Deep Vein Thrombosis, Pulmonary Embolism, Venous Thromboembolism
Conditions
Keywords
Unfractionated Heparin, Low Molecular Weight Heparin, Venous Thromboembolism, APTT, Treatment
Brief summary
FIDO was a multicentred randomized, open-label trial that compared fixed-dose UFH with fixed-dose LMWH for initial treatment of VTE. Patients were followed for 3 months during which they received warfarin (target INR 2.0-3.0).
Detailed description
The general objective was to simplify and reduce the cost of treatment of acute venous thromboembolism (VTE).Specific objectives were to compare the efficacy, safety and cost effectiveness of unfractionated heparin (UFH) and low molecular weight heparin (LMWH) when each is administered subcutaneously (sc), twice daily, in weight -adjusted, fixed doses; and to determine if the anticoagulant response (anti-Factor Xa heparin levels, APTT results) influence efficacy and safety of UFH and LMWH, independently of dose.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* A diagnosis of acute venous thromboembolism (VTE,DVT and /or PE)
Exclusion criteria
* Contraindication to subcutaneous (sc) route of administration (eg:shock (evidence of poor peripheral perfusion), major surgery within 48 hours) * Active Bleeding process * Comorbid condition limiting expected survival to less than 3 months * Current treatment with therapeutic dose of UFH, LMWH, danaparoid sodium, or a direct thrombin inhibitor for more than 48 hours * Currently on long term warfarin or heparin therapy * Allergy to heparin or history of heparin induced thrombocytopenia * Currently pregnant * Contraindication to contrast media (eg: allergy or creatinine \>200 umol/L). * Currently enrolled or will be enrolled in a competing study * Geographically inaccessible for follow-up assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptomatic Venous Thromboembolism | — |
| Major Bleeding | — |
| Death | — |
Secondary
| Measure | Time frame |
|---|---|
| aXa ~6h after sc injection on 3rd day of treatment | — |
Countries
Canada, New Zealand