Superficial Vein ThrombosisINSIGHTS-SVTNCT02699151
INvestigating SIGnificant Health TrendS in the Management of Superficial Vein Thrombosis
An observational study of Superficial Vein Thrombosis, run by GWT-TUD GmbH at 1 site in Germany.
Trial summary
Superficial vein thrombosis (SVT) and venous thromboembolism (VTE) are related entities. Only in the last years a series of observational studies mainly conducted in France could show that ´isolated SVT´ (without concomitant deep vein thrombosis and/or pulmonary embolism) is in fact not a benign and spontaneously… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Superficial Vein Thrombosis
- What is being tested?
- any drug, any procedure/surgery and Any non-pharmacological treatment of SVT
- Type of treatment
- Surgery or procedure
- How many people
- 1,210 participants
- Where
- 1 siteGermany
- Study dates
- 14 Apr 2016to 31 Dec 2019
- 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: Patients in hospital or ambulatory care
Who may be able to join
- Confirmed, acute, isolated SVT of the lower extremities
- written informed consent
Who cannot join
- SVT located at ≤ 3 cm of the saphenofemoral crossing (as such patients need to be treated for DVT)
- Subjects unlikely to comply with the requirements of the protocol (due to cognitive and/or language limitations)
- Patient(likely) not available for 1-year documentation
Trial locations and contacts
1 site in 1 country.
About this study
Official title: INvestigating SIGnificant Health TrendS in the Management of Superficial Vein Thrombosis (INSIGHTS-SVT)
Superficial vein thrombosis (SVT) and venous thromboembolism (VTE) are related entities. Only in the last years a series of observational studies mainly conducted in France could show that ´isolated SVT´ (without concomitant deep vein thrombosis and/or pulmonary embolism) is in fact not a benign and spontaneously healing disease but bears a potential for severe thromboembolic complications once not treated adequately. INSIGHTS-SVT study aims at collecting representative data on the current management and outcomes of SVT in Germany under real-life conditions. It will document the implementation of the recently issued national SVT guidelines issued by the Society for Angiology (DGA) and the Society for Phlebology (DGP).
- Conditions
- Superficial Vein Thrombosis
- Being tested
- any drug, any procedure/surgery, Any non-pharmacological treatment of SVT
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
any drugDrug
Any drug used for the treatment of SVT (e.g. heparin, low-molecular heparin, non-steroidal anti-inflammatory drug, fondaparinux, vitamin K antagonist)
any procedure/surgeryProcedure or surgery
Any procedure used for the treatment of SVT(e.g. sclerotherapy, endovenous thermotherapy, crossectomy, stripping, thrombectomy, phlebectomy)
Any non-pharmacological treatment of SVTOther
Any non-pharmacological treatment of SVT (including watchful waiting)
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy: incidence of venous thromboembolism (VTE) events
VTE: composite of symptomatic pulmonary embolism (PE), symptomatic deep vein thrombosis (DVT), symptomatic recurrent superficial vein thrombosis (SVT), or symptomatic progression (extension) of SVT.
This endpoint comprises symptomatic and asymptomatic VTE as reported by the treating physicians (usually diagnosed with compression ultrasonography or other appropriate methods).
Events will be adjudicated.
Measured: 3 months
Safety: incidence of major and clinically relevant bleeding events
Definition of bleeding events is based on American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (major bleedings) and the "Comparison of Arixtra in lower limb superficial vein thrombosis with placebo" (CALISTO) study definition (other bleedings), respectively.
Events will be adjudicated.
Measured: 3 months
Secondary outcomes (13)
Incidence of deep vein thrombosis (DVT)
Symptomatic and asymptomatic events as reported by the treating physician (usually diagnosed with compression ultrasonography or other appropriate methods).
Events will be adjudicated.
Measured: 12 months
Incidence of lung embolism (LE)
Symptomatic and asymptomatic events as reported by the treating physician. Events will be adjudicated.
