New study seeks best blood clot treatment for cancer patients with low platelets
NCT ID NCT05255003
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at the best way to treat blood clots in cancer patients who also have low platelet counts, which raises bleeding risk. Researchers will compare two approaches: full-dose blood thinners with platelet transfusions versus a reduced dose without transfusions. The goal is to see if a larger study is possible, not to find a cure. About 50 adults with active cancer and a recent blood clot will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: 1. Adult patients (age ≥ 18) with active malignancy (malignancy diagnosed or treated within the previous 6 months, or progressive/relapsed); 2. Objectively confirmed VTE within last 14 days for which therapeutic anticoagulation is planned; 3. Thrombocytopenia with a platelet count \< 50,000/uL from cancer therapy or malignancy itself; 4. Able to provide written informed consent Exclusion Criteria: 1. Receipt of anticoagulant for index VTE with platelet count \< 50,000/uL for \> 72 hours; 2. Superficial vein thrombosis only; 3. Life expectancy \< 1 month (as judged by the treating physicians); 4. Creatinine clearance \< 30 ml/min; 5. Contraindication to LMWH such as a history of heparin induced thrombocytopenia; 6. Thrombocytopenia from other causes, such as thrombotic microangiopathy, immune thrombocytopenia, disseminated intravascular coagulation; 7. Previously documented history of refractoriness to platelet transfusion secondary to HLA antibodies; 8. Refusal of blood products; 9. Anticoagulation at any dose is deemed unsafe (i.e. active bleeding or bleeding disorders)
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Conditions
The condition(s) this trial relates to.
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
3 sites. 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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Niagara Health - St. Catharines Site
RECRUITINGSaint Catharines, Ontario, Canada
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The Ottawa Hospital
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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University of Alberta
WITHDRAWNEdmonton, Alberta, Canada
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Windsor Regional Hospital
RECRUITINGWindsor, Ontario, N8W 1L9, Canada
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Other studies related to the condition(s) this trial covers.
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- Cord blood cells aim to speed platelet recovery in transplant patients
- Platelet transfusions may influence blood vessel health in critically ill patients
- New drug strategy may reduce blood transfusions after organ transplants