Study on the Effectiveness of Apixaban and Enoxaparin Sodium in Preventing Blood Clots in Patients with Autoimmune Hemolytic Anemia

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What is this study about?

This clinical trial is focused on studying the effectiveness of a treatment for patients with Autoimmune Hemolytic Anemia (AIHA), a condition where the immune system mistakenly attacks and destroys red blood cells. The study aims to prevent a condition called Venous Thromboembolism (VTE), which includes blood clots in veins, by using a combination of medications. Initially, patients will receive Enoxaparin Sodium, an anticoagulant given as a subcutaneous injection, during their hospital stay. This will be followed by taking Eliquis (also known as Apixaban), an oral anticoagulant, twice daily.

The purpose of the study is to evaluate if this treatment approach can effectively prevent VTE in patients with AIHA. The study will last for a total of 24 weeks. During the first 12 weeks, patients will receive the specified medications, starting with Enoxaparin Sodium and then transitioning to Eliquis. The remaining 12 weeks will involve monitoring the patients to see if the treatment successfully prevents the occurrence of VTE.

Participants will be observed for any signs of VTE, such as deep vein thrombosis or pulmonary embolism, and any side effects from the medications. The study will also look at other health factors that might be related to the risk of developing blood clots. This research is important for understanding how to better prevent serious complications in patients with AIHA.

1 initial hospitalization

Upon joining the study, the patient is hospitalized. During this period, the patient receives a medication called enoxaparin sodium.

The medication is administered as a subcutaneous injection at a dose of 4000 IU per day. This treatment continues throughout the hospitalization period.

2 transition to oral medication

After the hospitalization phase, the patient transitions to an oral medication regimen.

The patient takes apixaban, which is provided in the form of Eliquis 2.5 mg film-coated tablets.

The dosage is 2.5 mg taken twice daily, once in the morning and once in the evening.

3 treatment duration

The oral medication with apixaban continues for a total of 12 weeks.

The primary goal during this period is to prevent the occurrence of venous thromboembolic events, such as deep vein thrombosis or pulmonary embolism.

4 follow-up and monitoring

Throughout the 24-week study period, the patient is monitored for any signs of venous thromboembolic events.

Regular assessments are conducted to check for any adverse events, including bleeding or other complications.

5 end of study

At the end of the 24-week period, the study concludes.

The final assessments are conducted to evaluate the overall effectiveness of the treatment and to document any outcomes related to the patient’s health condition.

Who Can Join the Study?

Patient who has given free, written, and informed consent to participate.
Patient is 18 years or older.
Patient has a diagnosis of autoimmune hemolytic anemia (AIHA), which is a condition where the immune system attacks and destroys red blood cells. This can be primary or secondary to other conditions like infections or blood diseases. The diagnosis is confirmed by:
- Hemoglobin level less than 12 grams per deciliter (g/dL). Hemoglobin is a protein in red blood cells that carries oxygen.
- Haptoglobin level less than 0.4 grams per liter (g/L). Haptoglobin is a protein that binds free hemoglobin in the blood.
- Positive direct antiglobulin test (also known as the direct Coombs test), which checks for antibodies attached to red blood cells. This test may show IgG with or without C3d.
Patient is either newly diagnosed or has a relapse of AIHA. A relapse means a decrease in hemoglobin levels associated with AIHA, meeting the criteria mentioned above, and the doctor believes it is necessary to start specific treatment for AIHA.
Patient has an estimated life expectancy of more than 6 months.

Who Cannot Join the Study?

Patients who are not diagnosed with autoimmune hemolytic anemia. This is a condition where the body’s immune system mistakenly attacks and destroys its own red blood cells.
Patients who are not within the specified age range for the study. The study includes certain age groups, so those outside these groups cannot participate.
Patients who are part of a vulnerable population. This means groups of people who might need special protection or care, such as children or the elderly, are not included.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name	City	Country
University Hospital Of Clermont-Ferrand	Clermont Ferrand	France
Centre Hospitalier Intercommunal Creteil	Creteil	France
Centre Hospitalier Universitaire De Bordeaux	Bordeaux	France
Oncopole Claudius Regaud	Toulouse	France

Other Sites

Site Name	City	Country
Centre Hospitalier William Morey	Chalon Sur Saone	France
Centre Hospitalier Universitaire De Nantes	Nantes	France
Hopital Nord Franche-Comte	Belfort	France
Cutmtr Hcxcvrjdbnh Uhzzzjcpfozmb Rusoc	Reims	France
Cspqxw Hnjsjmsofho dx Marfo	Macon	France
Ccbcse Heitqqkjixq Uzgagmfjhfuss Db Dazdr	Dijon	France
Abjcgoavko Pmtpogef Hnyvmqle Di Mirrlchmx	Marseille	France
Btxpmavs Ulrchscask Hkvuvjbm Csgvzw	Besançon	France
Cpha Dt Nfrgv	Vandoeuvre Les Nancy	France

Trial status

Country	Status	Recruitment Start
France	Recruiting	03.02.2022

Trial locations

Investigated drugs:

Heparin is a medication used to prevent blood clots. In this trial, it is given as an injection under the skin to help reduce the risk of developing blood clots during hospitalization. It is used for a short period as part of the initial treatment phase.

Apixaban is a medication taken by mouth to prevent blood clots. In this trial, it is used after the initial treatment with heparin to continue preventing blood clots over a longer period. It helps reduce the risk of venous thromboembolism in patients with autoimmune hemolytic anemia.

Autoimmune Hemolytic Anemia – This is a condition where the immune system mistakenly attacks and destroys the body’s own red blood cells, leading to a shortage of these cells. The disease can cause symptoms such as fatigue, shortness of breath, and a rapid heartbeat due to the reduced oxygen-carrying capacity of the blood. It can occur suddenly or develop gradually, and the severity of symptoms can vary widely among individuals. The condition may be triggered by infections, medications, or other autoimmune disorders. In some cases, it can lead to complications such as an enlarged spleen or liver. The disease is considered rare and can be classified into different types based on the temperature at which the antibodies are most active, such as warm-type or cold-type.

Trial ID:

2024-513191-17-00

NCT ID:

NCT05089227

Trial Phase:

Therapeutic exploratory (Phase II)

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