Leg InjuriesM2M-ThromboseNCT01303523
Evaluation of the Prevention of Thromboembolic Disease in Patients With a Lower Limb Trauma, Non Surgical, in Winter Sports Resort
An observational study of Leg Injuries and Winter Sport Resorts, run by Floralis at 28 sites in France.
Trial summary
The purpose of this study is to evaluate the impact of thromboembolic diseases and heparin complications in patients with a lower limb trauma supported by physicians of mountain. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Leg Injuries, Winter Sport Resorts, Outpatients
- How many people
- 1,627 participants
- Where
- 28 sitesFrance
- Study dates
- Dec 2010to Jul 2011
- Phase
- Observational
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: outpatients with a lower limb trauma, in winter sports resorts
Who may be able to join
- patients seen during a consultation with a physician of mountain
- lower limb trauma seen within 48 hours
- patient resident in France
Who cannot join
- conditions requiring an immediate hospitalization
- prisoners
- pregnant, nursing or parturient woman
- refused participation in follow-up
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
France28 sites
medical center "Le chevreuil"
Autrans, 38880
Medical center "le pas du lac"
Avoriaz, 74110
Medical center "les Soldanelles"
Bellevaux, 74470
Medical center "le serre d'aigle"
Chantemerle, 05330
Medical center of Combloux
Combloux, 74920
Medical home
Flaine, 74300
Medical center of flumet
Flumet, 73590
Medical Center Brousse
Font-Romeu-Odeillo-Via, 66120
Medical center of Beauregard - "les cyclamens"
La Clusaz, 74220
Medical group "le Yéti"
La Clusaz, 74220
Medical center
Lanslevillard, 73480
Medical group "SELARL Sports médecine montagne"
Le Grand-Bornand, 74450
Medical group of Peric
Les Angles, 66210
Medical center of "Aiguille rouge"
Les Arcs, 73700
Medical center "Val Montjoie"
Les Contamines-Montjoie, 74170
SCP medical "le Bennevy"
Les Gets, 74260
Medical center
Les Orres, 05200
Medical center
Lullin, 74470
Medical center of Jaillet
Megève, 74120
Medical center of Peisey-Vallandry
Peisey Vallandry, 73210
Resort of Peyragudes
Peyragudes, 65240
Medical center "le rocher de l'aigle"
Saint-François-Longchamp, 73130
Medical center "Fleur des alpes"
Saint-Gervais-les-Bains, 74170
Medical center
Samoëns, 74340
Medical center "medival"
Val-d'Isère, 73150
Medical center of Valberg
Valberg Guillaumes, 06470
Medical center
Vallouise, 05290
Medical center
Villard-de-Lans, 38250
About this study
Official title: Evaluation of the Prevention of Thromboembolic Disease in Patients With a Lower Limb Trauma, Non Surgical, in Winter Sports Resort.
The purpose of this study is to evaluate the impact of thromboembolic diseases and heparin complications in patients with a lower limb trauma supported by physicians of mountain.
Read the detailed description
The "M2M-thrombose" study is a prospective epidemiological multicenter study involving patients with a lower limb trauma in winter sport resorts. The following initial data required are type of immobilization, treatment with LMWH (Low Molecular Weight Heparin), type of injury (serious or not) and the rolling of the step (normal or abnormal) or no weight bearing.
A 3 month follow-up by phone will be realized by the Investigation Clinical Center in Grenoble. Data about risk factors of thromboembolic diseases, anticoagulant therapy, medical history, new event since inclusion (hospitalization, surgery, lower limb trauma or thromboembolic events) will be collected.
- Conditions
- Leg Injuries, Winter Sport Resorts, Outpatients
- Keywords
- LMWH, heparin, immobilization, anticoagulant prophylaxis, leg injuries, thromboembolism
- Medical subject headings
- Leg Injuries, Thromboembolism
What is being measured
The primary outcome is the main question the study is designed to answer.
impact of a thromboembolic disease and heparin's complications
Evaluation of the impact of a thromboembolic disease and heparin's complications in outpatients with a lower limb trauma are supported by physicians in winter sports resort. The patients will be contacted by phone 3 months after trauma to collect these data.
