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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00077753
Registration number
NCT00077753
Ethics application status
Date submitted
12/02/2004
Date registered
16/02/2004
Date last updated
11/01/2011
Titles & IDs
Public title
EXCLAIM:Extended Prophylaxis for Venous ThromboEmbolism (VTE) in Acutely Ill Medical Patients With Prolonged Immobilization
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Scientific title
A Double-Blind, Placebo-Controlled, Parallel, Multicenter Study on Extended VTE Prophylaxis in Acutely Ill Medical Patients With Prolonged Immobilization
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Secondary ID [1]
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XRP4563C_3501
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Venous Thromboembolism
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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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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - enoxaparin sodium
Treatment: Drugs: enoxaparin sodium
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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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During double blind treatment : Cumulative occurrence of VTE assessed by ultrasound for all patients at 28±4 days after randomization (or earlier if symptomatic VTE) and/or V/Q lung scan for symptomatic patients ; Major hemorrhagic complications.
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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Occurrence of VTE between Day 1 and Day 90±10, Mortality at the end of Double-Blind Treatment, at 3 and 6 months
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Minor plus major hemorrhagic complications during Double-Blind Treatment.
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Assessment method [2]
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Timepoint [2]
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Eligibility
Key inclusion criteria
Inclusion criteria:
- Recent immobilization = 3 days
- Level 1 mobility patients who are = 40 years of age with acute medical illness or
acute exacerbation of chronic medical illness
- Level 2 mobility patients who
- are >75 yrs of age
- are = 40 years of age and have a history of VTE (deep venous thrombosis or
pulmonary embolism)
- are = 40 years of age and have a baseline diagnosis of cancer (active cancer or
history of cancer)
Anticipated decreased level of mobility of 5 ± 2 days with a level of activity 1 and 2 at
the time of study entry and likely to continue at a lower than pre-morbid activity level
after the initial 5 ± 2 day period. PATIENTS DO NOT HAVE TO BE HOSPITALIZED IN ORDER TO BE
INCLUDED IN THE STUDY.(Definition of decreased level of mobility: _Level 1:bed rest or
sedentary patients _Level 2:level 1 with bathroom privileges)
- Presence of at least one of the following medical conditions:
- Heart Failure, NYHA class III and IV
- Class III : Patients with cardiac disease resulting in marked limitation of
physical activity. They are comfortable at rest. Less than ordinary physical
activity causes fatigue, palpitationdyspnea, or anginal pain.
- Class IV : Patients with cardiac disease resulting in inability to carry on
any physical activity without discomfort. Symptoms of cardiac insufficiency
or of the anginal syndrome may be present even at rest. If any physical
activity is undertaken, discomfort is increased.
- Acute respiratory insufficiency
- Other acute medical conditions such as:
- Acute ischemic stroke, any territory, with an appropriate neuroradiologic
(head CT scan or brain MRI scan) providing results consistent with non
hemorrhagic stroke
- acute infection without septic shock
- acute rheumatic disorders
- active episode of inflammatory bowel disease
- active cancer defined as history of histologically or cytologically
confirmed cancer in patients who are not candidates for debulking or
curative intent surgery at study entry
- Any other acute medical illness or exacerbation of chronic medical illness
resulting in clinically significant reduction in mobility as compared to
premorbid level.
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Minimum age
40
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
Exclusion criteria:
- Women who are breastfeeding, pregnant or of childbearing age and not using medically
acceptable effective contraception
- Patients with any evidence of an active bleeding disorder
- Contraindication to anticoagulation
- Major surgery within the previous 3 months
- Patients who have had spinal or epidural analgesia or lumbar puncture within the
preceding 24 hours
- Known hypersensitivity to heparin, or LMWH, or pork derived products
- A documented previous episode of heparin-induced or LMWH induced thrombocytopenia
and/or thrombosis (HIT, HAT, or HITTS)
- Patients who have taken part in another clinical trial within the previous thirty days
- Patients with a persistent renal failure. The patient's creatinine level must be less
than the creatinine level per gender/age/weight. This will replace the calculated
creatinine clearance
- Known or suspected severe anemia of unexplained cause considered clinically relevant
by investigator
- Patients with prosthetic heart valves
- Patients with known cerebral metastases
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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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
Completed
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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
1/02/2002
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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
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Actual
1/02/2007
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sanofi-Aventis - North Ryde
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Recruitment postcode(s) [1]
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- North Ryde
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Recruitment outside Australia
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United States of America
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New Jersey
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Argentina
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Buenos Aires
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Austria
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Vienna
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Belgium
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Brussels
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Brazil
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Sao Paulo
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Canada
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Laval
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Colombia
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Bogota
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France
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Paris
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Germany
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Berlin
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India
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Mumbai
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Israel
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Natanya
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Italy
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Milan
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Mexico
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Mexico
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Poland
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Warsaw
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Russian Federation
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Moscow
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South Africa
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Johannesburg
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Spain
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Barcelona
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Tunisia
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Megrine
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United Kingdom
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State/province [19]
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Guildford
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Sanofi
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Primary objective:
- To demonstrate the superiority of extended VTE prophylaxis with enoxaparin 40mg sc qd
for 28 ± 4 days, compared to placebo, both following 10 ± 4 days of initial treatment
with enoxaparin 40mg sc qd
Secondary objectives:
- To assess the reduction in mortality rate at the end of the double-blind treatment
period, at 3 (90 ± 10 days) and at 6 (180 ± 10 days) months from the time of entry to
the study, in patients on extended prophylaxis
- To assess the incidence of VTE at 3 months (90 ± 10 days) from the time of randomization
to the study
- To evaluate the safety of extended enoxaparin VTE prophylaxis in acutely ill medical
patients with prolonged immobilization. Safety evaluation includes:
- Major and minor hemorrhage
- Heparin induced thrombocytopenia
- Serious adverse events
- To assess differences in levels of health-care utilization and cost between patients
receiving extended VTE prophylaxis versus those receiving placebo.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00077753
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Luc Sagnard
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Address
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Sanofi
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Email
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Contact person for public queries
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00077753
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