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Pulmonary EmbolismPhase 4NATSPUTENCT00796692

Nadroparin for the Initial Treatment of Pulmonary Thromboembolism

A Phase 4 study testing Nadroparin and Unfractionated heparin(UFH) in people with Pulmonary Embolism and Thromboembolism, run by Beijing Chao Yang Hospital at 39 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Low-molecular-weight heparin (LWMH) appears to be at least as effective and safe as standard, unfractionated heparin (UFH)for the treatment of patients with deep vein thrombosis(DVT) and may also be so in patients with pulmonary thromboembolism (PTE). Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Nadroparin and Unfractionated heparin(UFH)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
274 participants
Where
39 sitesChina
Study dates
Jun 2002to Feb 2006
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 to 75 years of age
  • Symptomatic non massive PTE confirmed either by a high probability ventilation-perfusion lung scanning (V/Q scan) or by the presence of intraluminal filling defect on spiral computed tomographic pulmonary angiography (CTPA)
  • Haemodynamic stabile, anatomic obstruction no more than 2 lobes on CTPA, or defect no more than 7 segments on V/Q scan,and normal right ventricular function
  • Symptoms within 15 days
  • Written informed consent obtained before randomization.

Who cannot join

  • Unfractioned heparin anticoagulation for more than 36 hours prior enrollment,
  • Massive PTE or sub-massive PTE requiring thrombolytic therapy or pulmonary embolectomy; Active bleeding or disorders contraindicating anticoagulant therapy
  • Chronic thromboembolism pulmonary hypertension(CTEPH) without evidence of recent episode; Severe hepatic or renal failure
  • Allergy to heparin, other components of Tinzaparin or acenocoumarol,
  • Pregnant status;a life expectancy of less than 3 months;
  • Previous thrombocytopenia induced by heparin
  • Thrombocytopenia < 100000/mm3,

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

China39 sites
  • Liaoning Angang Tiedong Hospital

    Anshan, Liaoning, 114002

  • Peking University First Hospital

    Beijing, Beijing Municipality, 100034

  • Beijing General Hospital of the Air-force PLA

    Beijing, Beijing Municipality, 100036

  • Beijing Naval General Hospital

    Beijing, Beijing Municipality, 100037

  • Peking University People's Hospital

    Beijing, Beijing Municipality, 100044

  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100050

  • Beijing No 6 Hospital

    Beijing, Beijing Municipality, 100083

  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100083

  • Beijing Hospital

    Beijing, Beijing Municipality, 100730

  • Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100730

  • Shanxi Datong 5th Hospital

    Datong, Shanxi, 037006

  • The First Affiliated Hospital Sun Yat-Sen University

    Guangzhou, Guandong, 510120

  • Guangzhou Institute of Respiratory Disease,Guangzhou Medical University

    Guangzhou, Guangdong, 510120

  • The Third Affiliated Hospital, Sun Yat-Sen University

    Guangzhou, Guangdong, 510630

  • Sir Run Run Shaw Hospital, Affiliated with Zhejiang University

    Hangzhou, Zhejiang, 310016

  • Qilu Hospital Affiliated to Shandong University

    Jinan, Shandong, 250012

  • The Affiliated Hospital of Medical College Jining

    Jining, Shandong, 272029

  • The First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi, 530027

  • The Affiliated Hospital of Medical College Qingdao

    Qingdao, Shandong, 266003

  • Shanghai Ruijin Hospital

    Shanghai, Shanghai Municipality, 200025

  • Shanghai Changhai Hospital

    Shanghai, Shanghai Municipality, 200433

  • Shanghai Pulmonary Hospital(8)

    Shanghai, Shanghai Municipality, 200433

  • The First Hospital of China Medical University

    Shenyang, Liaoning, 110001

  • The General Hospital of Shenyang Military Command

    Shenyang, Liaoning, 110016

  • The Affiliated Hospital of Shenyang Medical University

    Shenyang, Liaoning, 110024

  • Shenzhen People's Hospital

    Shenzhen, Guangdong, 518020

  • The Second Affiliated Hospital of Hebei Medical University

    Shijiazhuang, Hebei, 050000

  • The First Affiliated Hospital of Shanxi Medical University

    Taiyuan, Shanxi, 030001

  • The Second Affiliated Hospital of Shanxi Medical University

    Taiyuan, Shanxi, 030001

  • Tangshan Worker's Hospital, Hebei Medical University

    Tangshan, Hebei, 063000

  • The Affiliated Hospital of Hubei Coal University

    Tangshan, Hebei, 063000

  • Tianjin Thoracic Hospital

    Tianjin, Tianjin Municipality, 300051

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, 300052

  • Xinjiang People's Hospital

    Ürümqi, Xinjiang, 830001

  • The First Affiliated Hospital of Wenzhou Medical College

    Wenzhou, Zhejiang, 325000

  • Wuhan Union Hospital

    Wuhan, Hubei, 430022

  • Shandong Yantaishan Hospital

    Yantai, Shandong, 264001

  • The Affiliated Hospital of Ningxia Medical University

    Yinchuan, Ningxia, 750004

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

Other trials in China

About this study

Official title: Efficacy and Safety of Body Weight Adjusted Nadroparin vs Standard Unfractionated Heparin for the Initial Treatment of Pulmonary Thromboembolism:a Multi-Centre, Randomised Controlled Trial in China

Low-molecular-weight heparin (LWMH) appears to be at least as effective and safe as standard, unfractionated heparin (UFH)for the treatment of patients with deep vein thrombosis(DVT) and may also be so in patients with pulmonary thromboembolism (PTE). Only limited data are available on the evaluation of body weight adjusted LWMH and standard UFH for the initial treatment of PTE in Chinese population. The aim of this study is to determine whether body weight-adjusted, subcutaneous Nadroparin is as effective and safe as UFH for treatment of patients with objectively documented PTE.

Read the detailed description

Low-molecular-weight heparin (LWMH) appears to be at least as effective and safe as standard, unfractionated heparin (UFH)for the treatment of patients with deep vein thrombosis(DVT) and may also be so in patients with pulmonary thromboembolism (PTE). Only limited data are available on the evaluation of body weight adjusted LWMH and standard UFH for the initial treatment of PTE in Chinese population.

The aim of this study is to determine whether body weight-adjusted, subcutaneous Nadroparin is as effective and safe as UFH for treatment of patients with objectively documented PTE.

An open-label, adjudicator-blinded, randomized controlled trial of patients with symptomatic non-massive PTE from 37 major hospitals in China is conducted . Intravenous UFH was administered received an initial bolus dose of 80 IU/kg, followed by a continuous infusion at an initial rate of 18 IU/kg /hour. The dose was subsequently adjusted by activated partial thromboplastin time (APTT) monitoring. LMWH (nadroparin) was administered subcutaneously at a dose of 86 anti-factor Xa IU/kg every 12 hours.

Both treatments were overlapped with at least 3 months of warfarin therapy. Main outcome measures were combined end point of clinical effect, image improvement,Recurrent venous thromboembolism(VTE), major bleeding, and death within 14 days and 3 months of randomization.

Being tested
Nadroparin, Unfractionated heparin(UFH)
Keywords
Heparin, Low molecular weight heparin, Safety, Efficacy, Cost effective
Medical subject headings
Pulmonary Embolism, Thromboembolism, Vascular Diseases, Thrombosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NadroparinDrug

    Also called Low moleculor weight hepatin

    LMWH is given with a weight adjusted dose of 86 international anti-factor Xa units of nadroparin (Fraxiparine) per kilogram of body weight(86 anti-factor Xa IU/kg) subcutaneously every 12 hours,which will be used at least 5-7 days.

  • Unfractionated heparin(UFH)Drug

    Also called Standard Unfractionated heparin

    UFH is received with an initial bolus dose of 80 IU per kilogram, followed by a continuous intravenous infusion at an initial rate of 18 IU per kilogram per hour. The dose is subsequently adjusted so that the activated partial thromboplastin time (APTT) would be 1.5 to 2.5 times the control value in normal subjects. The tests are performed 4 hours after the start of treatment, whenever a sub-therapeutic APTT had been measured after a dose adjustment, and otherwise daily.UFH will be used at least 5-7 days.

