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The Use of Low Molecular Weight Heparin in Traumatic Brain Injury

Primary Purpose

Brain Injury, Venous Thrombosis

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Enoxaparin
Sponsored by
Hennepin Healthcare Research Institute
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Brain Injury focused on measuring Enoxaparin, Safety

Eligibility Criteria

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

Inclusion Criteria: Blunt traumatic brain injury (Marshall II-V) Stable 6 hr. head CT Stable hemoglobin Exclusion Criteria: Premorbid coagulopathy Pregnancy < 18 y.o. Need for therapeutic anticoagulation Heparin allergy

Sites / Locations

  • Hennepin County Medical Center

Outcomes

Primary Outcome Measures

Safety: Assess if early administration of LMWH exacerbates intracranial hemorrhage.

Secondary Outcome Measures

Efficacy: Demonstrate effectiveness of dosing regimen in preventing VTE.

Full Information

First Posted
September 12, 2005
Last Updated
June 26, 2017
Sponsor
Hennepin Healthcare Research Institute
Collaborators
Aventis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00170378
Brief Title
The Use of Low Molecular Weight Heparin in Traumatic Brain Injury
Official Title
The Use of Low Molecular Weight Heparin in Traumatic Brain Injury
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
December 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
August 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hennepin Healthcare Research Institute
Collaborators
Aventis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
To study the safety and efficacy of early administration of Low Molecular Weight Heparin to patients with traumatic brain injury.
Detailed Description
Venous thromboembolic (VTE) prophylaxis in trauma patients is a critical clinical problem. Patients with traumatic brain injury usually have effective VTE prophylaxis withheld secondary to concerns of exacerbating intracranial hemorrhage. This study examines the safety and efficacy of early administration (within 24 hrs of admission) of low molecular weight heparin to this patient population with very high VTE risk.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain Injury, Venous Thrombosis
Keywords
Enoxaparin, Safety

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Enoxaparin
Primary Outcome Measure Information:
Title
Safety: Assess if early administration of LMWH exacerbates intracranial hemorrhage.
Secondary Outcome Measure Information:
Title
Efficacy: Demonstrate effectiveness of dosing regimen in preventing VTE.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Blunt traumatic brain injury (Marshall II-V) Stable 6 hr. head CT Stable hemoglobin Exclusion Criteria: Premorbid coagulopathy Pregnancy < 18 y.o. Need for therapeutic anticoagulation Heparin allergy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John K. Cumming, M.D.
Organizational Affiliation
Hennepin County Medical Center/MinneapolisMRF
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hennepin County Medical Center
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55415
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
12131387
Citation
Kim J, Gearhart MM, Zurick A, Zuccarello M, James L, Luchette FA. Preliminary report on the safety of heparin for deep venous thrombosis prophylaxis after severe head injury. J Trauma. 2002 Jul;53(1):38-42; discussion 43. doi: 10.1097/00005373-200207000-00008.
Results Reference
background
PubMed Identifier
12049541
Citation
Norwood SH, McAuley CE, Berne JD, Vallina VL, Kerns DB, Grahm TW, Short K, McLarty JW. Prospective evaluation of the safety of enoxaparin prophylaxis for venous thromboembolism in patients with intracranial hemorrhagic injuries. Arch Surg. 2002 Jun;137(6):696-701; discussion 701-2. doi: 10.1001/archsurg.137.6.696.
Results Reference
background
PubMed Identifier
11220715
Citation
Norwood SH, McAuley CE, Berne JD, Vallina VL, Kerns DB, Grahm TW, McLarty JW. A potentially expanded role for enoxaparin in preventing venous thromboembolism in high risk blunt trauma patients. J Am Coll Surg. 2001 Feb;192(2):161-7. doi: 10.1016/s1072-7515(00)00802-4.
Results Reference
background

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The Use of Low Molecular Weight Heparin in Traumatic Brain Injury

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