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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01252420
Registration number
NCT01252420
Ethics application status
Date submitted
20/07/2010
Date registered
3/12/2010
Date last updated
6/12/2010
Titles & IDs
Public title
Two Weeks of Low Molecular Weight Heparin for Distal Vein Thrombosis
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Scientific title
Two Weeks of Low Molecular Weight Heparin for Distal Vein Thrombosis (TWISTER)
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Secondary ID [1]
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DDVTANZ
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Universal Trial Number (UTN)
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Trial acronym
TWISTER
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Venous Thrombosis
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Pulmonary Embolism
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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0
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Clotting disorders
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Respiratory
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Other respiratory disorders / diseases
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Cardiovascular
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Enoxaparin
Treatment: Drugs: Enoxaparin
1.5mg/kg daily for 2 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Symptomatic recurrence of venous thrombosis (DVT, non fatal and fatal pulmonary embolism) within 3 months.
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Assessment method [1]
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Timepoint [1]
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3 months
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Secondary outcome [1]
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Asymptomatic proximal thrombus extension at 2 weeks
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Assessment method [1]
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Timepoint [1]
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2 weeks
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Secondary outcome [2]
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Time course of symptom resolution and the proportion of patients with complete resolution at two weeks.
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Assessment method [2]
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Time course of symptom resolution including time to complete resolution of symptoms, and the proportion of patients with complete resolution at two weeks.
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Timepoint [2]
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2 weeks
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Secondary outcome [3]
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All-cause mortality
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Assessment method [3]
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Timepoint [3]
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3 months
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Secondary outcome [4]
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Post-thrombotic syndrome
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Assessment method [4]
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Timepoint [4]
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6 months
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Secondary outcome [5]
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Predictors of recurrent or progressive DVT or new PE
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Assessment method [5]
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Timepoint [5]
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3 months
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Eligibility
Key inclusion criteria
* Patients aged 18 years or older with acute symptomatic provoked or unprovoked distal vein thrombosis (axial or muscular veins but not involving trifurcation or distal popliteal vein)
* Absence of symptomatic pulmonary embolism
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* DVT involving trifurcation or more proximal leg veins on imaging
* Prior DVT
* Active malignancy ie present at time of diagnosis, or on treatment, or treatment completed within 3 months
* Ongoing risk factors for propagation e.g. immobility (>50% of day in bed or =72 hours), plaster cast or non-weight bearing
* Other indication for therapeutic anticoagulation (e.g. AF)
* Active gastro-oesophageal ulceration or bleeding
* Other high risk for bleeding (e.g. recent neurosurgery, vascular retinopathy, coagulopathy)
* Platelet count <80 x 109/L
* Renal impairment (CrCl <30ml/min) • Pregnancy or lactation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/11/2014
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Actual
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Sample size
Target
330
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Prince of Wales Hospital - Sydney
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Recruitment hospital [2]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [3]
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Monash Medical Centre, Southern Health - Melbourne
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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5000 - Adelaide
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Recruitment postcode(s) [3]
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3168 - Melbourne
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Canterbury
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Funding & Sponsors
Primary sponsor type
Other
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Name
Monash Medical Centre
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Southern Health, Victoria
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Eastern Health, Victoria
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Royal Adelaide Hospital, Adelaide
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Address [3]
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Country [3]
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Other collaborator category [4]
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Government body
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Name [4]
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Prince of Wales Hospital, Sydney
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Christchurch Hospital, NZ
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Address [5]
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Country [5]
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Other collaborator category [6]
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Government body
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Name [6]
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Auckland City Hospital
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Address [6]
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Country [6]
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Other collaborator category [7]
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Other
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Name [7]
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North Shore Hospital, New Zealand
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Address [7]
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Country [7]
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Other collaborator category [8]
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Other
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Name [8]
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Middlemore Hospital, New Zealand
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Address [8]
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Country [8]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine whether a limited duration of treatment (two weeks of low molecular weight treatment) is a safe and effective treatment for distal deep vein thrombosis of the lower limb.
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Trial website
https://clinicaltrials.gov/study/NCT01252420
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Trial related presentations / publications
Merriman E, Chunilal S, Brighton T, Chen V, McRae S, Ockelford P, Curnow J, Tran H, Chong B, Smith M, Royle G, Crowther H, Slocombe A, Tran H. Two Weeks of Low Molecular Weight Heparin for Isolated Symptomatic Distal Vein Thrombosis (TWISTER study). Thromb Res. 2021 Nov;207:33-39. doi: 10.1016/j.thromres.2021.09.004. Epub 2021 Sep 11.
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Public notes
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Contacts
Principal investigator
Name
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Huyen Tran, MBBs(Hons), MClin Epidem
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Address
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Monash Medical Centre
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01252420
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