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ETHIC trial: Early LMWH in symptomatic COVID-19 positive patients

Early thromboprophylaxis in COVID-19 (ETHIC trial): an open label, randomized phase IIIb trial of community-based prophylactic low-molecular-weight heparin (LMWH) versus standard of care (no enoxaparin) in COVID-19 positive patients - ETHIC

Status
Recruiting
Phases
Phase 3Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/01/030373
Enrollment
1370
Registered
2021-01-11
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere

Interventions

Intervention1: Enoxaparin 40mg in pre-filled syringe: Enoxaparin is intended for use as a single-dose subcutaneous injection and participants will either receive enoxaparin 40mg once daily or twice da

Sponsors

Thrombosis Research Institute
Lead Sponsor
Ms Tech Observer India Pvt Ltd
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: Male or female, age equal or greater than 55 years but no upper age limit At least two of the following additional risk factors: Age equal or greater than 70 years Body mass index > 25 kg/m2 Chronic obstructive pulmonary disease (COPD) Diabetes Cardiovascular disease Corticosteroid use

Exclusion criteria

Exclusion criteria: � Contraindications to unfractionated heparin or LMWH � Recent ( � Increased risk for bleeding complications (liver disease, recent haemorrhagic stroke, prior major bleeding or predisposition to bleeding, alcohol use) � Pregnant women � Severe renal impairment (GFR � Receiving any antiplatelet therapy (with the exception of low dose (�100mg) aspirin) or anticoagulant therapy (e.g. VKA, DOAC) � Patients participating in an interventional study that is outside the purview of TRI sponsored studies.

Design outcomes

Primary

MeasureTime frame
� Death All-cause Cardiovascular Non-Cardiovascular Specific causes Fatal bleed Hospital admission Pneumonia Acute Respiratory distress syndrome Acute medical care or admission to intensive care unit (ICU) Mechanical ventilation/ Extracorporeal membrane oxygenation (ECMO) Non-invasive ventilation/high flow oxygen Hospitalized on supplemental oxygen Hospitalized not requiring supplemental oxygen Hospitalized not requiring ongoing medical care Timepoint: 21 days

Secondary

MeasureTime frame
� Bleeding (as defined by ISTH criteria [12, 13]) (at 21 and 50 days) o Frequency o Location o Treatment (transfusion and units of blood products transfused) o Severity (classified as major, clinically relevant non-major and minor Timepoint: 21 and 50 Days;Diagnosis of Ischemic strokeTimepoint: 21, 50, and 90 days;Diagnosis of VTE: Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE)Timepoint: 21 and 50 days

Countries

Australia, Austria, Belgium, Brazil, India, Russian Federation, South Africa, Spain, United Kingdom

Contacts

Public ContactDeepak Kumar

Tech Observer India

deepak.kumar@tech-observer.com91-11-45150926

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026