Primary Thromboprophylaxis in Patients With Malignancy and Central Venous Catheters

NCT ID: NCT05029063

Last Updated: 2025-07-09

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1828 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-05

Study Completion Date

2027-12-31

Brief Summary

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The purpose of the full trial is to determine the efficacy and safety of prophylactic dose rivaroxaban to prevent VTE among cancer patients with CVC.

Detailed Description

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TRIM-Line is a double blind randomized controlled trial comparing rivaroxaban 10mg po daily vs placebo in patients with active cancer and indwelling CVC. This will involve 9 centers across Canada.

Conditions

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Venous Thromboembolism Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double Blind Randomized Control Trial

Study Groups

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Experimental

Rivaroxaban 10mg OD

Group Type EXPERIMENTAL

Rivaroxaban 10 MG

Intervention Type DRUG

Identical comparator drug

Control

Identical Placebo 10mg OD

Group Type PLACEBO_COMPARATOR

Rivaroxaban 10 MG

Intervention Type DRUG

Identical comparator drug

Interventions

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Rivaroxaban 10 MG

Identical comparator drug

Intervention Type DRUG

Other Intervention Names

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Placebo

Eligibility Criteria

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Inclusion Criteria

* Patients 18 years of age or older with a new or existing diagnosis of cancer and a CVC inserted in the last 72 hours.

Exclusion Criteria

1. CVC in place for \>72 hours
2. Patient requires anticoagulation for other indications
3. Concomitant use of dual antiplatelet therapy
4. Major bleeding event in the last 4 weeks
5. Patients receiving concomitant systemic treatment with strong inhibitors of both CYP 3A4 and P-gp (such as cobicistat, ketoconazole, itraconazole, posaconazole, or ritonavir).
6. Known pregnancy or plan to become pregnant in next 3 months
7. Severe renal insufficiency (Creatinine clearance \<30 mL/min (defined by Cockcroft-Gault) in the previous 3 months
8. Documented severe liver disease (e.g., acute clinical hepatitis, chronic active hepatitis or cirrhosis) in the previous 3 months
9. Known thrombocytopenia (platelet count \< 50x 109/L) in the previous 3 months
10. Known allergy to rivaroxaban
11. Life expectancy \<3 months
12. History of condition at increased bleeding risk including, but not limited to:

1. cerebral infarction (hemorrhagic or ischemic), active peptic ulcer disease with recent bleeding, spontaneous or acquired impairment of hemostasis in the past 4 weeks.
2. Chronic hemorrhagic disorder
13. Primary malignancy diagnosis of basal cell or squamous cell carcinoma of the skin only
14. Refused or unable to obtain consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ottawa Hospital Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr. Marc Carrier

Role: PRINCIPAL_INVESTIGATOR

Ottawa Hospital Research Institute

Locations

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Nova Scotia Health

Halifax, Nova Scotia, Canada

Site Status RECRUITING

William Osler Health System

Brampton, Ontario, Canada

Site Status RECRUITING

HHS - Juravinski Hospital

Hamilton, Ontario, Canada

Site Status RECRUITING

Ottawa Hospital Research Institute- The Ottawa Hospital

Ottawa, Ontario, Canada

Site Status RECRUITING

Sault Area Hospital

Sault Ste. Marie, Ontario, Canada

Site Status RECRUITING

Niagara Health

St. Catharines, Ontario, Canada

Site Status RECRUITING

Windsor Regional Hospital

Windsor, Ontario, Canada

Site Status RECRUITING

CISSS Montérégie-Centre HOPITAL CHARLES LEMOYNE

Greenfield Park, Quebec, Canada

Site Status RECRUITING

Centre Intégré de santé et de services sociaux de Chaudière-Appalaches

Lévis, Quebec, Canada

Site Status RECRUITING

Jewish General Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

McGill University Health Center

Montreal, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Bashour Yazji

Role: CONTACT

613-737-8899 ext. 73958

Facility Contacts

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Amanda Pecarskie

Role: primary

6137378899

Madeline Hill

Role: backup

613-737-8899

References

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Ikesaka R, Siegal D, Mallick R, Wang TF, Witham D, Webb C, Carrier M; Canadian Venous Thromboembolism Research Network (CanVECTOR). Thromboprophylaxis with rivaroxaban in patients with malignancy and central venous lines (TRIM-Line): A two-center open-label pilot randomized controlled trial. Res Pract Thromb Haemost. 2021 May 5;5(4):e12517. doi: 10.1002/rth2.12517. eCollection 2021 May.

Reference Type BACKGROUND
PMID: 34027291 (View on PubMed)

Other Identifiers

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TRIM-Line 3698

Identifier Type: -

Identifier Source: org_study_id

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