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A randomised phase III clinical trial investigating the effect of FRAGMin® Added to standard Therapy In patients with lung Cancer
ISRCTN ISRCTN80812769
ClinicalTrials.gov identifier NCT00519805
Public title A randomised phase III clinical trial investigating the effect of FRAGMin® Added to standard Therapy In patients with lung Cancer
Scientific title
Acronym FRAGMATIC
Serial number at source 2005-002438-37
Study hypothesis To assess the effect of adding six months of daily dalteparin (Fragmin) to standard treatment for patients with lung cancer.

Please note, as of 15/02/2011 the anticipated end date for this trial has been updated from 31/12/2010 to 31/10/2011.
Lay summary http://www.cancerhelp.org.uk/trials/a-trial-to-find-out-if-dalteparin-can-improve-treatment-for-lung-cancer
Ethics approval MREC for Wales on 08/08/2006 (ref: 06/MRE09/29)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Lung Cancer
Participants - inclusion criteria Patients with histopathologically or cytologically confirmed primary lung cancer of any stage or histology.
Participants - exclusion criteria 1. Patients with other intrathoracic tumours (e.g. carcinoid, mesothelioma, lymphoma, lung metastases from another primary site)
2. Any previous illness or treatment likely to interfere with protocol treatment or comparisons
3. Known cerebral metastases
4. Haemoptysis of CTC Grade two (symptomatic haemoptysis requiring medical intervention) or above
5. Known bleeding diathesis
6. Known pregnancy or lactation
7. Known allergy to heparin
8. Platelet count lower than 100 x 10^9/l
9. Renal impairment with serum creatinine greater than 150 µmol/l
10. Patients who have received therapeutic anticoagulation in the last 12 months
11. Patients taking Ketorolac
Anticipated start date 01/01/2006
Anticipated end date 31/10/2011
Status of trial Completed
Patient information material
Target number of participants 2200
Interventions The trial is a multicentre randomised phase III trial. Patients are randomised to one of two groups with a 1:1 randomisation:
Control group: to receive anti-cancer treatment according to local practice
Intervention group: to receive anti-cancer treatment according to local practice plus once daily sub-cutaneous dalteparin (fragmin) for six months at a thromboprophylactic dose
Primary outcome measure(s) Overall survival
Secondary outcome measure(s) 1. Venous thrombotic event (VTE) free survival
2. Serious Adverse Events (SAEs)
3. Metastasis-free survival
4. Toxicity
5. Quality of life
6. Levels of breathlessness
7. Anxiety and depression
8. Cost effectiveness and cost utility
Sources of funding Cancer Research UK (CRUK) and Pfizer
Trial website
Publications 2009 protocol in http://www.ncbi.nlm.nih.gov/pubmed/19807917
Contact name Dr  Fergus  Macbeth
  Address NICE,
Holborn,
  City/town London
  Zip/Postcode WC1V 6NA
  Country United Kingdom
Sponsor Velindre NHS Trust (UK)
  Address Unit 2, Charnwood Court
Parc Nantgarw
  City/town Cardiff
  Zip/Postcode CF15 7QW
  Country United Kingdom
Date applied 24/05/2005
Last edited 02/08/2011
Date ISRCTN assigned 08/07/2005
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