Trial Outcomes & Findings for Prophylactic Enoxaparin Dosing for Prevention of Venous Thromboembolism in Pregnancy. (NCT NCT00878826)

NCT ID: NCT00878826

Last Updated: 2016-12-16

Results Overview

Goal peak anti-Xa level is 0.2 to 0.4 u/ml. We compared peak drug levels between different dosing arms.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

11 participants

Primary outcome timeframe

One measurement per trimester of pregnancy, up to 36 weeks

Results posted on

2016-12-16

Participant Flow

Subjects were enrolled from 11/2/09 to 1/13/11 in the Obstetric Clinic at Lucile Packard Children's Hospital.

There were no significant events.

Participant milestones

Participant milestones
Measure
Enoxaparin 40 mg Per Day
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
60 mg Enoxaparin injection daily - Pre prescribed regimen
Overall Study
STARTED
3
6
2
Overall Study
COMPLETED
3
6
2
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prophylactic Enoxaparin Dosing for Prevention of Venous Thromboembolism in Pregnancy.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enoxaparin 40 mg Per Day
n=3 Participants
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
n=6 Participants
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
n=2 Participants
60 mg Enoxaparin injection daily - Pre prescribed regimen
Total
n=11 Participants
Total of all reporting groups
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
5 Participants
n=107 Participants
2 Participants
n=206 Participants
10 Participants
n=7 Participants
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=99 Participants
6 Participants
n=107 Participants
2 Participants
n=206 Participants
11 Participants
n=7 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Continuous
39.3 years
STANDARD_DEVIATION 2.1 • n=99 Participants
32.8 years
STANDARD_DEVIATION 6.2 • n=107 Participants
34.5 years
STANDARD_DEVIATION 6.4 • n=206 Participants
34.2 years
STANDARD_DEVIATION 1.04 • n=7 Participants
Gender
Female
3 Participants
n=99 Participants
6 Participants
n=107 Participants
2 Participants
n=206 Participants
11 Participants
n=7 Participants
Gender
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
3 Participants
n=107 Participants
2 Participants
n=206 Participants
6 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
White
2 Participants
n=99 Participants
2 Participants
n=107 Participants
0 Participants
n=206 Participants
4 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Region of Enrollment
United States
3 participants
n=99 Participants
6 participants
n=107 Participants
2 participants
n=206 Participants
11 participants
n=7 Participants
Gestational Age at Enrollment
10.86 weeks
n=99 Participants
12.19 weeks
n=107 Participants
11.64 weeks
n=206 Participants
11.73 weeks
n=7 Participants
Weight at Enrollment
61.7 kg
n=99 Participants
65.5 kg
n=107 Participants
59.5 kg
n=206 Participants
63.4 kg
n=7 Participants
BMI at Enrollment
22.8 kg/m2
n=99 Participants
26.3 kg/m2
n=107 Participants
22.6 kg/m2
n=206 Participants
24.7 kg/m2
n=7 Participants
Insurance Status
Public
0 participants
n=99 Participants
2 participants
n=107 Participants
0 participants
n=206 Participants
2 participants
n=7 Participants
Insurance Status
Private
3 participants
n=99 Participants
4 participants
n=107 Participants
2 participants
n=206 Participants
9 participants
n=7 Participants

PRIMARY outcome

Timeframe: One measurement per trimester of pregnancy, up to 36 weeks

Goal peak anti-Xa level is 0.2 to 0.4 u/ml. We compared peak drug levels between different dosing arms.

Outcome measures

Outcome measures
Measure
Enoxaparin 40 mg Per Day
n=3 Participants
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
n=6 Participants
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
n=2 Participants
60 mg Enoxaparin injection daily - Pre prescribed regimen
Peak Anti-Xa Level
14-18 weeks gestation
0.35 u/ml
Standard Deviation 0.07
0.46 u/ml
Standard Deviation 0.27
0.57 u/ml
Standard Deviation 0.01
Peak Anti-Xa Level
24-28 weeks gestation
0.27 u/ml
Standard Deviation 0.1
0.34 u/ml
Standard Deviation 0.23
0.34 u/ml
Standard Deviation 0.1
Peak Anti-Xa Level
32-34 weeks gestation
0.22 u/ml
Standard Deviation 0
0.55 u/ml
Standard Deviation 0.23
0.56 u/ml
Standard Deviation 0.07

SECONDARY outcome

Timeframe: Enrollment through 6 weeks postpartum

Outcome measures

Outcome measures
Measure
Enoxaparin 40 mg Per Day
n=3 Participants
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
n=6 Participants
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
n=2 Participants
60 mg Enoxaparin injection daily - Pre prescribed regimen
Thromboembolic Events
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Enrollment through 6 weeks postpartum

Outcome measures

Outcome measures
Measure
Enoxaparin 40 mg Per Day
n=3 Participants
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
n=6 Participants
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
n=2 Participants
60 mg Enoxaparin injection daily - Pre prescribed regimen
Bleeding Events
1 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Enrollment through 6 weeks postpartum

Outcome measures

Outcome measures
Measure
Enoxaparin 40 mg Per Day
n=3 Participants
40 mg Enoxaparin injection daily
Enoxaparin 1 mg Per kg Daily
n=6 Participants
1 mg/kg Enoxaparin injection daily
Enoxaparin 60 mg Per Day
n=2 Participants
60 mg Enoxaparin injection daily - Pre prescribed regimen
Side Effect - Bruising
1 participants
3 participants
0 participants

Adverse Events

Enoxaparin 40 mg Per Day

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enoxaparin 1 mg Per kg Daily

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enoxaparin 60 mg Per Day

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Deirdre Lyell

Stanford University

Phone: 650-736-1191

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place