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Retrospective Study of Patients Who Were Treated With Fondaparinux Pre-, Peri- and/or Postpartum for Prophylaxis or Treatment of Venous Thromboembolism

Retrospektive Studie zu Patientinnen, Die pränatal, Perinatal Oder Postnatal Prophylaktisch Oder Therapeutisch Mit Fondaparinux Behandelt Wurden

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01004939
Acronym
FondaPPP
Enrollment
120
Registered
2009-10-30
Start date
2010-03-31
Completion date
2010-07-31
Last updated
2011-08-26

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

Conditions

Thromboembolism, Venous Thromboembolism

Keywords

prophylaxis, venous thromboembolism, postpartum, fondaparinux, pregnancy

Brief summary

The objective of this retrospective study is to gather information about how fondaparinux is used pre-, peri- and/or postpartum for both the prophylaxis and treatment of venous thromboembolism (VTE) in order to fill an information gap concerning the off-label use of fondaparinux during pregnancy.

Detailed description

During pregnancy there is a generally enhanced risk to develop venous thromboembolism (VTE). Although such events are rare they may lead to serious risks for the mothers´ and children´s health. Compared with non-pregnant women, pregnant women have an about five-fold risk to develop VTE. Due to their characteristic spectrum of side effects and the generally long duration of exposure in pregnancy the preferred anticoagulants may produce potentially dangerous side effects, as bleedings, heparin-induced thrombocytopenia (HIT), allergic reactions, osteoporosis, or congenital anomalies. Today, low-molecular weight heparins (LMWH) are the preferred agents for anticoagulation in pregnancy. Compared with unfractioned heparins (UFH) LMWHs have the advantages of a lower bleeding risk, a lower rate of allergic reactions and HIT, a more predictable response and a longer half-life that makes dosing more convenient (od or bid). Still, there is a considerable proportion of pregnancies where heparin intolerance (allergic reactions or HIT) that make it inevitable to change to another anticoagulant. On the one hand, fondaparinux has repeatedly been reported successful in the VTE prophylaxis of pregnancies where allergic reactions on heparins, or heparinoids, had occurred. Additionally, a considerable amount of oral reports have reached GSK about an additional number of successful cases in the past. On the other hand, we have no systematic and overall view about how many pregnancies have already been treated for which reasons, and how successful they were. Due to an increase of certain risk factors, as obesity or the growing age of mothers at childbirth with the associated need for anticoagulation, we expect an increased number of cases where alternative anticoagulation to heparins may be needed. There are a number of potential advantages of fondaparinux over heparins, such as a once daily application, no dose adjustment needed to body weight and no monitoring of thrombocytes, a lower potential for causing intolerance reactions and no risk for HIT. The objective of this retrospective study is to gather information about how fondaparinux is used pre-, peri- and/or postpartum for both the prophylaxis and treatment of VTE in order to fill an information gap concerning the off-label use of fondaparinux during pregnancy.

Interventions

DRUGfondaparinux

fondaparinux

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Healthy volunteers
No

Inclusion criteria

* Patients who were treated with fondaparinux pre-, peri- and/or postpartum for more than 7 days for VTE prophylaxis or treatment, especially those with a history of abortion, and/or stillbirth, VTE, severe fetal and maternal complications during pregnancy, severe inherited or acquired thrombophilias, long-term anticoagulation (e. g. patients with mechanical heart valves) and/or intolerance to heparins or heparinoids or heparin-induced thrombocytopenia (HIT)

Exclusion criteria

* Patients who were treated with fondaparinux for less than 7 days * Patient who were treated with fondaparinux only postpartum