Study groups in NCT00796692
Study groupRoleWhat they receive
Group 2ExperimentalLow molecular weight heparin
Receives: Drug: Nadroparin
Group 1Active comparatorUnfractionated heparin(UFH)
Receives: Drug: Unfractionated heparin(UFH)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical and image(including V/Q scan and CTPA) improvement

    Measured: Time Frame: 14days

Secondary outcomes (1)
  1. Recurrent venous thromboembolism(VTE), major bleeding death Heparin-induced thrombocytopenia

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Nov 2008 (estimated)
  2. Study startJun 2002
  3. Primary completionFeb 2006
  4. Study completionFeb 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
274 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00796692
Sponsor's protocol ID
2004BA703B07
Other IDs
2001BA703B13
Acronym
NATSPUTE
Status last verified
Nov 2008
First submitted
20 Nov 2008
Last updated
24 Nov 2008
Results posted
No
Data monitoring committee
Yes

Publications

  • Pang BS, Wang C, Lu Y, Yang YH, Xing GH, Mao YL, Huang XX, Zhai ZG. [Changes of blood coagulative and fibrinolytic system and function of pulmonary vascular endothelium after therapy in patients with acute pulmonary thromboembolism]. Zhonghua Yi Xue Za Zhi. 2007 Nov 20;87(43):3074-8. Chinese.

    PubMed 18261355
  • Zhu L, Yang Y, Wu Y, Zhai Z, Wang C. Value of right ventricular dysfunction for prognosis in pulmonary embolism. Int J Cardiol. 2008 Jun 23;127(1):40-5. doi: 10.1016/j.ijcard.2007.06.093. Epub 2007 Aug 22.

    PubMed 17716753
  • Zhu L, Wang C, Yang Y, Wu Y, Zhai Z, Dai H, Pang B, Tong Z. Value of transthoracic echocardiography in therapy regimens evaluation in pulmonary embolism. J Thromb Thrombolysis. 2008 Dec;26(3):251-6. doi: 10.1007/s11239-007-0087-8. Epub 2007 Aug 21.

    PubMed 17705052
  • Liu CP, Lu WX, Liu WG, Chen HW, Wang C. [The low molecular weight heparin on rat pulmonary surfactant associated protein A of acute pulmonary embolism]. Zhonghua Yi Xue Za Zhi. 2007 Mar 6;87(9):634-6. Chinese.

    PubMed 17550736
  • Zhu L, Yang YH, Wu YF, Zhai ZG, Wang C; National Project of the Diagnosis and Treatment Strategies for Pulmonary Thromboembolism investigators. Value of transthoracic echocardiography combined with cardiac troponin I in risk stratification in acute pulmonary thromboembolism. Chin Med J (Engl). 2007 Jan 5;120(1):17-21.

    PubMed 17254482
  • Sun KK, Wang C, Guli XT, Luo Q. [Risk factors and clinical features of deep venous thrombosis: a report of 388 cases]. Zhonghua Jie He He Hu Xi Za Zhi. 2004 Nov;27(11):727-30. Chinese.

    PubMed 15634380
  • Zhai ZG, Wang C, Liu YM, Qin ZQ. [Comparison of unfractionated heparin and low molecular weight heparin in pulmonary thromboembolism: meta-analysis]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004 Jun;26(3):221-6. Chinese.

    PubMed 15266820
  • Pang BS, Wang C, Luo Q, Zhang LM, Zhu M, Mao YL, Huang XX, Guo WJ. [Study of the function of coagulation, fibrinolysis and pulmonary vascular endothelium before and after experimental pulmonary thromboembolism in rabbits]. Zhonghua Jie He He Hu Xi Za Zhi. 2004 Jun;27(6):381-4. Chinese.

    PubMed 15256085
  • Zai ZG, Wang C. [Advances in the study of pulmonary thromboembolism]. Zhonghua Jie He He Hu Xi Za Zhi. 2004 Jan;27(1):14-8. No abstract available. Chinese.

    PubMed 14989818
  • Qin ZQ, Wang C. [Comparison of thrombolysis and anticoagulation in pulmonary thromboembolism: a meta-analysis]. Zhonghua Jie He He Hu Xi Za Zhi. 2003 Dec;26(12):772-5. Chinese.

    PubMed 14720434

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Nadroparin and Unfractionated heparin(UFH) in people with Pulmonary Embolism and Thromboembolism, run by Beijing Chao Yang Hospital at 39 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Nov 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical and image(including V/Q scan and CTPA) improvement (time frame: Time Frame: 14days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00796692, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Nov 2008.

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