Venous ThrombosisNCT02414802
Study of a Novel Thrombectomy Device to Treat Acute Iliofemoral Deep Venous Thrombosis
A study testing a manual spiral thrombus broken suction device, catheter-directed thrombolysis and low-molecular-weight heparin calcium in people with Venous Thrombosis, run by Xuzhou Medical University at 1 site in China.
Trial summary
The purpose of this study is to determine whether the novel aspiration thrombectomy device combined with catheter-directed thrombolysis is effective in the treatment of acute iliofemoral deep venous thrombosis (IF-DVT). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Venous Thrombosis
- What is being tested?
- a manual spiral thrombus broken suction device, catheter-directed thrombolysis and low-molecular-weight heparin calcium
- Type of treatment
- Injection or infusion, Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteChina
- Study dates
- Dec 2014to Dec 2017
- Phase
- Interventional
- 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
- Clinical diagnosis of iliofemoral deep venous thrombosis
- Symptoms of less than 14 days' duration
- With good function status
- A life expectancy of more than 1 year
- A low risk of bleeding
Who cannot join
- Without iliac vein thrombosis
- Anticoagulation and/or thrombolysis contraindications
- Systemic infection
- Heart, hepatic, renal function insufficiency
Trial locations and contacts
1 site in 1 country.
China1 site
Department of Interventional Radiology and Vascular Surgery, the Affiliated Hospital of Xuzhou Medical College
Xuzhou, Jiangsu, 221006
About this study
Official title: Study on the Application of a Novel Aspiration Thrombectomy Device Combined With Catheter-directed Thrombolysis for the Treatment of Acute Iliofemoral Deep Venous Thrombosis
The purpose of this study is to determine whether the novel aspiration thrombectomy device combined with catheter-directed thrombolysis is effective in the treatment of acute iliofemoral deep venous thrombosis (IF-DVT).
Read the detailed description
Catheter-directed thrombolysis will be performed in eligible patients with acute IF-DVT. A combined mechanical thrombectomy will be used to clear the iliac thrombi in experimental group. The immediate, mid- and long-term outcomes will be recorded. Quantitative data wiil be expressed as mean ± SD, and will be compared with independent-sample t-test or paired-sample t-test. Count data will be expressed as a ratio (or percentage), and the chi-square test or the fisher's exact test will be used for comparisons. A difference with P < 0.05 will be considered statistically significant. All statistical analyses will be performed using IBM SPSS, version 22.0 (SPSS Inc., Chicago, IL, USA).
- Conditions
- Venous Thrombosis
- Being tested
- a manual spiral thrombus broken suction device, catheter-directed thrombolysis, low-molecular-weight heparin calcium, urokinase
- Medical subject headings
- Venous Thrombosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
a manual spiral thrombus broken suction deviceDevice
A manual spiral thrombus broken suction device will be used for thrombectomy before catheter-directed thrombolysis
catheter-directed thrombolysisProcedure or surgery
catheter-directed thrombolysis will be used in both arms
low-molecular-weight heparin calciumDrug
Also called Low-Molecular-Weight Heparin Calcium for Injection
anticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) in both arms at discharge
urokinaseDrug
Also called Urokinase for Injection
A total of 100,000 units urokinase once every 4-6 hours will be used during catheter-directed thrombolysis therapy
| Study group | Role | What they receive |
|---|---|---|
| Combined thrombectomy device | Experimental | A manual spiral thrombus broken suction device will be used for thrombectomy before catheter-directed thrombolysis. Ten million U of urokinase once every 4-6 hours will be used during catheter-directed thrombolysis therapy. Anticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) at discharge Receives: Device: a manual spiral thrombus broken suction device; Procedure: catheter-directed thrombolysis; Drug: low-molecular-weight heparin calcium; Drug: urokinase |
| Catheter-directed thrombolysis | Other | Participants will undergo catheter-directed thrombolysis alone. A total of 100,000 units urokinase will be pulse-spray injected through the catheter once every 4-6 h. Anticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) at discharge Receives: Procedure: catheter-directed thrombolysis; Drug: low-molecular-weight heparin calcium; Drug: urokinase |
What is being measured
The primary outcome is the main question the study is designed to answer.
