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May-Thurner SyndromePhase 3PLICTSNCT04067505

Rivaroxaban for the Prevention of Deep Vein Thrombosis in Patients With Left Iliac Vein Compression - The PLICTS Study

A Phase 3 study testing Rivaroxaban, Warfarin and Nadroparin in people with May-Thurner Syndrome, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 9 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of rivaroxaban for the prevention of deep vein thrombosis in patients with left iliac vein compression treated with stent implantation. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
May-Thurner Syndrome
What is being tested?
Rivaroxaban, Warfarin and Nadroparin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
224 participants
Where
9 sitesChina
Study dates
18 May 2020to 31 Dec 2024
Phase
Phase 3
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

  • Patients with thrombotic left iliac vein compression syndrome who underwent left iliac vein stent implantation

Who cannot join

  • Age < 18 years or age > 75 years
  • With history of pelvic surgery, left iliac vein trauma and pelvic radiotherapy
  • With obvious contraindications for anticoagulation therapy
  • Allergic to iodine contrast agents in the past
  • With concomitant diseases that need high-intensity anticoagulation, and the anticoagulation intensity is clearly higher than that of the patients with iliac vein therapy alone
  • Active bleeding or potential bleeding risk
Show all 11Show fewer
  • Pregnant or breastfeeding women
  • With pelvic tumors causing compression of left iliac vein,
  • With chronic venous insufficiency of lower extremities caused by K-T syndrome
  • With malignant tumors and life expectancy < 1 year
  • Taking cytochrome P450 3A4(CYP-450 3A4) inhibitors or inducers

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

China9 sites, 9 recruiting
  • Sir Run Run Shaw Hospital

    Hangzhou, Zhejiang, 310000

    Yuefeng Zhu, MD, 13868101010 ext. 86, drzyf@hotmail.com

    Recruiting
  • The second affiliated hospital of zhejiang university school of medicine

    Hangzhou, Zhejiang, 310000

    Zhejie Liu, MD,PhD, 15268135830 ext. 86, lawson3001@gmail.com

    Recruiting
  • Zhejiang Provincial people's hospital

    Hangzhou, Zhejiang

    Guangwei Yang, 13758146564, ygw_zju@126.com

    Recruiting
  • Zhejiang Xiaoshan Hospital

    Hangzhou, Zhejiang

    Wei Han, 18957113906, hw9453@sina.com

    Recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui, 230000

    Zhengdong Fang, 15256990126 ext. 86, fangzhengdong@126.com

    Recruiting
  • Huadong Hospital affiliated to Fudan University

    Shanghai, Shanghai Municipality, 200000

    Wan Zhang, MD,PhD, 13916056910 ext. 86, ant0930@163.com

    Recruiting
  • Shanghai 5th People's Hospital

    Shanghai, Shanghai Municipality, 200000

    Bin Gao, MD,PhD, 13764979078 ext. 86, doctorgaobin@163.com

    Recruiting
  • Zhongshan Hospital affiliated to Fudan University

    Shanghai, Shanghai Municipality, 200000

    Jianing Yue, MD,PhD, 13564788422 ext. 86, yuejianing@gmail.com

    Recruiting
  • Yantai Yuhuangding Hospital

    Yantai, Shangdong, 264000

    Lubin Li, MD, 18653587255 ext. 86, 278468192@qq.com

    Recruiting

Other trials in China

About this study

Official title: An Efficacy and Safety Study of Rivaroxaban for the Prevention of Deep Vein Thrombosis in Patients With Left Iliac Vein Compression Treated With Stent Implantation (PLICTS):A Prospective Randomized Controlled Trial

The purpose of this study is to evaluate the efficacy and safety of rivaroxaban for the prevention of deep vein thrombosis in patients with left iliac vein compression treated with stent implantation.

Read the detailed description

Left Iliac Vein Compression Syndrome (LIVCS) is a disease of iliac vein stenosis/occlusion caused by chronic friction and compression of the left iliac vein by the right common iliac artery and lumbar vertebra. It is also called Cockett syndrome or May-Thurner syndrome. Recently, left iliac vein balloon dilatation with stent implantation have been used to treat patients with LIVCS, and have achieved good results. However, no matter the iliac vein stenosis or occlusion, interventional therapy can directly cause local trauma and intimal injury, which is a clear inducement of local thrombosis. Therefore, high intensity anticoagulation therapy is still needed to prevent secondary thrombosis in stent after left iliac vein balloon dilatation with stent implantation. At present, the postoperative anticoagulation regimen of these patients is early heparin anticoagulant therapy, and later warfarin anticoagulant therapy. However, due to the narrow therapeutic window of the drug, patients need to adjust the dosage according to coagulation function under the guidance of doctors. Rivaroxaban can simplify treatment, and is safe. Previous studies have shown that rivaroxaban is effective in preventing deep venous thrombosis after orthopaedic surgery. Rivaroxaban has also been shown to be safe and effective in anticoagulation therapy for patients with deep venous thrombosis and pulmonary embolism. However, Rivaroxaban lacks sufficient clinical data for adjuvant anticoagulation therapy after balloon dilatation with stent implantation. Therefore, this study should be carried out to provide the basis for LIVCS treatment guidelines and explore the clinical indications of rivaroxaban.

Being tested
Rivaroxaban, Warfarin, Nadroparin
Keywords
May-Thurner Syndrome, warfarin, rivaroxaban, stent implantation
Medical subject headings
May-Thurner Syndrome

What participants receive

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

  • RivaroxabanDrug

    Also called Xarelto

    Dose: 15mg twice daily for three weeks, then 20mg once daily until six months after the operation. Application: oral

  • WarfarinDrug

    Also called coumadin

    Dose: 3mg for 5 days after the operation, later 0.75mg to 18mg depending on INR (2.0-3.0) until 6 months Duration: 6 months Frequency: once daily Application: oral

  • NadroparinDrug

    Also called Fraxiparin

    Dose: 1mg/kg Duration: 5 days after the operation Frequency: twice daily Application: subcutaneous

Study groups in NCT04067505
Study groupRoleWhat they receive
RivaroxabanExperimentalParticipants will receive rivaroxaban 15mg twice daily for three weeks, then 20mg oral once daily after operation.
Receives: Drug: Rivaroxaban
Warfarin/NadroparinActive comparatorParticipants will receive nadroparin 1mg/kg twice daily (subcutaneous), plus warfarin 3mg oral once daily for 5 days after the operation, later warfarin(oral) at individually titrated doses(0.75mg to 18mg) to achieve a target international normalized ratio (INR) of 2.0 to 3.0, once daily until 6 months.
Receives: Drug: Warfarin; Drug: Nadroparin

What is being measured

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

  1. stent occlusion rate

    Stent occlusion is defined as DS > 50% for each modality with no procedure performed on the treated segment

    Measured: 2 year after operation

Secondary outcomes (7)
  1. Quality of Life Change Scale Survey Results

    Quality of life will be assessed by MOS item short-form health survey scale (SF-36). SF-36 includes eight subscales: physical functioning (PF, 10 items), role limitations due to physical health problems (RL-P, 4 items), bodily pain (BP, 2 items), general health (GH, 5 items), vitality (V, 4 items), social functioning (SF, 2 items), role limitations due to emotional problems (RL-E, 3 items) and mental health (MH, 5 items). The vitality sub-score assesses energy and fatigue, and ranges from 0 (worst) - 100 (best).

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  2. All cause mortality

    Percentage of participants with all deaths

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  3. anticoagulation raleted mortality

    Percentage of participants with anticoagulation raleted deaths

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  4. Proportion of participants with stent displacement/fracture

    Events will be assessed based on computed tomography (CT) or X ray

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  5. Proportion of participants with hemorrhage

    Including hemorrhagic stroke, gastrointestinal bleeding, hematuria, mucocutaneous hemorrhage and other visceral bleeding

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  6. Proportion of participants with other vascular events

    All vascular events (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, acute coronary syndrome, unstable angina, ischemic stroke, transient ischemic attack, pulmonary embolism, non-central nervous system systemic embolism or vascular death) will be assessed based results/films/images of confirmatory testing, and/or case summaries.

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

  7. Proportion of participants with thrombosis

    Measured: 1, 3, 6, 12, 18 and 24 months after operation

Timeline

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

  1. First posted26 Aug 2019
  2. Study start18 May 2020
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 2024 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
224 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04067505
Sponsor's protocol ID
SAHZhejiangU-001
Acronym
PLICTS
Status last verified
Apr 2024
First submitted
24 Jul 2019
Last updated
18 Apr 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Liu Z, Gao N, Shen L, Yang J, Zhu Y, Li Z, Si Y. Endovascular treatment for symptomatic iliac vein compression syndrome: a prospective consecutive series of 48 patients. Ann Vasc Surg. 2014 Apr;28(3):695-704. doi: 10.1016/j.avsg.2013.05.019. Epub 2013 Oct 27.

    PubMed 24559785
  • O'Sullivan GJ, Semba CP, Bittner CA, Kee ST, Razavi MK, Sze DY, Dake MD. Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol. 2000 Jul-Aug;11(7):823-36. doi: 10.1016/s1051-0443(07)61796-5.

    PubMed 10928517
  • Hurst DR, Forauer AR, Bloom JR, Greenfield LJ, Wakefield TW, Williams DM. Diagnosis and endovascular treatment of iliocaval compression syndrome. J Vasc Surg. 2001 Jul;34(1):106-13. doi: 10.1067/mva.2001.114213.

    PubMed 11436082
  • Eriksson BI, Kakkar AK, Turpie AG, Gent M, Bandel TJ, Homering M, Misselwitz F, Lassen MR. Oral rivaroxaban for the prevention of symptomatic venous thromboembolism after elective hip and knee replacement. J Bone Joint Surg Br. 2009 May;91(5):636-44. doi: 10.1302/0301-620X.91B5.21691.

    PubMed 19407299
  • Turpie AG, Lassen MR, Davidson BL, Bauer KA, Gent M, Kwong LM, Cushner FD, Lotke PA, Berkowitz SD, Bandel TJ, Benson A, Misselwitz F, Fisher WD; RECORD4 Investigators. Rivaroxaban versus enoxaparin for thromboprophylaxis after total knee arthroplasty (RECORD4): a randomised trial. Lancet. 2009 May 16;373(9676):1673-80. doi: 10.1016/S0140-6736(09)60734-0. Epub 2009 May 4.

    PubMed 19411100
  • Li M, Zhang L, Zhang K, Zhu Y, Shi Z, Zhang W, Gao B, Li L, Fang Z, Yin L, Chen B, Liu Z. An efficacy and safety study of rivaroxaban for the prevention of deep vein thrombosis in patients with left iliac vein compression treated with stent implantation (PLICTS): study protocol for a prospective randomized controlled trial. Trials. 2020 Sep 29;21(1):811. doi: 10.1186/s13063-020-04742-z.

    PubMed 32993773

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rivaroxaban, Warfarin and Nadroparin in people with May-Thurner Syndrome, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 9 sites 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 1 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: status not confirmed, 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 9 sites 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Contact Li Yin (86-0571-87913706, lawson4001@zju.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

stent occlusion rate (time frame: 2 year after operation). 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 NCT04067505, which also lists 6 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 18 Apr 2024.

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