NeoplasmsCARMENNCT01362933
National Evaluation of the Adherence to Recommendations of Venous Thrombo Embolism Treatment in Cancer Patients
An observational study of Neoplasms and Venous Thromboembolism, run by Floralis at 49 sites in France.
Trial summary
Treatment of venous thromboembolism in cancer patients is specific and has been validated in trials that favor the use of LMWH (Low Molecular Weight Heparin) instead of VKA (Vitamin K Antagonist) treatment during 6 months. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neoplasms, Venous Thromboembolism
- What is being tested?
- VTE treatment in cancer patient description
- Type of treatment
- Surgery or procedure
- How many people
- 502 participants
- Where
- 49 sitesFrance
- Study dates
- May 2011to Jul 2012
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All patients with cancer present in the clinic, hospital, out patients diagnosed with a VTE during the 6 previous months
Who may be able to join
- All patients with cancer present in the clinic, hospital, out patients diagnosed with a VTE during the 6 previous months. VTE can be symptomatic or asymptomatic, can be located close to a central line, and of any type (DVT, PE, SVT)
Who cannot join
- Patient already included in a trial studying antithrombotic therapy
- Patient refusing the study
- Patient under 18 and/or not competent to give informed consent
Trial locations and contacts
49 sites in 1 country.
49 sites in 1 country
France49 sites
CHR Annecy
Annecy, 74374
Centre Hospitalier Victor Dupouy
Argenteuil, 95100
CH AUCH
Auch, 32000
CH Beauvais
Beauvais, 60021
Institut Bergonie
Bordeaux, 33076
CHU de Brest
Brest, 29609
CHU de Caen
Caen, 14033
Centre François Baclesse
Caen, 14076
CH Antoine Gayraud Cedex 9
Carcassonne, 11890
Clinique du Parc CASTELNAU LE LEZ
Castelnau-le-Lez, 34170
CH Chalons En Champagne
Châlons-en-Champagne, 51005
Pôle Santé Léonard de Vinci
Chambray-lès-Tours, 37175
Centre Jean Perrin Clcc
Clermont-Ferrand, 63000
CHU
Clermont-Ferrand, 63057
Hopital Louis Mourier Colombes
Colombes, 92701
Polyclinique Saint come
Compiègne, 60200
CHU Bocage Dijon
Dijon, 21079
CHU
Grenoble, 38043
Ch Versailles Andre Maginot
Le Chesnay, 78157
CHRU Calmette
Lille, 59037
CHRU LILLE, Hôpital Huriez
Lille, 59037
CHRU Albert Calmette
Lille
Centre Hospitalier Edouard Herriot
Lyon, 69003
Hopital Desgenettes LYON
Lyon, 69003
Centre Leon Berard LYON
Lyon, 69008
CH Saint Joseph Saint Luc
Lyon, 69365
Institut Paoli Calmette Marseille
Marseille, 13273
Hopital Saint Joseph
Marseille, 13285
CHU La Timone Marseille
Marseille, 13385
Hôpital Nord Marseille
Marseille, 13915
Centre Régional de Lutte Contre le Cancer Val d'Aurelle
Montpellier, 34298
CHU Hôtel-Dieu NANTES
Nantes, 44093
Centre de Lutte contre le Cancer (Centre René Gauducheau)
Nantes, 44805
CHR Orleans
Orléans, 45067
Hopital Saint Louis Paris
Paris, 75010
Hopital Saint Antoine Paris
Paris, 75012
Hopital de la Salpetriere Paris
Paris, 75013
Hopital Val de GRACE
Paris, 75230
Hôpital Kremlin Bicêtre
Paris, 94275
CH Lyon Sud
Pierre-Bénite, 69495
CHU Rouen
Rouen, 76031
Centre Rene Hugunin institut curie
Saint-Cloud, 92210
Centre Hospitalier Mutualiste Site Etienne Dolet
Saint-Nazaire, 44 600
Clinique Charcot,
Sainte-Foy-lès-Lyon, 69110
CHRU Strasbourg
Strasbourg, 67091
CH Valence
Valence, 26953
Ch Bretagne Atlantique
Vannes, 56017
Centre Hospitalier de Villefranche sur Saône
Villefranche-sur-Saône, 69400
Institut Gustave Roussy
Villejuif, 94805
About this study
Official title: National Evaluation of the Adherence to Recommendations of VTE Treatment in Cancer Patients
Treatment of venous thromboembolism in cancer patients is specific and has been validated in trials that favor the use of LMWH (Low Molecular Weight Heparin) instead of VKA (Vitamin K Antagonist) treatment during 6 months. International recommendations have diffused this option.It is necessary to evaluate the compliance of physicians to this treatment by measuring the number of patients with cancer treated with long term use of LMWH.
- Conditions
- Neoplasms, Venous Thromboembolism
- Being tested
- VTE treatment in cancer patient description
- Keywords
- PE, DVT, SVT, LMWH, VKA, international Venous Thromboembolism Recommendations
- Medical subject headings
- Neoplasms, Venous Thromboembolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VTE treatment in cancer patient descriptionProcedure or surgery
proportion of patients treated for evolutive VTE according to international recommendations
| Study group | Role | What they receive |
|---|---|---|
| VTE treatment in cancer patient | All patients with cancer present in the clinic, hospital, out patient diagnosed with a VTE during the 6 previous months. Receives: Procedure: VTE treatment in cancer patient description |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluation of the adherence to recommendations of VTE treatment in cancer patients
Proportion of patients treated for evolutive VTE according to international recommandations Patients could be hospitalised or could be out patient
Measured: At baseline (J0)
Secondary outcomes (4)
Evaluation of VTE disease according to cancer diagnosis (proportion of SVT (Superficial Venous Thrombosis), DVT (Deep Venous Thrombosis), PE (Pulmonary Embolism)
Percentage of VTE (PE,DVT,SVT)and cancer type
Measured: At baseline (J0)
Proportion of asymptomatic VTE disease for this population
percentage of VTE and cancer status (local, metastatic)
Measured: At baseline (J0)
Feasibility of self injections for VTE treatment in cancer patients.
percentage of patients practising self injections
Measured: At baseline (J0)
Proportion of patients with catheter thrombosis
Percentage of patients receiving novel cancer therapies
Measured: At baseline (J0)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2011 (estimated)
- Study startMay 2011
- Primary completionJan 2012
- Study completionJul 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for NeoplasmsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 502 participants (actual)
Sponsor and investigators
- Lead sponsor
- Floralis
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Centre Hospitalier Universitaire, Amiens, Groupe Francophone Thrombose et Cancer (GFTC), University Hospital, Grenoble
- Responsible party
- Sponsor
- Investigators
- Marie-Antoinette SEVESTRE, MD, Principal investigator, Centre Hospitalier Universitaire, AmiensDominique FARGE BANCEL, MD, Study director, GFTCJean Luc BOSSON, MD, Study director, University Hospital, Grenoble
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01362933
- Sponsor's protocol ID
- Version N°2.0 du 21/03/2011
- Acronym
- CARMEN
- Status last verified
- Mar 2015
- First submitted
- 25 May 2011
- Last updated
- 6 Mar 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Khorana AA, Francis CW, Culakova E, Kuderer NM, Lyman GH. Frequency, risk factors, and trends for venous thromboembolism among hospitalized cancer patients. Cancer. 2007 Nov 15;110(10):2339-46. doi: 10.1002/cncr.23062.
PubMed 17918266Levitan N, Dowlati A, Remick SC, Tahsildar HI, Sivinski LD, Beyth R, Rimm AA. Rates of initial and recurrent thromboembolic disease among patients with malignancy versus those without malignancy. Risk analysis using Medicare claims data. Medicine (Baltimore). 1999 Sep;78(5):285-91. doi: 10.1097/00005792-199909000-00001.
PubMed 10499070Khorana AA, Francis CW, Culakova E, Lyman GH. Risk factors for chemotherapy-associated venous thromboembolism in a prospective observational study. Cancer. 2005 Dec 15;104(12):2822-9. doi: 10.1002/cncr.21496.
PubMed 16284987Blom JW, Vanderschoot JP, Oostindier MJ, Osanto S, van der Meer FJ, Rosendaal FR. Incidence of venous thrombosis in a large cohort of 66,329 cancer patients: results of a record linkage study. J Thromb Haemost. 2006 Mar;4(3):529-35. doi: 10.1111/j.1538-7836.2006.01804.x.
PubMed 16460435Chew HK, Wun T, Harvey D, Zhou H, White RH. Incidence of venous thromboembolism and its effect on survival among patients with common cancers. Arch Intern Med. 2006 Feb 27;166(4):458-64. doi: 10.1001/archinte.166.4.458.
PubMed 16505267Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ 3rd. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Intern Med. 2000 Mar 27;160(6):809-15. doi: 10.1001/archinte.160.6.809.
PubMed 10737280Lee AY, Levine MN, Butler G, Webb C, Costantini L, Gu C, Julian JA. Incidence, risk factors, and outcomes of catheter-related thrombosis in adult patients with cancer. J Clin Oncol. 2006 Mar 20;24(9):1404-8. doi: 10.1200/JCO.2005.03.5600.