Design outcomes

Primary

MeasureTime frameDescription
Mean Weight of Newborn4 months (all cases occurred between 2004 and 2010)
Mean Height of Newborn4 months (all cases occurred between 2004 and 2010)
Mean Head Circumference of Newborn4 months (all cases occurred between 2004 and 2010)
Number of Participants With the Indicated Type of Conception/Fertilization4 months (all cases occurred between 2004 and 2010)
Number of Participants Who Delivered a Single Child Versus Twins4 months (all cases occurred between 2004 and 2010)
Number of Participants Receiving Fondaparinux in the Indicated Therapy Intervals4 months (all cases occurred between 2004 and 2010)The prenatal interval is defined as the interval of time until 3 days before birth. The perinatal interval is defined as the interval of time from 2 days before birth to one day after birth. The postnatal interval is defined as the interval of time beginning 2 days after birth.
Number of Participants With the Indicated Reason for Change to Fondaparinux4 months (all cases occurred between 2004 and 2010)It was possible for a participant to have changed to fondaparinux for multiple reasons.
Number of Participants Administered the Indicated Dose of Fondaparinux Per Day4 months (all cases occurred between 2004 and 2010)
Duration of Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)
Duration of Prenatal Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)The prenatal interval is defined as the interval of time until 3 days before birth.
Duration of Postnatal Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)The postnatal interval is defined as the interval of time beginning 2 days after birth.
Number of Participants for Whom Fondaparinux Administration Was Interrupted for Birth4 months (all cases occurred between 2004 and 2010)
Number of Hours Before Birth That the Last Fondaparinux Dose Was Administered4 months (all cases occurred between 2004 and 2010)
Number of Hours After Birth at Which Fondaparinux Administration Was Restarted4 months (all cases occurred between 2004 and 2010)
Number of Participants With the Indicated Reason for the End of Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)It is possible that a participant stopped receiving Fondaparinux for multiple reasons.
Number of Participants With the Indicated Outcome of Pregnancy by Type of Birth4 months (all cases occurred between 2004 and 2010)
Mean APGAR Score at 1, 5, and 10 Minutes After Birth4 months (all cases occurred between 2004 and 2010)APGAR is a test performed by a doctor, midwife, or nurse at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process; the 5-minute score assesses how well the newborn is adapting to the new environment. The health care provider examines the baby's breathing effort, heart rate, muscle tone, reflexes, and skin color. Each category is scored with 0 (worst score), 1, or 2 (best score), depending on the observed condition. The rating is based on a total score of 1-10, with 10 suggesting the healthiest infant.
Number of Newborns Who Had a Healthy Postnatal Classification4 months (all cases occurred between 2004 and 2010)A healthy documentation was based on the investigators' individual assessment.
Number of Newborns With Abnormalities4 months (all cases occurred between 2004 and 2010)No formal definition for abnormalities was predetermined; documentation was based on the investigators' individual assessment.

Secondary

MeasureTime frameDescription
Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux Therapy4 months (all cases occurred between 2004 and 2010)The participant with HIT II was pretreated with LMWH; however, the serious adverse event of HIT II was documented after the participant switched to Fondaparinux treatment.
Duration From Start of Fondaparinux Therapy to HIT4 months (all cases occurred between 2004 and 2010)For the 1 participant who developed HIT after receiving Fondaparinux, the number of days from start of therapy to HIT is presented.
Number of Participants Hospitalized Because of Thromboembolic Treatment4 months (all cases occurred between 2004 and 2010)Thromboembolic treatment is a defined as prophylaxis for an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism.
Duration of All Hospitalizations Under UFH, LMWH, and Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)
Duration of Hospitalizations Before, During, and After Fondaparinux Administration4 months (all cases occurred between 2004 and 2010)
Number of Participants With Complications Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, or other complication (as indicated by investigator).
Number of Participants With Thromboembolisms Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)Any sign of thromboembolism as indicated by investigator was measured.
Number of Participants With Bleedings Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.
Number of Participants With Skin Changes Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.
Duration From Start of UFH/LMWH Therapy to Skin Change4 months (all cases occurred between 2004 and 2010)No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.
Number of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)Erythema is defined as inflammation of the skin, associated with reddening, and is a frequent side effect of heparins.
Number of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)Skin necrosis is defined as the dying off of skin area because of allergic reaction. Skin necrosis is a severe side effect of heparins.
Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH Therapy4 months (all cases occurred between 2004 and 2010)HIT II is characterized as a sudden decrease of thrombocyte count because of allergic response on heparin/platelet factor 4 (PF-4) complexes and is a severe and potentially fatal side effect of heparins. Usually, HIT occurs between Day 5 and Day 14 of exposure to UFH or LMWH.
Duration From Start of UFH/LMWH Therapy to HIT4 months (all cases occurred between 2004 and 2010)
Number of Participants With and Without Complications Under Fondaparinux Therapy4 months (all cases occurred between 2004 and 2010)A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, death, or other complication (as indicated by investigator).
Number of Participants With Thromboembolisms Under Fondaparinux Therapy4 months (all cases occurred between 2004 and 2010)Any sign of thromboembolism as indicated by investigator was measured.
Number of Participants With Bleedings Under Fondaparinux Therapy4 months (all cases occurred between 2004 and 2010)No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.
Number of Participants With Skin Changes Under Fondaparinux Therapy4 months (all cases occurred between 2004 and 2010)No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Fondaparinux
Retrospective systematic documentation of female participants treated with Fondaparinux during pregnancy and/or postpartum. The potential prophylactic dose was 1.5 or 2.5 milligrams (mg); the standard prophylactic dose was 2.5 mg. The potential therapeutic dose was 5, 7.5, or 10 mg. Higher than recommended doses could have been administered off label.
120
Total120

