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Recruiting Phase 3

Sulodexide, VESSEL®, for the Prevention of Recurrent Venous Thromboembolism (The Jason Study)

NCT04257487 · tracked via the Priya Life Science Italy tracker
Sponsor
Arianna Anticoagulazione Foundation
Phase
Phase 3
Started
2020-12-21
Last updated
2024-07-31

Condition(s) studied

Venous ThromboembolismAnticoagulantElderly

Investigational drug(s) / intervention(s)

Sulodexide →Sulodexide and placeboPlacebo

Sulodexide: 2 soft capsules of Vessel® 250 LSU BID for 12 months

Sulodexide and placebo: 1 soft capsule of Vessel® 250 LSU and 1 soft capsule of placebo BID for 12 months

Placebo: Sugar pill manufactured to mimic sulodexide 250 LSU

Study summary

The study aims at optimizing extended management of elderly patients (\> 75 years) with at least one of the known bleeding risk factor, who suffered from first episode of venous thromboembolism of the lower extremity (proximal deep vein thrombosis with or without pulmonary embolism) (VTE). Patients were randomized to receive three different treatment: Sulodexide 250 mg BIS in die; Sulodexide 500 BID in die or indistinguishable placebo to verify the efficacy and safety of extended treatment for 12 months with Sulodexide (Vessel®) in the secondary prevention of Deep Vein Thrombosis / Pulmonary Embolism (DVT/PE) recurrence.

Eligibility

Sex
ALL
Min age
75 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: 1. Patients with a first event of proximal lower extremity DVT and / or PE, idiopathic or associated with weak or removed risk factors. 2. Patients aged ≥75 years at the time of enrolment 3. Patients with at least one of the known risk factors of bleeding (APPENDIX 1): 1. Hypertension 2. Renal failure 3. Thrombocytopenia 4. Diabetes 5. Antiplatelet therapy (ASA maximum 140 mg/die) 6. Frequent falls (\>2 /years) 7. Nonsteroidal anti-inflammatory drug 8. Liver failure 9. Previous Stroke 10. Anemia 11. Poor anticoagulant control 12. Alcohol abuse 4. Patients of both sexes. 5. Patients who at the time of enrolment have already undergone a period of anticoagulant therapy (AT, with any medication) of at least 3 months and the therapy has not been suspended for more than 30 days. 6. Patients with no other AT indications. 7. Patients capable and able to provide informed consent Exclusion Criteria: 1. Patients aged \<75 years at the time of the recruitment visit. 2. "Provoked" index event, which occurred: * Within 3 months of surgery or major trauma, * Bed Rest \> 4 days, * Cast / immobility within 3 months. 3. Index event represented by severe PE, with life threatening risk or treated with thrombolytic therapy. 4. Index event represented by isolated distal DVT or superficial venous thrombosis. 5. Thrombotic event in sites other than the deep proximal veins of the lower limbs. 6. Anticoagulant therapy for less than 3 months at the time of enrolment. 7. Discontinuation of anticoagulant therapy for over thirty days at the time of enrolment 8. Recurrent episodes of DVT ± PE

Primary outcome measure(s)

  • Number and rate of patients with confirmed recurrent VTE and VTE-related death (efficacy). — From date of enrollment until the date of first documented event assessed up to 12 months
    The occurrence of proximal deep vein thrombosis with or without pulmonary embolism (new or recurrent episode) wil be recorded in all patients
  • Number and rate of major Bleeding events (defined according to International Society on Thrombosis and Haemostasis guidelines (safety) — From date of enrollment until the date of first documented event assessed up to 12 months
    Fatal bleeding; intracranial; intraspinal; intraocular; pericardial; intra-articular; intramuscular with compartment syndrome; retroperitoneal,; acute clinically overt bleeding will be recorded in all patients

Trial sites (1)

FacilityCityRegionStatus
Corrado Lodigiani Rozzano Italy Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04257487 on ClinicalTrials.gov ↗ ← All trials in Italy