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ThromboembolismFondaPPPNCT01004939

Retrospective Study of Patients Who Were Treated With Fondaparinux Pre-, Peri- and/or Postpartum for Prophylaxis or Treatment of Venous Thromboembolism

An observational study of Thromboembolism and Venous Thromboembolism, run by GlaxoSmithKline at 7 sites in Germany.

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

The objective of this retrospective study is to gather information about how fondaparinux is used pre-, peri- and/or postpartum for both the prophylaxis and treatment of venous thromboembolism (VTE) in order to fill an information gap concerning the off-label use of fondaparinux during pregnancy. Read more about this study

Who is it for?
Any age, women only
Conditions the study is for
Thromboembolism, Venous Thromboembolism
What is being tested?
fondaparinux
How many people
120 participants
Where
7 sitesGermany
Study dates
Mar 2010to Jul 2010
Phase
Observational
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 Any age
  • Women only
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Pregnant women who received a prophylaxis against venous thromboembolism because of an elevated thromboembolic risk and who were therefore treated in a haemostaseological centre.

Who may be able to join

  • Patients who were treated with fondaparinux pre-, peri- and/or postpartum for more than 7 days for VTE prophylaxis or treatment, especially those with a history of abortion, and/or stillbirth, VTE, severe fetal and maternal complications during pregnancy, severe inherited or acquired thrombophilias, long-term anticoagulation (e. g. patients with mechanical heart valves) and/or intolerance to heparins or heparinoids or heparin-induced thrombocytopenia (HIT)

Who cannot join

  • Patients who were treated with fondaparinux for less than 7 days
  • Patient who were treated with fondaparinux only postpartum

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Germany7 sites
  • GSK Investigational Site

    Berlin, State of Berlin, 13353

  • GSK Investigational Site

    Bonn, Rhineland-Palatinate, 53115

  • GSK Investigational Site

    Duisburg, North Rhine-Westphalia, 47051

  • GSK Investigational Site

    Frankfurt am Main, Hesse, 60590

  • GSK Investigational Site

    Leipzig, Saxony, 04289

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68167

  • GSK Investigational Site

    Münster, North Rhine-Westphalia, 48143

Other trials in Germany

About this study

Official title: Retrospektive Studie zu Patientinnen, Die pränatal, Perinatal Oder Postnatal Prophylaktisch Oder Therapeutisch Mit Fondaparinux Behandelt Wurden

The objective of this retrospective study is to gather information about how fondaparinux is used pre-, peri- and/or postpartum for both the prophylaxis and treatment of venous thromboembolism (VTE) in order to fill an information gap concerning the off-label use of fondaparinux during pregnancy.

Read the detailed description

During pregnancy there is a generally enhanced risk to develop venous thromboembolism (VTE). Although such events are rare they may lead to serious risks for the mothers´ and children´s health. Compared with non-pregnant women, pregnant women have an about five-fold risk to develop VTE.

Due to their characteristic spectrum of side effects and the generally long duration of exposure in pregnancy the preferred anticoagulants may produce potentially dangerous side effects, as bleedings, heparin-induced thrombocytopenia (HIT), allergic reactions, osteoporosis, or congenital anomalies.

Today, low-molecular weight heparins (LMWH) are the preferred agents for anticoagulation in pregnancy. Compared with unfractioned heparins (UFH) LMWHs have the advantages of a lower bleeding risk, a lower rate of allergic reactions and HIT, a more predictable response and a longer half-life that makes dosing more convenient (od or bid).

Still, there is a considerable proportion of pregnancies where heparin intolerance (allergic reactions or HIT) that make it inevitable to change to another anticoagulant.

On the one hand, fondaparinux has repeatedly been reported successful in the VTE prophylaxis of pregnancies where allergic reactions on heparins, or heparinoids, had occurred. Additionally, a considerable amount of oral reports have reached GSK about an additional number of successful cases in the past.

On the other hand, we have no systematic and overall view about how many pregnancies have already been treated for which reasons, and how successful they were. Due to an increase of certain risk factors, as obesity or the growing age of mothers at childbirth with the associated need for anticoagulation, we expect an increased number of cases where alternative anticoagulation to heparins may be needed.

