Page last updated: 2024-10-18

dalteparin and Intracranial Hemorrhages

dalteparin has been researched along with Intracranial Hemorrhages in 29 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)

Intracranial Hemorrhages: Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.

Research Excerpts

ExcerptRelevanceReference
"We sought explore the relative benefits of unfractionated heparin (UFH) compared with enoxaparin, alone or in combination with clopidogrel, in ST-segment elevation myocardial infarction (STEMI) patients not undergoing reperfusion therapy."7.81Unfractionated heparin-clopidogrel combination in ST-elevation myocardial infarction not receiving reperfusion therapy. ( Badimon, L; Bugiardini, R; Calmac, L; Cenko, E; Daullxhiu, I; Dorobantu, M; Kedev, S; Knežević, B; Koller, A; Manfrini, O; Miličić, D; Puddu, PE; Ricci, B; Trninic, D; Vasiljevic, Z, 2015)
"Among hospitalized medically ill patients, extended-duration betrixaban demonstrated an ≈30% reduction in fatal or irreversible ischemic or bleeding events compared with standard-duration enoxaparin."5.24Comparison of Fatal or Irreversible Events With Extended-Duration Betrixaban Versus Standard Dose Enoxaparin in Acutely Ill Medical Patients: An APEX Trial Substudy. ( Arbetter, D; Chi, G; Cohen, AT; Daaboul, Y; Gibson, CM; Gold, A; Goldhaber, SZ; Harrington, RA; Hernandez, AF; Hull, R; Jain, P; Korjian, S; Lopes, RD, 2017)
"We sought explore the relative benefits of unfractionated heparin (UFH) compared with enoxaparin, alone or in combination with clopidogrel, in ST-segment elevation myocardial infarction (STEMI) patients not undergoing reperfusion therapy."3.81Unfractionated heparin-clopidogrel combination in ST-elevation myocardial infarction not receiving reperfusion therapy. ( Badimon, L; Bugiardini, R; Calmac, L; Cenko, E; Daullxhiu, I; Dorobantu, M; Kedev, S; Knežević, B; Koller, A; Manfrini, O; Miličić, D; Puddu, PE; Ricci, B; Trninic, D; Vasiljevic, Z, 2015)
"Bleeding was predominantly gastrointestinal or intracranial."2.82Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors. ( Albaladejo, P; Beyer-Westendorf, J; Bronson, MD; Cohen, AT; Conley, PB; Connolly, SJ; Crowther, M; Curnutte, JT; Eikelboom, JW; Gibson, CM; Gold, A; Goodman, S; Leeds, J; Lim, WT; Lopez-Sendon, J; Lu, G; Meeks, B; Middeldorp, S; Milling, TJ; Nakamya, J; Schmidt, J; Siegal, DM; Verhamme, P; Wiens, BL; Zotova, E, 2016)
" The authors hypothesize that early chemoprophylaxis in patients with TBI is safe and efficacious."2.78Safety and efficacy of early thromboembolism chemoprophylaxis after intracranial hemorrhage from traumatic brain injury. ( Barnes, SL; Farooqui, A; Hiser, B; Litofsky, NS, 2013)
" The goal of this study was to determine whether enoxaparin for early venous thromboembolism (VTE) prophylaxis is safe for hemodynamically stable patients with TBIs."2.76Is early venous thromboembolism prophylaxis safe in trauma patients with intracranial hemorrhage. ( Davidson, MA; Guillamondegui, O; Koehler, DM; Shipman, J, 2011)
"No significant increase in major intracranial hemorrhage (p = 0."2.58Chemical venous thromboembolism prophylaxis in neurosurgical patients: an updated systematic review and meta-analysis. ( Khan, NR; Lee, SL; Patel, PG; Sharpe, JP; Sorenson, J, 2018)
"Multiple studies have addressed deep vein thrombosis chemoprophylaxis timing in traumatic brain injuries."2.52Timing for deep vein thrombosis chemoprophylaxis in traumatic brain injury: an evidence-based review. ( Abdel-Aziz, H; Dunham, CM; Hileman, BM; Malik, RJ, 2015)
