Acute Coronary Syndrome
Conditions
Keywords
enoxaparin, Lovenox, ani-Xa, acute coronary syndrome, Enoxa
Brief summary
Because of their anti-Xa and ease of administration activity, the Low molecular weight heparin represent an attractive alternative to the unfractionated heparin. Several clinical trials have demonstrated that Low molecular weight heparin was more effective than Unfractionated heparin without increasing bleeding complications. Enoxaparin has been the most studied. Its use is recommended. Demonstrate that Enoxa® is comparable to that of Lovenox® in the anti-Xa activity action.
Detailed description
Single-center randomized controlled trial, single-blind, including patient with an acute coronary syndrome confirmed, to measure the anti-Xa activity between H0 and H4.the study was done on two groups ; ENOXA® group : In this case the patient is given an injection of enoxaparin ( ENOXA® ; UNIMED Laboratories) intravenously. Curative dose (100 IU/10 kg). Control group ( LOVENOX ® ): In this case the patient receives LOVENOX intravenous injection curative dose of 100 kg IU/10 .
Interventions
patients given curative dose of Lovenox
patients given curative dose of Enoxa
Sponsors
Study design
Eligibility
Inclusion criteria
* Age over 18 year old * With an acute coronary syndrome confirmed
Exclusion criteria
* Age less than 18 years * Persistent ST segment elevation * Contre indication of enoxaparin and heparin in general. * Patient participating in another study, * Pregnant or nursing women * patients taking an anticoagulant in the last three months, * Patients with coagulopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anti Xa activity (UI/ml) | 4 hours | Compare the Anticoagulant Activity (measured in a UI per ml in a reference laboratory) of Two Formulations of Enoxaparin \[ENOXA ® Versus LOVENOX ®\], Conducted on Two Parallel Groups of Patients Admitted to Emergency for Acute Coronary Syndrome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major Adverse Cardiac Events | 30 days | All major cardiovascular events |
Countries
Tunisia