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Risk of deep venous thrombosis and pulmonary embolism in severe asthma
ISRCTN ISRCTN07043627
ClinicalTrials.gov identifier
Public title Risk of deep venous thrombosis and pulmonary embolism in severe asthma
Scientific title Risk of deep venous thrombosis and pulmonary embolism in severe asthma: an observational study
Acronym N/A
Serial number at source Astmafonds 3.2.11.021
Study hypothesis 1. The prevalence of venous thromboembolism (VTE) is increased in patients with severe asthma as compared to the general population
2. The prevalence of VTE increases with severity of asthma
3. Use of corticosteroids is associated with increased prevalence of VTE in patients with asthma
Lay summary Lay summary under review
Ethics approval The questionnaire was qualified as no overburden for the patient. Therefore no Medical Ethics Committee approval was needed.
Study design Open label observational cross-sectional study
Countries of recruitment Netherlands
Disease/condition/study domain Asthma
Participants - inclusion criteria 1. Age 18-88 years old
2. Patients recruited from outpatient clinics from the Academic Medical Centre Amsterdam, Medical Center Leeuwarden and the Dutch High Altitude Asthma Clinic, Davos, Switzerland
3. Confirmed diagnosis of asthma according to Global Initiative for Asthma (GINA) 2010 guidelines
4. Diagnosis of severe asthma according to the international consensus 2009 (IMI-UBIOPRED)
Participants - exclusion criteria 1. Severe co-morbidities that could interfere with coagulation (Including cancer, other severe inflammatory diseases and human immunodeficiency virus (HIV)
2. Severe psychiatric illness
Anticipated start date 01/12/2010
Anticipated end date 01/05/2011
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 550 (275 mild / moderate asthma and 275 severe asthma patients)
Interventions All patients will complete a questionnaire about:
1. History of deep venous thrombosis (DVT) and pulmonary embolism (PE)
2. History of asthma
3. Medication use
The results of all included patients will be compared with a comparable reference general population (Naess IA, et al. J Thromb Haemost 2007 April;5(4):692-9). Because sex and age have a large influence on the incidence of DVT and pulmonary embolism (PE), the reference general population will be matched to sex and age for all patients. The study population will be compared with the reference general population by indirect standardisation.
Primary outcome measure(s) Cumulative number of first DVT and PE events during lifetime as compared to the sum of the expected cumulative hazards of first DVT and PE events from all patients in an age- and sex-matched general population
Secondary outcome measure(s) Hazard ratio for PE and DVT of of asthma associated factors (like oral and inhalational corticosteroids, atopy, duration of asthma, age of onset)
Sources of funding Astmafonds (Netherlands) (ref: 3.2.11.021)
Trial website
Publications
Contact name Mr  C  Majoor
  Address Meibergdreef 9
  City/town Amsterdam
  Zip/Postcode 1105 AZ
  Country Netherlands
Sponsor Astmafonds (Netherlands)
  Address Postbus 627
  City/town Amersfoort
  Zip/Postcode 3800 AP
  Country Netherlands
  Sponsor website: http://www.astmafonds.nl/
Date applied 09/11/2011
Last edited 30/11/2011
Date ISRCTN assigned 30/11/2011
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