NCT07315347Recruiting
Home Treatment of Patients With Active Cancer and Acute Pulmonary Embolism Without HESTIA Criteria.
Source: ClinicalTrials.gov · Last updated 23 Apr 2026
Brief summary (registry, in English)
Main objective of this multisite randomised study aims to demonstrate in patients with active cancer and symptomatic or incidental PE without HESTIA criteria, that home treatment is non-inferior to hospitalisation as regards the 14-day rate of the composite primary endpoint. Primary endpoint corresponds to the rate of the composite of centrally adjudicated recurrent incidental or symptomatic VTE (i.e. non fatal or fatal PE, proximal and/or distal deep venous thrombosis (DVT) of lower limb or upper limb or catheter-related thrombosis), major or clinically relevant non-major bleeding and all-cause death within 14 days following randomisation. This composite endpoint represents the net clinical benefit of outpatient care. Included patients will be randomised into two groups and stratified according to symptomatic or incidental PE, site of cancer, localised or metastatic cancer and centre. Patients randomised to the home-treatment group will be discharged home within 24hrs after randomisation. Patients will be contacted by the local thrombosis team by phone within 7 days following inclusion. Patients randomised to the hospitalisation group will be admitted in the hospital during at least 48hrs after randomisation. After this time, physicians in charge of the patients will be free to discharge the patients.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 824 (estimated)
- First submitted
- 18 Dec 2025
- Start date
- 2 Feb 2026
- Primary completion date
- 28 Feb 2029
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- NCT number
- NCT07315347
What you commit to
- Study type: Interventional
- Planned participants: 824
- From 2 Feb 2026 to the primary completion date, 28 Feb 2029
- 20 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Shock or hypotension defined as systolic blood pressure \<90 mmHg or a systolic pressure drop by ≥40 mmHg, for \>15 minutes, if not caused by new-onset arrhythmia, hypovolaemia, or sepsis
Other
- Diagnosis of PE established for over 24h before inclusion
- Hospitalisation for over 24h
- ECOG performans status 3 or 4
- Impossibility for 30-day follow-up,
- Estimated life expectancy less than 30 days
- Patient in detention by judicial or administrative decision,
- Patient placed under a legal protection measure,
- Patient unable of giving free and informed consent
- Inclusion in another interventional study requiring hospitalisation
- Pregnant or breastfeeding women
- Patient on AME (state medical aid)
Who the study is looking for
- Age ≥ 18 years
- Symptomatic or incidental hemodynamically stable PE objectively confirmed ≤ 24h according to the ESC guidelines
- Active cancer other than basal-cell or squamous-cell carcinoma of the skin defined at least by one of the followings:
- cancer that has been diagnosed within the past 6 months,
- cancer for which anti-cancer treatment is being given at the time of enrolment or during 6 months before randomisation, or recurrent locally advanced or metastatic cancer
- No HESTIA criteria (i.e. no other medical condition than cancer since cancer is one of the medical condition that can check "yes" to the item).
- For woman of childbearing potential: negative beta-HCG before inclusion
- Signed informed consent
- Affiliated to French " sécurité sociale "
- Good understanding of the French language
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (20)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| C12 - Médecine Vasculaire - CHU Amiens Picardie Coordinator of this site? Confirm its status | Amiens | France | Recruiting |
| C10 - Département médecine urgence - CHU Angers Coordinator of this site? Confirm its status | Angers | France | Recruiting |
| C08 - Département de Médecine interne et pneumologie - CHU la Cavale Blanche Coordinator of this site? Confirm its status | Brest | France | Recruiting |
| C11 - Pneumologie - CH René Dubos Coordinator of this site? Confirm its status | Cergy-Pontoise | France | Recruiting |
| C16 - Département Urgences - CHU Clermont Ferrand Coordinator of this site? Confirm its status | Clermont-Ferrand | France | Recruiting |
| C05 - Médecine Interne - Hôpital Louis Mourier - APHP Coordinator of this site? Confirm its status | Colombes | France | Recruiting |
| C04 - Oncologie Médicale - Centre Georges-François Leclerc - CLCC Coordinator of this site? Confirm its status | Dijon | France | Not yet recruiting |
| C13 - Médecine Vasculaire - CHU Dijon Coordinator of this site? Confirm its status | Dijon | France | Not yet recruiting |
| C18 - Pneumologie - CH de Versailles Hôpital André Mignot Coordinator of this site? Confirm its status | Le Chesnay | France | Recruiting |
| C17 - Médecine Interne - CHU Nantes Coordinator of this site? Confirm its status | Nantes | France | Recruiting |
| C07 - Médecine Vasculaire - Hôpital Saint Joseph Coordinator of this site? Confirm its status | Paris | France | Not yet recruiting |
| C01 - Pneumologie et Soins Intensifs - HEGP Coordinator of this site? Confirm its status | Paris | France | Recruiting |
| C06 - Pneumologie - Hôpital Cochin - APHP Coordinator of this site? Confirm its status | Paris | France | Not yet recruiting |
| C03 - Médecine interne et médecine vasculaire - Hospices Civils de Lyon Coordinator of this site? Confirm its status | Pierre-Bénite | France | Recruiting |
| C15 - Médecine Interne - CHU Rouen Coordinator of this site? Confirm its status | Rouen | France | Recruiting |
| C09 - Médecine vasculaire et thérapeuthique - CHU Saint Etienne Coordinator of this site? Confirm its status | Saint-Priest-en-Jarez | France | Recruiting |
| C19 - Pneumologie - Hôpital Foch Coordinator of this site? Confirm its status | Suresnes | France | Recruiting |
| C14 - Médecine Vasculaire - CH Toulon Coordinator of this site? Confirm its status | Toulon | France | Recruiting |
| C20 - Médecine Vasculaire - CHU Toulouse Coordinator of this site? Confirm its status | Toulouse | France | Not yet recruiting |
| C02 - Département interdisciplinaire d'organisation des parcours patients - Institut gustave Roussy Coordinator of this site? Confirm its status | Villejuif | France | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.