Trial Outcomes & Findings for Fragmin In The Treatment Of Acute Deep-Vein Thrombosis With Or Without Pulmonary Embolism In Cancer Patients (NCT NCT00480636)

NCT ID: NCT00480636

Last Updated: 2010-08-10

Results Overview

Resolution criteria: clinical cure, defined as negative results of a compressive ultrasound examination of the leg

Recruitment status

COMPLETED

Target enrollment

102 participants

Primary outcome timeframe

Month 6 or End of Treatment (EOT) (up to Month 6)

Results posted on

2010-08-10

Participant Flow

Participant milestones

Participant milestones
Measure
Dalteparin
Dalteparin 200 International Units per kilogram (IU/kg) total body weight subcutaneously (SC) once daily (QD) for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Overall Study
STARTED
102
Overall Study
COMPLETED
83
Overall Study
NOT COMPLETED
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Dalteparin
Dalteparin 200 International Units per kilogram (IU/kg) total body weight subcutaneously (SC) once daily (QD) for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Overall Study
Death
12
Overall Study
Lost to Follow-up
4
Overall Study
Other
2
Overall Study
Lost to follow-up; subsequently died
1

Baseline Characteristics

Fragmin In The Treatment Of Acute Deep-Vein Thrombosis With Or Without Pulmonary Embolism In Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Age, Customized
Between 18 and 44 years
4 Participants
n=5 Participants
Age, Customized
Between 45 and 64 years
58 Participants
n=5 Participants
Age, Customized
>= 65 years
39 Participants
n=5 Participants
Age, Customized
Unspecified
1 Participants
n=5 Participants
Age Continuous
61.6 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
54 Participants
n=5 Participants
Sex: Female, Male
Male
48 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Month 6 or End of Treatment (EOT) (up to Month 6)

Population: Full analysis set (FAS): all participants who received at least 1 dose of the study treatment and who had at least 1 post baseline efficacy measurement.

Resolution criteria: clinical cure, defined as negative results of a compressive ultrasound examination of the leg

Outcome measures

Outcome measures
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Number of Participants With Resolution of Deep Vein Thrombosis (DVT) of the Leg
43 Participants

SECONDARY outcome

Timeframe: Baseline through Month 6 or EOT (up to Month 6)

Population: The safety analysis set was defined as all participants who received at least 1 dose of study treatment.

Episodes of the severe bleeding (intracranial, intraspinal, intraocular, retroperitoneal, or in pericardial area) or bleeding from gastrointestinal (GIT), urinary system or gynecological bleeding resulted in a need for a transfusion of at least 2 units of blood. Subjects were assessed for severe bleeding as part of a systematic adverse event assessment.

Outcome measures

Outcome measures
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Number of Participants With Severe Bleeding That Resulted in a Transfusion of at Least 2 Units of Blood
0 Participants

SECONDARY outcome

Timeframe: Baseline through Month 6 or EOT (up to Month 6)

Population: Safety analysis set.

Episodes of the severe bleeding (intracranial, intraspinal, intraocular, retroperitoneal, or in pericardial area) or bleeding from GIT, urinary system or gynecological bleeding which led to a drop of hemoglobin of at least 2.0 g/dL. Subjects were assessed for severe bleeding as part of a systematic adverse event assessment.

Outcome measures

Outcome measures
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Number of Participants With Severe Bleeding That Resulted in a Decrease in Hemoglobin Level of at Least 2.0 Grams Per Deciliter (g/dL)
0 Participants

SECONDARY outcome

Timeframe: Baseline, Week 2, Month 1, Month 3, and Month 6 or EOT (up to Month 6)

Population: FAS. n = number of participants per PE status at observation.

PE (diagnosed on the basis of ventilation-perfusion scan of the lungs or autopsy)

Outcome measures

Outcome measures
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Percent of Participants With and Without Pulmonary Embolism (PE)
Baseline without PE (n = 82)
80.4 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Week 2 without PE (n = 85)
83.3 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 1 with PE (n = 3)
2.9 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 3 with PE (n = 1)
1.0 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 3 with missing information (n = 10)
9.8 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 6 or EOT without PE (n = 85)
83.3 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Baseline with PE (n = 16)
15.7 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Baseline with missing information (n = 4)
3.9 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Week 2 with PE (n = 7)
6.9 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Week 2 with missing information (n = 10)
9.8 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 1 without PE (n = 96)
94.1 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 1 with missing information (n = 3)
2.9 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 3 without PE (n = 91)
89.2 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 6 or EOT with PE (n = 3)
2.9 Percent of participants
Percent of Participants With and Without Pulmonary Embolism (PE)
Month 6 or EOT with missing information (n = 14)
13.7 Percent of participants

SECONDARY outcome

Timeframe: Month 6 or EOT (up to Month 6)

Population: FAS

Defined as the number of participants with recurrence of DVT (diagnosed using compressive ultrasound examination or autopsy) after it has resolved (at the same location) or occurrence of new DVT at a new location on any of the post-baseline visits

Outcome measures

Outcome measures
Measure
Dalteparin
n=102 Participants
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Number of Participants With Recurrent DVT
3 Participants

Adverse Events

Dalteparin

Serious events: 13 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dalteparin
n=102 participants at risk
Dalteparin 200 IU/kg total body weight SC QD for Month 1, then 150 IU/kg total body weight SC QD from Months 2 to 6.
Cardiac disorders
Cardiopulmonary failure
2.0%
2/102
General disorders
Disease progression
8.8%
9/102
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon neoplasm
0.98%
1/102
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal cancer
0.98%
1/102
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progression
0.98%
1/102
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.98%
1/102
Vascular disorders
Embolism
0.98%
1/102

Other adverse events

Adverse event data not reported

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER