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Anti-Thrombotic Therapy to Ameliorate Complications of COVID-19 (ATTACC): Study design and methodology for an international, adaptive Bayesian randomized controlled trial.

Brett L HoustonPatrick R LawlerEwan C GoligherMichael E FarkouhCharlotte BradburyMarc CarrierVlad DzavikDean A FergussonRobert A FowlerJean-Phillippe GalanaudPeter L GrossEmily G McDonaldMansoor HusainSusan R KahnAnand KumarJohn MarshallSrinivas MurthyArthur S SlutskyAlexis F TurgeonScott M BerryRobert S RosensonJorge EscobedoJose C NicolauLindsay BondBridget-Anne KirwanSophie de BrouwerRyan Zarychanski
Published in: Clinical trials (London, England) (2020)
Using an adaptive trial design, the Anti-Thrombotic Therapy To Ameliorate Complications of COVID-19 trial will establish whether therapeutic anticoagulation can reduce mortality and/or avoid the need for mechanical ventilation in patients hospitalized with COVID-19. Leveraging existing networks to recruit sites will increase enrollment and mitigate enrollment risk in sites with declining COVID-19 cases.
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