Direct Thrombin Inhibitors Versus LMWH in Staphylococcus Aureus Bacteraemia

NCT ID: NCT01911624

Last Updated: 2016-07-13

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2016-07-31

Brief Summary

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Safety and efficacy of direct thrombin inhibitors versus enoxaparin in patients with staphylococcus aureus bacteraemia.

The study hypothesizes that inhibition of the coagulase-activity of S. aureus by direct thrombin inhibitors is safe and translates into a better outcome of patients with S. aureus bacteremia.

Detailed Description

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Single center randomized controlled trial of direct thrombin inhibitors versus standard enoxaparin.

* Feasibility: proportion of patients eligible for randomization; clinically attained concentration of DTI and resulting staphylothrombin inhibition
* Safety: bleeding events (major/ clinically relevant non-major)
* Efficacy: thrombotic events during the thromboprophylactic treatment + 3 days
* Secondary outcome measures

* Coagulation parameters: evolution of D-dimers from day 0-4; other lab parameters of coagulation (PT/APTT/fibrinogen/platelet count)
* Inflammatory parameters: CRP, white blood cell count, neutrophilia
* Clinical outcomes: metastatic infections, assessed clinically or by PET/CT; relapse of S. aureus bacteremia; defervescence; persistent positive blood cultures; hospital stay, mortality.

Conditions

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Staphylococcus Aureus Bacteraemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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direct thrombin inhibition

dabigatran 110 mg BID, po argatroban (0.5 - 1 µg/kg/min) if peroral therapy is not possible

Group Type EXPERIMENTAL

direct thrombin inhibition

Intervention Type DRUG

enoxaparin

enoxaparin 40 mg od, sc

Group Type ACTIVE_COMPARATOR

enoxaparin

Intervention Type DRUG

Interventions

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direct thrombin inhibition

Intervention Type DRUG

enoxaparin

Intervention Type DRUG

Other Intervention Names

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dabigatran argatroban clexane

Eligibility Criteria

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Inclusion Criteria

* Positive blood culture for staphylococcus aureus
* Symptoms or signs of infection
* Indication for thromboprophylaxis

Exclusion Criteria

* Contraindication for thromboprophylaxis
* Significant active bleeding or risk of excessive bleeding
* Heparin-induced thrombocytopenia
* Severe liver and kidney disease
* Pregnancy and lactation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Peter Verhamme

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Verhamme, Doctor

Role: PRINCIPAL_INVESTIGATOR

Bloedings-en vaatziekten, UZ Gasthuisberg

Locations

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KUleuven/UZ Gasthuisberg

Leuven, , Belgium

Site Status

Countries

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Belgium

Other Identifiers

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S54881

Identifier Type: -

Identifier Source: org_study_id

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