Baseline characteristics

CharacteristicFondaparinux
Age Continuous31.5 Years
STANDARD_DEVIATION 5.4
Body Mass Index (BMI)26.5 kilograms (kg)/meters squared (m^2)
STANDARD_DEVIATION 6.2
Duration of LMWH administration54 days
Duration of UFH administration32 days
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Certoparin
1 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Dalteparin
35 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Enoxaparin
28 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Missing
45 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Nadroparin
21 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Reviparin
0 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Tinzaparin
0 participants
Number of participants receiving the indicated type of low-molecular-weight heparin (LMWH)
Total
120 participants
Number of participants receiving the indicated type of prophylactic treatment
Prophylaxis: internal medicine
31 participants
Number of participants receiving the indicated type of prophylactic treatment
Prophylaxis: surgery
5 participants
Number of participants receiving the indicated type of prophylactic treatment
Prophylaxis: thromboembolic risk
99 participants
Number of participants receiving therapeutic treatment for the given indications
Acute coronary syndrome
0 participants
Number of participants receiving therapeutic treatment for the given indications
Alternative anticoagulation at atrial fibrilation
0 participants
Number of participants receiving therapeutic treatment for the given indications
Alternative anticoagulation at heart valve
1 participants
Number of participants receiving therapeutic treatment for the given indications
Data missing
1 participants
Number of participants receiving therapeutic treatment for the given indications
Peripheral arterial disease
0 participants
Number of participants receiving therapeutic treatment for the given indications
Therapy: deep vein thrombosis
7 participants
Number of participants receiving therapeutic treatment for the given indications
Therapy: pulmonary embolism
3 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Acute VTE during pregnancy
1 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Antiphospholipid syndrome
14 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Antithrombine deficiency
3 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Long-time anticoagulation with oral anticoagulants
4 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Thrombophilia
82 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
VTE in anamnesis
33 participants
Number of participants receiving thromboembolic prophylaxis for the given indications
Women with >=2 risk factors
9 participants
Number of participants undergoing either prophylaxis or therapy
Prophylaxis
111 participants
Number of participants undergoing either prophylaxis or therapy
Therapy
11 participants
Number of participants who did and did not receive UFH
Did not receive UFH
117 participants
Number of participants who did and did not receive UFH
Received UFH
3 participants
Number of participants who indicated that they did or did not have former abortions
Missing data
2 participants
Number of participants who indicated that they did or did not have former abortions
No
51 participants
Number of participants who indicated that they did or did not have former abortions
Total
85 participants
Number of participants who indicated that they did or did not have former abortions
Yes
32 participants
Number of participants with known thrombophilia
Antiphospholipid syndrome
15 participants
Number of participants with known thrombophilia
Antithrombin deficiency
2 participants
Number of participants with known thrombophilia
Factor VII activating protease (FSAP)
6 participants
Number of participants with known thrombophilia
Factor VII C46T
18 participants
Number of participants with known thrombophilia
Factor V Leiden mutation heterozygous
13 participants
Number of participants with known thrombophilia
Factor V Leiden mutation homozygous
0 participants
Number of participants with known thrombophilia
None
20 participants
Number of participants with known thrombophilia
Other
46 participants
Number of participants with known thrombophilia
Persistant factor VIII increase
4 participants
Number of participants with known thrombophilia
Protein C deficiency
5 participants
Number of participants with known thrombophilia
Protein S deficiency
10 participants
Number of participants with known thrombophilia
Prothombin mutation homozygous
0 participants
Number of participants with known thrombophilia
Prothrombin mutation heterozygous
13 participants
Number of participants with the indicated anamnestic thromboembolisms
Arterial only
0 participants
Number of participants with the indicated anamnestic thromboembolisms
Both arterial and venous
2 participants
Number of participants with the indicated anamnestic thromboembolisms
None
79 participants
Number of participants with the indicated anamnestic thromboembolisms
Venous only
39 participants
Number of participants with the indicated number of former abortions
1
27 participants
Number of participants with the indicated number of former abortions
2
16 participants
Number of participants with the indicated number of former abortions
3
2 participants
Number of participants with the indicated number of former abortions
4
2 participants
Number of participants with the indicated number of former abortions
6
1 participants
Number of participants with the indicated number of former abortions
Missing data
3 participants
Number of participants with the indicated number of former abortions
Total
51 participants
Number of participants with the indicated number of former pregnancies
0
35 participants
Number of participants with the indicated number of former pregnancies
1
43 participants
Number of participants with the indicated number of former pregnancies
10
1 participants
Number of participants with the indicated number of former pregnancies
2
19 participants
Number of participants with the indicated number of former pregnancies
3
15 participants
Number of participants with the indicated number of former pregnancies
4
3 participants
Number of participants with the indicated number of former pregnancies
5
2 participants
Number of participants with the indicated number of former pregnancies
6
1 participants
Number of participants with the indicated number of former pregnancies
Missing
1 participants
Number of participants with the indicated reason for the end of LMWH administration
Allergy to heparin
39 participants
Number of participants with the indicated reason for the end of LMWH administration
Change to another antithrombotic agent
44 participants
Number of participants with the indicated reason for the end of LMWH administration
End of thromboembolism prophylaxis/therapy
3 participants
Number of participants with the indicated reason for the end of LMWH administration
Missing
44 participants
Number of participants with the indicated reason for the end of LMWH administration
Other
19 participants
Number of participants with the indicated reason for the end of LMWH administration
Thrombocytopenia
7 participants
Number of participants with the indicated reason for the end of LMWH administration
Total
120 participants
Number of participants with the indicated reason for the end of UFH administration
Allergy to heparin
2 participants
Number of participants with the indicated reason for the end of UFH administration
Change to another antithrombotic agent
0 participants
Number of participants with the indicated reason for the end of UFH administration
End of thromboembolism prophylaxis/therapy
1 participants
Number of participants with the indicated reason for the end of UFH administration
Thrombocytopenia
0 participants
Number of participants with the indicated risk factors for venous thromboembolism
Adiposity (BMI>=30)
12 participants
Number of participants with the indicated risk factors for venous thromboembolism
Alcohol
1 participants
Number of participants with the indicated risk factors for venous thromboembolism
Chronic inflammatory disease
3 participants
Number of participants with the indicated risk factors for venous thromboembolism
Diabetes mellitus
2 participants
Number of participants with the indicated risk factors for venous thromboembolism
Drug abuse
1 participants
Number of participants with the indicated risk factors for venous thromboembolism
Hormonotherapy in in-vitro fertilization
10 participants
Number of participants with the indicated risk factors for venous thromboembolism
Hypercholesteremia
3 participants
Number of participants with the indicated risk factors for venous thromboembolism
Hypertonia
5 participants
Number of participants with the indicated risk factors for venous thromboembolism
Immobilization
5 participants
Number of participants with the indicated risk factors for venous thromboembolism
Malignant underlying disease
3 participants
Number of participants with the indicated risk factors for venous thromboembolism
None
75 participants
Number of participants with the indicated risk factors for venous thromboembolism
Other
5 participants
Number of participants with the indicated risk factors for venous thromboembolism
Other supportive gynaecological treatments
8 participants
Number of participants with the indicated risk factors for venous thromboembolism
Previous oral contraception
11 participants
Number of participants with the indicated risk factors for venous thromboembolism
Serious systemic infection
3 participants
Number of participants with the indicated risk factors for venous thromboembolism
Smoking
11 participants
Number of participants with the indicated type of former birth
All former births
61 participants
Number of participants with the indicated type of former birth
Children with abnormalities
1 participants
Number of participants with the indicated type of former birth
Healthy children
51 participants
Number of participants with the indicated type of former birth
Live births
56 participants
Number of participants with the indicated type of former birth
Missing data
59 participants
Number of participants with the indicated type of former birth
Still births
6 participants
Number of participants with thrombophilia accompanied by venous thromboembolism (VTE) in anamnesis
Missing
2 participants
Number of participants with thrombophilia accompanied by venous thromboembolism (VTE) in anamnesis
Total
82 participants
Number of participants with thrombophilia accompanied by venous thromboembolism (VTE) in anamnesis
Without VTE in anamnesis
58 participants
Number of participants with thrombophilia accompanied by venous thromboembolism (VTE) in anamnesis
With VTE in anamnesis
22 participants
Sex: Female, Male
Female
120 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
6 / 1200 / 124
serious
Total, serious adverse events
9 / 1201 / 124

