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Venous thromboembolism is a common and fatal disease closely related to cancer. The therapeutic challenge is major due to the high risk of recurrent thromboembolism and bleeding in patients with cancer.
Guidelines recommend the use of low molecular-weight heparin for the treatment of Cancer-Associated venous Thromboembolism (CAT) at least for 3 to 6 months of treatment.
However, recent advances through the results of several therapeutic trials such as CARAVAGGIO (NCT03045406) open the door to the use of Direct Oral AntiCoagulants (DOACs) as first-line therapy.
Nevertheless, extrapolation of its results may be limited owing to a large number of inclusion and exclusion criteria, which may have selected a reduced population.
The proportion of patients admitted with acute CAT who may not eligible to a trial as CARAVAGGIO is unknown.
The aim of this study si to assess this proportion in a retrospective multicenter study, of patients admitted for acute Cancer-Associated venous Thromboembolism (CAT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| venous thromboembolic event related to cancer | Patients admitted for a venous thromboembolic event related to their cancer will be included A data collection will be realized. Patients admitted between 2017 and 2019 at Saint-Etienne University Hospital, Louis-Mourier Hospital (AP-HP) and Amiens University Hospital. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| data collection | Other | data collection : gender, weight, biological data (platelets, hemoglobin, creatinine, liver function tests), performance status, type of Venous Thromboembolic Event (VTE) and cancer, anticancer and anticoagulant therapy, adverse events (bleeding, recurrence of Venous Thromboembolic Event (VTE), death) up to 6 months after their Venous Thromboembolic Event (VTE). |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of cancer patients with a venous thromboembolic event (VTE) ineligible for CARAVAGGIO study | Patient having at least one of the following exclusion criteria (from CARAVAGGIO study) :
| Up to 6 months after venous thromboembolic event |
| Measure | Description | Time Frame |
|---|---|---|
| Drugs used for their VTE | Collected in medical history. | Up to 6 months after venous thromboembolic event |
| Confirmed recurrent Venous Thromboembolic Event (VTE) | Collected in medical history.
|
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Inclusion Criteria:
Consecutive patients with a newly diagnosed, objectively confirmed:
Consecutive patients with any type of cancer whose primary brain tumor or known intracerebral metastases and acute leukemia that meets at least one of the following:
Exclusion Criteria:
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Patients admitted for a venous thromboembolic event related to their cancer will be included between 2017 and 2019 at Saint-Etienne University Hospital, Louis-Mourier Hospital (AP-HP) and Amiens University Hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Laurent Bertoletti, MD PhD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU d'Amiens | Amiens | 80000 | France | |||
| Hôpital Louis Mourier |
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| D009369 | Neoplasms |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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|
| Up to 6 months after venous thromboembolic event |
| Bleeding event | Collected in medical history. | Up to 6 months after venous thromboembolic event |
| Death | Collected in medical history. | Up to 6 months after venous thromboembolic event |
| Colombes |
| 92000 |
| France |
| Chu Saint-Etienne | Saint-Etienne | France |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |