MedPath

Enoxaparin sodium

Generic Name
Enoxaparin sodium
Brand Names
Lovenox, Inhixa
Drug Type
Small Molecule
CAS Number
9005-49-6
Unique Ingredient Identifier
E47C0NF7LV
Background

Enoxaparin is a common low-molecular-weight heparin (LMWH) used in the prevention and management of various thromboembolic disorders. Initially approved by the FDA in 1993, it is administered by a subcutaneous or intravenous injection and marketed by several pharmaceutical companies. Enoxaparin markedly reduces the incidence of venous thromboembolism in hospitalized patients when compared to unfractionated heparin, without increasing the risk of serious bleeding.

Indication

Enoxaparin is indicated for the prevention of ischemic complications in unstable angina and in non Q-wave myocardial infarction; it is indicated in conjunction with percutaneous intervention and/or other treatment for the management of acute ST elevation myocardial infarction.

Enoxaparin is also indicated in the prophylaxis of DVT in abdominal surgery, hip replacement, knee replacement, or medical patients with severely restricted mobility during acute illness. Additionally, enoxaparin is indicated for the inpatient treatment of DVT with or without pulmonary embolism and the treatment of outpatient DVT without pulmonary embolism.

Associated Conditions
Acute Coronary Syndrome (ACS), Acute Myocardial Infarction With ST Segment Elevation, Deep Vein Thrombosis, Ischemic complications caused by non-q wave myocardial infarction, Ischemic complications caused by unstable angina
Associated Therapies
Percutaneous Coronary Intervention (PCI)

Steroids and Unfractionated Heparin in Critically Ill Patients With Pneumonia From COVID-19 Infection

Phase 3
Conditions
Covid19
SARS-CoV Infection
Coagulopathy
Pneumonia, Viral
Interventions
First Posted Date
2020-08-27
Last Posted Date
2021-05-06
Lead Sponsor
Massimo Girardis
Target Recruit Count
210
Registration Number
NCT04528888
Locations
🇮🇹

ICU- University Hospital Modena, Modena, Italy

Concentration-effect Relationship of Enoxaparin for Thromboembolic Prevention

Phase 4
Withdrawn
Conditions
Sars-CoV2
Interventions
Device: Ultrasound of the lower limbs
First Posted Date
2020-08-20
Last Posted Date
2020-08-20
Lead Sponsor
Centre Hospitalier Universitaire de Saint Etienne
Registration Number
NCT04520620
Locations
🇫🇷

Centre Hospitalier de Roanne, Roanne, France

🇫🇷

Clinique Mutualiste, Saint-Étienne, France

🇫🇷

CHU de Saint-Etienne, Saint-Étienne, France

and more 1 locations

FREEDOM COVID-19 Anticoagulation Strategy

Phase 4
Completed
Conditions
COVID-19
SARS-CoV-2
Interventions
First Posted Date
2020-08-13
Last Posted Date
2023-03-16
Lead Sponsor
Valentin Fuster
Target Recruit Count
3460
Registration Number
NCT04512079
Locations
🇨🇴

Centro Médico Imbanaco, Cali, Colombia

🇨🇴

Clínica Shaio, Bogotá, Colombia

🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

and more 18 locations

Effect of the Use of Anticoagulant Therapy During Hospitalization and Discharge in Patients With COVID-19 Infection

Not Applicable
Conditions
Covid19
Pneumonia
Coagulation Disorder
Pulmonary Embolism
Interventions
First Posted Date
2020-08-11
Last Posted Date
2020-08-11
Lead Sponsor
Hospital Regional de Alta especialidad de Ixtapaluca
Target Recruit Count
130
Registration Number
NCT04508439
Locations
🇲🇽

Hospital Regional de Alta Especialidad de Ixtapaluca, Mexico City, Ixtapaluca, Mexico

Apixaban vs Enoxaparin Following Microsurgical Breast Reconstruction-An RCT

Phase 1
Completed
Conditions
Venous Thromboembolism
Interventions
First Posted Date
2020-08-07
Last Posted Date
2024-07-25
Lead Sponsor
Stanford University
Target Recruit Count
82
Registration Number
NCT04504318
Locations
🇺🇸

Stanford University Medical Center, Stanford, California, United States

Early Prophylactic Low-molecular-weight Heparin (LMWH) in Symptomatic COVID-19 Positive Patients

Phase 3
Terminated
Conditions
COVID-19
Interventions
First Posted Date
2020-07-30
Last Posted Date
2022-05-02
Lead Sponsor
Thrombosis Research Institute
Target Recruit Count
219
Registration Number
NCT04492254
Locations
🇦🇺

Harry Gibbs, National Co-ordinating Investigator, The Alfred Hospital, Melbourne, Australia

🇧🇪

Dr Frank Cools, National Co-ordinating Investigator, AZ Klina, Brasschaat, Belgium

🇿🇦

Prof. Barry Jacobson, National Coordinating Investigator, University of the Witwatersrand, Johannesburg, South Africa

Australasian COVID-19 Trial (ASCOT) ADAptive Platform Trial

Phase 3
Active, not recruiting
Conditions
SARS-CoV-2 Infection (COVID-19)
Interventions
First Posted Date
2020-07-23
Last Posted Date
2024-05-16
Lead Sponsor
University of Melbourne
Target Recruit Count
2200
Registration Number
NCT04483960
Locations
🇦🇺

Royal Perth Hospital, Perth, Western Australia, Australia

🇦🇺

Western Health, St Albans, Victoria, Australia

🇦🇺

Royal Melbourne Hospital, Parkville, Victoria, Australia

and more 22 locations

Efficacy of Apixaban in Malignancy With Deep Venous Thrombosis

Phase 3
Conditions
Deep Vein Thrombosis
Malignancy
Interventions
First Posted Date
2020-07-08
Last Posted Date
2020-07-08
Lead Sponsor
Beni-Suef University
Target Recruit Count
100
Registration Number
NCT04462003
Locations
🇪🇬

Faculty of Medicine,Beni-Suef University, Banī Suwayf, Beni-Suef, Egypt

Enoxaparin in COVID-19 Moderate to Severe Hospitalized Patients

Phase 2
Completed
Conditions
COVID-19
Interventions
First Posted Date
2020-06-11
Last Posted Date
2024-12-03
Lead Sponsor
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Target Recruit Count
301
Registration Number
NCT04427098
Locations
🇮🇹

Fondazione Poliambulanza Chirurgia Vascolare, Brescia, Italy

🇮🇹

Piazzale Spedali Civili, 1, 25123 Brescia BS Medicina Interna UniBS 2° Medicina ASST Spedali Civili, Brescia, Italy

🇮🇹

Ospedale Morgagni Pierantoni U.O.C. Malattie Infettive, Forlì, Italy

and more 10 locations

Prevention of Arteriovenous Thrombotic Events in Critically-Ill COVID-19 Patients Trial

Phase 4
Completed
Conditions
COVID-19
Arterial Thrombosis
Venous Thromboembolism
Interventions
First Posted Date
2020-06-01
Last Posted Date
2024-01-19
Lead Sponsor
The TIMI Study Group
Target Recruit Count
390
Registration Number
NCT04409834
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

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