NCT04179487

Brief Summary

A prospective multicentre study aiming to validate the clinical utility and safety of an optimised low-dose computed-tomography pulmonary angiogram (CTPA) protocol for suspected pulmonary embolism in pregnancy

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
464

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2018

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

May 29, 2018

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

November 25, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 27, 2019

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2023

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2024

Completed
Last Updated

December 2, 2019

Status Verified

November 1, 2019

Enrollment Period

5.5 years

First QC Date

November 25, 2019

Last Update Submit

November 26, 2019

Conditions

Keywords

pulmonary embolismpregnancytomography xray computedradiation dosagenegative predictive value

Outcome Measures

Primary Outcomes (1)

  • Incidence of Venous Thrombo-Embolism (VTE)

    3-month incidence of venous thromboembolism in pregnant patients in whom pulmonary embolism was excluded at baseline CT pulmonary angiogram.

    3 months

Secondary Outcomes (7)

  • Maternal Effective Dose

    3 months

  • Breast Radiation Dose

    3 months

  • Foetal Radiation Dose

    3 months

  • Signal to Noise Ratio

    3 months

  • Contrast to Noise Ratio

    3 months

  • +2 more secondary outcomes

Study Arms (1)

Pregnant Patients with Suspected PE

Pregnant Patients with Suspected pulmonary embolism undergoing low dose CT pulmonary angiogram

Diagnostic Test: OPTICA CTPA Protocol

Interventions

OPTICA CTPA ProtocolDIAGNOSTIC_TEST

Low dose CT pulmonary angiogram protocol

Pregnant Patients with Suspected PE

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Pregnant Patients with Suspected pulmonary embolism

You may qualify if:

  • Pregnant patients with a suspected pulmonary embolism
  • Age≥18 years

You may not qualify if:

  • Age \< 18 years
  • Ultrasound proof of symptomatic proximal deep vein thrombosis
  • Contraindication to helical CT because of allergy to intravenous iodinated contrast or renal insufficiency (creatinine clearance \<30 ml/min)
  • Treatment with full-dose therapeutic low molecular weight heparin or unfractionated heparin initiated 24 h or more prior to eligibility assessment
  • Treatment with vitamin K antagonists (coumarin derivates i.e. warfarin)
  • Unable or unwilling to consent
  • Unable to part-take in follow-up
  • Life expectancy \<3 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mater Misericordiae University Hospital

Dublin, D07R2WY, Ireland

RECRUITING

Related Publications (1)

  • Gillespie C, Foley S, Rowan M, Ewins K, NiAinle F, MacMahon P. The OPTICA study (Optimised Computed Tomography Pulmonary Angiography in Pregnancy Quality and Safety study): Rationale and design of a prospective trial assessing the quality and safety of an optimised CTPA protocol in pregnancy. Thromb Res. 2019 May;177:172-179. doi: 10.1016/j.thromres.2019.03.007. Epub 2019 Mar 13.

    PMID: 30921536BACKGROUND

MeSH Terms

Conditions

Pulmonary EmbolismVenous Thromboembolism

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesEmbolismEmbolism and ThrombosisVascular DiseasesCardiovascular DiseasesThromboembolism

Central Study Contacts

Ciara Gillespie, MB BCH BAO

CONTACT

Peter MacMahon, MB BCH BAO

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Peter J Mac Mahon, MB BCH BAO, BMedSci, MRCPI, FFRRCSI.

Study Record Dates

First Submitted

November 25, 2019

First Posted

November 27, 2019

Study Start

May 29, 2018

Primary Completion

December 1, 2023

Study Completion

April 1, 2024

Last Updated

December 2, 2019

Record last verified: 2019-11

Locations