PubMed 16549834
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- National Evaluation of the Adherence to Recommendations of VTE Treatment in Cancer Patients
- ClinicalTrials.gov ID
- NCT01362933
- Acronym / sponsor ID
- CARMEN / Version N°2.0 du 21/03/2011
- Conditions
- Neoplasms, Venous Thromboembolism
- Keywords
- PE, DVT, SVT, LMWH, VKA, international Venous Thromboembolism Recommendations
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 502 participants (actual)
- Lead sponsor
- FloralisIndustry (pharma, biotech, devices)
- Collaborators
- Centre Hospitalier Universitaire, Amiens, Groupe Francophone Thrombose et Cancer (GFTC), University Hospital, Grenoble
- Study start
- May 2011
- Primary completion
- Jan 2012 (actual)
- Study completion
- Jul 2012 (actual)
- First posted
- 1 Jun 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Treatment of venous thromboembolism in cancer patients is specific and has been validated in trials that favor the use of LMWH (Low Molecular Weight Heparin) instead of VKA (Vitamin K Antagonist) treatment during 6 months. International recommendations have diffused this option.It is necessary to evaluate the compliance of physicians to this treatment by measuring the number of patients with cancer treated with long term use of LMWH.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VTE treatment in cancer patient | – | Procedure: VTE treatment in cancer patient descriptionAll patients with cancer present in the clinic, hospital, out patient diagnosed with a VTE during the 6 previous months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All patients with cancer present in the clinic, hospital, out patients diagnosed with a VTE during the 6 previous months
Key inclusion criteria (1 listed)
- All patients with cancer present in the clinic, hospital, out patients diagnosed with a VTE during the 6 previous months. VTE can be symptomatic or asymptomatic, can be located close to a central line, and of any type (DVT, PE, SVT)
Key exclusion criteria (3 listed)
- Patient already included in a trial studying antithrombotic therapy
- Patient refusing the study
- Patient under 18 and/or not competent to give informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VTE treatment in cancer patient descriptionproportion of patients treated for evolutive VTE according to international recommendations | Procedure or surgery | VTE treatment in cancer patient |
Primary outcome
Evaluation of the adherence to recommendations of VTE treatment in cancer patients
Time frame: At baseline (J0)
Proportion of patients treated for evolutive VTE according to international recommandations Patients could be hospitalised or could be out patient
4 secondary outcomes
Evaluation of VTE disease according to cancer diagnosis (proportion of SVT (Superficial Venous Thrombosis), DVT (Deep Venous Thrombosis), PE (Pulmonary Embolism)
Time frame: At baseline (J0)
Proportion of asymptomatic VTE disease for this population
Time frame: At baseline (J0)
Feasibility of self injections for VTE treatment in cancer patients.
Time frame: At baseline (J0)
Proportion of patients with catheter thrombosis
Time frame: At baseline (J0)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2015.
- Background: PubMed 17918266Khorana AA, Francis CW, Culakova E, Kuderer NM, Lyman GH. Frequency, risk factors, and trends for venous thromboembolism among hospitalized cancer patients. Cancer. 2007 Nov 15;110(10):2339-46. doi: 10.1002/cncr.23062.
- Background: PubMed 10499070Levitan N, Dowlati A, Remick SC, Tahsildar HI, Sivinski LD, Beyth R, Rimm AA. Rates of initial and recurrent thromboembolic disease among patients with malignancy versus those without malignancy. Risk analysis using Medicare claims data. Medicine (Baltimore). 1999 Sep;78(5):285-91. doi: 10.1097/00005792-199909000-00001.
- Background: PubMed 16284987Khorana AA, Francis CW, Culakova E, Lyman GH. Risk factors for chemotherapy-associated venous thromboembolism in a prospective observational study. Cancer. 2005 Dec 15;104(12):2822-9. doi: 10.1002/cncr.21496.
- Background: PubMed 16460435Blom JW, Vanderschoot JP, Oostindier MJ, Osanto S, van der Meer FJ, Rosendaal FR. Incidence of venous thrombosis in a large cohort of 66,329 cancer patients: results of a record linkage study. J Thromb Haemost. 2006 Mar;4(3):529-35. doi: 10.1111/j.1538-7836.2006.01804.x.
- Background: PubMed 16505267Chew HK, Wun T, Harvey D, Zhou H, White RH. Incidence of venous thromboembolism and its effect on survival among patients with common cancers. Arch Intern Med. 2006 Feb 27;166(4):458-64. doi: 10.1001/archinte.166.4.458.
- Background: PubMed 10737280Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ 3rd. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Intern Med. 2000 Mar 27;160(6):809-15. doi: 10.1001/archinte.160.6.809.
- Background: PubMed 16549834Lee AY, Levine MN, Butler G, Webb C, Costantini L, Gu C, Julian JA. Incidence, risk factors, and outcomes of catheter-related thrombosis in adult patients with cancer. J Clin Oncol. 2006 Mar 20;24(9):1404-8. doi: 10.1200/JCO.2005.03.5600.
- American Society of Clinical Oncology guideline: recommendations for venous thromboembolism prophylaxis and treatment in patients with cancer.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marie-Antoinette SEVESTRE, MD principal investigator
Centre Hospitalier Universitaire, Amiens
Dominique FARGE BANCEL, MD study director
GFTC
Jean Luc BOSSON, MD study director
University Hospital, Grenoble
49 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Neoplasms and Venous Thromboembolism, run by Floralis at 49 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 49 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Evaluation of the adherence to recommendations of VTE treatment in cancer patients (time frame: At baseline (J0)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01362933, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Mar 2015.