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Effects of Individualized Anticoagulation versus Fixed-Dose Anticoagulation on Deep Vein Thrombosis Prevention Following Total Joint Arthroplasty: A Randomized Clinical Trial

Effects of Individualized Anticoagulation versus Fixed-Dose Anticoagulation on Deep Vein Thrombosis Prevention Following Total Joint Arthroplasty: A Randomized Clinical Trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600121096
Enrollment
Unknown
Registered
2026-03-25
Start date
2024-02-03
Completion date
Unknown
Last updated
2026-03-30

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

Conditions

Deep Vein Thrombosis

Interventions

High-risk with individualized-dose enoxaparin group:100 anti-Xa IU/kg (equivalent to 1 mg/kg) subcutaneously every 12 hours.
High-risk with fixed-dose enoxaparin:4000 anti-Xa IU (40 mg) subcutaneously once daily
Low-risk group received fixed-dose enoxaparin:4000 anti-Xa IU (40 mg) subcutaneously once daily

Sponsors

Sun Yat-sen memorial hospital, Sun Yat-sen University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
22 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Patients aged 22 to 80 years, undergoing their first unilateral joint replacement surgery; 2. Normal coagulation function before surgery; 3. No lower limb vascular disease or venous thrombosis before surgery; 4. Normal liver and kidney function or Child-Pugh class A; 5. No contraindications to anticoagulant drugs; 6. Agree to participate in this study and sign the informed consent form

Exclusion criteria

Exclusion criteria: 1. Patients with severe cardiopulmonary diseases, cardiovascular embolism, severe tumors, infections, or active tuberculosis; 2. Patients with contraindications to anticoagulation, abnormal liver function (Child-Pugh class B or C), or end-stage renal disease (glomerular filtration rate <15 ml/min); 3. Patients allergic to enoxaparin sodium or with coagulation disorders; 4. Patients receiving anticoagulant therapy for other diseases; 5. Patients diagnosed with lower limb deep vein thrombosis before surgery.

Design outcomes

Primary

MeasureTime frame
Deep vein thrombosis;

Secondary

MeasureTime frame
Pulmonary embolism;Postthrombotic syndrome;

Countries

China

Contacts

Public ContactJie Xu

Sun Yat-sen memorial hospital, Sun Yat-sen University

xujie2@mail.sysu.edu.cn+86 133 9245 8585

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Apr 4, 2026