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CancerPhase 4NCT00942968

Evaluation of Dalteparin for Long-term (One Year) Treatment of Blood Clots in Subjects With Cancer

A Phase 4 study testing dalteparin in people with Cancer, run by Pfizer at 42 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine the long term tolerability and safety of dalteparin in subjects with cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
dalteparin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
338 participants
Where
42 sitesin 5 countries
Study dates
Jun 2009to Jun 2013
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects, age greater than or equal to 18 years of age.
  • Females should be either of non-childbearing potential as a result of surgery, radiation therapy, menopause (one year post onset), or of childbearing potential and willing to adhere to an acceptable method of pregnancy prevention.
  • Subjects must be newly diagnosed, symptomatic proximal deep-vein thrombosis of the lower extremity, pulmonary embolism, or both.
  • Subjects must have active malignancy defined as a diagnosis of cancer (excluding basal cell or squamous cell carcinoma of the skin) within six months before enrollment, having received any treatment for cancer within the previous six months, or having documented recurrent or metastatic cancer.
  • Prior to enrollment, subjects must not have received therapeutic doses of anticoagulant therapy (including low molecular weight heparin [LMWH]) for >48 hours (or >4 doses within 48 hours).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.
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  • Subjects must have a life expectancy of >6 months.
  • Subjects must have a platelet count of >75,000 mm^3.
  • The subject must not be on any oral anticoagulant therapy for concomitant diseases.
  • Subjects must have no active or serious bleeding episodes within two weeks prior to study entry.
  • Subjects must be able to comply with scheduled follow-ups.

Who cannot join

  • Subjects who have a high risk of serious bleeding (e.g., recent neurosurgery within 30 days, history of intracranial hemorrhage, acute gastroduodenal ulcer, etc.).
  • Subjects who are on hemodialysis.
  • Subjects who have a prior placement of a Greenfield filter or other device to prevent embolization of deep vein thromboses.
  • Subjects with a known contraindication to the use of heparin (e.g., heparin-induced thrombocytopenia).
  • Subjects with a known hypersensitivity to heparin, dalteparin sodium, other LMWHs or pork products.
  • Subjects who are currently participating in another clinical trial involving anticoagulation therapy (with the exception of acetylsalicylic acid (ASA) in the 30 days prior to study entry, or who are actively using any investigational drugs/treatments 30 days prior to study entry involving anticoagulation therapy (with the exception of ASA , t.i.d).
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  • Subject is pregnant or breast feeding.
  • Subjects with uncontrolled hypertension characterized by a sustained systolic pressure >170 mmHg and/or diastolic pressure >100 mmHg.
  • Subjects with a serious concomitant systemic disorder (for example, active infection including HIV or cardiac disease) that in the opinion of the investigator, would compromise the subject's ability to complete the study.
  • Any condition that makes the subject unsuitable in the opinion of the investigator.
  • Subjects with leukemia or myeloproliferative syndrome.

Trial locations and contacts

42 sites in 5 countries.

42 sites in 5 countries

United States21 sites
  • MidDakota Clinic

    Bismarck, North Dakota, 58501

  • Bringham and Women's Hospital

    Boston, Massachusetts, 2115

  • Vermont Cancer Center at Fletcher Allen Health Care

    Burlington, Vermont, 5401

  • University of Virginia

    Charlottesville, Virginia, 22908

  • Halifax Health

    Daytona Beach, Florida, 32114

  • Atlanta Institute for Medical Research

    Decatur, Georgia, 30030

  • Henry Ford Hospital K-15

    Detroit, Michigan, 48202

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of CT Health Center

    Farmington, Connecticut, 6030

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • James Graham Brown Cancer Center

    Louisville, Kentucky, 40202

  • Eastern Connecticut Hematology and Oncology Associates

    Norwich, Connecticut, 6360

  • Pennsylvania Oncology Hematology Associates

    Philadelphia, Pennsylvania, 19106

  • Bay Area Cancer Research Group

    Pleasant Hill, California, 94523

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • University of Utah

    Salt Lake City, Utah, 84132

  • Orchard Healthcare Research Inc.

    Skokie, Illinois, 60076

  • Stony Brook University, Medical Center

    Stony Brook, New York, 11794

  • Harbor-UCLA Medical Center

    Torrance, California, 90509

  • Arizona Cancer Center

    Tucson, Arizona, 85719

  • Georgetown University Hospital-Lombardi Cancer Ctr

    Washington D.C., District of Columbia, 20007

Other trials in United States

Canada8 sites
  • University of Alberta

    Edmonton, Alberta

  • Queen Elizabeth II Health Sciences Centre

    Halifax, Nova Scotia

  • London Health Sciences Centre

    London, Ontario

  • Maisonneuve-Rosemont Hospital

    Montreal, Quebec

  • Sir Mortimer B. Davis Jewish General Hospital

    Montreal, Quebec

  • Ottawa Health Research Institute

    Ottawa, Ontario

  • University Health Network-Toronto General Hospital

    Toronto, Ontario

  • Vancouver General Hospital

    Vancouver, British Columbia

Other trials in Canada

Austria6 sites
  • LKH Graz Univrsitatstklinik fur Innere Medizin

    Graz

  • Medizinische Universitat Innsbruck Studienambulanz Hamatologie

    Innsbruck

  • KH d. Elizabethinen Linz GmbH Servicestelle fur klin. Studien und Universitare Angelegenheiten