"The incidence of pulmonary embolism (2."1.91Early venous thromboembolism prophylaxis in patients with trauma intracranial hemorrhage: Analysis of the prospective multicenter Consortium of Leaders in Traumatic Thromboembolism study. ( Chien, CY; Inaba, K; Knudson, MM; Martin, MJ; Matsushima, K; Moore, EE; Sauaia, A; Schellenberg, M; Wu, YT, 2023)
" Current literature suggests weight-based dosing is superior to standard dosing for adequate chemoprophylaxis."1.72Effective use of weight-based enoxaparin for deep vein thrombosis chemoprophylaxis in patients with traumatic brain injury. ( Huang, E; Martinez-Quinones, P; Robinson, T; Taylor, A; White, CQ, 2022)
"However, risk of increased intracranial hemorrhage in traumatic brain injury (TBI) population is of concern."1.48The impact of enoxaparin administration in relationship to hemorrhage in mild traumatic brain injury. ( Becker, G; Dhir, T; Kaplan, M; Kriza, C; Leung, P; McGreen, B; Minimo, C; Patel, N; Randhawa, S; Samuel, S; Weiss, E; Wolanin, K, 2018)
"Spontaneous intracranial hemorrhage (ICH) is also a frequent occurrence in these patients, but there is limited data on the safety of therapeutic anticoagulation."1.46Predicting the higher rate of intracranial hemorrhage in glioma patients receiving therapeutic enoxaparin. ( Mantia, C; Neuberg, D; Puligandla, M; Uhlmann, EJ; Weber, GM; Zwicker, JI, 2017)
"Delayed catheter-related intracranial hemorrhage is not rare after a ventriculoperitoneal (VP) or ventriculoatrial (VA) shunt for the treatment of hydrocephalus."1.46Delayed Catheter-Related Intracranial Hemorrhage After a Ventriculoperitoneal or Ventriculoatrial Shunt in Hydrocephalus. ( Gao, L; Pandey, S; Qian, Z; Wang, K, 2017)
"Aspirin (53."1.43Antithrombotic Medication Use and Misuse Among Patients with Intracranial Hemorrhage: A 16-Year, Lebanese, Single-Center Experience. ( Fahed, E; Ghauche, J; Maarrawi, J; Menassa-Moussa, L; Moussa, R; Nohra, G; Okais, N; Rahme, R; Rizk, T; Samaha, E, 2016)
"To assess the risk for intracranial hemorrhage associated with the administration of therapeutic doses of low-molecular-weight heparin, we performed a matched, retrospective cohort study of 293 patients with cancer with brain metastases (104 with therapeutic enoxaparin and 189 controls)."1.42Intracranial hemorrhage in patients with brain metastases treated with therapeutic enoxaparin: a matched cohort study. ( Campigotto, F; Coletti, E; Donato, J; Neuberg, D; Uhlmann, EJ; Weber, GM; Zwicker, JI, 2015)
"A patient with a history of intracranial hemorrhage who was hospitalized due to massive pulmonary thromboembolism (PTE) was presented."1.39[Intracranial hemorrhage due to pulmonary thromboembolism in heparin therapy and therapeutic management of patients hospitalized with massive pulmonary embolism after discharge]. ( Alişir, MF; Beşli, F; Güngören, F; Keçebaş, M, 2013)
"Patients with brain tumors including intracranial meningiomas are at increased risk for developing deep vein thrombosis (DVTs) and suffering thromboembolic events (VTEs)."1.35Adjuvant enoxaparin therapy may decrease the incidence of postoperative thrombotic events though does not increase the incidence of postoperative intracranial hemorrhage in patients with meningiomas. ( Berger, MS; Cage, TA; Chakalian, L; Frankfurt, A; Lamborn, KR; McDermott, MW; Ware, ML, 2009)
"Incidence, seriousness and causality of maternal, fetal and neonatal adverse events, pregnancy outcome, and incidence of venous thromboembolism."1.31Venous thromboembolism during pregnancy: a retrospective study of enoxaparin safety in 624 pregnancies. ( Borel-Derlon, A; Borg, JY; Boudignat, O; Cohen, C; Conard, J; Darmon, JY; Francoual, C; Lepercq, J; Priollet, P; Schved, JF; Tournaire, M; Yvelin, N, 2001)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (34.48)29.6817
2010's17 (58.62)24.3611
2020's2 (6.90)2.80

