Thromboprophylaxis to critically ill patients hospitalized in ICU with or without vasopressors MedDRA version: 9.1 Level: LLT Classification code 10049909 Term: Venous thromboembolism prophylaxis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Critically ill patient hospitalized in ICU with or without vasopressors - Age > 18 years - Consent obtained Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - renal insufficiency ( Cr Clearance 2) - high risk of bleeding that contraindicate anticoagulant prophylaxis (intracerebral haemorrhage, gastro- intestinal bleeding, …) - severe thrombopenia ( < 30.000/µL) - acute endocarditis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary endpoint is to demonstrate that continuous infusion of fondaparinux provides a better thromboprophylaxis (assessed by anti Xa activity) than subcutaneous administration.;Secondary Objective: (1) Plasma antifactor Xa activity at baseline (before drug administration) and at 3, 6, 12 and 24 hours after fundaparinux administration (even though clinical efficacy is not completely represented by FXa activity) will be measured. (2) Measurements of routine hemostasis parameters, thrombine- antithrombin complex (TAT), D- dimeres and thromboelastometry study (ROTEM) at 3, 6, 12 and 24 hours after drug administration (3) Safety : Patient follow-up until day 28 after randomization or until hospital discharge ;Primary end point(s): | — |
Countries
Belgium