Thromboembolism
Conditions
Keywords
Venous thromboembolism, Medical patients, Heparin, Low molecular weight heparin, Deep vein thrombosis, Certoparin, Embolism and Thrombosis
Brief summary
This study is designed to provide efficacy and safety data for certoparin in the prophylaxis of venous thromboembolism in immobilized, acutely ill medical patients.
Interventions
3000 U anti XA of certoparin in 0.3 ml solution, once daily
solution, 5000 IU of unfractionated heparin in 0.3 ml, 3 times daily
Sponsors
Study design
Eligibility
Inclusion criteria
1. Hospitalized medical patients 70 years of age or older 2. Acute medical illness with significant decrease in mobility expected for at least 4 days (patient bedridden or only able to walk short distances) 3. written informed consent
Exclusion criteria
1. immobilization longer than 3 days prior to randomization 2. prior major surgery, trauma or invasive procedure within the last 4 weeks including any injuries or operation of central nervous system 3. expected major surgical or invasive procedure within the next 3 weeks after randomization 4. LMWH/heparin administration longer than 48 hours in the 5 days prior to randomization 5. immobilization due to cast or fracture 6. indication for anticoagulatory or thrombolytic therapy 7. acute symptomatic DVT / PE 8. known hypersensitivity to any of the study drugs or drugs with similar chemical structures 9. Acute or history of heparin induced thrombocytopenia type II (HIT II) Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of venous thromboembolism during treatment (proximal deep vein thrombosis, pulmonary embolism, death related to venous thromboembolism) | 20 days |
Secondary
| Measure | Time frame |
|---|---|
| proximal and distal deep vein thrombosis (DVT) (combined and separate) assessed by ultrasound screening, | 20 days |
| symptomatic DVT, | 20 days |
| symptomatic non-fatal pulmonary embolism (PE), | 20 days |
| combination of proximal DVT, non fatal PE and death from all causes including PE | 20 days |
| VTE related death, | 20 days |
Countries
Germany