Authors

AuthorsStudies
Beşli, F1
Keçebaş, M1
Alişir, MF1
Güngören, F1
Wu, YT1
Chien, CY1
Matsushima, K1
Schellenberg, M1
Inaba, K1
Moore, EE1
Sauaia, A1
Knudson, MM1
Martin, MJ1
Taylor, A1
Martinez-Quinones, P1
Huang, E1
Robinson, T1
White, CQ1
Mantia, C1
Uhlmann, EJ2
Puligandla, M1
Weber, GM2
Neuberg, D2
Zwicker, JI2
Gibson, CM3
Korjian, S1
Chi, G1
Daaboul, Y1
Jain, P1
Arbetter, D1
Goldhaber, SZ1
Hull, R1
Hernandez, AF1
Lopes, RD1
Gold, A2
Cohen, AT2
Harrington, RA2
Qian, Z1
Gao, L1
Wang, K1
Pandey, S1
Khan, NR1
Patel, PG1
Sharpe, JP1
Lee, SL1
Sorenson, J1
Dhir, T1
Weiss, E1
Wolanin, K1
Randhawa, S1
Samuel, S1
Minimo, C1
Becker, G1
McGreen, B1
Kriza, C1
Patel, N1
Kaplan, M1
Leung, P1
Armstrong, PW2
Gershlick, AH1
Goldstein, P2
Wilcox, R1
Danays, T2
Lambert, Y1
Sulimov, V1
Rosell Ortiz, F1
Ostojic, M1
Welsh, RC1
Carvalho, AC1
Nanas, J1
Arntz, HR1
Halvorsen, S1
Huber, K1
Grajek, S1
Fresco, C1
Bluhmki, E1
Regelin, A1
Vandenberghe, K1
Bogaerts, K2
Van de Werf, F2
Farooqui, A1
Hiser, B1
Barnes, SL1
Litofsky, NS1
Abdel-Aziz, H1
Dunham, CM1
Malik, RJ1
Hileman, BM1
Donato, J1
Campigotto, F1
Coletti, E1
Bugiardini, R1
Dorobantu, M1
Vasiljevic, Z1
Kedev, S1
Knežević, B1
Miličić, D1
Calmac, L1
Trninic, D1
Daullxhiu, I1
Cenko, E1
Ricci, B1
Puddu, PE1
Manfrini, O1
Koller, A1
Badimon, L1
Kreuziger, LB1
Fahed, E1
Ghauche, J1
Rahme, R1
Okais, N1
Samaha, E1
Nohra, G1
Rizk, T1
Maarrawi, J1
Menassa-Moussa, L1
Moussa, R1
Connolly, SJ1
Milling, TJ1
Eikelboom, JW2
Curnutte, JT1
Bronson, MD1
Lu, G1
Conley, PB1
Verhamme, P1
Schmidt, J1
Middeldorp, S1
Beyer-Westendorf, J1
Albaladejo, P1
Lopez-Sendon, J1
Goodman, S1
Leeds, J1
Wiens, BL1
Siegal, DM1
Zotova, E1
Meeks, B1
Nakamya, J1
Lim, WT1
Crowther, M1
Cage, TA1
Lamborn, KR1
Ware, ML1
Frankfurt, A1
Chakalian, L1
Berger, MS1
McDermott, MW1
Giugliano, RP1
Giraldez, RR1
Morrow, DA2
Antman, EM2
Mohanavelu, S1
Murphy, SA2
McCabe, CH2
Braunwald, E2
Koehler, DM1
Shipman, J1
Davidson, MA1
Guillamondegui, O1
Phelan, HA1
Wolf, SE1
Norwood, SH1
Aldy, K1
Brakenridge, SC1
Eastman, AL1
Madden, CJ1
Nakonezny, PA1
Yang, L1
Chason, DP1
Arbique, GM1
Berne, J1
Minei, JP1
Ruda, M1
Sadowski, Z1
Budaj, A1
López-Sendón, JL1
Guneri, S1
Jiang, F1
White, HD1
Fox, KA1
Chang, WC1
Wallentin, L1
Granger, CB1
Alexander, JH1
Ross, AM1
Molhoek, P1
Lundergan, C1
Knudtson, M1
Draoui, Y1
Regalado, L1
Le Louer, V1
Bigonzi, F1
Schwartz, W1
de Jong, E1
Coyne, K1
Bagga, R1
Sawhney, H1
Saxena, SV1
Aggarwal, N1
Vasishta, K1
Lepercq, J1
Conard, J1
Borel-Derlon, A1
Darmon, JY1
Boudignat, O1
Francoual, C1
Priollet, P1
Cohen, C1
Yvelin, N1
Schved, JF1
Tournaire, M1
Borg, JY1
Kleindienst, A1
Harvey, HB1
Mater, E1
Bronst, J1
Flack, J1
Herenz, K1
Haupt, WF1
Schön, R1
Macdonald, RL1
Amidei, C1
Baron, J1
Weir, B1
Brown, F1
Erickson, RK1