Measured: 3 months
Secondary outcomes (4)
compliance with the algorithm for prescribing heparin and consequences on the primary endpoint
The primary endpoint consists to check the impact of thromboembolic disease and adverse effects of anticoagulant therapy at 3 month.
We compare the link between these consequences and the compliance with the algorithm about the indication of LMWH therapy.
Measured: 3 months
incidence of thromboembolic diseases and heparin complications in different subgroups
Analysis of subgroups depending on the trauma type, the type of immobilization or not, risk factors of thromboembolic diseases, rolling step and weight bearing.
Measured: 3 months
Description of the included patients
epidemiological description of included patients (age, sex, travel time...)
Measured: evaluation during inclusion visit
Epidemiological characteristics of patients with a thromboembolic event or an adverse effect of the treatment
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2011 (estimated)
- Study startDec 2010
- Primary completionMar 2011
- Study completionJul 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Leg InjuriesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prospective
- Enrolment
- 1,627 participants (actual)
Sponsor and investigators
- Lead sponsor
- Floralis
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- University Hospital, Grenoble
- Responsible party
- Sponsor
- Investigators
- Dominique LAMY, MD, Principal investigator, Médecins de Montagne
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01303523
- Sponsor's protocol ID
- DCIC
- Acronym
- M2M-Thrombose
- Status last verified
- Mar 2015
- First submitted
- 23 Feb 2011
- Last updated
- 6 Mar 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Motykie GD, Zebala LP, Caprini JA, Lee CE, Arcelus JI, Reyna JJ, Cohen EB. A guide to venous thromboembolism risk factor assessment. J Thromb Thrombolysis. 2000 Apr;9(3):253-62. doi: 10.1023/a:1018770712660. No abstract available.
PubMed 10728025Edelsberg J, Ollendorf D, Oster G. Venous thromboembolism following major orthopedic surgery: review of epidemiology and economics. Am J Health Syst Pharm. 2001 Nov 1;58 Suppl 2:S4-13. doi: 10.1093/ajhp/58.suppl_2.S4.
PubMed 11715837Lijfering WM, Rosendaal FR, Cannegieter SC. Risk factors for venous thrombosis - current understanding from an epidemiological point of view. Br J Haematol. 2010 Jun;149(6):824-33. doi: 10.1111/j.1365-2141.2010.08206.x. Epub 2010 Apr 29.
PubMed 20456358Gensini GF, Prisco D, Falciani M, Comeglio M, Colella A. Identification of candidates for prevention of venous thromboembolism. Semin Thromb Hemost. 1997;23(1):55-67. doi: 10.1055/s-2007-996071.
PubMed 9156412Eschwege V, Robert A. Strikes in French public transport and resistance to activated protein C. Lancet. 1996 Jan 20;347(8995):206. doi: 10.1016/s0140-6736(96)90393-1. No abstract available.
PubMed 8544587Vaitkus PT, Leizorovicz A, Goldhaber SZ; PREVENT Investigator Group. Rationale and design of a clinical trial of a low-molecular-weight heparin in preventing clinically important venous thromboembolism in medical patients: the prospective evaluation of dalteparin efficacy for prevention of venous thromboembolism in immobilized patients trial (the PREVENT study). Vasc Med. 2002;7(4):269-73. doi: 10.1191/1358863x02vm449oa.
PubMed 12710842Cohen AT, Davidson BL, Gallus AS, Lassen MR, Prins MH, Tomkowski W, Turpie AG, Egberts JF, Lensing AW; ARTEMIS Investigators. Efficacy and safety of fondaparinux for the prevention of venous thromboembolism in older acute medical patients: randomised placebo controlled trial. BMJ. 2006 Feb 11;332(7537):325-9. doi: 10.1136/bmj.38733.466748.7C. Epub 2006 Jan 26.
PubMed 16439370Kujath P, Spannagel U, Habscheid W. Incidence and prophylaxis of deep venous thrombosis in outpatients with injury of the lower limb. Haemostasis. 1993 Mar;23 Suppl 1:20-6. doi: 10.1159/000216905.
