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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

Full criteria on ClinicalTrials.gov

Sites (20)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
C12 - Médecine Vasculaire - CHU Amiens Picardie
Coordinator of this site? Confirm its status
AmiensFranceRecruiting
C10 - Département médecine urgence - CHU Angers
Coordinator of this site? Confirm its status
AngersFranceRecruiting
C08 - Département de Médecine interne et pneumologie - CHU la Cavale Blanche
Coordinator of this site? Confirm its status
BrestFranceRecruiting
C11 - Pneumologie - CH René Dubos
Coordinator of this site? Confirm its status
Cergy-PontoiseFranceRecruiting
C16 - Département Urgences - CHU Clermont Ferrand
Coordinator of this site? Confirm its status
Clermont-FerrandFranceRecruiting
C05 - Médecine Interne - Hôpital Louis Mourier - APHP
Coordinator of this site? Confirm its status
ColombesFranceRecruiting
C04 - Oncologie Médicale - Centre Georges-François Leclerc - CLCC
Coordinator of this site? Confirm its status
DijonFranceNot yet recruiting
C13 - Médecine Vasculaire - CHU Dijon
Coordinator of this site? Confirm its status
DijonFranceNot yet recruiting
C18 - Pneumologie - CH de Versailles Hôpital André Mignot
Coordinator of this site? Confirm its status
Le ChesnayFranceRecruiting
C17 - Médecine Interne - CHU Nantes
Coordinator of this site? Confirm its status
NantesFranceRecruiting
C07 - Médecine Vasculaire - Hôpital Saint Joseph
Coordinator of this site? Confirm its status
ParisFranceNot yet recruiting
C01 - Pneumologie et Soins Intensifs - HEGP
Coordinator of this site? Confirm its status
ParisFranceRecruiting
C06 - Pneumologie - Hôpital Cochin - APHP
Coordinator of this site? Confirm its status
ParisFranceNot yet recruiting
C03 - Médecine interne et médecine vasculaire - Hospices Civils de Lyon
Coordinator of this site? Confirm its status
Pierre-BéniteFranceRecruiting
C15 - Médecine Interne - CHU Rouen
Coordinator of this site? Confirm its status
RouenFranceRecruiting
C09 - Médecine vasculaire et thérapeuthique - CHU Saint Etienne
Coordinator of this site? Confirm its status
Saint-Priest-en-JarezFranceRecruiting
C19 - Pneumologie - Hôpital Foch
Coordinator of this site? Confirm its status
SuresnesFranceRecruiting
C14 - Médecine Vasculaire - CH Toulon
Coordinator of this site? Confirm its status
ToulonFranceRecruiting
C20 - Médecine Vasculaire - CHU Toulouse
Coordinator of this site? Confirm its status
ToulouseFranceNot yet recruiting
C02 - Département interdisciplinaire d'organisation des parcours patients - Institut gustave Roussy
Coordinator of this site? Confirm its status
VillejuifFranceRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.