Hekmatpanah, J1
Frim, D1
Yusuf, S1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
(Apex) Multicenter, Randomized, Active-Controlled Efficacy And Safety Study Comparing Extended Duration Betrixaban With Standard Of Care Enoxaparin For The Prevention Of Venous Thromboembolism In Acute Medically Ill Patients[NCT01583218]Phase 37,513 participants (Actual)Interventional2012-03-31Completed
STREAM (Strategic Reperfusion Early After Myocardial Infarction). Comparison of the Efficacy and Safety of a Strategy of Early Fibrinolytic Treatment With Tenecteplase and Additional Antiplatelet and Antithrombin Therapy Followed by Catheterisation Within[NCT00623623]Phase 31,899 participants (Actual)Interventional2008-03-01Completed
STrategic Reperfusion in Elderly Patients Early After Myocardial Infarction[NCT02777580]Phase 4609 participants (Actual)Interventional2017-08-01Active, not recruiting
Dapagliflozin Effects on Mayor Adverse Cardiovascular Events in Patients With Acute Myocardial Infarction (DAPA-AMI). Randomized Clinical Trial[NCT04717986]188 participants (Actual)Interventional2021-01-26Completed
Reperfusion Strategies in ST Elevation Myocardial Infarction Network - Sao Paulo Registry.[NCT02090712]3,000 participants (Anticipated)Observational [Patient Registry]2010-01-31Enrolling by invitation
International Survey of Acute Coronary Syndromes in Transitional Countries[NCT01218776]36,000 participants (Anticipated)Observational2010-09-28Recruiting
Optimal Delay Time to Initiate Anticoagulation After Ischemic Stroke in Atrial Fibrillation[NCT03021928]Phase 3200 participants (Actual)Interventional2017-06-14Active, not recruiting
Prospective, Open-Label Study of Andexanet Alfa in Patients Receiving a Factor Xa Inhibitor Who Have Acute Major Bleeding (ANNEXA-4)[NCT02329327]Phase 3479 participants (Actual)Interventional2015-04-10Completed
Phase 1 Study in Humans Evaluating the Safety of Rectus Sheath Implantation of Diffusion Chambers Encapsulating Autologous Malignant Glioma Cells Treated With Insulin-Like Growth Factor Receptor-1 Antisense Oligodeoxynucleotide in 12 Patients With Recurre[NCT01550523]Phase 113 participants (Actual)Interventional2012-02-09Completed
A Randomized, Double-Blind, Double-Dummy , Parallel Group, Multinational, Clinical Study to Evaluate the Efficacy and Safety of Enoxaparin Versus Unfractionated Heparin in Patients With Acute ST-Segment Elevation Myocardial Infarction Receiving Fibrinolyt[NCT00077792]Phase 320,506 participants (Actual)Interventional2002-10-31Completed
Low-molecular-weight Heparin to Prevent Recurrent VTE in Pregnancy: a Randomized Controlled Trial of Two Doses[NCT01828697]Phase 41,110 participants (Actual)Interventional2013-04-24Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

