Efficacy and Safety of Low-molecular Weight Heparin for Thromboprophylaxis in Acutely Ill Medical Patients
An Open-label Comparison of the Efficacy and Safety of the Low-molecular-weight Heparin (3000 U Anti-Xa Once Daily) With Unfractionated Heparin for the Prevention of Thromboembolic Complications in Acutely Ill Non-surgical Patients
1 other identifier
interventional
342
2 countries
2
Brief Summary
Acutely ill immobilized patients are at a high risk for thromboembolic events including deep venous thrombosis or pulmonary embolism. Unfractionated heparin (UFH) and low molecular weight heparins (LMWH) are thought to be effective in preventing thromboembolic events. This study is designed to provide efficacy and safety data for thromboprophylaxis with the LMWH certoparin in comparison to thromboprophylaxis with UFH in acutely ill non-surgical patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2006
CompletedFirst Submitted
Initial submission to the registry
April 4, 2006
CompletedFirst Posted
Study publicly available on registry
April 6, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2007
CompletedFebruary 24, 2017
February 1, 2017
1.8 years
April 4, 2006
February 22, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The occurrence of thromboembolic events (proximal or distal DVT, PE or VTE related death) during treatment
10 ± 2 days
Secondary Outcomes (2)
Thromboembolic events during follow-up period of 3 months
90 days (± 7 days) after the end of the treatment
Safety endpoints occurring during the treatment period: Hemorrhage (major or minor), Thrombocytopenia, Symptomatic HIT type II, Induction of HIT-II specific antibodies
10 ± 2 days
Study Arms (2)
1
EXPERIMENTALCertoparin
2
ACTIVE COMPARATORHeparin
Interventions
Low-molecular-weight heparin, Certoparin (3000 U anti-Xa once daily) treatment period of 10 ± 2 days
7500 IU of unfractionated heparin administered twice daily during the treatment period of 10 ± 2 days
Eligibility Criteria
You may qualify if:
- Hospitalization due to an acute non-surgical disease
- Significant decrease in mobility
You may not qualify if:
- Indication for anticoagulant or thrombolytic therapy
- Major surgical or invasive procedure within the 4 weeks that precede randomization
- Expected major surgical or invasive procedure (including spinal/peridural/epidural anesthesia or lumbar puncture) within the 2 weeks that follow the randomization
- Immobilization due to cast or fracture of lower extremity
- Immobilization lasting longer than 3 days in the period prior to randomization
- Heparin administration longer than 36 hours in the period prior to randomization
- Acute ischemic stroke
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Unknown Facility
Investigative Centers, Germany
Novartis Pharmaceuticals
Basel, Switzerland
Related Publications (1)
Schellong SM, Haas S, Greinacher A, Schwanebeck U, Sieder C, Abletshauser C, Bramlage P, Riess H. An open-label comparison of the efficacy and safety of certoparin versus unfractionated heparin for the prevention of thromboembolic complications in acutely ill medical patients: CERTAIN. Expert Opin Pharmacother. 2010 Dec;11(18):2953-61. doi: 10.1517/14656566.2010.521498. Epub 2010 Oct 18.
PMID: 20950224RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
April 4, 2006
First Posted
April 6, 2006
Study Start
February 1, 2006
Primary Completion
December 1, 2007
Last Updated
February 24, 2017
Record last verified: 2017-02