Measured: 12 months
Incidence of superficial vein thrombosis (SVT)
Symptomatic recurrent SVT: new occurrence of symptomatic SVT confirmed by compression ultrasonography or duplex-ultrasonography, in any other superficial vein.
Symptomatic progression of initially diagnosed SVT: extension by at least 2 cm, confirmed compression ultrasonography or duplex ultrasonography, and > 3 cm away from the saphenofemoral crossing.
Events will be adjudicated.
Measured: 12 months
Death
Measured: 3 months and 12 months
New or recurrent cancer
Measured: 3 months and 12 months
VTE rates in the subgroup of patients who underwent surgical procedures for SVT
Measured: 3 months and 12 months
Predictors of VTE during follow-up
Measured: through study completion, up to 12 months
Diagnostic procedures for venous thromboembolism
Utilisation rates of compression ultrasonography, duplex sonography, D-Dimer tests, computer tomography and other procedures typically used for the diagnosis of VTE.
Measured: through study completion, up to 12 months
Number of days in hospital due to VTE
Measured: through study completion, up to 12 months
Number of days spent in rehabilitation due to VTE
Measured: through study completion, up to 12 months
Numerical pain scale
0-10 point scale
Measured: through study completion, up to 12 months
Health-related quality of life on Euroquol 5 Dimensions questionnaire
EQ-5D questionnaire
Measured: 3 months
Health related quality of life on "VEnous Insufficiency Epidemiological and Economic Study" questionnaire
VEINES-QOL/Sym questionnaire
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 posted4 Mar 2016 (estimated)
- Study start14 Apr 2016
- Primary completion30 Aug 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Superficial Vein 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,210 participants (actual)
Sponsor and investigators
- Lead sponsor
- GWT-TUD GmbH
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Rupert Bauersachs, MD, Principal investigator, Gefäßzentrum, Klinikum DarmstadtDavid Pittrow, MD, Study director, GWT-TUD GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02699151
- Sponsor's protocol ID
- INSIGHTS-SVT
- Acronym
- INSIGHTS-SVT
- Status last verified
- Jul 2021
- First submitted
- 21 Jan 2016
- Last updated
- 14 Sep 2023
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Bauersachs R, Gerlach HE, Heinken A, Hoffmann U, Langer F, Noppeney T, Pittrow D, Klotsche J, Rabe E; Collaborators. Rationale, design, and methodology of the observational INSIGHTS-SVT study on the current state of care and outcomes of patients with superficial vein thrombosis. J Vasc Surg Venous Lymphat Disord. 2017 Jul;5(4):553-560.e1. doi: 10.1016/j.jvsv.2017.03.013.
PubMed 28623995Bauersachs R, Gerlach HE, Heinken A, Hoffmann U, Langer F, Noppeney T, Pittrow D, Klotsche J, Rabe E. Management and Outcomes of Patients with Isolated Superficial Vein Thrombosis under Real Life Conditions (INSIGHTS-SVT). Eur J Vasc Endovasc Surg. 2021 Aug;62(2):241-249. doi: 10.1016/j.ejvs.2021.04.015. Epub 2021 Jun 29.
PubMed 34210599Rabe E, Hoffmann U, Schimke A, Heinken A, Langer F, Noppeney T, Pittrow D, Klotsche J, Gerlach HE, Bauersachs R; INSIGHTS-SVT Study Collaborators. Determinants of Late Venous Thromboembolic Events After Acute Isolated Superficial Vein Thrombosis in Daily Practice: 12 Month Results of the INSIGHTS-SVT Study. Eur J Vasc Endovasc Surg. 2023 Nov;66(5):697-704. doi: 10.1016/j.ejvs.2023.08.031. Epub 2023 Aug 12.
PubMed 37573936Langer F, Gerlach HE, Schimke A, Heinken A, Hoffmann U, Noppeney T, Pittrow D, Klotsche J, Rabe E, Bauersachs R; INSIGHTS-SVT study group. Clinical outcomes of cancer-associated isolated superficial vein thrombosis in daily practice. Thromb Res. 2022 Dec;220:145-152. doi: 10.1016/j.thromres.2022.10.022. Epub 2022 Nov 5. No abstract available.
