UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036432
Receipt number R000041506
Scientific Title EFFECT OF PROPHYLAXIS FOR DEEP VENOUS THROMBOSIS IN TRAUMATIC SPINAL CORD INJURY
Date of disclosure of the study information 2019/05/01
Last modified on 2019/04/07 03:22:51

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Basic information

Public title

EFFECT OF PROPHYLAXIS FOR DEEP VENOUS THROMBOSIS IN TRAUMATIC SPINAL CORD INJURY

Acronym

DVTSCI

Scientific Title

EFFECT OF PROPHYLAXIS FOR DEEP VENOUS THROMBOSIS IN TRAUMATIC SPINAL CORD INJURY

Scientific Title:Acronym

DVTSCI

Region

Asia(except Japan)


Condition

Condition

DEEP VENOUS THROMBOSIS IN TRAUMATIC SPINAL CORD INJURY

Classification by specialty

Orthopedics Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To study the effect of prophylaxis with low molecular weight heparin for deep venous thrombosis in traumatic spinal cord injury patients in a tertiary care hospital in Indian setting.

Basic objectives2

Others

Basic objectives -Others

To identify the risk factors for DVT in traumatic spinal cord injury patients in a tertiary care hospital in Indian setting.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Patients clinical assessment for DVT using WELL SCORE along with d dimer
assay every, 2 weeks after getting into either
study or control group. USG doppler
to rule out DVT (considered the gold standard in the study).

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine Device,equipment Maneuver
Other

Interventions/Control_1

Intervention(n=50):
Subcutaneous low molecular weight heparin (enoxaparin 40 mg/day) given for 2 months

Physiotherapy of all joints

Massage




Interventions/Control_2

Control(n=50):

Physiotherapy of all joints

Massage

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

18 years-old <

Age-upper limit

99 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Cervical spinal cord injury patient with quadriplegia

2. Thoracolumbar spinal cord injury with paraplegia

3. Age >18 years

Key exclusion criteria

1. Incomplete spinal cord injury patient
2. Spinal cord injury without neurological deficit
3. Pathological fractures of the spine
4. Congenital deformity of the spine
5. Localised infection in extremities
6. Derranged PT/INR Values

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Dr. Ramesh
Middle name
Last name Kumar

Organization

Safdarjung Hospital and
Vardhman Mahavir Medical College, MoHFW, GoI

Division name

Central Institute of Orthopaedics(CIO)

Zip code

110029

Address

Central Institute of Orthopaedics(CIO), Safdarjung Hospital and VMMC, New Delhi-110029

TEL

+911126192467

Email

drkumarramesh@gmail.com


Public contact

Name of contact person

1st name Dr Abhishek
Middle name
Last name Tiwari

Organization

Safdarjung Hospital and Vardhman Mahavir Medical College, MoHFW, GoI

Division name

Central Institute of Orthopaedics(CIO)

Zip code

110029

Address

Central Institute of Orthopaedics(CIO), Safdarjung Hospital and VMMC, New Delhi-110029

TEL

+911126192467

Homepage URL


Email

abhishekkt90@gmail.com


Sponsor or person

Institute

Central Institute of Orthopaedics(CIO), Safdarjung Hospital and VMMC, New Delhi-110029

Institute

Department

Personal name



Funding Source

Organization

Safdarjung Hospital and Vardhman Mahavir Medical College, MoHFW, GoI




Central Institute of Orthopaedics(CIO)

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization

Indian


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Safdarjung Hospital and Vardhman Mahavir Medical College, MoHFW, GoI

Address

Institutional Ethics Committee, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi-110029

Tel

+911126263708

Email

ethicscommitteevmmc@gmail.com


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

Central Institute of Orthopaedics(CIO), Safdarjung Hospital and Vardhman Mahavir Medical College, MoHFW, GoI

Affiliated to
Guru Gobind Singh Indraprastha University, New Delhi, India


Other administrative information

Date of disclosure of the study information

2019 Year 05 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

100

Results


Hundred patients were randomly divided into study group and control group with 50 patients each. Demographics of all the patients who were included in the study group as well as control group were noted and the patient underwent clinical assessment for DVT and D-Dimer assay and colour doppler were done. All the patients included in the study underwent surgical decompression and fixation.

Results date posted

2019 Year 04 Month 07 Day

Results Delayed


Results Delay Reason

No Delay

Date of the first journal publication of results


Baseline Characteristics


Participant flow

Patient attending Safdarjung OPD & Emergency
Assessed for eligibility

Excluded
Not meeting inclusion criteria
Decline to participate
d-dimer positive or known case of DVT
Raised PT/INR

Randomised(n=100)

Study Group (n=50)
LMWH(S/C enoxaparin) given
Physiotherapy of all joints
Massage

Control group(n=50)
Physiotherapy of all joints
Massage

Well score and d-dimer assay done for both groups.

Study Group:
Both negative: Continue LMWH with physiotherapy and massage for 2 months, followed by well score and d-dimer assay

Both or either of two positive: Color doppler
Color doppler positive: DVT Confirmed

Color doppler negative: Continue LMWH with physiotherapy and massage for 2 months, followed by well score and d-dimer assay



Control Group:
Both negative: Continue physiotherapy and massage for 2 months, followed by well score and d-dimer assay

Both or either of two positive: Color doppler
Color doppler positive: DVT Confirmed

Color doppler negative: Continue physiotherapy and massage for 2 months followed by well score and d-dimer assay








Adverse events

NA

Outcome measures

Patients clinical assessment for DVT using WELL SCORE along with d-dimer assay every, 2 weeks after getting into either study or control group. USG doppler to rule out DVT and it was considered the gold standard.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 11 Month 16 Day

Date of IRB

2016 Year 11 Month 16 Day

Anticipated trial start date

2016 Year 11 Month 16 Day

Last follow-up date

2018 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The study was approved by the institutional ethical committee, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi,India and bears number : IEC/VMMC/SJH/THESIS/NOVEMBER-/2016/656

The study was conducted as a thesis for MS(Orthopaedics) degree, and has been submitted to Guru Gobind Singh Indraprastha University, New Delhi.


Management information

Registered date

2019 Year 04 Month 07 Day

Last modified on

2019 Year 04 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041506


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name