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Venous thromboembolic disease (VTE) is a common (1/1000), potentially serious disease (10% mortality when the clinical presentation is that of pulmonary embolism (PE)). In cancer patients, the risk of developing VTE is high and constitutes a negative prognostic factor for cancer; the risk of bleeding is also increased. The study of VTE in the context of cancer is a major challenge, given the frequency of the association, the heterogeneity of the situations, the risk factors involved and the therapeutic issues in both curative and primary prevention; in this field, many uncertainties remain, justifying a study focused on the association of VTE and cancer.
Cancer is associated with a higher risk of VTE and mortality. This association is characterized by various uncertainties at pathophysiological, diagnostic, therapeutic and prognostic levels.
CAPE STUDY is a prospective, single-center interventional cohort follow-up study designed to investigate the risk of recurrence of VTE and its mechanisms in cancer patients.
The study involves the collection of biological samples from cancer patients with venous thromboembolic disease.
At inclusion and in case of recurrence of thrombosis or hemorrhage:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cancer patients treated for MVTE | All the patients are included in one arm. They will undergo various type of samples. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collection of biological samples | Other | Collecte of blood and urine samples |
|
| Measure | Description | Time Frame |
|---|---|---|
| Venous thromboembolic recurrence | Venous thromboembolic recurrence | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Major hemorrhage | Fatal haemorrhage, clinical haemorrhage associated with a fall in haemoglobin of 2g/dl or more, clear clinical haemorrhage requiring transfusion of at least 2 red blood cells packed, intracranial, medullary, retroperitoneal, pericardial, intra-articular, intra-muscular, intra-ocular, intra-pulmonary haemorrhage, any other haemorrhage considered serious by the investigator | As long as the patient is on anticoagulant treatment during the 5 years of follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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Major cancer patients with venous thromboembolic disease
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Françis Couturaud, Pr | Contact | +33298347348 | francis.couturaud@chu-brest.fr |
| Name | Affiliation | Role |
|---|---|---|
| Françis Couturaud, Pr | CHU Brest | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brest University Hospital | Recruiting | Brest | 29200 | France |
All collected data that underlie results in a publication
Data will be available after the publication of result and ending fifteen years following the last visit of the last patient
Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement
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| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D020246 | Venous Thrombosis |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D013927 | Thrombosis |
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Blood collected at inclusion (66.4 ml) and in case of recurrence of thrombo-embolic venous disease ( 54.5 mL) to store plasma, serum, DNA and RNA.t Tumor tissue collection (taken during excision or biopsy as part of routine care) Urine (20 to 40 mL)
| Mortality | Global (all causes) and secondary to recurrent VTE or hemorrhage | 5 years |
| Arterial events | Atrial fibrillation, cerebrovascular accident, coronary accident, arteriopathy of the lower limbs, digestive vascular accident (splanchnic, renal, mesenteric etc.). | 5 years |