Efficacy of the Association Mechanical Prophylaxis + Anticoagulant Prophylaxis on Venous Thromboembolism Incidence in Intensive Care Unit (ICU)
CIREA2
Evaluation of Intermittent Pneumatic Compression Associated With Elastic Stockings and Anticoagulant Prophylaxis Versus Anticoagulant Prophylaxis Alone on Venous Thromboembolism Incidence in ICU Patients Without High Risk of Bleeding
1 other identifier
interventional
621
2 countries
15
Brief Summary
This multicentre open-label randomized parallel-group trial aims to compare the association of intermittent pneumatic compression of the lower limbs + elastic stockings + anticoagulant prophylaxis to anticoagulant prophylaxis alone on the incidence of venous thromboembolism systematically evaluated at day 6, in patients hospitalized in intensive care units and without high bleeding risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Oct 2007
Longer than P75 for phase_3
15 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
October 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, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedFebruary 11, 2015
December 1, 2014
7.3 years
August 22, 2008
February 10, 2015
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.
6 +/- 2 days
Secondary Outcomes (1)
Symptomatic thromboembolic events occurred between day 6 and day 90, and total mortality evaluated 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 hospitalisation in reanimation unit
2
EXPERIMENTALIntermittent pneumatic compression of the lower limbs during hospitalisation in reanimation unit
Interventions
No 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
- No high risk for hemorrhage in CIREA 2
- 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,
- 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.
- High risk for hemorrhage
- Patient who needs a curative anticoagulant treatment (DVT, PE, PE suspicion, atrial fibrillation, myocardial infarction, acute coronary syndrome…).
- Patients with anticoagulant prophylaxis contra-indication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Brestlead
- Tyco Healthcare Groupcollaborator
Study Sites (15)
CHU d'Angers
Angers, 49000, France
CH d'Angoulême
Angoulême, 16000, France
HIA Clermont-Tonnerre
Brest, 29 200, France
Medical Intensive Care Unit
Brest, France
CH de Corbeil Essonne
Corbeil Essonne, 91100, France
CHU de Dijon
Dijon, 21000, France
Medical Intensive Care Unit
Lille, France
CH Montauban
Montauban, 82013, France
CH de Morlaix
Morlaix, 29672, France
Medical Intensive Care Unit
Paris, France
CHU de Poitiers
Poitiers, 86000, France
CH de Quimper
Quimper, 29000, France
CH de St Malo
St-Malo, 35403, France
CHU de Tours
Tours, 37000, France
CH Monaco
Monaco, Monaco
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
October 1, 2007
Primary Completion
January 1, 2015
Study Completion
January 1, 2015
Last Updated
February 11, 2015
Record last verified: 2014-12