Outcome results

Primary

Duration of Fondaparinux Administration

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=101 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration of Fondaparinux Administration131 days
Primary

Duration of Postnatal Fondaparinux Administration

The postnatal interval is defined as the interval of time beginning 2 days after birth.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=90 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration of Postnatal Fondaparinux Administration23 days
Primary

Duration of Prenatal Fondaparinux Administration

The prenatal interval is defined as the interval of time until 3 days before birth.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=99 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration of Prenatal Fondaparinux Administration130 days
Primary

Mean APGAR Score at 1, 5, and 10 Minutes After Birth

APGAR is a test performed by a doctor, midwife, or nurse at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process; the 5-minute score assesses how well the newborn is adapting to the new environment. The health care provider examines the baby's breathing effort, heart rate, muscle tone, reflexes, and skin color. Each category is scored with 0 (worst score), 1, or 2 (best score), depending on the observed condition. The rating is based on a total score of 1-10, with 10 suggesting the healthiest infant.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. A total of 124 newborns were born to 120 women; 4 women bore twins. n=26 (1 min) or n=27 (5 and 10 min) newborns with non-missing data.

ArmMeasureGroupValue (MEAN)Dispersion
FondaparinuxMean APGAR Score at 1, 5, and 10 Minutes After Birthafter 1 min, n=268.6 scores on a scaleStandard Deviation 0.9
FondaparinuxMean APGAR Score at 1, 5, and 10 Minutes After Birthafter 5 min, n=279.1 scores on a scaleStandard Deviation 0.7
FondaparinuxMean APGAR Score at 1, 5, and 10 Minutes After Birthafter 10 min, n=279.6 scores on a scaleStandard Deviation 0.5
Primary

Mean Head Circumference of Newborn

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. A total of 124 newborns were born to 120 women; 4 women bore twins. n=27 newborns with non-missing data.

ArmMeasureValue (MEAN)Dispersion
FondaparinuxMean Head Circumference of Newborn34 centimetersStandard Deviation 2.2
Primary

Mean Height of Newborn

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. A total of 124 newborns were born to 120 women; 4 women bore twins. n=37 newborns with non-missing data.

ArmMeasureValue (MEAN)Dispersion
FondaparinuxMean Height of Newborn49.6 centimetersStandard Deviation 3.8
Primary

Mean Weight of Newborn

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. A total of 124 newborns were born to 120 women; 4 women bore twins. n=63 newborns with non-missing data.

ArmMeasureValue (MEAN)Dispersion
FondaparinuxMean Weight of Newborn3042 gramsStandard Deviation 662.6
Primary

Number of Hours After Birth at Which Fondaparinux Administration Was Restarted

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=86 participants with non-missing data.

ArmMeasureValue (MEAN)Dispersion
FondaparinuxNumber of Hours After Birth at Which Fondaparinux Administration Was Restarted11.3 hoursStandard Deviation 5.2
Primary

Number of Hours Before Birth That the Last Fondaparinux Dose Was Administered

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=45 participants with non-missing data.