There are a number of potential advantages of fondaparinux over heparins, such as a once daily application, no dose adjustment needed to body weight and no monitoring of thrombocytes, a lower potential for causing intolerance reactions and no risk for HIT.

The objective of this retrospective study is to gather information about how fondaparinux is used pre-, peri- and/or postpartum for both the prophylaxis and treatment of VTE in order to fill an information gap concerning the off-label use of fondaparinux during pregnancy.

Being tested
fondaparinux
Keywords
prophylaxis, venous thromboembolism, postpartum, fondaparinux, pregnancy
Medical subject headings
Thromboembolism, Venous Thromboembolism

What participants receive

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

  • fondaparinuxDrug

    fondaparinux

Study groups in NCT01004939
Study groupRoleWhat they receive
fondaparinux prescribed subjectsfondaparinux prescribed subjets
Receives: Drug: fondaparinux

What is being measured

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

  1. Number of Participants Receiving Fondaparinux in the Indicated Therapy Intervals

    The prenatal interval is defined as the interval of time until 3 days before birth. The perinatal interval is defined as the interval of time from 2 days before birth to one day after birth. The postnatal interval is defined as the interval of time beginning 2 days after birth.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  2. Number of Participants With the Indicated Reason for Change to Fondaparinux

    It was possible for a participant to have changed to fondaparinux for multiple reasons.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  3. Number of Participants Administered the Indicated Dose of Fondaparinux Per Day

    Measured: 4 months (all cases occurred between 2004 and 2010)

  4. Duration of Fondaparinux Administration

    Measured: 4 months (all cases occurred between 2004 and 2010)

  5. Duration of Prenatal Fondaparinux Administration

    The prenatal interval is defined as the interval of time until 3 days before birth.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  6. Duration of Postnatal Fondaparinux Administration

    The postnatal interval is defined as the interval of time beginning 2 days after birth.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  7. Number of Participants for Whom Fondaparinux Administration Was Interrupted for Birth

    Measured: 4 months (all cases occurred between 2004 and 2010)

  8. Number of Hours Before Birth That the Last Fondaparinux Dose Was Administered

    Measured: 4 months (all cases occurred between 2004 and 2010)

  9. Number of Hours After Birth at Which Fondaparinux Administration Was Restarted

    Measured: 4 months (all cases occurred between 2004 and 2010)

  10. Number of Participants With the Indicated Reason for the End of Fondaparinux Administration

    It is possible that a participant stopped receiving Fondaparinux for multiple reasons.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  11. Number of Participants With the Indicated Outcome of Pregnancy by Type of Birth

    Measured: 4 months (all cases occurred between 2004 and 2010)

  12. Number of Participants With the Indicated Type of Conception/Fertilization

    Measured: 4 months (all cases occurred between 2004 and 2010)

  13. Number of Participants Who Delivered a Single Child Versus Twins

    Measured: 4 months (all cases occurred between 2004 and 2010)

  14. Mean Weight of Newborn

    Measured: 4 months (all cases occurred between 2004 and 2010)

  15. Mean Height of Newborn

    Measured: 4 months (all cases occurred between 2004 and 2010)

  16. Mean Head Circumference of Newborn

    Measured: 4 months (all cases occurred between 2004 and 2010)

  17. Mean APGAR Score at 1, 5, and 10 Minutes After Birth

    APGAR is a test performed by a doctor, midwife, or nurse at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process; the 5-minute score assesses how well the newborn is adapting to the new environment. The health care provider examines the baby's breathing effort, heart rate, muscle tone, reflexes, and skin color. Each category is scored with 0 (worst score), 1, or 2 (best score), depending on the observed condition. The rating is based on a total score of 1-10, with 10 suggesting the healthiest infant.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  18. Number of Newborns Who Had a "Healthy" Postnatal Classification

    A "healthy" documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  19. Number of Newborns With Abnormalities

    No formal definition for abnormalities was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

Secondary outcomes (18)
  1. Number of Participants Hospitalized Because of Thromboembolic Treatment

    Thromboembolic treatment is a defined as prophylaxis for an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  2. Duration of All Hospitalizations Under UFH, LMWH, and Fondaparinux Administration

    Measured: 4 months (all cases occurred between 2004 and 2010)

  3. Duration of Hospitalizations Before, During, and After Fondaparinux Administration

    Measured: 4 months (all cases occurred between 2004 and 2010)

  4. Number of Participants With Complications Under UFH/LMWH Therapy

    A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, or other complication (as indicated by investigator).