PubMed 8388353Jorgensen PS, Warming T, Hansen K, Paltved C, Vibeke Berg H, Jensen R, Kirchhoff-Jensen R, Kjaer L, Kerbouche N, Leth-Espensen P, Narvestad E, Rasmussen SW, Sloth C, Torholm C, Wille-Jorgensen P. Low molecular weight heparin (Innohep) as thromboprophylaxis in outpatients with a plaster cast: a venografic controlled study. Thromb Res. 2002 Mar 15;105(6):477-80. doi: 10.1016/s0049-3848(02)00059-2.
PubMed 12091045Lassen MR, Borris LC, Nakov RL. Use of the low-molecular-weight heparin reviparin to prevent deep-vein thrombosis after leg injury requiring immobilization. N Engl J Med. 2002 Sep 5;347(10):726-30. doi: 10.1056/NEJMoa011327.
PubMed 12213943Riou B, Rothmann C, Lecoules N, Bouvat E, Bosson JL, Ravaud P, Samama CM, Hamadouche M. Incidence and risk factors for venous thromboembolism in patients with nonsurgical isolated lower limb injuries. Am J Emerg Med. 2007 Jun;25(5):502-8. doi: 10.1016/j.ajem.2006.09.012.
PubMed 17543652
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Prevention of Thromboembolic Disease in Patients With a Lower Limb Trauma, Non Surgical, in Winter Sports Resort.
- ClinicalTrials.gov ID
- NCT01303523
- Acronym / sponsor ID
- M2M-Thrombose / DCIC
- Conditions
- Leg Injuries, Winter Sport Resorts, Outpatients
- Keywords
- LMWH, heparin, immobilization, anticoagulant prophylaxis, leg injuries, thromboembolism
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,627 participants (actual)
- Lead sponsor
- FloralisIndustry (pharma, biotech, devices)
- Collaborators
- University Hospital, Grenoble
- Study start
- Dec 2010
- Primary completion
- Mar 2011 (actual)
- Study completion
- Jul 2011 (actual)
- First posted
- 24 Feb 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the impact of thromboembolic diseases and heparin complications in patients with a lower limb trauma supported by physicians of mountain.
Detailed description
The "M2M-thrombose" study is a prospective epidemiological multicenter study involving patients with a lower limb trauma in winter sport resorts. The following initial data required are type of immobilization, treatment with LMWH (Low Molecular Weight Heparin), type of injury (serious or not) and the rolling of the step (normal or abnormal) or no weight bearing.
A 3 month follow-up by phone will be realized by the Investigation Clinical Center in Grenoble. Data about risk factors of thromboembolic diseases, anticoagulant therapy, medical history, new event since inclusion (hospitalization, surgery, lower limb trauma or thromboembolic events) will be collected.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- outpatients with a lower limb trauma, in winter sports resorts
Key inclusion criteria (3 listed)
- patients seen during a consultation with a physician of mountain
- lower limb trauma seen within 48 hours
- patient resident in France
Key exclusion criteria (4 listed)
- conditions requiring an immediate hospitalization
- prisoners
- pregnant, nursing or parturient woman
- refused participation in follow-up
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
impact of a thromboembolic disease and heparin's complications
Time frame: 3 months
Evaluation of the impact of a thromboembolic disease and heparin's complications in outpatients with a lower limb trauma are supported by physicians in winter sports resort. The patients will be contacted by phone 3 months after trauma to collect these data.
4 secondary outcomes
compliance with the algorithm for prescribing heparin and consequences on the primary endpoint
Time frame: 3 months
incidence of thromboembolic diseases and heparin complications in different subgroups
Time frame: 3 months
Description of the included patients
Time frame: evaluation during inclusion visit
Epidemiological characteristics of patients with a thromboembolic event or an adverse effect of the treatment
Time frame: 3 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2015.
- Background: PubMed 10728025Motykie GD, Zebala LP, Caprini JA, Lee CE, Arcelus JI, Reyna JJ, Cohen EB. A guide to venous thromboembolism risk factor assessment. J Thromb Thrombolysis. 2000 Apr;9(3):253-62. doi: 10.1023/a:1018770712660. No abstract available.
- Background: PubMed 11715837Edelsberg J, Ollendorf D, Oster G. Venous thromboembolism following major orthopedic surgery: review of epidemiology and economics. Am J Health Syst Pharm. 2001 Nov 1;58 Suppl 2:S4-13. doi: 10.1093/ajhp/58.suppl_2.S4.
- Background: PubMed 20456358Lijfering WM, Rosendaal FR, Cannegieter SC. Risk factors for venous thrombosis - current understanding from an epidemiological point of view. Br J Haematol. 2010 Jun;149(6):824-33. doi: 10.1111/j.1365-2141.2010.08206.x. Epub 2010 Apr 29.
- Background: PubMed 9156412Gensini GF, Prisco D, Falciani M, Comeglio M, Colella A. Identification of candidates for prevention of venous thromboembolism. Semin Thromb Hemost. 1997;23(1):55-67. doi: 10.1055/s-2007-996071.
- Background: PubMed 8544587Eschwege V, Robert A. Strikes in French public transport and resistance to activated protein C. Lancet. 1996 Jan 20;347(8995):206. doi: 10.1016/s0140-6736(96)90393-1. No abstract available.
- Background: PubMed 12710842Vaitkus PT, Leizorovicz A, Goldhaber SZ; PREVENT Investigator Group. Rationale and design of a clinical trial of a low-molecular-weight heparin in preventing clinically important venous thromboembolism in medical patients: the prospective evaluation of dalteparin efficacy for prevention of venous thromboembolism in immobilized patients trial (the PREVENT study). Vasc Med. 2002;7(4):269-73. doi: 10.1191/1358863x02vm449oa.
- Background: PubMed 16439370Cohen AT, Davidson BL, Gallus AS, Lassen MR, Prins MH, Tomkowski W, Turpie AG, Egberts JF, Lensing AW; ARTEMIS Investigators. Efficacy and safety of fondaparinux for the prevention of venous thromboembolism in older acute medical patients: randomised placebo controlled trial. BMJ. 2006 Feb 11;332(7537):325-9. doi: 10.1136/bmj.38733.466748.7C. Epub 2006 Jan 26.
- Background: PubMed 8388353Kujath P, Spannagel U, Habscheid W. Incidence and prophylaxis of deep venous thrombosis in outpatients with injury of the lower limb. Haemostasis. 1993 Mar;23 Suppl 1:20-6. doi: 10.1159/000216905.
- Background: PubMed 12091045Jorgensen PS, Warming T, Hansen K, Paltved C, Vibeke Berg H, Jensen R, Kirchhoff-Jensen R, Kjaer L, Kerbouche N, Leth-Espensen P, Narvestad E, Rasmussen SW, Sloth C, Torholm C, Wille-Jorgensen P. Low molecular weight heparin (Innohep) as thromboprophylaxis in outpatients with a plaster cast: a venografic controlled study. Thromb Res. 2002 Mar 15;105(6):477-80. doi: 10.1016/s0049-3848(02)00059-2.
- Background: PubMed 12213943Lassen MR, Borris LC, Nakov RL. Use of the low-molecular-weight heparin reviparin to prevent deep-vein thrombosis after leg injury requiring immobilization. N Engl J Med. 2002 Sep 5;347(10):726-30. doi: 10.1056/NEJMoa011327.
- Background: PubMed 17543652Riou B, Rothmann C, Lecoules N, Bouvat E, Bosson JL, Ravaud P, Samama CM, Hamadouche M. Incidence and risk factors for venous thromboembolism in patients with nonsurgical isolated lower limb injuries. Am J Emerg Med. 2007 Jun;25(5):502-8. doi: 10.1016/j.ajem.2006.09.012.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dominique LAMY, MD principal investigator
Médecins de Montagne
28 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Leg Injuries and Winter Sport Resorts, run by Floralis at 28 sites in France.
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 3 inclusion and 4 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 6 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in France. 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?
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?
impact of a thromboembolic disease and heparin's complications (time frame: 3 months). 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 NCT01303523, which also lists 11 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 6 Mar 2015.