ArmMeasureValue (MEAN)Dispersion
FondaparinuxNumber of Hours Before Birth That the Last Fondaparinux Dose Was Administered34.6 hoursStandard Deviation 10.8
Primary

Number of Newborns Who Had a Healthy Postnatal Classification

A healthy documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. A total of 124 newborns were born to 120 women; 4 women bore twins.

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Newborns Who Had a Healthy Postnatal ClassificationMissing data10 newborns
FondaparinuxNumber of Newborns Who Had a Healthy Postnatal ClassificationHealthy110 newborns
FondaparinuxNumber of Newborns Who Had a Healthy Postnatal ClassificationNot healthy4 newborns
Primary

Number of Newborns With Abnormalities

No formal definition for abnormalities was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Newborns of pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Newborns With AbnormalitiesMissing data10 newborns
FondaparinuxNumber of Newborns With AbnormalitiesNo abnormalities114 newborns
Primary

Number of Participants Administered the Indicated Dose of Fondaparinux Per Day

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per Day5 mg16 participants
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per DayDose missing2 participants
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per Day2.5 milligrams (mg)94 participants
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per Day5 mg until delivery, followed by 2.5 mg1 participants
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per Day7.5 mg3 participants
FondaparinuxNumber of Participants Administered the Indicated Dose of Fondaparinux Per Day10 mg4 participants
Primary

Number of Participants for Whom Fondaparinux Administration Was Interrupted for Birth

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants for Whom Fondaparinux Administration Was Interrupted for BirthMissing data9 participants
FondaparinuxNumber of Participants for Whom Fondaparinux Administration Was Interrupted for BirthNot interrupted20 participants
FondaparinuxNumber of Participants for Whom Fondaparinux Administration Was Interrupted for BirthInterrupted91 participants
Primary

Number of Participants Receiving Fondaparinux in the Indicated Therapy Intervals

The prenatal interval is defined as the interval of time until 3 days before birth. The perinatal interval is defined as the interval of time from 2 days before birth to one day after birth. The postnatal interval is defined as the interval of time beginning 2 days after birth.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPrenatal only6 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPerinatal only0 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPostnatal only1 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPrenatal and Perinatal3 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPerinatal and Postnatal1 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPrenatal and Postnatal2 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsPrenatal, Perinatal, and Postnatal97 participants
FondaparinuxNumber of Participants Receiving Fondaparinux in the Indicated Therapy IntervalsUnknown10 participants
Primary

Number of Participants Who Delivered a Single Child Versus Twins

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Who Delivered a Single Child Versus TwinsSingle child116 participants
FondaparinuxNumber of Participants Who Delivered a Single Child Versus TwinsTwins4 participants
Primary

Number of Participants With the Indicated Outcome of Pregnancy by Type of Birth

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With the Indicated Outcome of Pregnancy by Type of BirthMissing data11 participants
FondaparinuxNumber of Participants With the Indicated Outcome of Pregnancy by Type of BirthSpontaneous71 participants
FondaparinuxNumber of Participants With the Indicated Outcome of Pregnancy by Type of BirthInduced3 participants
FondaparinuxNumber of Participants With the Indicated Outcome of Pregnancy by Type of BirthCaesarian section34 participants
FondaparinuxNumber of Participants With the Indicated Outcome of Pregnancy by Type of BirthInduced/Caesarian section1 participants
Primary

Number of Participants With the Indicated Reason for Change to Fondaparinux

It was possible for a participant to have changed to fondaparinux for multiple reasons.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxHeparin-induced thrombocytopenia (HIT)12 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxAllergy to heparin50 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxOther intolerances3 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxLack of compliance3 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxFix dose0 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxNo monitoring of thrombocyte count necessary16 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxMedical decision because of other reasons42 participants
FondaparinuxNumber of Participants With the Indicated Reason for Change to FondaparinuxOther reasons47 participants
Primary

Number of Participants With the Indicated Reason for the End of Fondaparinux Administration

It is possible that a participant stopped receiving Fondaparinux for multiple reasons.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationMissing data18 participants
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationEnd of thromboembolism prophylaxis/therapy94 participants
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationChange to another antithrombotic agent6 participants
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationThrombocytopenia (HIT II)0 participants
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationAllergic reaction0 participants
FondaparinuxNumber of Participants With the Indicated Reason for the End of Fondaparinux AdministrationOther reasons5 participants
Primary

