Cancer, Venous Thromboembolism
Conditions
Keywords
Cancer, thrombosis, epidemiology, cancer-associated venous thromboembolism (CAT), venous thromboembolic event
Brief summary
Venous thromboembolism is a common and fatal disease closely related to cancer. The therapeutic challenge is major due to the high risk of recurrent thromboembolism and bleeding in patients with cancer. Guidelines recommend the use of low molecular-weight heparin for the treatment of Cancer-Associated venous Thromboembolism (CAT) at least for 3 to 6 months of treatment. However, recent advances through the results of several therapeutic trials such as CARAVAGGIO (NCT03045406) open the door to the use of Direct Oral AntiCoagulants (DOACs) as first-line therapy. Nevertheless, extrapolation of its results may be limited owing to a large number of inclusion and exclusion criteria, which may have selected a reduced population. The proportion of patients admitted with acute CAT who may not eligible to a trial as CARAVAGGIO is unknown.
Detailed description
The aim of this study si to assess this proportion in a retrospective multicenter study, of patients admitted for acute Cancer-Associated venous Thromboembolism (CAT).
Interventions
OTHERdata collection
data collection : gender, weight, biological data (platelets, hemoglobin, creatinine, liver function tests), performance status, type of Venous Thromboembolic Event (VTE) and cancer, anticancer and anticoagulant therapy, adverse events (bleeding, recurrence of Venous Thromboembolic Event (VTE), death) up to 6 months after their Venous Thromboembolic Event (VTE).
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Consecutive patients with a newly diagnosed, objectively confirmed: * symptomatic or unsuspected Deep Vein Thrombosis (DVT) (any location) * symptomatic or unsuspected Pulmonary Embolism (PE) Consecutive patients with any type of cancer whose primary brain tumor or known intracerebral metastases and acute leukemia that meets at least one of the following: * Active cancer defined as diagnosis of cancer within six months or receiving treatment for cancer or any treatment for cancer or recurrent locally advanced or metastatic cancer. * Cancer diagnosed within 2 years.
Exclusion criteria
* pregnant women or breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of cancer patients with a venous thromboembolic event (VTE) ineligible for CARAVAGGIO study | Up to 6 months after venous thromboembolic event | Patient having at least one of the following exclusion criteria (from CARAVAGGIO study) : * ECOG (Eastern Cooperative Oncology Group ) Performance Status III or IV; * life expectancy of less than 6 months; * thrombectomy, vena cava filter insertion, or thrombolysis used to manage the index episode; * indication for anticoagulant treatment for a disease other than the index VTE episode; * thienopyridine therapy (clopidogrel, prasugrel, or ticagrelor) or aspirin over 165 mg daily or dual antiplatelet therapy; * recent brain, spinal or ophthalmic surgery * hemoglobin level lower than 8 g/dL or platelet count \<75x10\^9/L or history of heparin induced thrombocytopenia; * creatinine clearance \< 30 ml /min * acute hepatitis, chronic active hepatitis, liver cirrhosis; * uncontrolled hypertension; * concomitant use of strong inhibitors or inducers of cytochrome; * bacterial endocarditis; |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding event | Up to 6 months after venous thromboembolic event | Collected in medical history. |
| Death | Up to 6 months after venous thromboembolic event | Collected in medical history. |
| Confirmed recurrent Venous Thromboembolic Event (VTE) | Up to 6 months after venous thromboembolic event | Collected in medical history. * Pulmonary embolism * deep venous thrombosis |
| Drugs used for their VTE | Up to 6 months after venous thromboembolic event | Collected in medical history. |
Countries
France
Outcome results
None listed