    Measured: 4 months (all cases occurred between 2004 and 2010)

  5. Number of Participants With Thromboembolisms Under UFH/LMWH Therapy

    Any sign of thromboembolism as indicated by investigator was measured.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  6. Number of Participants With Bleedings Under UFH/LMWH Therapy

    No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  7. Number of Participants With Skin Changes Under UFH/LMWH Therapy

    No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  8. Duration From Start of UFH/LMWH Therapy to Skin Change

    No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  9. Number of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH Therapy

    Erythema is defined as inflammation of the skin, associated with reddening, and is a frequent side effect of heparins.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  10. Number of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH Therapy

    Skin necrosis is defined as the dying off of skin area because of allergic reaction. Skin necrosis is a severe side effect of heparins.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  11. Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH Therapy

    HIT II is characterized as a sudden decrease of thrombocyte count because of allergic response on heparin/platelet factor 4 (PF-4) complexes and is a severe and potentially fatal side effect of heparins. Usually, HIT occurs between Day 5 and Day 14 of exposure to UFH or LMWH.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  12. Duration From Start of UFH/LMWH Therapy to HIT

    Measured: 4 months (all cases occurred between 2004 and 2010)

  13. Number of Participants With and Without Complications Under Fondaparinux Therapy

    A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, death, or other complication (as indicated by investigator).

    Measured: 4 months (all cases occurred between 2004 and 2010)

  14. Number of Participants With Thromboembolisms Under Fondaparinux Therapy

    Any sign of thromboembolism as indicated by investigator was measured.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  15. Number of Participants With Bleedings Under Fondaparinux Therapy

    No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  16. Number of Participants With Skin Changes Under Fondaparinux Therapy

    No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  17. Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux Therapy

    The participant with HIT II was pretreated with LMWH; however, the serious adverse event of HIT II was documented after the participant switched to Fondaparinux treatment.

    Measured: 4 months (all cases occurred between 2004 and 2010)

  18. Duration From Start of Fondaparinux Therapy to HIT

    For the 1 participant who developed HIT after receiving Fondaparinux, the number of days from start of therapy to HIT is presented.

    Measured: 4 months (all cases occurred between 2004 and 2010)

Timeline

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

  1. First posted30 Oct 2009 (estimated)
  2. Study startMar 2010
  3. Primary completionJul 2010
  4. Study completionJul 2010

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01004939
Sponsor's protocol ID
112937
Acronym
FondaPPP
Status last verified
Jul 2011
First submitted
1 Oct 2009
Last updated
26 Aug 2011
Data monitoring committee
No

Publications

  • Dempfle CE, Koscielny J, Lindhoff-Last E, Linnemann B, Bux-Gewehr I, Kappert G, Scholz U, Kropff S, Eberle S, Bramlage P, Heinken A. Fondaparinux Pre-, Peri-, and/or Postpartum for the Prophylaxis/Treatment of Venous Thromboembolism (FondaPPP). Clin Appl Thromb Hemost. 2021 Jan-Dec;27:10760296211014575. doi: 10.1177/10760296211014575.

    PubMed 33942675

Questions about this trial

What is this clinical trial studying?

An observational study of Thromboembolism and Venous Thromboembolism, run by GlaxoSmithKline at 7 sites in Germany.

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 1 inclusion and 2 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 26 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Germany. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Aug 2011). 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 Receiving Fondaparinux in the Indicated Therapy Intervals (time frame: 4 months (all cases occurred between 2004 and 2010)). The study lists 19 primary outcomes in all. 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 NCT01004939, which also lists 1 linked publication.

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 26 Aug 2011.

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