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Circadian Variation of Anti-Factor Xa in Hospitalized Trauma Patients

RecruitingObservational study

Who can join

Ages 18 to 80 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Inpatient admission for acute traumatic injury ≥72 hours
* Prescribed LMWH subcutaneous for VTE chemoprophylaxis

Exclusion Criteria:

* Pregnancy
* Brain hemorrhage or non-survivable injury
* Chronic Kidney disease ≥ 3b estimated Glomerular Filtration Rate (eGFR) less than 30 interferes with coagulation
* Chronic liver failure

  •-Acute stimulant use of cocaine and methamphetamine
* Active VTE or ongoing anticoagulation at admission
* History of coagulopathy or inherited bleeding disorders
* Chronic alcohol as defined as a documented diagnosis of alcohol use disorder or alcohol consumption exceeding established risk thresholds (men \>14 drinks/week; women \>7 drinks/week) within the prior 3-6 months
* Unmanaged psychiatric conditions as defined as diagnosed psychiatric disorder with evidence of inadequate or no active treatment or documented poor symptom control
* Neurologic injury involving hypothalamic or circadian regulatory centers

About the study

The purpose of this study is to determine whether a circadian rhythm exists in anti-FXa levels and AT3 activity in hospitalized trauma patients receiving low-molecular-weight heparin (LMWH) chemoprophylaxis

Sponsor: The University of Texas Health Science Center, Houston · Participants: 40 · Started: Aug 26, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07856641

Locations in the U.S.

TexasHCA Houston Northwest Medical Center, Houston

Conditions

From ClinicalTrials.gov, data retrieved Oct 3, 2026. Each study sets its own eligibility; the study team decides who can join.