Could cancer patients with dangerous clots be treated at home?
NCT ID NCT07315347
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with active cancer who have a blood clot in their lungs (pulmonary embolism) can be safely treated at home instead of in the hospital. About 824 participants will be randomly assigned to either go home within 24 hours or stay in the hospital for at least 48 hours. The main goal is to see if home treatment is as good as hospital care at preventing new clots, major bleeding, or death within 14 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- home treatment (early discharge with phone follow-up) vs hospitalisation
- What this could lead to
- If successful, this could show that many cancer patients with a pulmonary embolism can be safely treated at home instead of in the hospital, improving comfort and reducing healthcare costs.
- What could go wrong
- This is a non-inferiority trial, so it aims to prove home care is not worse than hospital care, not that it is better. The results may not apply to all cancer patients, and there is a risk of bleeding or recurrent clots that could be harder to manage at home.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 824 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Apr 2029
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.
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 ≥ 18 years * Symptomatic or incidental hemodynamically stable PE objectively confirmed ≤ 24h according to the ESC guidelines * Active cancer other than basal-cell or squamous-cell carcinoma of the skin defined at least by one of the followings: * cancer that has been diagnosed within the past 6 months, * cancer for which anti-cancer treatment is being given at the time of enrolment or during 6 months before randomisation, or recurrent locally advanced or metastatic cancer * No HESTIA criteria (i.e. no other medical condition than cancer since cancer is one of the medical condition that can check "yes" to the item). * For woman of childbearing potential: negative beta-HCG before inclusion * Signed informed consent * Affiliated to French " sécurité sociale " * Good understanding of the French language Exclusion Criteria: * Diagnosis of PE established for over 24h before inclusion * Shock or hypotension defined as systolic blood pressure \<90 mmHg or a systolic pressure drop by ≥40 mmHg, for \>15 minutes, if not caused by new-onset arrhythmia, hypovolaemia, or sepsis * Hospitalisation for over 24h * ECOG performans status 3 or 4 * Impossibility for 30-day follow-up, * Estimated life expectancy less than 30 days * Patient in detention by judicial or administrative decision, * Patient placed under a legal protection measure, * Patient unable of giving free and informed consent * Inclusion in another interventional study requiring hospitalisation * Pregnant or breastfeeding women * Patient on AME (state medical aid)
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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
20 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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C01 - Pneumologie et Soins Intensifs - HEGP
RECRUITINGParis, France, 75015, France
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C02 - Département interdisciplinaire d'organisation des parcours patients - Institut gustave Roussy
RECRUITINGVillejuif, France, 94805, France
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C03 - Médecine interne et médecine vasculaire - Hospices Civils de Lyon
RECRUITINGPierre-Bénite, France, 69310, France
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C04 - Oncologie Médicale - Centre Georges-François Leclerc - CLCC
NOT_YET_RECRUITINGDijon, France, 21079, France
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C05 - Médecine Interne - Hôpital Louis Mourier - APHP
RECRUITINGColombes, France, 92700, France
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C06 - Pneumologie - Hôpital Cochin - APHP
NOT_YET_RECRUITINGParis, France, 75014, France
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C07 - Médecine Vasculaire - Hôpital Saint Joseph
NOT_YET_RECRUITINGParis, 75014, France
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C08 - Département de Médecine interne et pneumologie - CHU la Cavale Blanche
RECRUITINGBrest, 29609, France
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C09 - Médecine vasculaire et thérapeuthique - CHU Saint Etienne
RECRUITINGSaint-Priest-en-Jarez, 42270, France
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C10 - Département médecine urgence - CHU Angers
RECRUITINGAngers, 49933, France
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C11 - Pneumologie - CH René Dubos
RECRUITINGCergy-Pontoise, 95304, France
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C12 - Médecine Vasculaire - CHU Amiens Picardie
RECRUITINGAmiens, 80054, France
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C13 - Médecine Vasculaire - CHU Dijon
NOT_YET_RECRUITINGDijon, 21000, France
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C14 - Médecine Vasculaire - CH Toulon
RECRUITINGToulon, 83100, France
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C15 - Médecine Interne - CHU Rouen
RECRUITINGRouen, 76031, France
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C16 - Département Urgences - CHU Clermont Ferrand
RECRUITINGClermont-Ferrand, 63000, France
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C17 - Médecine Interne - CHU Nantes
RECRUITINGNantes, 44000, France
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C18 - Pneumologie - CH de Versailles Hôpital André Mignot
RECRUITINGLe Chesnay, 78157, France
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C19 - Pneumologie - Hôpital Foch
RECRUITINGSuresnes, 92151, France
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C20 - Médecine Vasculaire - CHU Toulouse
NOT_YET_RECRUITINGToulouse, 31059, France
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