Could a stronger blood thinner save trauma patients from deadly clots?
NCT ID NCT07506473
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a higher dose of the blood thinner enoxaparin can better prevent dangerous blood clots in the legs or lungs of severely injured patients. About 540 adults in intensive care after trauma will receive either the standard or a double dose. The goal is to see if the higher dose reduces clots without increasing serious bleeding.
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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 540 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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May 2028
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: * All adult patients (age ≥18 years) admitted to an intensive care unit following trauma with an expected stay \>48 hours and a planned administration of LMWH. * Affiliation to the French social security system or European (CEAM) Exclusion Criteria: * Prehospital cardiac arrest * Hospital admission \>72 hours * More than one dose of prophylactic anticoagulant already administered since trauma * Renal failure defined by creatinine clearance of 30 mL/min or less (Cockcroft-Gault formula) * Body weight \>100 kg or \<45 kg * Indication for therapeutic anticoagulation * Major known thrombophilia (e.g. antiphospholipid syndrome, antithrombin deficiency) * Constitutional bleeding disorder (haemophilia, von Willebrand disease, coagulation factor deficiency, platelet disorder). * Thrombocytopenia inferior to 50 G.L-1 * History of heparin-induced thrombocytopenia * Study drug hypersensitivity * Limitation of life support, life expectancy ≤7 days or palliative care * Contraindication to the administration of anticoagulant according to the SPC (Active clinically significant bleeding or a condition associated with a high risk of bleeding, such as a recent haemorrhagic stroke, gastrointestinal ulcer, the presence of a malignant tumour at high risk of bleeding, recent brain, spinal or ophthalmological surgery, known or suspected oesophageal varices, arteriovenous malformations, vascular aneurysms or major intrarachid or intracerebral vascular anomalies.) * pregnant or breastfeeding woman * Inclusion in another experimental trial * Protected person (art. L1121-5 to L1121-8 of the CSP or art. 31 to 35 of European regulation 536/2014)
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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
17 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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AP-HP Bicêtre
Le Kremlin-Bicêtre, 94270, France
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Assistance Publique - Hôpitaux de Marseille
Marseille, 13005, France
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CHRU Lille
Lille, 59000, France
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CHU Angers
Angers, 49100, France
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CHU Clermont Ferrand
Clermont-Ferrand, 63000, France
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CHU Grenoble Alpes
Grenoble, 38000, France
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CHU Montpellier
Montpellier, 34080, France
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CHU Nantes
Nantes, 44000, France
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CHU Rennes
Rennes, 35000, France
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CHU Strasbourg
Strasbourg, 67200, France
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CHU Tours
Tours, 37000, France
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CHU de Toulouse
Toulouse, 31300, France
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HCL Lyon Sud
Lyon, 69310, France
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Hôpital Beaujon AP-HP
Clichy, 92110, France
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Hôpital Edouard Herriot HCL
Lyon, 69003, France
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Hôpital Européen Georges Pompidou AP-HP
Paris, 75015, France
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Hôpital Pitié-Salpêtrière APHP
Paris, 75013, France
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Other studies related to the condition(s) this trial covers.
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