Page last updated: 2024-10-18

dalteparin and Chronic Kidney Diseases

dalteparin has been researched along with Chronic Kidney Diseases in 21 studies

Dalteparin: A low-molecular-weight fragment of heparin, prepared by nitrous acid depolymerization of porcine mucosal heparin. The mean molecular weight is 4000-6000 daltons. It is used therapeutically as an antithrombotic agent. (From Merck Index, 11th ed)

Research Excerpts

ExcerptRelevanceReference
" To challenge this premise, we evaluated if deep vein thrombosis (DVT) prophylaxis with dalteparin sodium confers an excessive anticoagulant effect in critically ill patients with severe renal insufficiency."9.13Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study. ( Albert, M; Anderson, D; Cook, D; Crowther, M; Douketis, J; Fowler, R; Freitag, A; Geerts, W; Granton, J; Guyatt, G; Hébert, P; Heels-Ansdell, D; Marshall, J; Meade, M; Pagliarello, G; Rabbat, C; Skrobik, Y; Zytaruk, N, 2008)
"We compared the incidence of clinically significant bleeding in patients with CKD receiving therapeutic doses of dalteparin to that of patients with CKD receiving therapeutic doses of UFH."7.83Treatment with Dalteparin is Associated with a Lower Risk of Bleeding Compared to Treatment with Unfractionated Heparin in Patients with Renal Insufficiency. ( Billett, HH; Calvo, M; Kushnir, M; Park, D; Sinnet, M; Solorzano, C; Southern, W, 2016)
" To challenge this premise, we evaluated if deep vein thrombosis (DVT) prophylaxis with dalteparin sodium confers an excessive anticoagulant effect in critically ill patients with severe renal insufficiency."5.13Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study. ( Albert, M; Anderson, D; Cook, D; Crowther, M; Douketis, J; Fowler, R; Freitag, A; Geerts, W; Granton, J; Guyatt, G; Hébert, P; Heels-Ansdell, D; Marshall, J; Meade, M; Pagliarello, G; Rabbat, C; Skrobik, Y; Zytaruk, N, 2008)
"We compared the incidence of clinically significant bleeding in patients with CKD receiving therapeutic doses of dalteparin to that of patients with CKD receiving therapeutic doses of UFH."3.83Treatment with Dalteparin is Associated with a Lower Risk of Bleeding Compared to Treatment with Unfractionated Heparin in Patients with Renal Insufficiency. ( Billett, HH; Calvo, M; Kushnir, M; Park, D; Sinnet, M; Solorzano, C; Southern, W, 2016)
" With the availability of anti-Xa assays, future reversal recommendations of enoxaparin associated bleeds using protamine sulfate should include the initial anti-Xa assay as a guide for the dosing regimen."1.51Protamine sulfate for the reversal of enoxaparin associated hemorrhage beyond 12 h. ( Adamski, JH; Barcelona, RA; Gibbons, J; Janko, MR; Lauer, BR; Nelson, RA; Ravi, G, 2019)
" However, several international guidelines recommend the same preemptive dosage reduction for all therapeutic dose LMWHs prescribed in renal insufficient patients, to ensure that there is no accumulation of anticoagulant activity and increased risk of bleeding."1.46Empirically Reduced Dosages of Tinzaparin in Patients with Moderate-to-Severe Renal Insufficiency Lead to Inadequate Anti-Xa Levels. ( Henskens, YMC; Meertens, NEL; Olie, RH; Ten Cate, H, 2017)
" These NCCN Guidelines Insights summarize the data supporting new dosing recommendations for VTE prophylaxis in obese patients with cancer."1.42Cancer-Associated Venous Thromboembolic Disease, Version 1.2015. ( Ashrani, A; Bockenstedt, PL; Chesney, C; Eby, C; Engh, AM; Fanikos, J; Fenninger, RB; Fogerty, AE; Gao, S; Goldhaber, SZ; Hendrie, P; Holmstrom, B; Kuderer, N; Lee, A; Lee, JT; Lovrincevic, M; McMillian, N; Millenson, MM; Neff, AT; Ortel, TL; Paschal, R; Shattil, S; Siddiqi, T; Smock, KJ; Soff, G; Streiff, MB; Wang, TF; Yee, GC; Zakarija, A, 2015)
" Inappropriate dosing of LMWH suggested by subtherapeutic and supratherapeutic antifactor Xa levels were very high in patients with different levels of kidney dysfunction."1.38Are low-molecular-weight heparins appropriately dosed in patients with CKD stage 3 to 5? ( Altun, B; Arici, M; Buyukasik, Y; Erdem, Y; Kocak, T; Yildirim, T; Yilmaz, R, 2012)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (4.76)29.6817
2010's15 (71.43)24.3611
2020's5 (23.81)2.80

