Thromboembolism Clinical Trial
Official title:
HTRS TE Registry (ThromboEmbolism Registry): Prospective Registry of Demographic and Clinical Data for Patients With Thromboembolic Disease
The TE Registry is a multi-institutional bioinformatics database for the collection of data
relevant to TE. Participating HTRS affiliated study centers may enroll patients and enter
data in the TE Registry by completing enrollment and data entry forms and transmitting them
to the study center. The purpose of this study is to improve our understanding of the
epidemiology, pathophysiology, and outcome of patients suffering from thromboembolism (TE)
events.
The initial objectives of the registry are:
- Evaluate the epidemiology and clinical characteristics of known prothrombotic risk
factors in persons with TE.
- Identify the frequency and nature of complications associated with TE and its
treatment.
- Describe the phenotypes and complications seen in persons with multiple molecular risk
factors for TE.
- Compare the epidemiology, clinical characteristics, and complications seen in patients
with and without known risk factors for TE.
Hereditary defects that predispose to thromboembolism (TE) and its complications afflict
5-8% of the U.S population. Annually, ~60,000 Americans die from TE and half of the
survivors suffer long-term morbidity. Despite these staggering statistics, little is known
about the clinical characteristics or epidemiology of the inherited risk factors for TE.
Less is known regarding the acquired risk factors or the phenotype of TE in persons with
multiple risk factors, yet preliminary data suggest that as many as 10% of patients may have
multiple risk factors.
Data from several studies, primarily involving adult subjects, shows that in a population of
consecutively studied thrombosis patients, that one of the five most common inherited
predispositions will occur in ~33.8%. Antithrombin (AT) is the least common (~1.9%) of
these, while Factor V Leiden (FVL) is the most common (~18.8%). Most children who suffer
from TE have indwelling catheters to assist therapy of underlying medical conditions, or are
sick neonates. Thus, the contribution of molecular risk factors in children is largely
unknown, with the exception of sparse retrospective data.
The TE Registry may help clearly define the clinical phenotype, epidemiology, and
complications seen in patients with TE associated with known molecular risk factors.
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Observational Model: Cohort, Time Perspective: Prospective
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