    Linz

  • KH der Barmherzigen Schwestern

    Linz

  • Dialysestation Landesklinkum St.Poelten

    Sankt Pölten

  • Medizinische Universitat Wien

    Vienna

Other trials in Austria

Spain5 sites
  • Hospital clinic i Provincial de Agencia de Ensayos Clinicos

    Barcelona

  • Hospital General Santa Maria del Rosell

    Caragena (Murcia)

  • Hospital Virgen de la Arrixaca

    El Palmar (Murcia)

  • Hospital Universitari Dr Josep Trueta

    Girona

  • Clinica Universitaria de Navarra

    Pamplona

Other trials in Spain

Netherlands2 sites
  • Gelre Ziekenhuizen-Locatie Apeldoorn

    Apeldoorn

  • Orbis Medisch Centrum, Sittard-Geleen

    Sittard-Geleen

Other trials in Netherlands

About this study

Official title: FRAG-A001-401: Dalteparin Sodium Injection (Fragmin), Multicenter, Open-Label, Single-arm, Long Term (52 Weeks) Study for Understanding the Safety and Efficacy in Subjects With Malignancies and Symptomatic Venous Thromboembolism

The purpose of this study is to determine the long term tolerability and safety of dalteparin in subjects with cancer.

Conditions
Cancer
Being tested
dalteparin
Medical subject headings
Neoplasms

What participants receive

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

  • dalteparinDrug

    Daily subcutaneous injection 200IU/kg dalteparin

Study groups in NCT00942968
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: dalteparin

What is being measured

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

  1. Number of Participants With Major Bleeding Events Adjudicated by Central Adjudication Committee

    A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of greater than or equal to (>=) 2 gram per deciliter (g/dL), 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (adjudicated by Central Adjudication Committee) were reported.

    Measured: Month 2 up to Month 6

  2. Number of Participants With Major Bleeding Events Adjudicated by Central Adjudication Committee

    A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of >=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (adjudicated by Central Adjudication Committee) were reported.

    Measured: Month 7 up to Month 12

  3. Number of Participants With New or Recurrent Venous Thromboembolism (VTE) Adjudicated by Central Adjudication Committee

    VTEs included both deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes pulmonary embolism (PE). When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. In this outcome measure, number of participants with new or recurrent VTE (adjudicated by Central Adjudication Committee) were reported.

    Measured: Month 7 up to Month 12

Secondary outcomes (10)
  1. Number of Participants With Investigator Identified Major Bleeding Events

    A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of >=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (identified by investigator) were reported.

    Measured: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

  2. Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee

    A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of >=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. A bleeding event was considered as minor if it was clinically overt but not meeting the criteria for major bleeding. In this outcome measure, number of participants with any (major or minor) bleeding events (adjudicated by Central Adjudication Committee) were reported.

    Measured: Month 1 up to Month 6, Month 7 up to Month 12, Month 1 up to Month 12, Month 2 up to Month 6, and Month 2 up to Month 12

  3. Number of Participants With Fatal Bleeding Events

    Fatal bleeding events refers to those bleeding events which leads to death of participant. In this outcome measure, number of participants with fatal bleeding events were reported.

    Measured: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

  4. Time to First Occurrence of Major Bleeding Event Adjudicated by Central Adjudication Committee

    Time to first occurrence of major bleeding event was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first major bleeding event. A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of >=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death.

    Measured: Month 1 up to Month 12

  5. Time to First Occurrence of Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee

    Time to first occurrence of any bleeding event was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first bleeding event (major or minor). A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of >=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. A bleeding event was considered as minor if it was clinically overt but not meeting the criteria for major bleeding.

    Measured: Month 1 up to Month 12

  6. Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)

    VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. In this outcome measure, number of participants with new or recurrent VTE (identified by investigator) were reported.

    Measured: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

  7. Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee

    VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography. In this outcome measure, number of participants with new or recurrent VTE or CVT (adjudicated by Central Adjudication Committee) were reported.

    Measured: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

  8. Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)

    VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography. In this outcome measure, number of participants with new or recurrent VTE or CVT (identified by investigator) were reported.

    Measured: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

  9. Time to First Occurrence of New or Recurrent Venous Thromboembolism (VTE) Adjudicated by Central Adjudication Committee

    Time to first occurrence of new or recurrent VTE was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first VTE. VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram.

    Measured: Month 1 up to Month 12

  10. Time to First Occurrence of New or Recurrent VTE or CVT Adjudicated by Central Adjudication Committee

    Time to first occurrence of new or recurrent VTE or CVT was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first VTE or CVT. VTEs included both deep vein thrombosis (DVT) and pulmonary embolism (PE) .DVT is a blood clot in the deep veins of the leg. If a DVT clot that breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes pulmonary embolism (PE). When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan, contrast venography or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography.

    Measured: Month 1 up to Month 12

Timeline

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

  1. First posted21 Jul 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionMar 2012
  4. Study completionJun 2013

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
338 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00942968
Sponsor's protocol ID
FRAG-A001-401
Other IDs
A6301095
Status last verified
Apr 2024
First submitted
16 Jul 2009
Last updated
18 Apr 2024
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing dalteparin in people with Cancer, run by Pfizer at 42 sites in 5 countries.

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 11 inclusion and 11 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 18 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Canada, Austria, Spain, Netherlands. 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?

Yes. Results are posted in the registry (first posted 24 Feb 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Major Bleeding Events Adjudicated by Central Adjudication Committee (time frame: Month 2 up to Month 6). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Apr 2024.

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