Safety and Efficacy of Argatroban Applicated in Anticoagulation of V-V ECMO

NCT ID: NCT04925167

Last Updated: 2024-03-26

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-06

Study Completion Date

2023-12-31

Brief Summary

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Unfractionated heparin is most common in the anticoagulation management of V-V ECMO. However, many side effects of unfractionated heparin, such as HIT, antithrombin deficiency, etc seriously affects the prognosis of patients. Argatroban is kind of direct thrombin inhibitors, which could be used used as an alternative anticoagulant of unfractionated heparin when HIT or antithrombin deficiency, etc. At present, there is no power enough evidence for the application of argatroban in V-V ECMO. This study aims to evaluat the safety and effectiveness of argatroban in the anticoagulation management of V-V ECMO compared with unfractionated heparin.

Detailed Description

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Conditions

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Respiratory Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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argatroban group

Patients received argatroban for anticoagulation during V-V ECMO.

Group Type EXPERIMENTAL

Argatroban

Intervention Type DRUG

Argatroban continuous intravenous injection maintained APTT at 1.5 times of baseline.

UFH group

Patients received UFH for anticoagulation during V-V ECMO.

Group Type ACTIVE_COMPARATOR

unfractionated heparin

Intervention Type DRUG

unfractionated heparin continuous intravenous injection maintained APTT at 1.5 times of baseline.

Interventions

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Argatroban

Argatroban continuous intravenous injection maintained APTT at 1.5 times of baseline.

Intervention Type DRUG

unfractionated heparin

unfractionated heparin continuous intravenous injection maintained APTT at 1.5 times of baseline.

Intervention Type DRUG

Other Intervention Names

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Novastan

Eligibility Criteria

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Inclusion Criteria

* age older than 18 years old; received V-V ECMO because of sevever respiratory failure

Exclusion Criteria

* anticoagulant contraindications; Confirmed or suspected, or previously diagnosed with heparin induced thrombocytopenia; Cerebral infarction or suspected patients; Patients with severe liver dysfunction; Allergic to heparin or argatroban; hemophilia; Unwilling or unable to complete the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Chao Yang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Bing Sun

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bing Sun, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Chao Yang Hospital

Locations

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Bing Sun

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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Argatroban in V-V ECMO

Identifier Type: -

Identifier Source: org_study_id

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