Authors

AuthorsStudies
Sain, M1
Kovacic, V1
Radic, J1
Ljutic, D1
Jelicic, I1
Cornelis, T1
Broers, NJ1
Titulaer, DC1
Henskens, YM1
van Oerle, R1
van der Sande, FM1
Spronk, HM1
Vink, H1
Leunissen, KM1
ten Cate, H2
Kooman, JP1
Fontcuberta Boj, J1
Wang, TF2
Grubic, N1
Carrier, M1
Canney, M1
Delluc, A1
Hundemer, GL1
Knoll, G1
Lazo-Langner, A1
Massicotte-Azarniouch, D1
Tanuseputro, P1
Sood, MM1
Mattioli, M1
Fustini, E1
Gennarini, S1
Nachega, JB1
Ishoso, DK1
Otokoye, JO1
Hermans, MP1
Machekano, RN1
Sam-Agudu, NA1
Bongo-Pasi Nswe, C1
Mbala-Kingebeni, P1
Madinga, JN1
Mukendi, S1
Kolié, MC1
Nkwembe, EN1
Mbuyi, GM1
Nsio, JM1
Mukeba Tshialala, D1
Tshiasuma Pipo, M1
Ahuka-Mundeke, S1
Muyembe-Tamfum, JJ1
Mofenson, L1
Smith, G1
Mills, EJ1
Mellors, JW1
Zumla, A1
Mavungu Landu, DJ1
Kayembe, JM1
Rydzewska-Rosolowska, A1
Gozdzikiewicz-Lapinska, J1
Borawski, J1
Koc-Zorawska, E1
Mysliwiec, M1
Naumnik, B1
Lauer, BR1
Nelson, RA1
Adamski, JH1
Gibbons, J1
Janko, MR1
Ravi, G1
Barcelona, RA1
Saheb Sharif-Askari, F1
Syed Sulaiman, SA1
Saheb Sharif-Askari, N1
Al Sayed Hussain, A1
Railey, MJ1
Streiff, MB1
Holmstrom, B1
Ashrani, A1
Bockenstedt, PL1
Chesney, C1
Eby, C1
Fanikos, J1
Fenninger, RB1
Fogerty, AE1
Gao, S1
Goldhaber, SZ1
Hendrie, P1
Kuderer, N1
Lee, A1
Lee, JT1
Lovrincevic, M1
Millenson, MM1
Neff, AT1
Ortel, TL1
Paschal, R1
Shattil, S1
Siddiqi, T1
Smock, KJ1
Soff, G1
Yee, GC1
Zakarija, A1
McMillian, N1
Engh, AM1
Triscott, J1
Mercer, S1
Tian, PG1
Dobbs, B1
Hoffmann, P1
Keller, F1
Shorr, AF1
Eriksson, BI1
Jaffer, AK1
Smith, J1
Yildirim, T1
Kocak, T1
Buyukasik, Y1
Yilmaz, R1
Altun, B1
Erdem, Y1
Arici, M1
Dorsch, O1
Krieter, DH1
Lemke, HD1
Fischer, S1
Melzer, N1
Sieder, C1
Bramlage, P1
Harenberg, J1
Kwofie, MK1
Wilson, JA1
Park, D1
Southern, W1
Calvo, M1
Kushnir, M1
Solorzano, C1
Sinnet, M1
Billett, HH1
Douketis, J1
Cook, D1
Meade, M1
Guyatt, G1
Geerts, W1
Skrobik, Y1
Albert, M1
Granton, J1
Hébert, P1
Pagliarello, G1
Marshall, J1
Fowler, R1
Freitag, A1
Rabbat, C1
Anderson, D1
Zytaruk, N1
Heels-Ansdell, D1
Crowther, M1
Helfer, H1
Siguret, V1
Mahé, I1
Yeung, J1
Dix, CHK1
Ritchie, AG1
Kow, M1
Chen, VMY1
Olie, RH1
Meertens, NEL1
Henskens, YMC1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multi-center, Prospective, Open-label, 8-weeks Study to Investigate the Efficacy, Safety and Pharmacokinetics of Certoparin (3000 IU Anti-Xa Bolus, With the Option to Titrate Dose)in the Prophylaxis of Clotting in the Extracorporeal Circuit in Patients [NCT01179620]Phase 3109 participants (Actual)Interventional2010-11-30Completed
Dalteparin's Influence on Renally Compromised: Anti-Ten-A Study (DIRECT)[NCT00138099]140 participants (Actual)Observational2004-07-31Completed
Study of the Bioaccumulation of Tinzaparin in Renally Impaired Patients When Given at Prophylactic Doses[NCT02719418]28 participants (Actual)Observational2016-02-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for dalteparin and Chronic Kidney Diseases

