AntiThrombotic Therapy for Community-Acquired Pneumonia

This study is looking at whether a blood thinner called heparin (specifically low molecular weight heparin like enoxaparin, dalteparin, or tinzaparin) can help patients admitted to the hospital with community-acquired pneumonia (CAP). CAP is a lung infection that develops outside of a hospital setting. Researchers want to see if heparin, given at a therapeutic dose, can improve patient outcomes compared to the usual care for preventing blood clots. The study will enroll about 4000 adults, aged 18 and older, who have CAP confirmed by X-ray and symptoms like cough or fever. The main goal is to see how many people survive 30 days after starting treatment. The current recruitment status is unclear.

Study design
This is an international, open-label, randomized controlled trial comparing therapeutic-dose heparin to usual care in about 4000 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants' survival will be measured at 30 days.

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NCT05848713

AntiThrombotic Therapy to Ameliorate Clinical Complications in Community Acquired Pneumonia

Recruiting
PHASE3Ages 18+InterventionalTreatment
University of Manitoba
~4,000 participants
Updated 2026-04-21 on ClinicalTrials.gov
What's tested:Heparin

At a glance

Recruiting sites
49 of 64 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Ordinal endpoint reflecting survival
Measured over 30 days
Community-acquired Pneumonia
64 sites across 23 states
São Paulo12
Ontario9
Quebec7
Rio Grande do Sul4
Espírito Santo3
Federal District3
Goiás3
Paraná3
  • Ryan Zarychanski, MD · PRINCIPAL_INVESTIGATOR · University of Manitoba
  • Patrick Lawler, MD · PRINCIPAL_INVESTIGATOR · University Health Network and McGill University
  • Sylvain Lother, MD · PRINCIPAL_INVESTIGATOR · University of Manitoba
  • Alexis Turgeon, MD · PRINCIPAL_INVESTIGATOR · L'Universite Laval

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  • Ordinal endpoint reflecting survival30 days

    Survival to hospital discharge without ICU-level organ support. Organ support is defined as receipt of high flow nasal oxygen, invasive or non-invasive mechanical ventilation, vasopressor/inotropic therapy, or extracorporeal life support (ECLS) within an ICU. This outcome reflects disease progression to ICU-level organ failure or the worst possible outcome (death). It was chosen because of its importance to patients, clinicians, and other stakeholders. Given the limited number of ICU beds, reducing the burden of critical illness has important health system capacity implications.