I80.2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Men and women 18 years and older - Treatment with Certoparin - Symptomatic deep vein thrombosis (DVT) - DVT diagnosis confirmed with cross-sectional imaging (compression or duplex sonography, CT; no specifications on equipment used) - Severe renal insufficiency (stage IV, eGFR MDRD 15-29 ml/min/1.73m2) - Written patient consent available
Exclusion criteria
Exclusion criteria: - Patients who had been receiving therapeutic anticoagulation (regardless of drug) for a prolonged period (> 48h) prior to study inclusion. - Patients with isolated lung embolism (LE). - Lack of cognitive and language skills to participate in the study - Patient is (expected to be) unavailable for follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of peak anti-Xa concentrations measured within the target therapeutic range of 0.4-1.1 I.U. anti-Xa/ml in the steady state after dose reduction on day 3 of treatment or in the further course. If more than one anti-Xa value is collected later in the course, the first steady-state value will be included in the analysis of the primary outcome. All collected anti-Xa values will additionally be included in the extended PK model. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Proportion of measured and modulated peak anti-Xa concentrations within the required corridor of 0.4-1.1 anti-Xa/ml in the steady state after dose reduction on the 3rd day of treatment or in the further course (modified primary target parameter). - Proportion of measured peak anti-Xa concentrations within the targeted therapeutic range of 0.4-1.1 I.U. anti-Xa/ml on the second day of treatment or after three injections. - Clinically relevant bleeding (severe; clinically relevant non-severe) by the end of Certoparin use plus 72 h. - Thromboembolic complications (deep vein thrombosis, lung embolism); by the end of Certoparin use plus 72 h. - Death (until end of Certoparin use plus 72 h). | — |
Countries
Germany