Table 2.

Ongoing trials evaluating DOACs in the treatment of thrombosis in unusual sites

TitleIdentifierStudy designInterventionSite of thrombosisPrimary outcomeNo. of patientsSponsor
The efficacy and safety of dabigatran etexilate compared with warfarin for the anticoagulation treatment of cerebral venous thrombosis: a pilot study NCT03217448 Phase 3 (interventional), randomized, parallel assignment, open label, single (outcomes assessor) Dabigatran vs warfarin for 6 months CVT Recanalization after 6 months 80 Capital Medical University, Beijing, China 
Multicenter, prospective randomized open label, blinded endpoint (PROBE) controlled trial of early anticoagulation with rivaroxaban versus standard of care in determining safety at 365 days in symptomatic cerebral venous thrombosis (SECRET) NCT03178864 Interventional, randomized, parallel assignment, single (outcomes assessor) Rivaroxaban vs standard of care CVT Safety of rivaroxaban 100 University of British Columbia, Canada 
Comparing treatment outcomes in CVT patients who were treated with warfarin and rivaroxaban in Isfahan, Iran NCT03747081 Interventional, randomized, parallel assignment Rivaroxaban vs warfarin CVT Efficacy of rivaroxaban vs warfarin 50 Isfahan University of Medical Sciences, Iran 
Rivaroxaban compared to warfarin for treatment of cerebral venous thrombosis: a randomized controlled trial NCT04569279 Interventional, parallel assignment, open label Rivaroxaban vs warfarin 6 months CVT Change of sinus venous thrombosis severity scale 71 Damascus University, Syria 
Comparison of the efficacy of rivaroxaban to coumadin (warfarin) in cerebral venous thrombosis NCT03191305 Interventional, nonrandomized, parallel assignment Rivaroxaban vs coumadin CVT Efficacy of rivaroxaban and comparison to warfarin 50 Foundation University Islamabad, Pakistan 
Treatment of portal, mesenteric, and splenic vein thrombosis with rivaroxaban. A pilot, prospective cohort study NCT02627053 Interventional, single group assignment, prospective, cohort study Rivaroxaban PVT, MVT, SVT Safety and efficacy of rivaroxaban at 3 months 100 Università degli Studi dell'Insubria, Italy 
Direct oral anticoagulants for the treatment of cerebral venous thrombosis: an international phase IV study NCT04660747 Observational, comparative cohort study, prospective 3:2 ratio DOAC/VKA CVT Composite of major bleeding and symptomatic recurrent venous thrombosis after 6 months 500 Academisch Medisch Centrum—Universiteit van Amsterdam (AMC-UvA), The Netherlands 
International registry on the use of the direct oral anticoagulants for the treatment of unusual site venous thromboembolism NCT03778502 Observational, patient registry, prospective, cohort study Any DOAC All sites Evaluate the use of DOACs in unusual-site VTE and to assess safety and effectiveness 100 University of Malta, Malta 
TitleIdentifierStudy designInterventionSite of thrombosisPrimary outcomeNo. of patientsSponsor
The efficacy and safety of dabigatran etexilate compared with warfarin for the anticoagulation treatment of cerebral venous thrombosis: a pilot study NCT03217448 Phase 3 (interventional), randomized, parallel assignment, open label, single (outcomes assessor) Dabigatran vs warfarin for 6 months CVT Recanalization after 6 months 80 Capital Medical University, Beijing, China 
Multicenter, prospective randomized open label, blinded endpoint (PROBE) controlled trial of early anticoagulation with rivaroxaban versus standard of care in determining safety at 365 days in symptomatic cerebral venous thrombosis (SECRET) NCT03178864 Interventional, randomized, parallel assignment, single (outcomes assessor) Rivaroxaban vs standard of care CVT Safety of rivaroxaban 100 University of British Columbia, Canada 
Comparing treatment outcomes in CVT patients who were treated with warfarin and rivaroxaban in Isfahan, Iran NCT03747081 Interventional, randomized, parallel assignment Rivaroxaban vs warfarin CVT Efficacy of rivaroxaban vs warfarin 50 Isfahan University of Medical Sciences, Iran 
Rivaroxaban compared to warfarin for treatment of cerebral venous thrombosis: a randomized controlled trial NCT04569279 Interventional, parallel assignment, open label Rivaroxaban vs warfarin 6 months CVT Change of sinus venous thrombosis severity scale 71 Damascus University, Syria 
Comparison of the efficacy of rivaroxaban to coumadin (warfarin) in cerebral venous thrombosis NCT03191305 Interventional, nonrandomized, parallel assignment Rivaroxaban vs coumadin CVT Efficacy of rivaroxaban and comparison to warfarin 50 Foundation University Islamabad, Pakistan 
Treatment of portal, mesenteric, and splenic vein thrombosis with rivaroxaban. A pilot, prospective cohort study NCT02627053 Interventional, single group assignment, prospective, cohort study Rivaroxaban PVT, MVT, SVT Safety and efficacy of rivaroxaban at 3 months 100 Università degli Studi dell'Insubria, Italy 
Direct oral anticoagulants for the treatment of cerebral venous thrombosis: an international phase IV study NCT04660747 Observational, comparative cohort study, prospective 3:2 ratio DOAC/VKA CVT Composite of major bleeding and symptomatic recurrent venous thrombosis after 6 months 500 Academisch Medisch Centrum—Universiteit van Amsterdam (AMC-UvA), The Netherlands 
International registry on the use of the direct oral anticoagulants for the treatment of unusual site venous thromboembolism NCT03778502 Observational, patient registry, prospective, cohort study Any DOAC All sites Evaluate the use of DOACs in unusual-site VTE and to assess safety and effectiveness 100 University of Malta, Malta 
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