Venous Thromboembolism MedDRA version: 12.1 Level: LLT Classification code 10066899 Term: Venous thromboembolism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age = 18 years, of both sexes and any ethnical group • Patients treated with anticoagulant therapy (with VKA) for 3- 12 months due to a documented (*) previous unprovoked (defined as not triggered by: major/orthopaedic surgery, immobilization due to sitting for more than 4 days and due to plaster, major trauma) DVT or PE (*)Proximal deep vein thrombosis (DVT) should have been diagnosed on the basis of evidence of thrombus in the popliteal or more proximal veins on compression ultrasonography or contrast venography, and pulmonary embolism by ventilation– perfusion lung scanning or helical computed tomography • Ability to provide informed consent • The signed informed consent must be obtained before starting any study procedure • Female of a fertile age must have a negative urine pregnancy test and they should use a proper contraceptive method (IUD, barrier method; no oral contraceptives) during the entire duration of the trial • Patients who stopped VKA therapy from more than 1 week and less than 3 months 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: • Secondary VTE (due to major/orthopaedic surgery, immobilization due to sitting for more than 4 days and due to plaster, major trauma) • Current pregnancy or during puerperium (first 6 weeks after birth) at the time of examination for inclusion in the study • Pulmonary embolism associated with shock or life-threatening prolonged hypotension or persistence of pulmonary hypertension after pulmonary embolism • Two or more documented episodes of proximal VTE of lower limbs and/or pulmonary embolism • DVT in areas other than lower limbs • Isolated distal DVT (thrombosis of calf) • Oral contraceptives taking • Patients who stopped VKA therapy from less than 1 week and more than 3 months • Solid neoplasia or blood disease in active phase or requiring chemotherapy/radiotherapy • Antiphospholipid antibody syndrome as demonstrated by Sydney criteria; • Antithrombin congenital deficit • Need to continue VKA for whatever reason (linked to thrombotic event or other clinical indications) • Severe cardio-respiratory insufficiency (Class NYHA 3 or 4) • Limited life expectancy • Geographically inaccessible location • Inability or refusal to give consent • Participation in another clinical trial with investigational drugs within the last 4 weeks before screening or during the present trial period • Known hypersensitivity towards glycosaminoglycans
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine whether Sulodexide is more effective than placebo for the prevention of recurrent symptomatic venous thromboembolism when given for two year after the initial 3-12 months of oral anticoagulant therapy in patients with unprovoked (defined as not triggered by: major/orthopaedic surgery, immobilization due to sitting for more than 4 days and due to plaster, major trauma) venous thromboembolism.;Secondary Objective: - Time to VTE new episode - Isolated distal deep vein thrombosis of the legs - Superficial vein thrombosis of the legs - Post thrombotic syndrome - Incidence of major vascular events (Acute Myocardial Infarction, Stroke);Primary end point(s): Confirmed VTE recurrence as • New episode of proximal deep vein thrombosis of lower limb • New episode of pulmonary embolism • Death due to documented new VTE episode complications To measure the residual thrombosis extension and to confirm new possible episodes of DVT of the lower limbs (primary objective), all patients included in the study (with DVT and/or PE), and who have signed the informed consent. | — |
Countries
Czech Republic, Italy, Poland, Portugal, Slovakia