UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009901
Receipt number R000010691
Scientific Title A Multicenter, Open-label, Prospective Randomized Controlled Trial to evaluate the Effect of Low-Molecular-Weight Heparin on Prevention of Venous Thromboembolism after Laparoscopic Surgery
Date of disclosure of the study information 2013/02/01
Last modified on 2017/05/16 13:08:14

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Basic information

Public title

A Multicenter, Open-label, Prospective Randomized Controlled Trial to evaluate the Effect of Low-Molecular-Weight Heparin on Prevention of Venous Thromboembolism after Laparoscopic Surgery

Acronym

Effect of LMWH on Prevention of VTE after Laparoscopic Surgery

Scientific Title

A Multicenter, Open-label, Prospective Randomized Controlled Trial to evaluate the Effect of Low-Molecular-Weight Heparin on Prevention of Venous Thromboembolism after Laparoscopic Surgery

Scientific Title:Acronym

Effect of LMWH on Prevention of VTE after Laparoscopic Surgery

Region

Japan


Condition

Condition

Gastric or colorectal cancer patients planned to receive laparoscopic surgery

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the additive effect of combined therapy with physical prophylaxis and Low-Molecular-Weight Heparin against thromboembolism compared to physical prophylaxis alone, after laparoscopic surgery for gastric or colorectal cancer by multicenter, open-label, prospective randomized controlled trial

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase III


Assessment

Primary outcomes

The rate of incidence of all the venous thromboembolism including deep vein thrombosis and pulmonary thromboembolism

Key secondary outcomes

The rate of incidence of pulmonary thromboembolism
The rate of incidence of deep vein thrombosis
The rate of incidence of major and minor bleeding
The rate of incidence of all the adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

For patients allocated to the trial group, a subcutaneous injection of enoxaparin 2000 IU twice daily is administered, in addition to conventional physical prophylaxis. Enoxaparin was started 24-36 hours after surgery and continued until 7th post operative day.

Interventions/Control_2

For patients allocated to the control group, conventional physical prophylaxis such as elastic stocking and / or intermittent pneumatic compression device is provided for a few days

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) A patients with histopathologically diagnosed gastric or colorectal cancer
2) Planned to receive laparoscopic surgery.
3) Planned to receive curative operation.
4) Over 40 years old at registration.
5) ECOG Performance Status Scale: 0-2.
6) Able to provide written informed consent.

Key exclusion criteria

1) History of allergic reaction to heparin and / or heparinoid, or heparin-induced thrombocytopenia
2) Coexistence / past history of acute bacterial endocarditis
3) Moderate to severe renal dysfunction (50mL/min >= CCr)
4) Severe liver dysfunction
5) Body weight under 40 Kg
6) During pregnancy and lactation
7) Administration of anticoagulant and / or antiplatelet agent such as warfarin, aspirin and clopidogrel sulfate before operation.
8) Morbid obesity (30<=BMI)
9) Coexistence / clinical sign of venous thromboembolism, past history of venous thromboembolism within one year till the scheduled date of surgery
10) With indwelling central venous catheter
11) Administration of estrogen / progesteronal agents within four weeks prior to the operation.
12) Neo-adjuvant chemotherapy /radiotherapy within four weeks prior to the operation
13) Abnormal high value of D-dimer (=> 10 microg/mL) within four weeks prior to the operation
14) Any other condition that, in the investigator's opinion, places the subject at undue risk by participating in the study

Target sample size

400


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Naitoh Takeshi

Organization

Tohoku University Hospital

Division name

Division of Gastrointestinal Surgery, Department of Surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Email

naitot@surg1.med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Naoki Tanaka

Organization

Tohoku University Hospital

Division name

Division of Gastrointestinal Surgery, Department of Surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Homepage URL


Email

n-tanaka@surg1.med.tohoku.ac.jp


Sponsor or person

Institute

Division of Gastrointestinal Surgery, Department of Surgery, Tohoku University Hospital

Institute

Department

Personal name



Funding Source

Organization

NEXTSURG

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東北大学病院(宮城県)、東北労災病院(宮城県)、仙台厚生病院(宮城県)、仙台市医療センター 仙台オープン病院(宮城県)、みやぎ県南中核病院(宮城県)、宮城県立がんセンター(宮城県)、帯広第一病院(北海道)、東北厚生年金病院(宮城県)、東北中央病院(山形県)


Other administrative information

Date of disclosure of the study information

2013 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2013 Year 01 Month 30 Day

Date of IRB


Anticipated trial start date

2013 Year 05 Month 22 Day

Last follow-up date

2017 Year 01 Month 31 Day

Date of closure to data entry

2017 Year 04 Month 30 Day

Date trial data considered complete

2017 Year 07 Month 31 Day

Date analysis concluded

2017 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2013 Year 01 Month 30 Day

Last modified on

2017 Year 05 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010691


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name