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A Non-inferiority Study Comparing Two Heparin Sodium Preparations in Hip Fracture Surgery (HEP-SC)

Primary Purpose

Hip Fracture Surgery

Status
Terminated
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Heparin Sodium - Eurofarma
Heparin Sodium - APP Pharmaceuticals
Sponsored by
Eurofarma Laboratorios S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hip Fracture Surgery focused on measuring Heparin Sodium, Thromboprophylaxis, Hip Fracture Surgery.

Eligibility Criteria

60 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

In order to be enrolled in this study, eligible patients must meet all criteria below:

  • ICF signing;
  • Aged 60 to 85 years old;
  • Indication of hip orthopedic surgery due to fracture occurred within the last 5 days;
  • Normal coagulation profile or with alterations up to 25% of normal values.

Exclusion Criteria:

Patients who meet any of the following criteria will not be eligible for the study:

  • Previous hip surgery;
  • Fracture secondary to the presence of metastasis;
  • Recent traumatic brain, thoracic, or abdominal injury (up to 30 days before study start);
  • Recent occurrence (up to 30 days before study start) of cerebrovascular accident;
  • Serum concentration of hemoglobin below 9 g/dL;
  • Prior occurrence (in the last 5 years) of confirmed or suspected thromboembolic event;
  • Occurrence of major bleeding in the last 6 months (any spontaneous gastrointestinal bleeding; central nervous system bleeding; massive epistaxis, or gum bleeding; gross hematuria, or vaginal bleeding);
  • Confirmed or suspected blood dyscrasia;
  • Diagnosis of neoplasm other than in situ in the last 24 months or any active neoplasm (neoplasms in situ do not prevent patient from participating);
  • Liver or kidney failure;
  • Clinically significant gastrointestinal cardiovascular, neurological disease, or laboratory abnormalities, which at the investigator's opinion, may interfere with individual's participation in the study or with assessment of individual's response to treatment;
  • Hypersensitivity to heparin;
  • Previous use (15 days before study start) of oral anticoagulants or expected use during the study (see Appendix B);
  • Recent participation (previous 12 months) in a clinical trial.

Sites / Locations

  • Santa Casa de Misericórdia de Belo Horizonte
  • Centro de Pesquisa Clínica da Santa Casa de Misericórida de Juíz de Fora
  • Associação Hospitalar Moinhos de Vento
  • Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul
  • Irmandade Santa Casa de Misericórdia de Marília

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Heparin Sodium - Eurofarma

Heparin Sodium - APP Pharmaceuticals

Arm Description

Outcomes

Primary Outcome Measures

The Primary endpoint will be frequency of deep venous thrombosis (DVT) determined by Doppler ultrasound (DUS).

Secondary Outcome Measures

The Secundary endpoint will be proximal and distal DVT

Full Information

First Posted
May 10, 2011
Last Updated
October 15, 2012
Sponsor
Eurofarma Laboratorios S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01352039
Brief Title
A Non-inferiority Study Comparing Two Heparin Sodium Preparations in Hip Fracture Surgery
Acronym
HEP-SC
Official Title
A Phase III, Non-inferiority, Randomized, Double-blind Trial Comparing Eurofarma Unfractionated Sodium Heparin 5,000 IU to APP Pharmaceuticals Unfractionated Sodium Heparin 5,000 IU in the Thromboprophylaxis of Geriatric Patients Who Underwent Hip Fracture Surgery.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Terminated
Study Start Date
October 2011 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eurofarma Laboratorios S.A.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective and endpoints of the study is compare the efficacy of two products containing heparin sodium, evaluating if the formulation produced by Eurofarma can be considered non-inferior to the reference product.
Detailed Description
The primary objective of the study is to assess the efficacy of unfractionated heparin sodium of porcine origin (Eurofarma) in the prophylaxis of VTE relative to unfractionated heparin sodium of porcine origin from APP Pharmaceuticals. The primary endpoint will be the frequency of DVT determined by Doppler ultrasound (DUS).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hip Fracture Surgery
Keywords
Heparin Sodium, Thromboprophylaxis, Hip Fracture Surgery.

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
544 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Heparin Sodium - Eurofarma
Arm Type
Experimental
Arm Title
Heparin Sodium - APP Pharmaceuticals
Arm Type
Active Comparator
Intervention Type
Biological
Intervention Name(s)
Heparin Sodium - Eurofarma
Intervention Description
Heparin Sodium will be given during 5 to 7 days each 8 hours on dosis 5,000 UI
Intervention Type
Biological
Intervention Name(s)
Heparin Sodium - APP Pharmaceuticals
Intervention Description
Heparin Sodium will be given during 5 to 7 days each 8 hours on dosis 5,000 UI
Primary Outcome Measure Information:
Title
The Primary endpoint will be frequency of deep venous thrombosis (DVT) determined by Doppler ultrasound (DUS).
Time Frame
6 months
Secondary Outcome Measure Information:
Title
The Secundary endpoint will be proximal and distal DVT
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: In order to be enrolled in this study, eligible patients must meet all criteria below: ICF signing; Aged 60 to 85 years old; Indication of hip orthopedic surgery due to fracture occurred within the last 5 days; Normal coagulation profile or with alterations up to 25% of normal values. Exclusion Criteria: Patients who meet any of the following criteria will not be eligible for the study: Previous hip surgery; Fracture secondary to the presence of metastasis; Recent traumatic brain, thoracic, or abdominal injury (up to 30 days before study start); Recent occurrence (up to 30 days before study start) of cerebrovascular accident; Serum concentration of hemoglobin below 9 g/dL; Prior occurrence (in the last 5 years) of confirmed or suspected thromboembolic event; Occurrence of major bleeding in the last 6 months (any spontaneous gastrointestinal bleeding; central nervous system bleeding; massive epistaxis, or gum bleeding; gross hematuria, or vaginal bleeding); Confirmed or suspected blood dyscrasia; Diagnosis of neoplasm other than in situ in the last 24 months or any active neoplasm (neoplasms in situ do not prevent patient from participating); Liver or kidney failure; Clinically significant gastrointestinal cardiovascular, neurological disease, or laboratory abnormalities, which at the investigator's opinion, may interfere with individual's participation in the study or with assessment of individual's response to treatment; Hypersensitivity to heparin; Previous use (15 days before study start) of oral anticoagulants or expected use during the study (see Appendix B); Recent participation (previous 12 months) in a clinical trial.
Facility Information:
Facility Name
Santa Casa de Misericórdia de Belo Horizonte
City
Belo Horizonte
State/Province
Minas Gerais
ZIP/Postal Code
30150221
Country
Brazil
Facility Name
Centro de Pesquisa Clínica da Santa Casa de Misericórida de Juíz de Fora
City
Juiz de Fora
State/Province
Minas Gerais
ZIP/Postal Code
36021-630
Country
Brazil
Facility Name
Associação Hospitalar Moinhos de Vento
City
Porto Alegre
State/Province
Rio Grande do Sul
ZIP/Postal Code
90035-001
Country
Brazil
Facility Name
Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul
City
Porto Alegre
State/Province
Rio Grande do Sul
ZIP/Postal Code
90610-000
Country
Brazil
Facility Name
Irmandade Santa Casa de Misericórdia de Marília
City
Marília
State/Province
São Paulo
ZIP/Postal Code
17515-900
Country
Brazil

12. IPD Sharing Statement

Learn more about this trial

A Non-inferiority Study Comparing Two Heparin Sodium Preparations in Hip Fracture Surgery

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