Status:
TERMINATED
Tinzaparin for Primary Treatment and Extended Secondary Prophylaxis of Venous Thromboembolism in Patients With Cancer
Lead Sponsor:
University of Southern California
Collaborating Sponsors:
Celgene Corporation
Conditions:
Venous Thromboembolism
Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
In this study the investigators will determine the safety and effectiveness of Tinzaparin in preventing blood clots for up to 12 months of treatment.
Detailed Description
The purpose of this study is to use long-term administration of a low molecular weight heparin (tinzaparin) for primary treatment and secondary prophylaxis of venous thromboembolism in patients with c...
Eligibility Criteria
Inclusion
- Diagnosis of active cancer
- Patients have documented or recurrent malignancy and must meet at least one of the following criteria:
- Diagnosis or documented presence of cancer within 6 months, excluding squamous cell or basal cell carcinoma of the skin OR
- Receive any therapy for cancer within the previous 6 months OR
- Currently receiving any treatment (surgery, radiation, chemotherapy, hormonal therapy, biotherapy, palliative therapy, and/or combined modality therapy) for cancer
- Documented first venous thromboembolic event
- Patients must meet at least one of the following criteria:
- Deep vein thrombosis of the lower extremity confirmed with duplex ultrasonography, magnetic resonance imaging, or venogram OR
- Pulmonary embolism confirmed with high probability V/Q scan, CT angiogram, or pulmonary angiogram
- ECOG performance status of 0, 1, or 2
- Signed written informed consent
- Age 18 years or greater
Exclusion
- Body weight less than 40 kg
- Recurrent spontaneous fractures unrelated to the underlying active malignancy
- Administration of therapeutic doses of unfractionated or low molecular weight heparin for more than 48 hours prior to registration Amendment 3 (05/26/2009) 11
- Need for long-term oral anticoagulant therapy (e.g., mechanical heart valves, atrial fibrillation)
- Poor performance status with an ECOG score of 3 or 4
- Serious hemorrhage requiring hospitalization, transfusion, or surgical intervention within 2 weeks of presentation
- Known acute (symptomatic or active bleeding) gastroduodenal ulcer
- Epidural/spinal puncture within the last 24 hours
- Neurosurgery within 1 week of registration or any previous history of intracranial hemorrhage
- Septic endocarditis
- Overt pericardial effusion
- Current platelet count of less than 50 x 109/L
- Undergoing high dose chemotherapy for peripheral blood stem cell or bone marrow transplantation, induction chemotherapy for acute leukemia, or has other conditions associated with persistent thrombocytopenia of less than 100 109/L for a duration of at least four consecutive weeks
- Familial bleeding diathesis
- Uncontrolled hypertension despite antihypertensive therapy
- Dependent upon renal dialysis or significant renal failure with a serum creatinine of greater than three times the upper limit of normal
- Allergy to heparin (unfractionated or low molecular weight)
- Allergy to contrast medium
- Pregnant or of childbearing potential and not using adequate contraception
- Geographically inaccessible for follow-up
- Failure or inability to give informed consent
Key Trial Info
Start Date :
July 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2015
Estimated Enrollment :
131 Patients enrolled
Trial Details
Trial ID
NCT00981903
Start Date
July 1 2005
End Date
October 1 2015
Last Update
July 6 2017
Active Locations (2)
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1
University of Southern California
Los Angeles, California, United States, 90033
2
Cornell Weill Scholl of Medicine
New York, New York, United States, 10021