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RECRUITING
NCT04304651
NA

Screening for Occult Malignancy in Patients with Unprovoked Venous Thromboembolism

Sponsor: University Hospital, Brest

View on ClinicalTrials.gov

Summary

Venous thromboembolism (VTE) can be the earliest sign of cancer. Identifying occult cancers at the time of VTE diagnosis may lead to significant improvement of patients' care. This is also an upmost issue for patients who want to know if an underlying cancer might have triggered the VTE. An individual patient-level data meta-analysis (IPDMA) supports extensive screening strategies for occult cancer especially based on FDG PET/CT, and suggests that the best target population for cancer screening would be patients with unprovoked VTE older than 50 years of age (6.7% in patients aged 50 years or more vs. 1.0% in patients of less than 50 years (OR: 7.1, 95% CI: 3.1 to 16%).

Official title: Screening for Occult Malignancy Using 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography (FDG PET/CT) in Patients with Unprovoked Venous Thromboembolism

Key Details

Gender

All

Age Range

50 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1276

Start Date

2020-09-08

Completion Date

2030-09-08

Last Updated

2024-12-16

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

Limited cancer screening

The limited cancer screening will include: 1) a complete medical history and physical examination; 2) complete blood count; 3) liver function tests (AST, ALT, ALP, bilirubin); and 4) chest X-ray. In women, a breast examination, Pap smear/pelvic examination (if \< 70 years old and previously sexually active) and mammogram will be performed, if not conducted in last year. In men, similarly, prostate examination and PSA testing will be performed, if not conducted in the last year. All patients will undergo colon cancer screening as per local practice.

DIAGNOSTIC_TEST

Limited cancer screening + FDG PET/CT

The limited cancer screening (as described above) in combination with a FDG PET/CT.

Locations (20)

University of Calgary

Calgary, Alberta, Canada

University of Manitoba

Winnipeg, Manitoba, Canada

McMaster University

Hamilton, Ontario, Canada

London Health Sciences Centre

London, Ontario, Canada

Hopital Montfort

Ottawa, Ontario, Canada

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

Sunnybrook Research Institute

Toronto, Ontario, Canada

University Health Network

Toronto, Ontario, Canada

Jewish General Hospital

Montreal, Quebec, Canada

McGill University Health Centre

Montreal, Quebec, Canada

CH des Pays de Morlaix

Morlaix, France, France

CH Agen

Agen, France

CHU Angers

Angers, France

Brest University Hospital

Brest, France

CHU de Clermont-Ferrand

Clermont-Ferrand, France

CHU de Dijon

Dijon, France

CHU de Limoges

Limoges, France

Hôpital Européen Georges Pompidou

Paris, France

CHU Saint-Etienne

Saint-Etienne, France

Hôpital Saint Musse - CH Toulon

Toulon, France