Number of Participants With the Indicated Type of Conception/Fertilization

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With the Indicated Type of Conception/FertilizationMissing2 participants
FondaparinuxNumber of Participants With the Indicated Type of Conception/FertilizationNormal conception107 participants
FondaparinuxNumber of Participants With the Indicated Type of Conception/FertilizationInduced pregnancy with normal conception1 participants
FondaparinuxNumber of Participants With the Indicated Type of Conception/FertilizationIn-vitro fertilization10 participants
Secondary

Duration From Start of Fondaparinux Therapy to HIT

For the 1 participant who developed HIT after receiving Fondaparinux, the number of days from start of therapy to HIT is presented.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. Only one participant developed HIT after receiving Fondaparinux; thus, rather than presenting median data, data are presented as the number of days from start of therapy to HIT.

ArmMeasureValue (NUMBER)
FondaparinuxDuration From Start of Fondaparinux Therapy to HIT15 days
Secondary

Duration From Start of UFH/LMWH Therapy to HIT

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=8 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration From Start of UFH/LMWH Therapy to HIT27.5 days
Secondary

Duration From Start of UFH/LMWH Therapy to Skin Change

No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=27 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration From Start of UFH/LMWH Therapy to Skin Change42 days
Secondary

Duration of All Hospitalizations Under UFH, LMWH, and Fondaparinux Administration

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=9 participants with non-missing data.

ArmMeasureValue (MEDIAN)
FondaparinuxDuration of All Hospitalizations Under UFH, LMWH, and Fondaparinux Administration5 days
Secondary

Duration of Hospitalizations Before, During, and After Fondaparinux Administration

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010; n=3 participants (before Fondaparinux), n=5 participants (during Fondaparinux), and n=1 participant (after Fondaparinux) with non-missing data.

ArmMeasureGroupValue (MEDIAN)
FondaparinuxDuration of Hospitalizations Before, During, and After Fondaparinux AdministrationBefore Fondaparinux, n=310 days
FondaparinuxDuration of Hospitalizations Before, During, and After Fondaparinux AdministrationDuring Fondaparinux, n=55 days
FondaparinuxDuration of Hospitalizations Before, During, and After Fondaparinux AdministrationAfter Fondaparinux, n=12 days
Secondary

Number of Participants Hospitalized Because of Thromboembolic Treatment

Thromboembolic treatment is a defined as prophylaxis for an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Hospitalized Because of Thromboembolic TreatmentTotal120 participants
FondaparinuxNumber of Participants Hospitalized Because of Thromboembolic TreatmentNot hospitalized102 participants
FondaparinuxNumber of Participants Hospitalized Because of Thromboembolic TreatmentHospitalized18 participants
Secondary

Number of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH Therapy

Erythema is defined as inflammation of the skin, associated with reddening, and is a frequent side effect of heparins.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. Only participants exhibiting skin changes are included in this analysis.

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH TherapyTotal40 participants
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH TherapyNo erythema or missing data4 participants
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Erythema Associated With the Skin Changes Under UFH/LMWH TherapyErythema36 participants
Secondary

Number of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH Therapy

Skin necrosis is defined as the dying off of skin area because of allergic reaction. Skin necrosis is a severe side effect of heparins.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010. Only participants exhibiting skin changes are included in this analysis.

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH TherapyTotal40 participants
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH TherapyNo skin necrosis or missing data32 participants
FondaparinuxNumber of Participants Who Exhibited Observed Skin Changes and Also Had Skin Necrosis Associated With the Skin Changes Under UFH/LMWH TherapySkin necrosis8 participants
Secondary

Number of Participants With and Without Complications Under Fondaparinux Therapy

A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, death, or other complication (as indicated by investigator).

