A randomised phase III clinical trial investigating the effect of Fragmin® added to standard therapy In patients with lung cancer

ISRCTN ISRCTN80812769
DOI https://doi.org/10.1186/ISRCTN80812769
ClinicalTrials.gov (NCT) NCT00519805
Clinical Trials Information System (CTIS) 2005-002438-37
Protocol serial number 2005-002438-37
Sponsor Velindre NHS Trust (UK)
Funders Cancer Research UK, Pfizer UK
Submission date
24/05/2005
Registration date
08/07/2005
Last edited
26/10/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-to-find-out-if-dalteparin-can-improve-treatment-for-lung-cancer

Contact information

Dr Fergus Macbeth
Scientific

NICE
Holborn
London
WC1V 6NA
United Kingdom

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised phase III clinical trial investigating the effect of FRAGMin® Added to standard Therapy In patients with lung Cancer
Study acronymFRAGMATIC
Study objectivesTo assess the effect of adding six months of daily dalteparin (Fragmin) to standard treatment for patients with lung cancer.
Ethics approval(s)MREC for Wales, 08/08/2006, ref: 06/MRE09/29
Health condition(s) or problem(s) studiedLung cancer
InterventionThe trial is a multicentre randomised phase III trial. Patients are randomised to one of two groups with a 1:1 randomisation:
1. Control group: to receive anti-cancer treatment according to local practice
2. Intervention group: to receive anti-cancer treatment according to local practice plus once daily sub-cutaneous dalteparin (fragmin) for six months at a thromboprophylactic dose
Intervention typeDrug
PhasePhase III
Drug / device / biological / vaccine name(s)Dalteparin (fragmin)
Primary outcome measure(s)

Overall survival

Key secondary outcome measure(s)

1. Venous thrombotic event (VTE) free survival
2. Serious Adverse Events (SAEs)
3. Metastasis-free survival
4. Toxicity
5. Quality of life
6. Levels of breathlessness
7. Anxiety and depression
8. Cost effectiveness and cost utility

Completion date31/10/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration2200
Total final enrolment2202
Key inclusion criteriaPatients with histopathologically or cytologically confirmed primary lung cancer of any stage or histology.
Key exclusion criteria1. Patients with other intrathoracic tumours (e.g. carcinoid, mesothelioma, lymphoma, lung metastases from another primary site)
2. Any previous illness or treatment likely to interfere with protocol treatment or comparisons
3. Known cerebral metastases
4. Haemoptysis of CTC Grade two (symptomatic haemoptysis requiring medical intervention) or above
5. Known bleeding diathesis
6. Known pregnancy or lactation
7. Known allergy to heparin
8. Platelet count lower than 100 x 10^9/l
9. Renal impairment with serum creatinine greater than 150 µmol/l
10. Patients who have received therapeutic anticoagulation in the last 12 months
11. Patients taking Ketorolac
Date of first enrolment01/01/2006
Date of final enrolment31/10/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

NICE
London
WC1V 6NA
United Kingdom

Results and Publications

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/02/2016 Yes No
Results article results 20/07/2016 Yes No
Protocol article protocol 06/10/2009 Yes No
Basic results No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Plain English results 26/10/2022 No Yes

Editorial Notes

25/10/2022: Cancer Research UK plain English results link and total final enrolment added.
19/03/2020: EudraCT number added. Added EudraCT link to basic results (scientific).
23/02/2018: Publication reference added.
10/06/2016: Publication reference added.
15/02/2011: the overall trial end date was changed from 31/12/2010 to 31/10/2011.