Prevention of Venous Thromboembolism in Patients With Acute Primary Intracerebral Hemorrhage

NCT ID: NCT00699465

Last Updated: 2010-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2013-12-31

Brief Summary

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* To evaluate the efficacy of using IPC during the acute phase of ICH in the prevention of VTE.
* To assess the safety and efficacy of additional therapy with enoxaparin.
* To compare the efficacy and safety of the European and American guideline recommendations.
* To provide an efficient and safe thromboprophylaxis for several weeks until the patient is able to walk.

Detailed Description

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* Although it has been poorly investigated, the risk of VTE among patients with acute primary intracerebral hemorrhage is generally believed to be at least as high as among patients with ischemic stroke.
* The currently available guidelines state that while low doses of subcutaneous heparin or low-molecular-weight heparin may reduce VTE, it is possible that their effect is counterbalanced by an increase in hemorrhagic complications.
* It is still unclear when (if ever) low-molecular-weight-heparin should be safely initiated in ICH patients.

Conditions

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Intracerebral Hemorrhage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Early enoxaparin

Group Type ACTIVE_COMPARATOR

enoxaparin

Intervention Type DRUG

20 mg enoxaparin (2 000 IU) s.c. will be given twice daily starting 24-48 h after onset of the stroke. Intermittent pneumatic compression will be started immediately after admission.

2

Late enoxaparin

Group Type PLACEBO_COMPARATOR

enoxaparin placebo

Intervention Type DRUG

Placebo will be given s.c. twice daily starting 24-48 h after onset of the stroke for 2 days. Thereafter, 20 mg enoxaparin (2 000 IU) s.c. will be given twice daily. Intermittent pneumatic compression will be started immediately after admission.

Interventions

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enoxaparin

20 mg enoxaparin (2 000 IU) s.c. will be given twice daily starting 24-48 h after onset of the stroke. Intermittent pneumatic compression will be started immediately after admission.

Intervention Type DRUG

enoxaparin placebo

Placebo will be given s.c. twice daily starting 24-48 h after onset of the stroke for 2 days. Thereafter, 20 mg enoxaparin (2 000 IU) s.c. will be given twice daily. Intermittent pneumatic compression will be started immediately after admission.

Intervention Type DRUG

Other Intervention Names

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Klexane Kendall Klexane Kendall

Eligibility Criteria

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Inclusion Criteria

* acute primary ICH
* \> 17 years
* unable to walk
* admitted within 12 h after onset of ICH
* informed consent obtained

Exclusion Criteria

* other type of ICH than acute primary intracerebral hemorrhage
* patients who need neurosurgery
* evidence of VTE at screening
* thrombolytic treatment within the preceding week
* major surgery or major trauma within the preceding 3 months
* life expectancy less than 3 months due to comorbid disorders
* confirmed malignant disease (cancer)
* hepatitis and/or liver cirrhosis
* renal failure
* infectious disease (HIV, endocarditis etc.)
* current of previous hematologic disease
* recent active and untreated gastric/duodenal ulcer
* allergy or known hypersensitivity to enoxaparin or heparins
* known hypersensitivity to benzyl alcohol
* women of childbearing age if pregnant
* participation in another study within the preceding 30 days
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Helsinki

OTHER

Sponsor Role collaborator

University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Oulu University Hospital

Principal Investigators

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Matti E Hillbom, MD, PhD

Role: STUDY_CHAIR

Oulu University Central Hospital, Department of Neurology

Seppo S Juvela, MD, PhD

Role: STUDY_DIRECTOR

Turku University Central Hospital, Department of Neurosurgery

Turgut Tatlisumak, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Helsinki University Central Hospital, Department of Neurology

Liisa K Luostarinen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Päijät-Häme Central Hospital, Department of Neurology

Aimo Rissanen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Keski-Suomen Keskussairaala

Heikki Numminen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Tampere University Hospital

Locations

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Department of Neurology, Oulu University Hospital

Oulu, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Matti E Hillbom, MD, PhD

Role: CONTACT

358-8-315-4518

Juha T Huhtakangas, MD

Role: CONTACT

358-8-315-4032

Facility Contacts

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Matti E Hillbom, professor

Role: primary

358-8-315-4518

Juha T Huhtakangas, MD

Role: backup

358-8-315-4032

References

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Steiner T, Kaste M, Forsting M, Mendelow D, Kwiecinski H, Szikora I, Juvela S, Marchel A, Chapot R, Cognard C, Unterberg A, Hacke W. Recommendations for the management of intracranial haemorrhage - part I: spontaneous intracerebral haemorrhage. The European Stroke Initiative Writing Committee and the Writing Committee for the EUSI Executive Committee. Cerebrovasc Dis. 2006;22(4):294-316. doi: 10.1159/000094831. Epub 2006 Jul 28.

Reference Type BACKGROUND
PMID: 16926557 (View on PubMed)

Broderick J, Connolly S, Feldmann E, Hanley D, Kase C, Krieger D, Mayberg M, Morgenstern L, Ogilvy CS, Vespa P, Zuccarello M; American Heart Association; American Stroke Association Stroke Council; High Blood Pressure Research Council; Quality of Care and Outcomes in Research Interdisciplinary Working Group. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke. 2007 Jun;38(6):2001-23. doi: 10.1161/STROKEAHA.107.183689. Epub 2007 May 3.

Reference Type BACKGROUND
PMID: 17478736 (View on PubMed)

Other Identifiers

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EUDRACT 2007-006206-24

Identifier Type: -

Identifier Source: org_study_id

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