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The HIT-TRAP Trial

Primary Purpose

Heparin-Induced Thrombocytopenia

Status
Unknown status
Phase
Phase 4
Locations
Germany
Study Type
Interventional
Intervention
Standard heparin (UFH) versus certoparin (LMWH)
Sponsored by
University Medicine Greifswald
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heparin-Induced Thrombocytopenia focused on measuring heparin-induced thrombocytopenia, HIT, unfractionated heparin, UFH, low-molecular-weight heparin, LMWH, thrombosis prophylaxis, HIT-antibody

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: trauma-surgical patient consent given minimum age 18 expected inpatient period at least 7 days need for thrombosis prophylaxis with heparin Exclusion Criteria: intolerance of one of the study drugs malignancy with life expectancy < 3 months pregnancy/lactation drug or alcohol abuse fibrinolytic therapy need for extracorporal circulation (e.g. cardiopulm. bypass, hemodialysis) at study entry participation in another clinical trial within 30 days prior to intended inclusion

Sites / Locations

  • Ernst-Moritz-Arndt University, Depts. of Transfusion Medicine / Trauma surgery

Outcomes

Primary Outcome Measures

Frequency of formation of HIT-antibodies during prophylactic treatment with UFH or LMWH in trauma-surgical patients

Secondary Outcome Measures

Thromboembolic complications (TECs) during inpatient period in relation to heparin received and HIT-antibody status
TECs during 3 months following discharge in relation to heparin received and HIT-antibody status

Full Information

First Posted
September 12, 2005
Last Updated
September 12, 2005
Sponsor
University Medicine Greifswald
Collaborators
Novartis
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1. Study Identification

Unique Protocol Identification Number
NCT00196417
Brief Title
The HIT-TRAP Trial
Official Title
Randomized-Double Blind Trial to Assess the Incidence and Clinical Relevance of Heparin-Induced Thrombocytopenia (HIT) Antibodies in Trauma Patients Treated With Unfractionated or Low-Molecular Weight Heparin, the HIT-TRAP Trial
Study Type
Interventional

2. Study Status

Record Verification Date
September 2005
Overall Recruitment Status
Unknown status
Study Start Date
January 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
November 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
University Medicine Greifswald
Collaborators
Novartis

4. Oversight

5. Study Description

Brief Summary
Randomised, double blind trial in non-intensive care trauma patients comparing unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) in heparin-induced thrombocytopenia (HIT).
Detailed Description
This is a randomised, double blind trial including trauma patients with need for thrombosis prophylaxis with heparin. Patients receive either unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH). Heparin-induced thrombocytopenia (HIT) antibodies are measured on days 1 and 10. There are daily platelet counts. On discharge an ultrasound doppler of the lower extremities is performed to rule out deep vein thrombosis (DVT). Three months after discharge every patient is answering a questionnaire about thromboembolic complications following discharge. The key questions of the study are whether the two heparins cause HIT-antibodies in differing frequencies, and if yes, whether these differences lead to different clinical outcomes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heparin-Induced Thrombocytopenia
Keywords
heparin-induced thrombocytopenia, HIT, unfractionated heparin, UFH, low-molecular-weight heparin, LMWH, thrombosis prophylaxis, HIT-antibody

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
600 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Standard heparin (UFH) versus certoparin (LMWH)
Primary Outcome Measure Information:
Title
Frequency of formation of HIT-antibodies during prophylactic treatment with UFH or LMWH in trauma-surgical patients
Secondary Outcome Measure Information:
Title
Thromboembolic complications (TECs) during inpatient period in relation to heparin received and HIT-antibody status
Title
TECs during 3 months following discharge in relation to heparin received and HIT-antibody status

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: trauma-surgical patient consent given minimum age 18 expected inpatient period at least 7 days need for thrombosis prophylaxis with heparin Exclusion Criteria: intolerance of one of the study drugs malignancy with life expectancy < 3 months pregnancy/lactation drug or alcohol abuse fibrinolytic therapy need for extracorporal circulation (e.g. cardiopulm. bypass, hemodialysis) at study entry participation in another clinical trial within 30 days prior to intended inclusion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andreas Greinacher, Prof. Dr.
Organizational Affiliation
Ernst-Moritz-Arndt University Greifswald, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ernst-Moritz-Arndt University, Depts. of Transfusion Medicine / Trauma surgery
City
Greifswald
ZIP/Postal Code
17489
Country
Germany

12. IPD Sharing Statement

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The HIT-TRAP Trial

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