PubMed 36370650
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- INvestigating SIGnificant Health TrendS in the Management of Superficial Vein Thrombosis (INSIGHTS-SVT)
- ClinicalTrials.gov ID
- NCT02699151
- Acronym / sponsor ID
- INSIGHTS-SVT / INSIGHTS-SVT
- Conditions
- Superficial Vein Thrombosis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,210 participants (actual)
- Lead sponsor
- GWT-TUD GmbHUniversity, hospital or other
- Study start
- 14 Apr 2016 (actual)
- Primary completion
- 30 Aug 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 4 Mar 2016 (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.
Superficial vein thrombosis (SVT) and venous thromboembolism (VTE) are related entities. Only in the last years a series of observational studies mainly conducted in France could show that ´isolated SVT´ (without concomitant deep vein thrombosis and/or pulmonary embolism) is in fact not a benign and spontaneously healing disease but bears a potential for severe thromboembolic complications once not treated adequately. INSIGHTS-SVT study aims at collecting representative data on the current management and outcomes of SVT in Germany under real-life conditions. It will document the implementation of the recently issued national SVT guidelines issued by the Society for Angiology (DGA) and the Society for Phlebology (DGP).
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
- Patients in hospital or ambulatory care
Key inclusion criteria (2 listed)
- Confirmed, acute, isolated SVT of the lower extremities
- written informed consent
Key exclusion criteria (3 listed)
- SVT located at ≤ 3 cm of the saphenofemoral crossing (as such patients need to be treated for DVT)
- Subjects unlikely to comply with the requirements of the protocol (due to cognitive and/or language limitations)
- Patient(likely) not available for 1-year documentation
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 |
|---|---|---|
| any drugAny drug used for the treatment of SVT (e.g. heparin, low-molecular heparin, non-steroidal anti-inflammatory drug, fondaparinux, vitamin K antagonist) | Drug | – |
| any procedure/surgeryAny procedure used for the treatment of SVT(e.g. sclerotherapy, endovenous thermotherapy, crossectomy, stripping, thrombectomy, phlebectomy) | Procedure or surgery | – |
| Any non-pharmacological treatment of SVTAny non-pharmacological treatment of SVT (including watchful waiting) | Other | – |
Primary outcome
Efficacy: incidence of venous thromboembolism (VTE) events
Time frame: 3 months
VTE: composite of symptomatic pulmonary embolism (PE), symptomatic deep vein thrombosis (DVT), symptomatic recurrent superficial vein thrombosis (SVT), or symptomatic progression (extension) of SVT. This endpoint comprises symptomatic and asymptomatic VTE as reported by the treating physicians (usually diagnosed with compression ultrasonography or other appropriate methods). Events will be adjudicated.
Safety: incidence of major and clinically relevant bleeding events
Time frame: 3 months
Definition of bleeding events is based on American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (major bleedings) and the "Comparison of Arixtra in lower limb superficial vein thrombosis with placebo" (CALISTO) study definition (other bleedings), respectively. Events will be adjudicated.
13 secondary outcomes
Incidence of deep vein thrombosis (DVT)
Time frame: 12 months
Incidence of lung embolism (LE)
Time frame: 12 months
Incidence of superficial vein thrombosis (SVT)
Time frame: 12 months
Death
Time frame: 3 months and 12 months
New or recurrent cancer
Time frame: 3 months and 12 months
VTE rates in the subgroup of patients who underwent surgical procedures for SVT
Time frame: 3 months and 12 months
Predictors of VTE during follow-up
Time frame: through study completion, up to 12 months
Diagnostic procedures for venous thromboembolism
Time frame: through study completion, up to 12 months
Number of days in hospital due to VTE
Time frame: through study completion, up to 12 months
Number of days spent in rehabilitation due to VTE
Time frame: through study completion, up to 12 months
Numerical pain scale
Time frame: through study completion, up to 12 months
Health-related quality of life on Euroquol 5 Dimensions questionnaire
Time frame: 3 months
Health related quality of life on "VEnous Insufficiency Epidemiological and Economic Study" questionnaire
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 14 Sep 2023.
