跳至主要内容
临床试验/NCT07213713
NCT07213713尚未招募不适用

Evaluation of Anti-Xa Activity in Patients With Severe Obesity After Subcutaneous Injection of Enoxaparin for Antithrombotic Prophylaxis at Two Different Sites.

Fondazione Policlinico Universitario Agostino Gemelli IRCCS0 个研究点目标入组 80 人开始时间: 2025年10月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
80
主要终点
The primary outcome is the achievement of both target anti-factor Xa levels at peak, defined as 0.2 to 0.4 IU/mL, and at trough, defined as >0.1 IU/mL.

研究概览

简要总结

To evaluate appropriateness of enoxaparin bioavailability at two different sites of subcutaneous administration (arms or abdomen) in primary or secondary prevention of thromboembolism in a population of patients with severe obesity

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • age >18 years,
  • BMI >40 kg/m2
  • indication to primary or secondary thromboprophylaxis (Padua Score > 4), as clinical practice

排除标准

  • indication to full dose anticoagulant,
  • creatinine clearance <30 mL/min (based on Cockcroft-Gault equation using adjusted body weight),
  • pregnant women,
  • low platelet count (<50.000/microL or <100.000/microL plus additional risk factors for bleeding),
  • active bleeding,
  • active gastroduodenal ulcer,
  • severe bleeding diathesis,
  • recent/planned/emergency high bleeding-risk surgery/procedure,
  • major trauma,
  • acute intracranial hemorrhage,
  • bleeding within the three months prior to admission,
  • known hypersensitivity to enoxaparin (e.g. pruritus, urticaria, anaphylactic/anaphylactoid reactions),
  • history of immune mediated heparin-induced thrombocytopenia (HIT),
  • severe uncontrolled hypertension,
  • diabetic or hemorrhagic retinopathy,
  • concurrent administration of subcutaneous drugs (i.e. insulin, GLP-1 receptor agonists, etc.).

结局指标

主要结局

The primary outcome is the achievement of both target anti-factor Xa levels at peak, defined as 0.2 to 0.4 IU/mL, and at trough, defined as >0.1 IU/mL.

时间窗: 24 months

To evaluate appropriateness of enoxaparin bioavailability at two different sites of subcutaneous administration (arms or abdomen) in primary or secondary prevention of thromboembolism in a population of patients with severe obesity

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

De Candia Erica

Prof.ssa Erica De Candia

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

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