NCT02901067

Brief Summary

This is a phase II, pragmatic, prospective, randomized, double-blind, adaptive clinical trial examining the efficacy of statins and aspirin in the reduction of acute lung injury and venous thromboembolism in patients with fibrinolysis shutdown.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Feb 2017

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 24, 2016

Completed
8 months until next milestone

First Posted

Study publicly available on registry

September 15, 2016

Completed
5 months until next milestone

Study Start

First participant enrolled

February 3, 2017

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 24, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2021

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

April 27, 2023

Completed
Last Updated

April 27, 2023

Status Verified

April 1, 2023

Enrollment Period

4.3 years

First QC Date

January 24, 2016

Results QC Date

May 20, 2022

Last Update Submit

April 25, 2023

Conditions

Keywords

Fibrinolysis

Outcome Measures

Primary Outcomes (1)

  • Incidence of VTE

    Based on screening duplex ultrasound (US) of legs and central line on day 5 or upon ICU discharge or upon symptoms of VTE (whichever comes first).

    Day 5 or ICU discharge or upon symptoms of VTE (whichever comes first)

Secondary Outcomes (8)

  • Fibrinolysis Phenotypes

    During ICU stay at the following timepoints - 6, 12, 24, 48, 72, 120 and 168 hours

  • Plasminogen Activator Inhibitor (PAI) - 1 and Tissue Plasminogen Activator (tPA) Levels in Plasma

    During ICU stay at the following timepoints - 6, 12, 24, 48, 72, 120 and 168 hours

  • Incidence of Acute Lung Injury (ALI)

    Within two weeks post-injury

  • Ventilator Free Days

    Up to 28 days

  • Incidence of Arterial Thrombotic Complications: Myocardial Infarction (MI) and Cerebrovascular Accident (CVA).

    Up to 28 days

  • +3 more secondary outcomes

Study Arms (2)

Experimental

EXPERIMENTAL

Administration of 325mg Aspirin and 20mg of Rosuvastatin mixture in a single capsule daily either orally or via a feeding tube for the duration of the patient's stay in the ICU.

Drug: Aspirin and Rosuvastatin

Control

PLACEBO COMPARATOR

Administration of the placebo, which is identical-looking to the Aspirin and Rosuvastatin single capsule mixture, daily either orally or via a feeding tube for the duration of the patient's stay in the ICU.

Drug: Placebo (for Aspirin and Rosuvastatin)

Interventions

Patients assigned to the intervention arm will receive the standard of care anti-coagulation plus the combination experimental drugs (20mg of rosuvastatin daily and 325mg of aspirin) daily either orally or via feeding tube.

Experimental

Patients assigned to the control group will receive the standard of care anti-coagulation plus identical-looking placebos either orally or via feeding tube.

Control

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may not qualify if:

  • Known inherited bleeding disorder or coagulopathy
  • Known contraindication to pharmacologic anticoagulation
  • Spinal column fracture with epidural hematoma
  • Head trauma/central nervous system injury
  • Severe TBI; defined as AIS Head \>3
  • Intracranial hemorrhage; subdural or epidural hematoma
  • Neurosurgery service objection; neurosurgical contra-indications will be documented
  • Ongoing hemorrhage requiring blood product transfusion
  • Thrombocytopenia (platelet count \< 50,000)
  • Non-operatively managed liver or spleen injuries Grade III or above
  • Known chronic kidney disease (GFR \< 15ml/min)
  • Rising creatinine (Cr \> 1.5x baseline) at the time of enrollment
  • Documented previous ischemic strokes
  • Receiving statin or aspirin therapy pre-injury, as potentially being assigned for Control would increase patient's risks
  • Known allergy or other contraindication to statins or aspirin
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Denver Health Medical Center

Denver, Colorado, 80204, United States

Location

MeSH Terms

Conditions

Wounds and InjuriesVenous Thromboembolism

Interventions

AspirinRosuvastatin Calcium

Condition Hierarchy (Ancestors)

ThromboembolismEmbolism and ThrombosisVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

SalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsSulfonamidesAmidesFluorobenzenesHydrocarbons, FluorinatedHydrocarbons, HalogenatedSulfonesSulfur CompoundsPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Study Coordinator, James Chandler
Organization
Denver Health Medical Center

Study Officials

  • Ernest E Moore, MD

    Denver Health Medical Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Surgery

Study Record Dates

First Submitted

January 24, 2016

First Posted

September 15, 2016

Study Start

February 3, 2017

Primary Completion

May 24, 2021

Study Completion

August 1, 2021

Last Updated

April 27, 2023

Results First Posted

April 27, 2023

Record last verified: 2023-04

Locations