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With and Without Complications Under Fondaparinux TherapyTotal120 participants
FondaparinuxNumber of Participants With and Without Complications Under Fondaparinux TherapyNo complications or missing data111 participants
FondaparinuxNumber of Participants With and Without Complications Under Fondaparinux TherapyComplications9 participants
Secondary

Number of Participants With Bleedings Under Fondaparinux Therapy

No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Bleedings Under Fondaparinux TherapyTotal120 participants
FondaparinuxNumber of Participants With Bleedings Under Fondaparinux TherapyNo bleedings or missing data118 participants
FondaparinuxNumber of Participants With Bleedings Under Fondaparinux TherapyBleedings2 participants
Secondary

Number of Participants With Bleedings Under UFH/LMWH Therapy

No formal definition for bleeding was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Bleedings Under UFH/LMWH TherapyTotal120 participants
FondaparinuxNumber of Participants With Bleedings Under UFH/LMWH TherapyNo bleeding or missing data118 participants
FondaparinuxNumber of Participants With Bleedings Under UFH/LMWH TherapyBleeding2 participants
Secondary

Number of Participants With Complications Under UFH/LMWH Therapy

A complication is defined as any thromoemolism, bleeding, skin change, HIT, amputation, or other complication (as indicated by investigator).

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Complications Under UFH/LMWH TherapyTotal120 participants
FondaparinuxNumber of Participants With Complications Under UFH/LMWH TherapyMissing data40 participants
FondaparinuxNumber of Participants With Complications Under UFH/LMWH TherapyNo complications31 participants
FondaparinuxNumber of Participants With Complications Under UFH/LMWH TherapyComplications49 participants
Secondary

Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux Therapy

The participant with HIT II was pretreated with LMWH; however, the serious adverse event of HIT II was documented after the participant switched to Fondaparinux treatment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux TherapyHIT II1 participants
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux TherapyTotal120 participants
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under Fondaparinux TherapyNo HIT II or missing data119 participants
Secondary

Number of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH Therapy

HIT II is characterized as a sudden decrease of thrombocyte count because of allergic response on heparin/platelet factor 4 (PF-4) complexes and is a severe and potentially fatal side effect of heparins. Usually, HIT occurs between Day 5 and Day 14 of exposure to UFH or LMWH.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH TherapyTotal120 participants
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH TherapyNo HIT II or missing data111 participants
FondaparinuxNumber of Participants With Heparin-induced Thrombocytopenia (HIT II) Under UFH/LMWH TherapyHIT II9 participants
Secondary

Number of Participants With Skin Changes Under Fondaparinux Therapy

No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Skin Changes Under Fondaparinux TherapyTotal120 participants
FondaparinuxNumber of Participants With Skin Changes Under Fondaparinux TherapyNo skin changes or missing data120 participants
Secondary

Number of Participants With Skin Changes Under UFH/LMWH Therapy

No formal definition for skin change was predetermined; documentation was based on the investigators' individual assessment.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Skin Changes Under UFH/LMWH TherapyNo skin changes or missing data80 participants
FondaparinuxNumber of Participants With Skin Changes Under UFH/LMWH TherapyTotal120 participants
FondaparinuxNumber of Participants With Skin Changes Under UFH/LMWH TherapySkin changes40 participants
Secondary

Number of Participants With Thromboembolisms Under Fondaparinux Therapy

Any sign of thromboembolism as indicated by investigator was measured.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Thromboembolisms Under Fondaparinux TherapyTotal120 participants
FondaparinuxNumber of Participants With Thromboembolisms Under Fondaparinux TherapyEither missing data or no thromboembolisms120 participants
Secondary

Number of Participants With Thromboembolisms Under UFH/LMWH Therapy

Any sign of thromboembolism as indicated by investigator was measured.

Time frame: 4 months (all cases occurred between 2004 and 2010)

Population: Pregnant women who received prophylaxis because of an elevated thromboembolic risk or therapeutic treatment of acute thromboembolism between the years of 2004 and 2010

ArmMeasureGroupValue (NUMBER)
FondaparinuxNumber of Participants With Thromboembolisms Under UFH/LMWH TherapyTotal120 participants
FondaparinuxNumber of Participants With Thromboembolisms Under UFH/LMWH TherapyNo thromboembolism or missing data118 participants
FondaparinuxNumber of Participants With Thromboembolisms Under UFH/LMWH TherapyThromboembolisms2 participants

Source: ClinicalTrials.gov · Data processed: Feb 16, 2026