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TerminatedNCT03090880PROVEUpdated Nov 17, 2022

Prophylaxis of Venous Thromboembolism in Advanced Lung Cancer (PROVE)

A Phase 3 interventional study of Tinzaparin Sodium in Venous Thromboembolism and Lung Neoplasm, sponsored by Assistance Publique - Hôpitaux de Paris. Terminated at 27 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-17.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 3, Interventional, and Prevention

Why this study was terminated
The rate of inclusion is too low to hope to reach the target of 800 patients. 59 patients were included, and their data will not meet the research objectives. The sponsor has decided to prematurely stop inclusions on January 13, 2022.
Phase
Phase 3
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Prospective randomized open multicenter trial with blinded adjudication of endpoints to assess the efficacy of six-month low-dose LMWH (Low Molecular Weight Heparin) for the prevention of symptomatic or incidental VTE in patients with stage IV lung cancer and elevated D-dimer.

Read the detailed description

Adult patients aged ≥ 18 years with stage IV lung cancer and elevated D-dimer will be randomized to the experimental or control group.Patients in the control group will receive usual care, patients in the experimental group will receive subcutaneous tinzaparin once daily for six months. Follow-up visit will take place in outpatient clinic at day 90, day 180 and day 360. Blood sampling for biomarkers will be performed at inclusion visit and day 90.

02

Conditions studied

  • Venous Thromboembolism
  • Lung Neoplasm

Keywords

  • Low-molecular-weight Heparin
  • Tinzaparin
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 59 is close to the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years
  • Social security affiliation
  • Written informed consent
  • Histologically confirmed stage IV (M1a or M1b) non-small-cell lung cancer, including recurrent non-small-cell lung cancer after a period of complete remission
  • D-dimer > 1,500 µg/L
  • First line of systemic cancer treatment (chemotherapy, immunotherapy or targeted therapy), or new line of systemic cancer treatment for cancer progression (chemotherapy, immunotherapy or targeted therapy), introduced during the month preceding inclusion or planned within one month after inclusion
  • ECOG (Eastern Cooperative Oncology Group) score 0-2
  • Life expectancy >3 months

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to heparin or to any excipients
  • Septic endocarditis
  • History of heparin-induced thrombocytopenia
  • Ongoing anticoagulant treatment at therapeutic dosage
  • VTE at inclusion
  • Creatinin clearance \<30 mL/min
  • Active bleeding
  • Platelet count \< 100 G/L at inclusion
  • Severe hepatic insufficiency
  • Cancer treated exclusively with supportive care
  • Aspirin at daily dosage > 160 mg
  • Pregnancy
  • Patient under tutorship or curatorship
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
59 participants (actual)

Study arms

  • No intervention
    Control

    usual care,

  • Experimental
    Experimental

    tinzaparin sodium

    Drug: Tinzaparin Sodium

Interventions

  • DrugTinzaparin Sodium

    Subcutaneous tinzaparin 4,500 IU once daily for six months.

06

What researchers measure

Primary outcomes

  1. venous thromboembolic events

    All venous thromboembolism (VTE) events during the six-month treatment period including: * objectively confirmed symptomatic pulmonary embolism (PE), * objectively confirmed symptomatic lower-limb deep vein thrombosis (DVT) (including iliac and caval thrombosis), * objectively confirmed symptomatic upper extremity DVT, * objectively confirmed incidentally diagnosed PE or proximal DVT * death due to PE.

    Time frame: 6 months

Secondary outcomes

  1. Symptomatic VTE events

    Objectively confirmed symptomatic VTE and death due to PE

    Time frame: 6 months

  2. Venous thromboembolic events

    Objectively confirmed symptomatic or incidental VTE during the 12-months study period

    Time frame: 12 months

  3. Major bleedings

    Major bleeding according to the ISTH criteria

    Time frame: 6 months

  4. Death

    Overall mortality and causes of death

    Time frame: 6 months

  5. Death

    Overall mortality and causes of death

    Time frame: 12 months

Other outcomes

  1. Risk factors for venous thromboembolism

    Risk factors for venous thromboembolism

    Time frame: 12 months

07

Study locations

27 sites
  • Hôpital Pontchaillou
    Rennes, Bretagne 35033, France
  • Centre Hospitalier régional d'Orléans
    Orléans, Centre 45000, France
  • Centre Oscar Lambret
    Lille, Hauts De France 59020, France
  • Hôpital Avicenne, Hôpitaux universitaires Paris Seine-
    Bobigny, Ile De France 93000, France
  • Hôpital d'Instruction des Armées Percy
    Clamart, Ile De France 92140, France
  • Hôpital Louis Mourier
    Colombes, Ile De France 92700, France
  • Centre Hospitalier Intercommunal de Créteil
    Créteil, Ile De France 94000, France
  • Centre Hospitalier de Versailles André Mignot
    Le Chesnay, Ile De France 78157, France
  • Hôpital Bicêtre
    Le Kremlin Bicêtre, Ile De France 94275, France
  • Institut Curie
    Paris, Ile De France 75005, France
  • Hôpital Pitié Salpétrière
    Paris, Ile De France 75013, France
  • Centre Hospitalier Paris Saint-Joseph
    Paris, Ile De France 75014, France
  • Institut Mutualiste Montsouris
    Paris, Ile De France 75014, France
  • Hôpital Européen Georges Pompidou
    Paris, Ile De France 75015, France
  • Hôpital Bichat Claude Bernard
    Paris, Ile De France 75018, France
  • Hôpital Tenon
    Paris, Ile De France 75020, France
  • Centre cardiologique du Nord
    Saint Denis, Ile De France 93200, France
  • Hôpital Foch
    Suresnes, Ile De France 92150, France
  • Gustave Roussy
    Villejuif, Ile De France 94805, France
  • Hôpital Larrey
    Toulouse, Languedoc-Roussillon-Midi-Pyrénées 31059, France
  • CHU de Caen
    Caen, Normandie 14033, France
  • CHU Poitiers
    Poitiers, Nouvelle-Aquitaine 86000, France
  • Institut de cancérologie de l'Ouest
    Saint Herblain, Pays De La Loire 44805, France
  • Centre Hospitalier Annecy Genevois
    Annecy, Rhône Alpes 74374, France
  • Groupement Hospitalier Est Hospices civils de Lyon
    Lyon, Rhônes Alpes 69000, France
  • Institut de Cancérologie Lucien Neuwirth
    Saint Priest, Rhônes-Alpes 42270, France
  • CHU de Rouen, Hôpital Charles Nicolle
    Rouen, Seine Maritime 76000, France
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03090880
Lead sponsor
Assistance Publique - Hôpitaux de Paris
Collaborators
Ministry of Health, France, National Cancer Institute, France
Responsible party
Sponsor
First posted
Mar 27, 2017
Start date
Sep 14, 2018
Primary completion
Aug 18, 2021
Completion
Aug 18, 2021
Last update
Nov 17, 2022

Study contacts

Guy Meyer, MD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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