patency of lower extremity deep venous
participants will be followed for the duration of hospital stay and will be followed for up to 36 months by lower limb vein color Doppler ultrasonography
Measured: up to 36 months
Secondary outcomes (5)
technical success rate
The ratio of successful and total number of participants
Measured: intraoperation
thrombus removal rate
The ratio of preoperative and postoperative thrombosis amount
Measured: intraoperation
complications
a composite outcome measure of observation of whether there is evidences of puncture site hematoma, vascular injury or vascular rupture
Measured: intraoperation
blood loss
The volume of blood loss during operation will be recorded
Measured: intraoperation
improvement of clinical symptoms and signs
participants will be followed for the duration of hospital stay and will be followed for up to 36 months by clinical examinations
Measured: up to 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2015 (estimated)
- Study startDec 2014
- Primary completionDec 2017 (estimated)
- Study completionDec 2017 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Venous ThrombosisStudies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Xuzhou Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Qianxin Huang, Xuzhou Medical University
- Investigators
- Qingqiao Zhang, PHD, Study director, Xuzhou Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02414802
- Sponsor's protocol ID
- BL2014030
- Status last verified
- Jan 2017
- First submitted
- 25 Mar 2015
- Last updated
- 18 Jan 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study on the Application of a Novel Aspiration Thrombectomy Device Combined With Catheter-directed Thrombolysis for the Treatment of Acute Iliofemoral Deep Venous Thrombosis
- ClinicalTrials.gov ID
- NCT02414802
- Acronym / sponsor ID
- BL2014030
- Conditions
- Venous Thrombosis
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Xuzhou Medical UniversityUniversity, hospital or other
- Study start
- Dec 2014
- Primary completion
- Dec 2017 (estimated)
- Study completion
- Dec 2017 (estimated)
- First posted
- 13 Apr 2015 (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 determine whether the novel aspiration thrombectomy device combined with catheter-directed thrombolysis is effective in the treatment of acute iliofemoral deep venous thrombosis (IF-DVT).
Detailed description
Catheter-directed thrombolysis will be performed in eligible patients with acute IF-DVT. A combined mechanical thrombectomy will be used to clear the iliac thrombi in experimental group. The immediate, mid- and long-term outcomes will be recorded. Quantitative data wiil be expressed as mean ± SD, and will be compared with independent-sample t-test or paired-sample t-test. Count data will be expressed as a ratio (or percentage), and the chi-square test or the fisher's exact test will be used for comparisons. A difference with P < 0.05 will be considered statistically significant. All statistical analyses will be performed using IBM SPSS, version 22.0 (SPSS Inc., Chicago, IL, USA).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Combined thrombectomy device | Experimental | Device: a manual spiral thrombus broken suction device, Procedure: catheter-directed thrombolysis, Drug: low-molecular-weight heparin calcium, Drug: urokinaseA manual spiral thrombus broken suction device will be used for thrombectomy before catheter-directed thrombolysis. Ten million U of urokinase once every 4-6 hours will be used during catheter-directed thrombolysis therapy. Anticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) at discharge |
| Catheter-directed thrombolysis | Other | Procedure: catheter-directed thrombolysis, Drug: low-molecular-weight heparin calcium, Drug: urokinaseParticipants will undergo catheter-directed thrombolysis alone. A total of 100,000 units urokinase will be pulse-spray injected through the catheter once every 4-6 h. Anticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) at discharge |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Clinical diagnosis of iliofemoral deep venous thrombosis
- Symptoms of less than 14 days' duration
- With good function status
- A life expectancy of more than 1 year
- A low risk of bleeding
Key exclusion criteria (4 listed)
- Without iliac vein thrombosis
- Anticoagulation and/or thrombolysis contraindications
- Systemic infection
- Heart, hepatic, renal function insufficiency
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| a manual spiral thrombus broken suction deviceA manual spiral thrombus broken suction device will be used for thrombectomy before catheter-directed thrombolysis | Device | Combined thrombectomy device |
| catheter-directed thrombolysiscatheter-directed thrombolysis will be used in both arms | Procedure or surgery | Catheter-directed thrombolysis, Combined thrombectomy device |
| low-molecular-weight heparin calciumAlso: Low-Molecular-Weight Heparin Calcium for Injectionanticoagulation therapy will be administered via subcutaneous injection of low-molecular-weight heparin calcium (LMWH-Ca 5,000 U/12 h) in both arms at discharge | Drug | Catheter-directed thrombolysis, Combined thrombectomy device |
| urokinaseAlso: Urokinase for InjectionA total of 100,000 units urokinase once every 4-6 hours will be used during catheter-directed thrombolysis therapy | Drug | Catheter-directed thrombolysis, Combined thrombectomy device |
Primary outcome
patency of lower extremity deep venous
Time frame: up to 36 months
participants will be followed for the duration of hospital stay and will be followed for up to 36 months by lower limb vein color Doppler ultrasonography
5 secondary outcomes
technical success rate
Time frame: intraoperation
thrombus removal rate
Time frame: intraoperation
complications
Time frame: intraoperation
blood loss
Time frame: intraoperation
improvement of clinical symptoms and signs
Time frame: up to 36 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2017.
- Individual participant dataSharing planned: No
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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.
Qingqiao Zhang, PHD study director
Xuzhou Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing a manual spiral thrombus broken suction device, catheter-directed thrombolysis and low-molecular-weight heparin calcium in people with Venous Thrombosis, run by Xuzhou Medical University at 1 site 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 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: status not confirmed, as of the sponsor's last update on 18 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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.
Are results available for this study?
Results are not available in the source record.
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?
patency of lower extremity deep venous (time frame: up to 36 months). 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 Jan 2017.