Clinical trial • Phase IV • Haematology

DALTEPARIN SODIUM for Liver resection | Venous thromboembolism

Phase IV trial of DALTEPARIN SODIUM for Liver resection | Venous thromboembolism.

Overview

Trial Therapeutic Area
Haematology
Trial Disease
Liver resection | Venous thromboembolism
Trial Stage
Phase IV
Drug Modality
Other

Key dates

Initial CTIS Submission Date
11-12-2024
First CTIS Authorization Date
19-12-2024

Trial design

Randomised, preoperative thromboprophylaxis versus postoperative thromboprophylaxis; active agents are low-molecular-weight heparins (dalteparin or enoxaparin). dose and schedule not specified in the available trial record.-controlled Phase IV trial across 2 sites in Norway.

Randomised
Yes
Comparator
Preoperative thromboprophylaxis versus postoperative thromboprophylaxis; active agents are low-molecular-weight heparins (dalteparin or enoxaparin). Dose and schedule not specified in the available trial record.
Target Sample Size
500
Trial Duration For Participant
30

Eligibility

Recruits 500 Vulnerable populations not selected. Written informed consent is required; participants unable to give written informed consent are excluded..

Vulnerable Population
Vulnerable populations not selected. Written informed consent is required; participants unable to give written informed consent are excluded.

Inclusion criteria

  • {"criterion_text":"-All patients undergoing liver resection"}

Exclusion criteria

  • {"criterion_text":"-Patient on anti-coagulative medication (heparin, low-molecular weight heparin, warfarin, direct oral anticoagulants) during last month pre-surgery."}
  • {"criterion_text":"-Emergency operation (e.g., for trauma or infection)."}
  • {"criterion_text":"-Age < 18 years"}
  • {"criterion_text":"-Allergy or other contraindication to planned low-molecular weight heparin."}
  • {"criterion_text":"-Inability to give written informed consent."}
  • {"criterion_text":"-Liver resection not performed (removed from analyses after randomization)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Venous thromboembolisms, number of patients, within 30 days from liver resection.","definition_or_measurement_approach":"Number of patients with venous thromboembolisms occurring within 30 days from liver resection (count of patients with VTE within 30 days)."}

Secondary endpoints

  • {"endpoint_text":"-1) Posthepatectomy haemorrhage, any grade in ISGLS classification, number of patients, within 30 days from liver resection","definition_or_measurement_approach":"Number of patients with posthepatectomy haemorrhage within 30 days, graded according to ISGLS classification."}
  • {"endpoint_text":"-2) Comprehensive Complication Index – score, within 30 days from liver resection","definition_or_measurement_approach":"Comprehensive Complication Index (CCI) score calculated for complications within 30 days after liver resection."}
  • {"endpoint_text":"-3) Length of postoperative hospital stay, days","definition_or_measurement_approach":"Length of postoperative hospital stay measured in days."}
  • {"endpoint_text":"-4) Total amount of transfused red blood cells, units, during and within 30 days from liver resection","definition_or_measurement_approach":"Total number of units of transfused red blood cells given during the index admission and within 30 days after liver resection."}

Recruitment

Planned Sample Size
500
Recruitment Window Months
71
Consent Approach
Written informed consent required from participants; those unable to give written informed consent are excluded. Subject information and informed consent form (L1_SIS and ICF) is referenced but language availability and assent/parental consent details are not specified.

Geography

Total Number Of Sites
2
Total Number Of Participants
500

Norway

Earliest CTIS Part Ii Submission Date
13-12-2024
Latest Decision Or Authorization Date
19-12-2024
Processing Time Days
6
Number Of Sites
2
Number Of Participants
500

Sites

Site Name
Oslo University Hospital HF
Department Name
Hepato-pancreato-biliary Surgery
Principal Investigator Name
Sheraz Yaqub
Principal Investigator Email
sheraz.yaqub@ous-hf.no
Contact Person Name
Sheraz Yaqub
Contact Person Email
sheraz.yaqub@ous-hf.no
Site Name
Universitetssykehuset Nord-Norge HF
Department Name
Dept of Gastrointestinal Surgery
Principal Investigator Name
Kim Mortensen
Principal Investigator Email
kim.erlend.mortensen@unn.no
Contact Person Name
Kim Mortensen
Contact Person Email
kim.erlend.mortensen@unn.no

Sponsor

Primary sponsor

Full Name
Oslo University Hospital HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Investigational products

Investigational Product Name
DALTEPARIN
Active Substance
DALTEPARIN SODIUM
Modality
Other
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Authorised (SmPC available)
Maximum Dose
5000 IU (max daily); max total 140000 IU
Investigational Product Name
ENOXAPARIN
Active Substance
ENOXAPARIN SODIUM
Modality
Other
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Authorised (SmPC available)
Maximum Dose
40 mg (max daily); max total 1120 mg

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