- Background: PubMed 28623995Bauersachs R, Gerlach HE, Heinken A, Hoffmann U, Langer F, Noppeney T, Pittrow D, Klotsche J, Rabe E; Collaborators. Rationale, design, and methodology of the observational INSIGHTS-SVT study on the current state of care and outcomes of patients with superficial vein thrombosis. J Vasc Surg Venous Lymphat Disord. 2017 Jul;5(4):553-560.e1. doi: 10.1016/j.jvsv.2017.03.013.
- Results publication: PubMed 34210599Bauersachs R, Gerlach HE, Heinken A, Hoffmann U, Langer F, Noppeney T, Pittrow D, Klotsche J, Rabe E. Management and Outcomes of Patients with Isolated Superficial Vein Thrombosis under Real Life Conditions (INSIGHTS-SVT). Eur J Vasc Endovasc Surg. 2021 Aug;62(2):241-249. doi: 10.1016/j.ejvs.2021.04.015. Epub 2021 Jun 29.
- Results publication: PubMed 37573936Rabe E, Hoffmann U, Schimke A, Heinken A, Langer F, Noppeney T, Pittrow D, Klotsche J, Gerlach HE, Bauersachs R; INSIGHTS-SVT Study Collaborators. Determinants of Late Venous Thromboembolic Events After Acute Isolated Superficial Vein Thrombosis in Daily Practice: 12 Month Results of the INSIGHTS-SVT Study. Eur J Vasc Endovasc Surg. 2023 Nov;66(5):697-704. doi: 10.1016/j.ejvs.2023.08.031. Epub 2023 Aug 12.
- Results publication: PubMed 36370650Langer F, Gerlach HE, Schimke A, Heinken A, Hoffmann U, Noppeney T, Pittrow D, Klotsche J, Rabe E, Bauersachs R; INSIGHTS-SVT study group. Clinical outcomes of cancer-associated isolated superficial vein thrombosis in daily practice. Thromb Res. 2022 Dec;220:145-152. doi: 10.1016/j.thromres.2022.10.022. Epub 2022 Nov 5. No abstract available.
- Individual participant dataSharing planned: No
Related trials for Superficial Vein Thrombosis
Not yet recruitingObservational study
Superficial Vein Thrombosis Testing in the Emergency Department
Superficial Vein Thrombosis, D-dimer
Not yet recruitingPhase 2
Acetylsalicylic Acid Versus Placebo as an add-on Treatment to Local Non-steroidal Anti-inflammatory Drug for the Management of Thrombotic Episodes in Superficial Venous Malformations in Children Aged 6 to 17 Years.
Venous Malformation, Low Flow, Venous Malformations
Recruiting
Superficial Vein Thrombosis of the Upper Limb in Bacteremia Associated With PICCline and Midline Catheters: Frequency and Clinical Consequences
Catheter Associated Infection
RecruitingPhase 4
THRomboprophylaxis in Individuals Undergoing Superficial endoVEnous Treatment (THRIVE)
Venous Thromboembolism, Varicose Veins
RecruitingObservational study
Prospective Evaluation of the Treatment of Cancer Associated Superficial Venous
Superficial Vein Thrombosis, Cancer
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.
Rupert Bauersachs, MD principal investigator
Gefäßzentrum, Klinikum Darmstadt
David Pittrow, MD study director
GWT-TUD GmbH
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Superficial Vein Thrombosis, run by GWT-TUD GmbH at 1 site 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 2 inclusion and 3 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 14 Sep 2023. 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 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?
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?
Efficacy: incidence of venous thromboembolism (VTE) events (time frame: 3 months). The study lists 2 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 NCT02699151, which also lists 4 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 14 Sep 2023.