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Trial registered on ANZCTR
Registration number
ACTRN12619000050156
Ethics application status
Approved
Date submitted
9/01/2019
Date registered
15/01/2019
Date last updated
17/12/2019
Date data sharing statement initially provided
15/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Is there an association between a postpartum venous thromboembolism risk assessment chart and the results of either two different means of determining clot formation, using a sample of blood?
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Scientific title
Does a correlation exist with either rotational thromboelastometry (ROTEM) or Thrombin Generation Assay and a venous thromboembolism risk assessment chart?
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Secondary ID [1]
297004
0
Nil known
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Universal Trial Number (UTN)
U1111-1226-3787
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Trial acronym
The CLOT Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Risk assessment of deep vein thrombosis in postpartum women
310998
0
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Condition category
Condition code
Reproductive Health and Childbirth
309650
309650
0
0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
All women who birth at The Northern Hospital are scored using the postpartum venous thromboembolism risk assessment chart, which will then assign the women to being at low, intermediate or high risk for the development of deep vein thrombosis. For the first 130 individuals who consent to the request for a sample of blood, the clotting capability of the sampled blood will be tested using ROTEM and the Thrombin Generation Assay. This blood sample is not part of routine care of postpartum women. We are trying to determine if there is any correlation between the class of risk assigned using the postpartum venous thomboembolism risk assessment chart and 'clotability' of blood as determined both by ROTEM and the Thrombin Generation Assay. There is no time frame that the participants are observed for, however, the blood sample needs to be withdrawn within 60 minutes of delivery of the placenta.
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Intervention code [1]
313297
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Not applicable
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Comparator / control treatment
Not applicable. No control group. All women who give birth at The Northern Hospital have a risk assessment for the development of a deep vein thrombosis, the risk assigned is either low, intermediate or how. For the first 130 women who volunteer for the withdrawal of a sample of blood, we will determine the clotability of the blood with both ROTEM and the Thrombin Generation Assay. Data from both of these in vitro tests will be used to determine if either or both results correlate with the risk category assigned. Therefore, there is no control group and we are not comparing the results of ROTEM with the results of the Thrombin Generation Assay.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
318607
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Venous thromboembolism risk assessment as assessed by clot strength determined by the use of ROTEM
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Assessment method [1]
318607
0
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Timepoint [1]
318607
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The primary timepoint is within one hour post delivery of the placenta
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Primary outcome [2]
318666
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Venous thromboembolism risk assessment, as measured by blood 'clotability', using the Thrombin Generation Assay
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Assessment method [2]
318666
0
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Timepoint [2]
318666
0
Within one hour post delivery of the placenta
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Secondary outcome [1]
365516
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There are no secondary outcomes
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Assessment method [1]
365516
0
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Timepoint [1]
365516
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Not applicable
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Eligibility
Key inclusion criteria
Postpartum of a live neonate, within 60 minutes of the delivery of the placenta, in an individual who has capacity to consent to the request for a sample of blood
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Inability to provide consent for the request of a sample of blood and fetal death at the time of birth
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Initial analysis of the data will be by the generation of scatter plots. If a linear correlation is shown to exist, we will use Pearson product moment correlation coefficient (r). If the data are not normal, we will use Spearman Rank Order Correlation (rho) instead.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
28/01/2019
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Actual
25/02/2019
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Date of last participant enrolment
Anticipated
31/01/2020
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Actual
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Date of last data collection
Anticipated
29/02/2020
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Actual
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Sample size
Target
130
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Accrual to date
109
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
12845
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The Northern Hospital - Epping
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Recruitment postcode(s) [1]
25320
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3076 - Epping
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Funding & Sponsors
Funding source category [1]
301575
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Commercial sector/Industry
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Name [1]
301575
0
Ferring Pharmaceutical
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Address [1]
301575
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Suite 2, Level 1, Building 1
Pymble Corporate Centre
20 Bridge Street
Pymble, NSW, 2073
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Country [1]
301575
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Australia
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Primary sponsor type
Individual
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Name
Darren Lowen
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Address
Department of Anaesthesia and Perioperative Medicine
The Northern Hospital
185 Cooper Street
Epping, VIC, 3076
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Country
Australia
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Secondary sponsor category [1]
301285
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None
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Name [1]
301285
0
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Address [1]
301285
0
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Country [1]
301285
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302304
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Austin Health HREC
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Ethics committee address [1]
302304
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The Austin Hospital 145 Studley Road Heidelberg VIC 3084
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Ethics committee country [1]
302304
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Australia
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Date submitted for ethics approval [1]
302304
0
12/12/2018
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Approval date [1]
302304
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08/01/2019
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Ethics approval number [1]
302304
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HREC/49067/Austin-2018
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Summary
Brief summary
This study is a cross-sectional study of the first 130 women who deliver a live fetus at The Northern Hospital. All women who give birth at The Northern Hospital are assigned a risk category for the subsequent likelihood of developing a deep vein thrombosis within the first 6 weeks post birth. The risk categories are low, intermediate and high. Women who are assigned an intermediate risk receive enoxaparin subcutaneously for the first 5 days after giving birth, whereas those women who are assigned a high risk, will need to receive enoxaparin for the first 6 weeks post birth. Women who are categorised as being of low risk, do not receive enoxaparin. Unfortunately though, approximately 30 % of women who actually develop a deep vein thrombosis are categorised as being of low risk. Therefore, as an initial first step, we would like to determine if a machine, which determines the clotability of blood may also be used to assign a risk category for the subsequent development of deep vein thrombosis in women who have recently given birth. A positive result may allow us to to identify the 30% of women who are incorrectly categorised as being of low risk.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
89758
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Dr Darren Lowen
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Address
89758
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Department of Anaesthesia and Perioperative Medicine
The Northern Hospital
185 Cooper Street
Epping VIC 3076
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Country
89758
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Australia
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Phone
89758
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+61 03 8405 8521
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Fax
89758
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+61 03 8405 8032
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Email
89758
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[email protected]
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Contact person for public queries
Name
89759
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Darren Lowen
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Address
89759
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Department of Anaesthesia and Perioperative Medicine
The Northern Hospital
185 Cooper Street
Epping VIC 3076
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Country
89759
0
Australia
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Phone
89759
0
+61 03 8405 8521
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Fax
89759
0
+61 03 8405 8032
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Email
89759
0
[email protected]
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Contact person for scientific queries
Name
89760
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Darren Lowen
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Address
89760
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Department of Anaesthesia and Perioperative Medicine
The Northern Hospital
185 Cooper Street
Epping VIC 3076
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Country
89760
0
Australia
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Phone
89760
0
+61 03 8405 8521
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Fax
89760
0
+61 03 8405 8032
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Email
89760
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All of the individual participant data collected during the trial after it has been de-identified
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When will data be available (start and end dates)?
Immediately following publication and ending 7 years post main results publication
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Available to whom?
On a case by case basis at the discretion of the Primary Sponsor and approval by ethics and local governance
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
Access subject to approval by Principal Investigator
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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