Randomised controlled trial (RCT) of community management of deep venous thrombosis (DVT) using low molecular weight heparin versus hospital care

ISRCTN ISRCTN25452470
DOI https://doi.org/10.1186/ISRCTN25452470
Protocol serial number RGC00325
Sponsor NHS R&D Regional Programme Register - Department of Health (UK)
Funder NHS Executive West Midlands (UK)
Submission date
23/01/2004
Registration date
23/01/2004
Last edited
18/04/2012
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr David Fitzmaurice
Scientific

Department of General Practice
The Medical School
University of Birmingham
Edgbaston
Birmingham
B15 2TT
United Kingdom

Phone +44 (0)121 414 3760
Email D.A.Fitzmaurice@bham.ac.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific title
Study objectivesNot provided at time of registration
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCardiovascular diseases: Thromboembolic disease
Intervention1. Intervention patients will either be discharged from A&E following confirmation of diagnosis having been given the first dose of low-molecular weight heparin (LMWH) and warfarin, or prior to confirmation of diagnosis having received only the first dose of LMWH. Patients requiring confirmation of diagnosis will be recalled for special clinics established for the study.
2. Control patients will be managed according to the hospital protocol. This normally requires admission for confirmation of diagnosis and commencement of formal anticoagulation with intra-venous heparin. The confirmatory investigation in all cases will be ultrasound.
All patients with positive diagnosis of DVT will be recalled 4 weeks after the initial ultrasound for repeat investigation to determine the resolution of the clot and to complete a Quality of Life questionnaire.

As of 18/04/2012, this study was stopped due to poor recruitment in 1999.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)heparin
Primary outcome measure(s)

Not provided at time of registration

Key secondary outcome measure(s)

Not provided at time of registration

Completion date31/12/2000
Reason abandoned (if study stopped)Participant recruitment issue

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexNot Specified
Target sample size at registration484
Key inclusion criteriaAll patients aged 18 or over presenting to the A&E Department of the City Hospital, Birmingham, with a clinical diagnosis of Deep Venous Thrombosis (DVT) will be eligible for entry into the study. Patients will be randomised to either an intervention or control arm of the study. 484 patients will be recruited. Assuming a radiological positive diagnosis rate of 50% this will leave 121 patients in each arm of the study.
Key exclusion criteriaPatients who need to be admitted to hospital for concomitant reasons, patients requiring venography, pregnant and breast feeding women and patients with concurrent malignancy will be excluded.
Date of first enrolment01/01/2000
Date of final enrolment31/12/2000

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Department of General Practice
Birmingham
B15 2TT
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes