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Heart clot study asks: when can you safely stop blood thinners?
NCT ID NCT07246005
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study looks at people with a blood clot in the heart (left ventricular thrombus) who have been on blood thinners for at least 3 months. Half will stop their medication and half will continue, to see which approach is safer. The goal is to find the best treatment duration and to test whether a larger study is possible.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rivaroxaban, apixaban, or warfarin (blood thinners)
- What this could lead to
- If successful, this could help doctors know the safest time to stop blood thinners in people with left ventricular thrombus, reducing bleeding risk while preventing strokes.
- What could go wrong
- This is a small pilot study, not a large definitive trial. It may not provide clear answers, and stopping blood thinners could increase the risk of stroke or new clots.
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 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 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.
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: * Diagnosis of LV thrombus less than 12 months ago * On Apixaban at the time of randomisation * Completed at least 3 months of anticoagulation treatment for LV thrombus * Persistent laminar/ mural thrombus or persistent LV dysfunction Exclusion Criteria: * Any clinical condition requiring long term anticoagulation treatment as per investigator's judgement. * SSE since LV thrombus diagnosis * Contraindication to continuing anticoagulation therapy * Non-ischaemic Cardiomyopathy * Age less than 18 years * Unable to consent
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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
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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St Bartholomews Hospital
London, EC1A4BE, United Kingdom
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