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Brief Title: Prospective Study on the Treatment of Unsuspected Pulmonary Embolism in Cancer Patients
Official Title: Prospective Study on the Treatment of Unsuspected Pulmonary Embolism in Cancer Patients
Study ID: NCT01727427
Brief Summary: The same initial and long-term anticoagulation is suggested for unsuspected pulmonary embolism as for patients with symptomatic embolism. Based on these indications, cancer patients with unsuspected pulmonary embolism would be anticoagulated for at least 6 months or until the disease is active, which in most cases would mean indefinite treatment. In fact, dedicated studies on the treatment of unsuspected pulmonary embolism are missing, leaving doubts over the need for (indefinite) anticoagulation which exposes these patients to an increased risk of major bleeding events. Concerns over the need for anticoagulant treatment may especially hold for pulmonary embolism of the distal pulmonary tree since segmental and sub-segmental PE seem to have a more benign course than more proximal embolism. The scope of this study is to evaluate the current treatment approaches for unsuspected pulmonary embolism and to assess their efficacy and safety in a large prospective cohort of cancer patients.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
D.C. Veterans Affairs Medical Center, Washington, District of Columbia, United States
Clinical Division of Haematology, Department of Medicine I, Vienna, , Austria
Division of Hematology, University of Ottawa, Ottawa, , Canada
CHU Amiens Picardie, Amiens, , France
Arras/Onco Nord Pas de Callais, Loos, Arras, , France
Hopital Saint André, Bordeaux, , France
University hospital Centra La Cavale Blanche, Brest, Cedex, , France
Brest HIA Clermont Tonnerre, Brest, , France
Montpellier et clinique du parc a Castelnau le nez, Castelnau, , France
Hopital G. Montpied Clermont-Ferrand, Clermont, , France
AP-HP Hopital Louis Mourier, Colombes, , France
Laboratoire d'Hématologie, Dijon, Dijon, , France
CHU de Limoges, Limoges, , France
Centre Hospitalier Lyon-Sud, Lyon, , France
Hopital Europeen Georges Pompidou, Paris, , France
Hopital Loriboisière, Paris, , France
Hospital Pitie Salpetriere, Paris, , France
Service de médecine et Thérapeutique, Saint-Etienne, , France
Division of Vascular Medicine, Department of Medicine, Technical University Dresden, Dresden, , Germany
Ospedali Riuniti, Bergamo, , Italy
Universita degli Studi G. d'Annunzio Chieti e Pescara, Chieti, , Italy
Malattie Cardiovascolari e Nefrourologiche, Palermo, , Italy
Fondazione IRCCS, Pavia, , Italy
Azienda Ospedaliera Arcispedale Santa Maria Nuova (ASMN), Reggio Emilia, , Italy
Università dell'Insubria, Varese, , Italy
Slotervaart hospital, Amsterdam, , Netherlands
Academic Medical Center, Amsterdam, , Netherlands
National Cancer Institute - Antonie van Leeuwenhoek hospital, Amsterdam, , Netherlands
Hospital Clinic i Provincial de Barcelona, Barcelona, , Spain
Hospital de Sabadell, Barcelona, , Spain
Hospital Vall D'Hebron, Barcelona, , Spain
ICO_Hospital Duran i Reynals, Barcelona, , Spain
Hospital Clinico Benidorm, Alicante, Benidorm, , Spain
Hospital Universitario Insular de Gran Canarias, Las Palmas, , Spain
Hospital General Universitario Gregorio Marañón, Madrid, , Spain
Hospital Universitario de Móstoles, Madrid, , Spain
Hospital Universitario Infantia Sofia, Madrid, , Spain
Hospital Universitario La Paz, Madrid, , Spain
Hospital Universitario Puerta de Hierro Majadahonda, Madrid, , Spain
Hospital Universitario Ramón y Cajal, Madrid, , Spain
Hospital Universitario San Carlos, Madrid, , Spain
Hospital Santa María Nei, Orense, , Spain
Hospital Universitario de Salamanca, Salamanca, , Spain
Hospital Obispo Polanco, Teruel, , Spain
Hospital Nuestra Sra del Prado Talavera de la Reina, Toledo, , Spain
Hospital Universitario Dr. Peset, Valencia, , Spain
Name: Marcello Di Nisio, MD, PhD
Affiliation: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Role: PRINCIPAL_INVESTIGATOR