ArticleYear
New frontiers with bemiparin: use in special populations.
    Drugs, 2010, Dec-14, Volume: 70 Suppl 2

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Child; Female; Fibrinolytic Agents; Heparin, Low-Mol

2010
Retroperitoneal haematoma associated with enoxaparin use in an elderly woman with chronic kidney disease.
    BMJ case reports, 2015, Oct-05, Volume: 2015

    Topics: Aged, 80 and over; Anticoagulants; Aspirin; Enoxaparin; Erythrocyte Transfusion; Female; Hematoma; H

2015
Increased major bleeding risk in patients with kidney dysfunction receiving enoxaparin: a meta-analysis.
    European journal of clinical pharmacology, 2012, Volume: 68, Issue:5

    Topics: Anticoagulants; Cardiovascular Diseases; Enoxaparin; Glomerular Filtration Rate; Hemorrhage; Humans;

2012
Tinzaparin Sodium Pharmacokinetics in Patients with Chronic Kidney Disease: Practical Implications.
    American journal of cardiovascular drugs : drugs, devices, and other interventions, 2020, Volume: 20, Issue:3

    Topics: Fibrinolytic Agents; Hemorrhage; Humans; Renal Elimination; Renal Insufficiency, Chronic; Risk Adjus

2020

Trials

2 trials available for dalteparin and Chronic Kidney Diseases

ArticleYear
A multi-center, prospective, open-label, 8-week study of certoparin for anticoagulation during maintenance hemodialysis--the membrane study.
    BMC nephrology, 2012, Jun-28, Volume: 13

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Blood Coagulation Disorders; Female; Hemorrhage; Hep

2012
Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study.
    Archives of internal medicine, 2008, Sep-08, Volume: 168, Issue:16

    Topics: Aged; Aged, 80 and over; Anticoagulants; Critical Illness; Dalteparin; Female; Humans; Male; Middle

2008
Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study.
    Archives of internal medicine, 2008, Sep-08, Volume: 168, Issue:16

    Topics: Aged; Aged, 80 and over; Anticoagulants; Critical Illness; Dalteparin; Female; Humans; Male; Middle

2008
Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study.
    Archives of internal medicine, 2008, Sep-08, Volume: 168, Issue:16

    Topics: Aged; Aged, 80 and over; Anticoagulants; Critical Illness; Dalteparin; Female; Humans; Male; Middle

2008
Prophylaxis against deep vein thrombosis in critically ill patients with severe renal insufficiency with the low-molecular-weight heparin dalteparin: an assessment of safety and pharmacodynamics: the DIRECT study.
    Archives of internal medicine, 2008, Sep-08, Volume: 168, Issue:16

    Topics: Aged; Aged, 80 and over; Anticoagulants; Critical Illness; Dalteparin; Female; Humans; Male; Middle

2008

Other Studies

15 other studies available for dalteparin and Chronic Kidney Diseases

ArticleYear
What are the lowest doses of low molecular weight heparin for effective and safe hemodialysis in different subgroups of patients?
    Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 2014, Volume: 18, Issue:2

    Topics: Aged; Anticoagulants; Female; Humans; Male; Middle Aged; Nadroparin; Renal Dialysis; Renal Insuffici

2014
Effects of ultrapure hemodialysis and low molecular weight heparin on the endothelial surface layer.
    Blood purification, 2014, Volume: 38, Issue:3-4

    Topics: Aged; Aged, 80 and over; Anticoagulants; Dialysis Solutions; E-Selectin; Endothelium, Vascular; Fema

2014
Risk of venous thromboembolism or hemorrhage among individuals with chronic kidney disease on prophylactic anticoagulant after hip or knee arthroplasty.
    American journal of hematology, 2023, Volume: 98, Issue:9

    Topics: Adult; Aged; Anticoagulants; Arthroplasty, Replacement, Knee; Enoxaparin; Hemorrhage; Heparin, Low-M

2023
Heart transplant recipient patient with COVID-19 treated with tocilizumab.
    Transplant infectious disease : an official journal of the Transplantation Society, 2020, Volume: 22, Issue:6

    Topics: Anti-Bacterial Agents; Antibodies, Monoclonal, Humanized; Anticoagulants; Cardiomyopathy, Dilated; C

2020
Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 in Africa: Early Insights from the Democratic Republic of the Congo.
    The American journal of tropical medicine and hygiene, 2020, Volume: 103, Issue:6

    Topics: Adolescent; Adult; Asymptomatic Diseases; Azithromycin; Chloroquine; COVID-19; COVID-19 Drug Treatme

2020
Unexpected and striking effect of heparin-free dialysis on cytokine release.
    International urology and nephrology, 2017, Volume: 49, Issue:8

    Topics: Activins; Adolescent; Adult; Aged; Aged, 80 and over; Anticoagulants; Chemokine CCL2; Endostatins; E

2017
Protamine sulfate for the reversal of enoxaparin associated hemorrhage beyond 12 h.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:1

    Topics: Abdominal Wall; Aged; Anticoagulants; Drug Administration Schedule; Emergency Service, Hospital; Eno

2019
Adverse outcomes of anticoagulant use among hospitalized patients with chronic kidney disease: a comparison of the rates of major bleeding events between unfractionated heparin and enoxaparin.
    PloS one, 2014, Volume: 9, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Cohort Studies; Enoxaparin; Female; Hemorrhage; Hepa

2014
Cancer-Associated Venous Thromboembolic Disease, Version 1.2015.
    Journal of the National Comprehensive Cancer Network : JNCCN, 2015, Volume: 13, Issue:9

    Topics: Adult; Anticoagulants; Body Mass Index; Body Weight; Dalteparin; Enoxaparin; Fondaparinux; Heparin;

2015
Impact of stage 3B chronic kidney disease on thrombosis and bleeding outcomes after orthopedic surgery in patients treated with desirudin or enoxaparin: insights from a randomized trial.
    Journal of thrombosis and haemostasis : JTH, 2012, Volume: 10, Issue:8

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticoagulants; Arthroplasty, Replacement, Hip; Drug Adm

2012
Are low-molecular-weight heparins appropriately dosed in patients with CKD stage 3 to 5?
    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2012, Volume: 23, Issue:8

    Topics: Aged; Aged, 80 and over; Anticoagulants; Biomarkers; Blood Coagulation Tests; Drug Dosage Calculatio

2012
A potential risk from under-recognized perioperative anticoagulation from dalteparin used for extracorporeal circuit anticoagulation during hemodialysis.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2019, Volume: 66, Issue:11

    Topics: Anticoagulants; Dalteparin; Extracorporeal Circulation; Humans; Renal Dialysis; Renal Insufficiency,

2019
Treatment with Dalteparin is Associated with a Lower Risk of Bleeding Compared to Treatment with Unfractionated Heparin in Patients with Renal Insufficiency.
    Journal of general internal medicine, 2016, Volume: 31, Issue:2

    Topics: Aged; Aged, 80 and over; Anticoagulants; Dalteparin; Female; Glomerular Filtration Rate; Hemorrhage;

2016
Tinzaparin for venous thromboembolism in patients with renal impairment: a single-centre, prospective pilot study.
    Internal medicine journal, 2023, Volume: 53, Issue:1

    Topics: Aged; Anticoagulants; Heparin, Low-Molecular-Weight; Humans; Pilot Projects; Prospective Studies; Re

2023
Empirically Reduced Dosages of Tinzaparin in Patients with Moderate-to-Severe Renal Insufficiency Lead to Inadequate Anti-Xa Levels.
    Nephron, 2017, Volume: 137, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Cohort Studies; Factor X Deficiency; Factor Xa; Female; Fibrinolytic

2017