Using direct oral anticoagulants to treat cerebral venous thrombosis
Official title: Direct Oral Anticoagulants for the Treatment of Cerebral Venous Thrombosis: An International Phase IV Study
Run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · NCT04660747 · Data updated 2026-11-12
This study is testing whether a new type of blood thinner called direct oral anticoagulants can safely and effectively treat people with cerebral venous thrombosis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1300 (estimated) |
| Sponsor | Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Academic / other |
| Locations | 1 site (Amsterdam, North Holland) |
| Status | Recruiting |
| Started | January 27, 2021 |
| Main results expected | August 2024 |
| Study ends | January 2028 |
| Registry record updated | August 19, 2024 |
| Trial ID | NCT04660747 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults over 18 years old with a confirmed diagnosis of cerebral venous thrombosis who have started anticoagulant treatment within 30 days of diagnosis.
✕Probably not a fit
Patients who are currently on anticoagulant treatment at the time of CVT diagnosis or have severe renal or liver disease 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 evaluate the safety and efficacy of direct oral anticoagulants (DOACs) in patients diagnosed with cerebral venous thrombosis (CVT). Traditionally, patients have been treated with vitamin K antagonists (VKAs), but DOACs may offer a more practical alternative with a lower risk of complications. The study will include patients who have started anticoagulant treatment within 30 days of their CVT diagnosis and will gather data on their outcomes over time. The goal is to provide additional evidence on the use of DOACs for this condition, building on previous findings from the RESPECT-CVT trial.
Why it matters
Potential benefit: If successful, this study could provide a safer and more effective treatment option for patients with cerebral venous thrombosis.
How similar studies have gone: Previous studies, such as the RESPECT-CVT trial, have shown promising results for the use of DOACs in treating CVT, indicating potential for success in this observational study.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Written informed consent for the use of observational data * Age \>18 years at the time of CVT diagnosis * Radiologically confirmed CVT diagnosis (CT-venography, MRI or catheter angiography) * Oral anticoagulant treatment (DOAC or VKA) started within 30 days of CVT diagnosis (patient may initially be treated with heparin) * Inclusion in the study within 90 days of CVT diagnosis Exclusion Criteria: * Anticoagulant treatment at the time of CVT diagnosis * Pregnancy or lactation (post-partum women are eligible if they do not give breast-feeding) * Mechanical heart valve * Severe renal insufficiency (defined as an eGFR \<15 ml/min) * Severe liver disease resulting in clinically relevant coagulopathy
Where it's running
-
Jonathan Coutinho
Amsterdam, North Holland, Netherlands Recruiting
Study contacts
- Principal investigator: Jonathan Coutinho, MD, PhD — Amsterdam UMC, location AMC
- Study coordinator: Jonathan Coutinho, MD, PhD
- Email: j.coutinho@amsterdamumc.nl
- Phone: +31205669111
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Danang Cerebral Venous Thrombosis Registry
This registry collects information on adults with cerebral venous thrombosis admitted to Danang Hospital to see how the condition presents, what imaging shows, risk factors, and how patients recover.
-
Anticoagulation Plus Tocilizumab for Acute Cerebral Venous Thrombosis
This study tests whether adding a single dose of tocilizumab to standard blood thinners helps people with acute cerebral venous thrombosis.
-
Anticoagulation plus batroxobin for acute cerebral venous thrombosis
This trial tests whether adding batroxobin to standard anticoagulation helps adults with acute cerebral venous thrombosis.
-
DOAC treatment outcomes for cerebral venous thrombosis in Vietnam
This project will try direct oral anticoagulants (dabigatran or rivaroxaban) in adults with cerebral venous thrombosis to see if they are safe and effective in routine care.
-
Evaluating the safety and effectiveness of edoxaban and rivaroxaban for treating cerebral venous thrombosis in Chinese patients
This study is testing whether two blood thinners, edoxaban and rivaroxaban, are safe and effective for treating cerebral venous thrombosis in Chinese patients aged 18 to 80.
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Endovascular treatment plus anticoagulation for severe CVST in the MENA region
This trial tests whether adding endovascular thrombectomy to standard anticoagulation helps adults with severe cerebral venous sinus thrombosis see better outcomes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.