ClinicalTrials.gg
Enrolling by invitationNCT05794165TRAITUpdated Oct 9, 2026

Antithrombin to Improve Thromboprophylaxis and Reduce the Incidence of Trauma-Related Venous Thromboembolism

A Phase 2 interventional study of Thrombate infusion and Placebo in Trauma Injury, Thromboembolism and Venous Thromboembolism, sponsored by Bryan Cotton. Enrolling by invitation at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Bryan Cotton · Phase 2, Interventional, and Treatment

Updated Oct 9, 2026Primary completion movedStudy completion moved+2 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
314
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if additional interventions will assist with decreasing the risk and/or severity of thromboembolism (clotting complications) in patients who have experienced a major traumatic event.

02

Conditions studied

  • Trauma Injury
  • Thromboembolism
  • Venous Thromboembolism
03

In context

Accidental Injuries

128 studies on the registry are indexed under Accidental Injuries; 39 are open to participants now.

This study's planned enrollment of 314 is above the median of 110 across 67 interventional studies indexed under Accidental Injuries.

Browse Accidental Injuries studies →

Lead sponsor

Bryan Cotton is the lead sponsor of 2 studies on the registry; 1 is 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Admission to trauma service
  • Polytraumatic injuries OR pelvic/long bone fracture
  • Planned admission to trauma ICU or step-down/SIMU setting (this includes STICU, SIMU/TIMU, BICU, and BIMU)
  • obtained

Exclusion criteria

Exclusion Criteria:

  • Prisoners (defined as those directly admitted from correctional facility)
  • Known or suspected pregnancy
  • ≥ 20% total body surface area (TBSA) burned
  • Nonsurvivable head injuries
  • Known hematologic or immunologic disorders
  • Known prehospital anticoagulant use
  • Patients initially placed on unfractionated heparin for thromboprophylaxis
  • Known allergy to Antithrombin or it's components
  • Enrollment in another interventional study unless approved by Trial Principal Investigator
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
314 participants (estimated)

Study arms

  • Experimental
    Thrombate infusion

    Drug: Thrombate infusion

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugThrombate infusion

    Bolus intravenous infusion of Thrombate will be given to achieve antithrombin (AT) activity levels at 150% before the 3rd dose of Enoxaparin. The dose will be based on patient weight.

  • DrugPlacebo

    Normal Saline will be given as one time IV before the 3rd dose of Enoxaparin. The dose will be based on patient weight.

06

What researchers measure

Primary outcomes

  1. Number of participants with incidences of venous thromboembolism (VTE )

    Time frame: 14 days post hospital admission

  2. Number of participants with incidence of antifactor Xa (anti-FXa) of ≥0.2 IU/mL

    Time frame: 14 days post hospital admission

Secondary outcomes

  1. Time taken to achieve anti-FXa of ≥0.2 IU/mL

    Time frame: 14 days post hospital admission

  2. Number of enoxaparin dose escalations

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  3. Number of incidences of participants with other thrombotic complications (arterial thrombosis, myocardial infarction, stroke)

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  4. Number of incidences of participants with bleeding events (interoperative bleeding, abdominal bleeding)

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  5. Number of hospital free days

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  6. Number of Ventilator free days

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  7. Number of ICU free days

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

  8. Level of Anti-FXa

    Time frame: from the time of hospital admission up to hospital day 7

  9. Antithrombin (AT) activity level

    Time frame: from the time of hospital admission up to hospital day 7

  10. Change in level of the endothelial marker syndecan-1 as assessed by a blood test

    Time frame: time of hospital admission, day1, day2, day 3, day 4, day 5, day6, day 7

  11. Change in level of the endothelial marker thrombomodulin as assessed by a blood test

    Time frame: From the time of hospital admission to day 7

  12. Change in level of Inflammatory marker Tumor necrosis factor alpha (TNFα) as assessed by a blood test

    Time frame: From time of hospital admission to day 7

  13. Change in level of Inflammatory marker Interleukin-8 (IL-8) as assessed by a blood test

    Time frame: From time of hospital admission to day 7

  14. Change in level of Inflammatory marker Interleukin-6(IL-6) as assessed by a blood test

    Time frame: time of hospital admission, day1, day2, day 3, day 4, day 5, day6, day 7

  15. Change in level of Inflammatory marker Interleukin-1 beta (IL1b) as assessed by a blood test

    Time frame: From time of hospital admission to day 7

  16. Change in level of Inflammatory marker Interleukin-1 alpha (IL1a) as assessed by a blood test

    Time frame: From time of hospital admission to day 7

  17. Change in level of Inflammatory marker Interferon -gamma (INFg) as assessed by a blood test

    Time frame: From time of hospital admission to day 7

  18. Number of participants with In-hospital mortality

    Time frame: from the time of hospital admission to the time of hospital discharge or 30 days (whichever occurs first)

07

Study locations

5 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • University of Mississippi Medical Center · Jackson, United States
Oct 9, 2026
Primary completion
Nov 2026→Apr 2027
Oct 9, 2026
Study completion
Mar 2027→Sep 2027
Oct 9, 2026
Sponsor
Collaborators added: Grifols Shared Services North America, Inc.; collaborators removed: Grifols Shared Services North America, Ind.
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    1 site added
    Show site
    • University of Mississippi Medical Center · Jackson, United States
    Primary completion Nov 2026→Apr 2027
    Study completion Mar 2027→Sep 2027
    Sponsor Collaborators added: Grifols Shared Services North America, Inc.; collaborators removed: Grifols Shared Services North America, Ind.
    + 4 other changes: verification date, registry dates, oversight details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05794165
Lead sponsor
Bryan Cotton
Collaborators
Grifols Shared Services North America, Inc.
Responsible party
Bryan Cotton (Professor, The University of Texas Health Science Center, Houston) — Sponsor-investigator
First posted
Apr 3, 2023
Start date
Sep 27, 2023
Primary completion
Apr 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Oct 9, 2026

Study contacts

Bryan A Cotton, MD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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