Clinical Trial Results:
Prospective Multi-Center Evaluation of the Duration of Therapy for Thrombosis in Children
Summary
|
|
EudraCT number |
2015-001776-21 |
Trial protocol |
AT NL |
Global end of trial date |
31 Dec 2021
|
Results information
|
|
Results version number |
v1(current) |
This version publication date |
08 Oct 2023
|
First version publication date |
08 Oct 2023
|
Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
|
|||
Trial identification
|
|||
Sponsor protocol code |
NCT00687882
|
||
Additional study identifiers
|
|||
ISRCTN number |
- | ||
US NCT number |
NCT00687882 | ||
WHO universal trial number (UTN) |
- | ||
Other trial identifiers |
Kids-DOTT: KidsDOTT | ||
Sponsors
|
|||
Sponsor organisation name |
Medizinische Universität Wien
|
||
Sponsor organisation address |
Spitalgasse 23, Wien, Austria, 1090
|
||
Public contact |
Univ. Prof. Dr. , M.Sc Christoph Male, Medizinische Universität Wien, Universitätsklinik für Kinder- und Jugendheilkunde, 0043 14040021100, christoph.male@meduniwien.ac.at
|
||
Scientific contact |
Univ. Prof. Dr. , M.Sc Christoph Male, Medizinische Universität Wien, Universitätsklinik für Kinder- und Jugendheilkunde, 0043 14040021100, christoph.male@meduniwien.ac.at
|
||
Paediatric regulatory details
|
|||
Is trial part of an agreed paediatric investigation plan (PIP) |
No
|
||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Results analysis stage
|
|||
Analysis stage |
Final
|
||
Date of interim/final analysis |
01 Apr 2021
|
||
Is this the analysis of the primary completion data? |
Yes
|
||
Primary completion date |
31 Jan 2021
|
||
Global end of trial reached? |
Yes
|
||
Global end of trial date |
31 Dec 2021
|
||
Was the trial ended prematurely? |
No
|
||
General information about the trial
|
|||
Main objective of the trial |
To evaluate the efficacy and safety of shortened-duration (6 weeks total) versus conventional-duration (3 months total) anticoagulation for first-episode, provoked, acute venous thrombosis among children in whom thrombus resolution/non-occlusion (i.e. established blood flow) is evident after the initial 6 weeks of anticoagulant therapy
Hypothesis: Among children with first-episode, provoked, acute venous thrombosis in whom thrombosis is resolved or non-occlusive at six weeks follow-up, a shortened duration of anticoagulation (total six weeks; i.e. no further therapy) is non-inferior in efficacy to the conventional duration (total three months) of anticoagulation with respect to the risk of symptomatic recurrent VTE at 1 year, and is superior in safety with respect to the risk of clinically-relevant bleeding.(The hypothesis will also be tested in secondary analysis at 2 years, using the same efficacy and safety outcomes as for the 1 year primary analysis.)
|
||
Protection of trial subjects |
yes
|
||
Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
30 Nov 2008
|
||
Long term follow-up planned |
No
|
||
Independent data monitoring committee (IDMC) involvement? |
Yes
|
||
Population of trial subjects
|
|||
Number of subjects enrolled per country |
|||
Country: Number of subjects enrolled |
Austria: 6
|
||
Worldwide total number of subjects |
6
|
||
EEA total number of subjects |
6
|
||
Number of subjects enrolled per age group |
|||
In utero |
0
|
||
Preterm newborn - gestational age < 37 wk |
0
|
||
Newborns (0-27 days) |
0
|
||
Infants and toddlers (28 days-23 months) |
1
|
||
Children (2-11 years) |
2
|
||
Adolescents (12-17 years) |
3
|
||
Adults (18-64 years) |
0
|
||
From 65 to 84 years |
0
|
||
85 years and over |
0
|
|
|||||||||||
Recruitment
|
|||||||||||
Recruitment details |
Children (birth to < 21a) with acute deep venous thrombosis in the past 30 days | ||||||||||
Pre-assignment
|
|||||||||||
Screening details |
children with provoked event (central venous line, infection,dehydration, surgery, trauma...) | ||||||||||
Period 1
|
|||||||||||
Period 1 title |
baseline (overall period)
|
||||||||||
Is this the baseline period? |
Yes | ||||||||||
Allocation method |
Randomised - controlled
|
||||||||||
Blinding used |
Not blinded | ||||||||||
Arms
|
|||||||||||
Arm title
|
Duration of anticoagulant therapy | ||||||||||
Arm description |
duration (6 or 12 weeks total) | ||||||||||
Arm type |
Active comparator | ||||||||||
Investigational medicinal product name |
Marcoumar
|
||||||||||
Investigational medicinal product code |
|||||||||||
Other name |
|||||||||||
Pharmaceutical forms |
Coated tablet
|
||||||||||
Routes of administration |
Oral use
|
||||||||||
Dosage and administration details |
depending on patients INR value
|
||||||||||
Investigational medicinal product name |
Lovenox
|
||||||||||
Investigational medicinal product code |
|||||||||||
Other name |
|||||||||||
Pharmaceutical forms |
Solution for injection
|
||||||||||
Routes of administration |
Subcutaneous use
|
||||||||||
Dosage and administration details |
depending on patients anti Xa value
|
||||||||||
|
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Baseline characteristics reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Duration of anticoagulant therapy
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
duration (6 or 12 weeks total) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis sets
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Marcoumar
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
6 weeks duration of anticoagulant thearpy
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Marcoumar
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
12 weeks duration of anticoagulant therapy
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Lovenox
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
duration of anticoagulant therapy 6 weeks
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
End points reporting groups
|
|||
Reporting group title |
Duration of anticoagulant therapy
|
||
Reporting group description |
duration (6 or 12 weeks total) | ||
Subject analysis set title |
Marcoumar
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
6 weeks duration of anticoagulant thearpy
|
||
Subject analysis set title |
Marcoumar
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
12 weeks duration of anticoagulant therapy
|
||
Subject analysis set title |
Lovenox
|
||
Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
duration of anticoagulant therapy 6 weeks
|
|
|||||||||||||
End point title |
Occurrence of symptomatic recurrent VTE within 1 year [1] | ||||||||||||
End point description |
|||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
1 year
|
||||||||||||
Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: statistical analyses were performed at John Hopkins All children`s Hospital (St. Petersburg, FL, USA) |
|||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||
Adverse events information [1]
|
|||
Timeframe for reporting adverse events |
until follow up visit after 1 year
|
||
Assessment type |
Non-systematic | ||
Dictionary used for adverse event reporting
|
|||
Dictionary name |
MedDRA | ||
Dictionary version |
24.1
|
||
Frequency threshold for reporting non-serious adverse events: 0% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: No AEs occurred in relation with medication |
|
|||
Substantial protocol amendments (globally) |
|||
Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
11 Jul 2019 |
changes to protocol, ICF,screening log, Manual of Operations and recruitment brochure |
||
Interruptions (globally) |
|||
Were there any global interruptions to the trial? No | |||
Limitations and caveats |
|||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |