LVT DURATION: Pilot Study of Anticoagulation Duration for Left Ventricular Thrombus

NCT ID: NCT07246005

Last Updated: 2025-11-24

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2027-12-01

Brief Summary

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The LVT DURATION (Optimal Duration of Anticoagulation for LV Thrombus) is a pilot study planned to assess the practicalities of conducting a randomised control trial (RCT) whilst establishing data around the ideal duration of anticoagulation in the treatment of LV thrombus. The main objectives of the study are:

* To assess the practicalities of conducting an RCT with regard to recruitment, retention, and outcome measurement.
* To identify the optimal length of anticoagulation in the treatment of LV Thrombus

After randomisation participants will:

* Continue their prescribed oral anticoagulant for the remainder of the trial
* Discontinue their prescribed oral anticoagulant for the remainder of the trial

Detailed Description

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Conditions

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Left Ventricular Thrombus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Continue pre prescribed rivaroxaban or apixaban or warfarin

If randomised to this arm, participants will continue on their rivaroxaban or apixaban or warfarin for the study related time period.

Group Type EXPERIMENTAL

Continue rivaroxaban or apixaban or warfarin

Intervention Type DRUG

The study is asessing the impact of discontinuation of oral anticoagulation in patients with LV thrombus diagnosis.

Discontinue pre prescribed rivaroxaban or apixaban or warfarin

If randomised to this arm, patients (who have already been on OAC for a period of 3 months) will discontinue their rivaroxaban or apixaban or warfarin.

Group Type EXPERIMENTAL

Discontinue rivaroxaban or apixaban or warfarin

Intervention Type DRUG

discontinue rivaroxaban or apixaban or warfarin

Interventions

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Continue rivaroxaban or apixaban or warfarin

The study is asessing the impact of discontinuation of oral anticoagulation in patients with LV thrombus diagnosis.

Intervention Type DRUG

Discontinue rivaroxaban or apixaban or warfarin

discontinue rivaroxaban or apixaban or warfarin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of LV thrombus less than 12 months ago
* On Apixaban at the time of randomisation
* Completed at least 3 months of anticoagulation treatment for LV thrombus
* Persistent laminar/ mural thrombus or persistent LV dysfunction

Exclusion Criteria

* Any clinical condition requiring long term anticoagulation treatment as per investigator's judgement.
* SSE since LV thrombus diagnosis
* Contraindication to continuing anticoagulation therapy
* Non-ischaemic Cardiomyopathy
* Age less than 18 years
* Unable to consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Queen Mary University of London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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St Bartholomews Hospital

London, , United Kingdom

Site Status

Countries

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United Kingdom

Central Contacts

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Dr Dan Jones

Role: CONTACT

02037658707

Mervyn Andiapen

Role: CONTACT

02037658707

Facility Contacts

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Mervyn Andiapen

Role: primary

02037658707

Other Identifiers

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G-002409

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1008221

Identifier Type: -

Identifier Source: org_study_id

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