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A Pilot Trial Comparing Full Dose Rivaroxaban to Prophylactic Dose Rivaroxaban in Patients With Superficial Vein Thrombosis in the Leg

RecruitingPhase 2, Phase 3Ages 18 Years - anyAllOttawa Hospital Research Institute
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In plain words

What the trial is, and whether it could suit you

The goal of this clinical trial, called a pilot study or a feasibility study, is to test the study plan and to find out whether enough participants will join a larger study and accept the study procedures. This type of study includes a small number of participants so it is not expected to prove how safe the treatment is or how well the treatment works. The main question it hopes to answer is: 1.What is the average number of patients that are recruited per month during the 12 month study period? To test the study plan, adults being treated for a superficial vein thrombosis (SVT), which is a blood clot in the superficial veins of the leg, will be given a type of blood thinner called rivaroxaban. Half of the participants in this study will be given the standard (low-dose) rivaroxaban for 45 days, then 45 days of placebo (a substance that looks like the study medication but does not have

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Adult patients age โ‰ฅ 18 years old. 2. Objectively confirmed diagnosis within 14 days of an acute symptomatic SVT of the lower extremities by standardized CUS, where SVT is defined as incompressibility of a venous segment located along the course of a known superficial vein. 3. Anticoagulation for SVT is warranted per clinicians. 4. Able and willing to provide written informed consent. Exclusion Criteria: 1. Other indication(s) for therapeutic or prophylactic dose anticoagulation (e.g. atrial fibrillation, mechanical valve, etc.). 2. History of PE or DVT within 6 months (180 days) of screening. 3. \>5 days of any anticoagulants for the index SVT. 4. Requires use of aspirin \>100mg daily or other antiplatelet agents. 5. Patients receiving concomitant systemic treatment with strong inhibitors of both CYP 3A4 and P-gp (e.g. cobicistat, ketoconazole, itraconazole, posaconazole, ritanovir, etc.). 6. Active bleeding or history of CRNMB or major bleeding (as defined by the ISTH) within 30 days of screening. 7. History of severe head trauma or ophthalmic, spinal, cerebral surgery within 90 days of screening. 8. Have acute endocarditis. 9. Thrombocytopenia (platelet count \<50,000/uL), acute hepatitis, chronic active hepatitis, cirrhosis with severe hepatic impairment defined by a Childs-Pugh class B or C. 10. Creatinine clearance \<30 ml/min. 11. Known contraindication to treatment with rivaroxaban. 12. Are participating in another interventional trial that would compromise the results or integrity of this trial as determined by the investigator. 13. Pregnant or breast feeding. 14. Known hereditary or acquired severe hemorrhagic disease. 15. Life expectancy \<3 months. 16. Unstable medical or psychological condition that would interfere with trial participation at the discretion of the site investigator.
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What it tests

  • Full dose rivaroxaban
  • Low dose rivaroxaban
  • Placebo
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Where

2 sites
The Ottawa Hospital
Ottawa, Canada
Hopital Montfort
Ottawa, Canada
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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