Titre Primary Thromboprophylaxis in Patients With Malignancy and Central Venous Catheters: a Randomized Controlled Trial
Protocole ID TRIM-Line 3698
ClinicalTrials.gov ID NCT05029063
Type(s) de cancer Contrôle des symptômes
Phase
Type étude Support
Médicament Rivaroxaban 10 MG
Institution CISSS DE CHAUDIERE-APPALACHES
   HOTEL-DIEU DE LEVIS
      143 rue Wolfe, Lévis, QC, G6V 3Z1
Ville Beauceville
Investigateur(trice) principal(e) Dr Frédéric Larose
Coordonnateur(trice) Pierre Bédard
 418-835-7121
Statut Actif en recrutement
Date d'activation 16-11-2023
Critètes d'éligibilité
  • Patients 18 years of age or older with a new or existing diagnosis of cancer and a CVC inserted in the last 72 hours.
Critètes d'exclusion
  • CVC in place for >72 hours
  • Patient requires anticoagulation for other indications
  • Concomitant use of dual antiplatelet therapy
  • Major bleeding event in the last 4 weeks
  • Patients receiving concomitant systemic treatment with strong inhibitors of both CYP 3A4 and P-gp (such as cobicistat, ketoconazole, itraconazole, posaconazole, or ritonavir).
  • Known pregnancy or plan to become pregnant in next 3 months
  • Severe renal insufficiency (Creatinine clearance <30 mL/min (defined by Cockcroft-Gault) in the previous 3 months
  • Documented severe liver disease (e.g., acute clinical hepatitis, chronic active hepatitis or cirrhosis) in the previous 3 months
  • Known thrombocytopenia (platelet count < 50x 109/L) in the previous 3 months
  • Known allergy to rivaroxaban
  • Life expectancy <3 months
  • History of condition at increased bleeding risk including, but not limited to:
    • cerebral infarction (hemorrhagic or ischemic), active peptic ulcer disease with recent bleeding, spontaneous or acquired impairment of hemostasis in the past 4 weeks.
    • Chronic hemorrhagic disorder
  • Primary malignancy diagnosis of basal cell or squamous cell carcinoma of the skin only
  • Refused or unable to obtain consent