism incidence, evaluated systematically at day 6 (+/-2days), in patients hospitalized in intensive care units and with high bleeding risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Nov 2007
Typical duration for phase_3
10 active sites
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
November 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 22, 2008
CompletedFirst Posted
Study publicly available on registry
August 25, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedDecember 3, 2025
February 1, 2012
3.2 years
August 22, 2008
November 26, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Combined criterion evaluated at day 6 ± 2 days after randomization:symptomatic venous thromboembolic event, non fatal, objectively confirmed,Death related to PE,Asymptomatic DVT of the lower limbs detected by CUS on day 6 ± 2 days.
6 days (+/- 2 days)
Secondary Outcomes (1)
Symptomatic thromboembolic events occurred between day 6 and day 90, and total mortality at 1 month and 3 months.
6 days to 3 months
Study Arms (2)
1
NO INTERVENTIONNo intermittent pneumatic compression of the lower limbs during patient hospitalisation in réanimation unit
2
EXPERIMENTALIntermittent pneumatic compression of the lower limbs during hospitalisation in reanimation unit
Interventions
Intermittent pneumatic compression of the lower limbs during hospitalisation in reanimation unit
Eligibility Criteria
You may qualify if:
- Age \> 18 Years,
- Admission in intensive medical care unit
- High risk for hemorrhage
- Written informed consent given by the patient or relative.
- High risk for hemorrhage is defined by:
- symptomatic bleeding or organic lesions likely to bleed,
- hemophilic diseases,
- haemostatic abnormalities: platelet count \< 50 000/mm 3, APTT \> 2 N, prothrombin time \< 40%,
- recent intra-cerebral hemorrhage,
- severe anemia (Hemoglobin \< 7 g/dl) due to a bleeding or unexplained.
You may not qualify if:
- Age \< 18 years,
- Patient refusal,
- No high risk for hemorrhage
- Admission in intensive care unit ≥ 36 hours
- Admission in intensive care unit likely for \< 72 hours
- A "do not resuscitate" order
- IPC contra-indication: Recent DVT (\< 3 month), severe lower limbs arteriopathy (III and IV), any arterial graft of the legs, a wound in the lower limb related either to a vascular disease (ulcer) or a trauma.
- Patient with mechanical prosthetic heart valve.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tyco Healthcare Groupcollaborator
- University Hospital, Brestlead
Study Sites (10)
Medical intensive care unit
Angoulême, France
HIA Clermont-Tonnerre
Brest, 29 000, France
Medical Intensive Care Unit
Brest, France
Medical Intensive Care Unit
Lille, France
Intensive Care Unit
Limoges, France
Medical Intensive Care Unit
Nantes, France
Medical intensive care unit
Orléans, France
Medical Intensive Care Unit
Paris, France
Medical intensive care unit
Poitiers, France
Medical intensive care unit
Tours, France
Related Publications (1)
Vignon P, Dequin PF, Renault A, Mathonnet A, Paleiron N, Imbert A, Chatellier D, Gissot V, Lheritier G, Aboyans V, Prat G, Garot D, Boulain T, Diehl JL, Bressollette L, Delluc A, Lacut K; Clinical Research in Intensive Care and Sepsis Group (CRICS Group). Intermittent pneumatic compression to prevent venous thromboembolism in patients with high risk of bleeding hospitalized in intensive care units: the CIREA1 randomized trial. Intensive Care Med. 2013 May;39(5):872-80. doi: 10.1007/s00134-013-2814-2. Epub 2013 Jan 31.
PMID: 23370827RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Karine LACUT, MD
CHU Brest France, Univ Brest, EA 3878
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 22, 2008
First Posted
August 25, 2008
Study Start
November 1, 2007
Primary Completion
January 1, 2011
Study Completion
December 1, 2011
Last Updated
December 3, 2025
Record last verified: 2012-02