Status:

UNKNOWN

Effectiveness of NextDose for Warfarin Dose Individualization

Lead Sponsor:

The First Affiliated Hospital of Soochow University

Collaborating Sponsors:

National Natural Science Foundation of China

Conditions:

Thrombosis Embolism

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

Objectives: To understand whether the implementation of warfarin dose management using NextDose (nextdose.org) at The First Affiliated Hospital of Soochow University (Suzhou, China) improves the qual...

Detailed Description

Objectives: To understand whether the implementation of warfarin dose management using NextDose (nextdose.org) at The First Affiliated Hospital of Soochow University (Suzhou, China) improves the qual...

Eligibility Criteria

Inclusion

  • Scheduled to undergo cardiac surgery with planned warfarin anticoagulation for at least three months.
  • Age ≥ 18 and \< 80 years.
  • Written informed consent has been obtained.

Exclusion

  • Allergy to warfarin tablet or excipients.
  • Enrollment or planned enrollment in other research that would conflict with full participation in the study or confound the observation or interpretation of the study findings.
  • Patients who in the opinion of the recruiting clinician are:
  • unwilling or unable to comply with the protocol requirements and/or,
  • considered unreliable concerning the requirements for follow-up during the study and/or, compliance with drug administration.
  • Patient with life expectancy less than the expected duration of the trial due to concomitant disease.
  • Contraindication to warfarin therapy. The following are examples but not an exhaustive list:
  • Pregnancy.
  • Cerebral infarction or cerebral haemorrhage (from patients' medical record) within the 3 months prior to heart valve replacement
  • Severe heart failure (New York Heart Function Class IV)
  • Severe renal failure (CLcr (Cockcroft-Gault) ≤20mL / min)
  • Severe liver failure (Child-Pugh≥10)
  • Abnormal liver function (elevated transaminase more than three times the upper limit of the local hospital clinical laboratory).

Key Trial Info

Start Date :

August 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2021

Estimated Enrollment :

240 Patients enrolled

Trial Details

Trial ID

NCT04510805

Start Date

August 1 2020

End Date

December 1 2021

Last Update

August 19 2020

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