Total Knee Replacement
Conditions
Brief summary
To evaluate influence of therapy on the following efficacy and safety parameters in different TeaRx dose groups and Enoxaparin group: * Total venous thromboembolic events (VTE), which includes confirmed deep venous thrombosis (DVT), nonfatal pulmonary embolism (PE), and total mortality * Incidence of DVT (total, proximal, distal) * Incidence of nonfatal PE * Incidence of symptomatic VTE (DVT, PE) * VTE caused mortality * Non-VTE caused mortality * Incidence of all hemorrhagic complications * Incidence of major and clinically relevant non-major bleeding * Adverse events (AEs) and serious adverse events (SAEs) from subject complaints, physical examination, vital signs, laboratory results
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, age ≥ 18 years; * Planned total knee replacement surgery; * Signed informed consent form; * Willing to comply with the protocol; * Willing to use adequate contraception during the trial.
Exclusion criteria
* Surgery for acute fracture 4 weeks before screening; history of septic inflammation in the joint; prosthesis revision or one leg missing * History of venous thrombosis of any location or PE * History of heparin induced thrombocytopenia or other thrombocytopathy; hemorrhagic diathesis * History of evident coagulopathy or in a relative * Congenital thrombophilia * Bleeding within 6 months of screening; increased risk of bleeding * BMI less than 18,5 or more than 40 kg/m2 * Systolic BP \> 180 mmHg and/or diastolic BP \> 110 mmHg registered twice within 15-30 minutes * Hb ≤ 10.5 g/dL in female or ≤ 11.5 g/dL in male * Platelets \< 100 000/mm3 * Clinical significant abnormalities of APTT and/or INR * GFR \< 30 ml/min/1.73 m2 * ALT or AST ≥ 2 x ULN or total bilirubin ≥1,5 x ULN
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of symptomatic venous thromboembolic events (DVT, PE) (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
| Incidence of deep venous thrombosis (DVT) (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
| Incidence of nonfatal pulmonary embolism (PE) (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
| AEs and SAEs from subject complaints, physical examination, vital signs, laboratory results (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
| venous thromboembolic events (VTE) caused mortality (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
| Non-VTE caused mortality (efficacy of the selected TeaRx dose) | 6 weeks following total knee replacement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of bleeding (safety of selected TeaRx dose) | 6 weeks following total knee replacement | major and clinically relevant non-major bleeding |
Countries
Russia