ECMO blood thinner showdown: which drug wins?
NCT ID NCT05959252
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two blood thinners, bivalirudin and heparin, in 80 adults on ECMO (a heart-lung machine). The goal is to see which drug keeps blood thin enough to prevent clots and bleeding, and which is more cost-effective. Participants are randomly assigned to one of the two drugs.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
INCLUSION CRITERIA * Patients receiving ECMO * Age: 18 years or older * Ability to randomise the patient within 4 hours of ECMO support initiation EXCLUSION CRITERIA * Post-cardiotomy ECMO patients * Contraindication to heparin or bivalirudin at time of randomisation e.g., active bleeding * Heparin induced thrombotic thrombocytopenia syndrome * Where the patient is expected to be disconnected from ECMO in the next day after cannulation. * Limitations of care put in place either through patient wishes or the treating medical teams * Other reason where the treating physician deems the study is not in the patient's best interest * Patients who are suspected or confirmed to be pregnant * Inherited bleeding or thrombotic disorders, Systemic Lupus Erythematosus patients
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Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Royal Prince Alfred Hospital
RECRUITINGSydney, New South Wales, 2050, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood test may forecast life-threatening clots or bleeds on ECMO
- Portable MRI could spot brain injury in children on life support
- ECMO Patients' hidden infection risk under the microscope
- ECMO breakthrough? major trial aims to cut deadly complications
- New study aims to uncover why ECMO patients bleed
- Could 'lung rest' on ECMO save more lives in severe ARDS?