Status:

NOT_YET_RECRUITING

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

Lead Sponsor:

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Conditions:

Venous Thromboembolism

Obese Patients

Eligibility:

All Genders

18+ years

Brief Summary

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 ...

Eligibility Criteria

Inclusion

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

Exclusion

  • • 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.).

Key Trial Info

Start Date :

October 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 1 2027

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT07213713

Start Date

October 1 2025

End Date

October 1 2027

Last Update

October 9 2025

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