Clinical trial Recruiting at 3 sites Observational Ages 18 and up

Examining the link between anti-factor Xa activity and blood clots in critically ill patients

Official title: Association of Anti-factor Xa Activity With Venous Thromboembolism in Critically Ill Patients: a Prospective Multicentre Cohort Study

Run by Medical University of Vienna · NCT06357403 · Data updated 2026-11-12

This study looks at how a specific blood-thinning activity relates to blood clots in critically ill patients in the ICU to see if it affects their health and recovery.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment1300 (estimated)
SponsorMedical University of Vienna
Academic / other
Locations3 sites (Graz, Styria and 2 other locations)
StatusRecruiting
StartedMay 4, 2024
Main results expectedMay 2027
Study endsAugust 2027
Registry record updatedJune 23, 2026
Trial IDNCT06357403 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are critically ill patients over 18 years old who have been admitted to an intensive care unit within the last 24 hours.

Probably not a fit

Patients who are already receiving therapeutic anticoagulation or have a life expectancy of less than 48 hours may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to analyze the relationship between anti-factor Xa activity and the occurrence of venous thromboembolism (VTE) in critically ill patients admitted to intensive care units. It will investigate how anti-factor Xa levels correlate with both symptomatic and incidental VTE, as well as the impact of enoxaparin anticoagulation on these levels. Additionally, the study will assess the incidence of VTE, bleeding complications, and how these factors relate to patient-centered outcomes such as mortality and quality of life.

Why it matters

Potential benefit: If successful, this study could improve the understanding of anticoagulation management in critically ill patients, potentially leading to better prevention strategies for venous thromboembolism.

How similar studies have gone: While the specific approach of this study may be novel, previous studies have explored the relationship between anticoagulation and VTE, indicating potential for meaningful insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age over 18 years at the time of intensive care unit admission
* Admission to a participating intensive care unit within the last 24 hours
* Expected discharge is later than 48 hours after enrolment

Exclusion Criteria:

* Therapeutic anticoagulation, defined as enoxaparin dose of at least 100 IE/kg when given twice daily or of at least 150 IE/kg when given once daily
* Extracorporeal membrane oxygenation in place or planned within 48 hours of study enrolment
* Planned regular administration of vitamin K antagonists, unfractionated heparin, low molecular weight heparin other than enoxaparin, thrombin inhibitors or factor X inhibitors within the observation period
* Estimated life expectancy below 48 hours or comfort terminal care order in place
* Previously diagnosed heparin-induced thrombocytopenia
* Pre-operative admission for elective surgery
* Previous enrolment in the study

Where it's running

  • Department of Internal Medicine, Medical University of Graz
    Graz, Styria, Austria
    Recruiting
  • Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck
    Innsbruck, Tyrol, Austria
    Recruiting
  • Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna
    Vienna, Austria
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.