Status:

COMPLETED

Improved Adherence With Extended Venous Thromboembolism Prophylaxis After Major Cancer Surgery

Lead Sponsor:

McMaster University

Conditions:

Neoplasms Malignant

Surgery

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This is a prospective, twin-center, cohort study in patients discharged from the hospital after major abdominal or pelvic cancer surgery for cancer. This study is designed to evaluate the adherence to...

Detailed Description

All guidelines have embraced the concept of extended DVT prophylaxis after major abdominal or pelvic surgery for cancer, but the recommendation is consistently to use LMWH, which is more complicated t...

Eligibility Criteria

Inclusion

  • Patients of at least 18 years of age, discharged after hepato-biliary, colorectal or gynecology-oncology abdominal/pelvic surgery (laparoscopic or open) for cancer and considered at increased risk for VTE (e.g. previous history of VTE, residual cancer, slow mobilization, obesity, comorbidities).
  • Written informed consent obtained.

Exclusion

  • Patient unable to take tablets, even if crushed.
  • Active bleeding.
  • Venous thromboembolism diagnosed during the hospitalization.
  • Severe hepatic impairment (Child Pugh class C).
  • Severe renal failure on dialysis or with calculated creatinine clearance \<15 mL/min.
  • Platelet count \<50·109/L.
  • Concomitant treatment with azole-antimycotics, e.g., ketoconazole, itraconazole, voriconazole, or posaconazole, and HIV protease inhibitors, e.g., ritonavir.

Key Trial Info

Start Date :

February 22 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 6 2021

Estimated Enrollment :

53 Patients enrolled

Trial Details

Trial ID

NCT04479579

Start Date

February 22 2021

End Date

November 6 2021

Last Update

April 22 2022

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Thrombosis Service, HHS-General Hospital

Hamilton, Ontario, Canada, L8L 2X2

2

HHS-Juravinski Hospital

Hamilton, Ontario, Canada, L8V 1C3