UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043459
Receipt number R000049628
Scientific Title Anticoagulation, Risk of Bleeding, and Overall mortality in Hospitalized Patients with COVID-19: A Meta-Analysis
Date of disclosure of the study information 2021/02/27
Last modified on 2022/03/09 09:55:57

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Basic information

Public title

Anticoagulation, Risk of Bleeding, and Overall mortality in Hospitalized Patients with COVID-19: A Meta-Analysis

Acronym

Anticoagulation, Risk of Bleeding, and Overall mortality in Hospitalized Patients with COVID-19: A Meta-Analysis

Scientific Title

Anticoagulation, Risk of Bleeding, and Overall mortality in Hospitalized Patients with COVID-19: A Meta-Analysis

Scientific Title:Acronym

Anticoagulation, Risk of Bleeding, and Overall mortality in Hospitalized Patients with COVID-19: A Meta-Analysis

Region

Asia(except Japan)


Condition

Condition

COVID-19

Classification by specialty

Medicine in general Cardiology Hematology and clinical oncology
Infectious disease Anesthesiology Emergency medicine
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Due to the current equipoise surrounding pharmacologic thromboprophylaxis in hospitalized patients with COVID-19 coupled with maturing observational data in the field, We compared summary bleeding and mortality rates in hospitalized patients with COVID-19 stratified by anticoagulation dosing (none, standard dosage, intermediate dose, andfull therapeutic anticoagulation) to assess theimpact of anticoagulation on bleeding and mortality outcomes.

Basic objectives2

Others

Basic objectives -Others

This meta-analysis aimed to determine the theimpact of anticoagulation on bleeding and mortality outcomes of COVID-19

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Bleeding rate in each anticoagulation dosing

Key secondary outcomes

Mortality rate in each anticoagulation dosing


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

all observational studies or trials involving adult patients with COVID-19 that had any data of anticoagulation use for comparison poor vs good outcome

Key exclusion criteria

missing required data, no data on anticoagulant use, no outcome of interest, other than english language

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Johanes
Middle name
Last name Nugroho

Organization

Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Division name

Department of Cardiology and Vascular Medicine

Zip code

60131

Address

Jl. Mayjen Prof. Dr. Moestopo 47

TEL

6282139090953

Email

j.nugroho.eko@fk.unair.ac.id


Public contact

Name of contact person

1st name Eka
Middle name Prasetya Budi
Last name Mulia

Organization

Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Division name

Department of Cardiology and Vascular Medicine

Zip code

60131

Address

Jl. Mayjen Prof. Dr. Moestopo 47

TEL

628562765365

Homepage URL

https://www.researchgate.net/profile/Eka_Mulia

Email

eka.prasetya.budi-2017@fk.unair.ac.id


Sponsor or person

Institute

Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Komite Etik Penelitian Kesehatan RSUD Dr Soetomo, Surabaya, Indonesia

Address

Jalan Mayjen. Prof. Dr. Moestopo No. 6-8, Surabaya, Jawa Timur 60286

Tel

62315501011

Email

kontak@rsudrsoetomo.jatimprov.go.id


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia


Other administrative information

Date of disclosure of the study information

2021 Year 02 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

2506

Results

LMWH administration was associated with a lower in-hospital mortality, and 28/30-day mortality compared with UFH administration. However, there was no difference in the incidence of bleeding with LMWH compared with UFH.

Results date posted

2022 Year 03 Month 09 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 02 Month 20 Day

Date of IRB

2021 Year 02 Month 22 Day

Anticipated trial start date

2021 Year 02 Month 27 Day

Last follow-up date

2021 Year 08 Month 31 Day

Date of closure to data entry

2022 Year 02 Month 13 Day

Date trial data considered complete

2022 Year 02 Month 21 Day

Date analysis concluded

2022 Year 03 Month 05 Day


Other

Other related information

We perform this meta-analysis aims to determine the evidence-based relationship of anticoagulation dosing with bleeding and mortality in COVID-19 patients

A systematic search of all observational studies or trials that involving adult patients with COVID-19 that had any data of anticoagulation for comparison poor vs good outcome was carried out using the PubMed, Science Direct, and MedRxiv databases. Two authors independently assessed the methodological quality using the NIH quality assessment to evaluate the quality of evidence. We performed random-effects inverse-variance weighted meta-analysis of Coagulation profiles values using RevMan 5.4. Manager (RevMan v5.4 2020) and Stata v.16


Management information

Registered date

2021 Year 02 Month 27 Day

Last modified on

2022 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049628