Catheter-Related Early Thromboprophylaxis With Enoxaparin Studies

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
AgeUp to 17
SponsorYale University

About this trial

The goal of the CRETE Studies is to investigate the newly identified age-dependent heterogeneity in the efficacy of enoxaparin in reducing the risk of central venous catheter-associated deep venous thrombosis in critically ill children.

Eligibility criteria

Qualifiers

>36 weeks corrected gestational to <17 years old

<24 hours after insertion of an untunneled CVC

CVC inserted in the internal jugular or femoral vein

Disqualifiers

Radiologic diagnosis of CADVT in the site of insertion in prior 6 weeks

Currently receiving an antithrombotic agent, e.g., LMWH, UFH, warfarin and aspirin, but not UFH at dose to maintain patency of a vascular catheter

Presence of clinically relevant bleeding, i.e., hemoglobin decreased ≥2 g/dl in 24 hours, required medical or surgical intervention to restore hemostasis, or in the retroperitoneum, pulmonary, intracranial or central nervous system, in the prior 60 days

Surgery in the prior 7 days

Trial design

Treatments tested in this trial

  • Enoxaparin

Treatment groups

258 Participants
are divided into 5 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

Children's Hospital Colorado

Collaborator

Children's Hospital of Philadelphia

Collaborator

BJC HealthCare

Collaborator

Medical College of Wisconsin

Collaborator

Children's of Alabama

Collaborator

Golisano Children's Hospital

Collaborator

Maria Fareri Children's Hospital

Collaborator

Nationwide Children's Hospital

Collaborator

New York Presbyterian Hospital

Collaborator

Penn State University

Collaborator

University of Iowa

Collaborator

Johns Hopkins All Children's Hospital

Collaborator

University of Oklahoma

Collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Children's Hospital of Illinois at Peoria

Collaborator

Hassenfeld Children's Hospital

Collaborator