Blood thinner safety during polyp removal put to the test
NCT ID NCT07185295
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether it's safe to continue taking blood-thinning medication during the removal of colon polyps. About 481 adults on blood thinners will be randomly assigned to either keep taking their medication or stop temporarily before the procedure. Researchers will track serious bleeding within 30 days to see which approach is safer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- anticoagulant therapy (blood thinners)
- What this could lead to
- If successful, this could show that continuing blood thinners during polyp removal is safe, reducing the risk of blood clots and strokes for patients.
- What could go wrong
- This is a phase 4 trial, but results may not apply to all patients, and there is still a risk of bleeding or other complications.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 481 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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 to 85 years
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age over 18 years. * Patients scheduled for elective outpatient colonoscopy for any indication, in whom removal of colorectal polyps will be performed if identified during the procedure. * Anticoagulant treatment with vitamin K antagonists (acenocoumarol or warfarin) or direct oral anticoagulants (dabigatran, edoxaban, apixaban, or rivaroxaban) prior to the colonoscopy. Exclusion Criteria: * Concomitant antiplatelet therapy. Age over 85 years. Urgent colonoscopy. Labile INR (time in therapeutic range less than 60%) documented in the previous 3 months in patients receiving VKAs. Supratherapeutic INR (\>3.5) at the time of the procedure in patients on VKAs. Pregnancy. Decompensated liver cirrhosis. Inability, at the investigator's discretion, to understand the periprocedural anticoagulation regimen. Known coagulopathy or bleeding diathesis, including platelet count \<50,000/µl in the previous 12 months. Scheduled endoscopic dilation. Severe psychiatric disorder. Removal of colorectal lesions by endoscopic submucosal dissection. Previous diagnosis of renal failure defined as creatinine \>2 mg/dl or clearance \<30 ml/min. Planned high bleeding risk procedure during simultaneous gastroscopy. Previous inclusion in the trial. Patients may only be included once. Patients who are not candidates for a second endoscopic intervention due to clinical conditions. Any clinical situation or concomitant treatment that, in the investigator's opinion, poses a significant bleeding risk. Patients with polyps larger than 4 cm pending endoscopic resection.
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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.
Contacts and locations
Locations
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Clínica Rotger Quirónsalud
Palma, Balearic Islands, 07012, Spain
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Hospital Clinic de Barcelona
Barcelona, Catalonia, 08036, Spain
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Hospital Universitario Ramón y Cajal
Madrid, Madrid, Spain
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Servicio de Aparato Digestivo. Hospital Sierrallana. Barrio Ganzo,
Torrelavega, Cantabria, 39300, Spain
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Servicio de Aparato Digestivo. Hospital Universitario de Cabueñes
Oviedo, Principality of Asturias, 33011, Spain
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Servicio de Digestología, Hospital del Mar. Instituto Hospital del Mar de Investigaciones Médicas.
Barcelona, Catalonia, 08003, Spain
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Servicio de Gastroenterología y Hepatología. Hospital Universitario Río Hortega.
Valladolid, Castille and León, 47012, Spain
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Servicio de Gastroenterología y Hepatología. Hospital Universitario San Agustín.
Avilés, Principality of Asturias, 33401, Spain
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Servicio de Gastroenterología y Hepatología. Unidad de Endoscopias. Hospital Universitario Puerta De Hierro.
Majadahonda, Madrid, 28222, Spain
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Servicio de Gastroenterología. Hospital Universitario Príncipe de Asturias. Madrid.
Alcalá de Henares, Madrid, 28805, Spain