mITT Cohort 1: Percentage of Participants Experiencing the Composite Event of Symptomatic DVT, Non-fatal PE, or VTE-related Death, Through Visit 3

mITT Cohort 1: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, or VTE related death adjudicated by a blinded independent CEC between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT Cohort 1: Between randomization and Day 42 (max)

InterventionPercentage of Participants (Number)
Betrixaban1.30
Enoxaparin1.90

mITT Cohort 2: Percentage of Participants Experiencing the Composite Event of Symptomatic DVT, Non-fatal PE, or VTE-related Death, Through Visit 3

mITT Cohort 2: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, or VTE related death adjudicated by a blinded independent CEC between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT Cohort 2: Between randomization and Day 42 (max)

InterventionPercentage of Participants (Number)
Betrixaban1.03
Enoxaparin1.45

mITT Cohort 2: Percentage of Participants Experiencing the Composite Event of Symptomatic DVT, Non-fatal PE, VTE-related Death, or Asymptomatic Proximal DVT, Through Visit 3

mITT Cohort 2: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, VTE related death adjudicated by a blinded independent CEC between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3, or a blinded ultrasound core laboratory measuring of asymptomatic proximal DVT between randomization and Day 47. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT Cohort 2: Between randomization and Day 47 (max)

InterventionPercentage of Participants (Number)
Betrixaban4.70
Enoxaparin6.02

mITT: Percentage of Participants Experiencing the Composite Event of Symptomatic DVT, Non-fatal PE, or VTE-related Death, Through Visit 3

mITT: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, or VTE related death adjudicated by a blinded independent CEC between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT: Between randomization and Day 42 (max)

InterventionPercentage of Participants (Number)
Betrixaban0.94
Enoxaparin1.45

mITT: Percentage of Participants Experiencing the Composite Event of Symptomatic DVT, Non-fatal PE, VTE-related Death, or Asymptomatic Proximal DVT, Through Visit 3

mITT: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, VTE related death adjudicated by a blinded independent CEC between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3, or a blinded ultrasound core laboratory measuring of asymptomatic proximal DVT between randomization and Day 47. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT: Between randomization and Day 47 (max)

InterventionPercentage of Participants (Number)
Betrixaban4.43
Enoxaparin5.99

Modified Intent-to-Treat (mITT) Cohort 1: Percentage of Participants Experiencing the Composite Event of Symptomatic Deep Vein Thrombosis (DVT), Non-fatal Pulmonary Emboli (PE), VTE-related Death, or Asymptomatic Proximal DVT, Through Visit 3

mITT Cohort 1: Percentage of participants experiencing either symptomatic DVT, non-fatal PE, venous thromboembolism (VTE) related death adjudicated by a blinded independent Clinical Events Committee (CEC) between randomization and on or before Visit 3 or Day 42 if patient did not have a Visit 3, or a blinded ultrasound core laboratory measuring of asymptomatic proximal DVT between randomization and Day 47. Visit 3 is between day 35-42 after randomization (day 1). (NCT01583218)
Timeframe: mITT Cohort 1: Between randomization and Day 47 (max)

InterventionPercentage of Participants (Number)
Betrixaban5.70
Enoxaparin7.18

Percentage of Participants Experiencing Major Bleeding Through Seven Days After Discontinuation of All Study Medication

Percentage of participants experiencing at least one major bleeding adjudicated by a blinded independent CEC between randomization (day 1) and up to seven days after discontinuation of all study medication. (NCT01583218)
Timeframe: Between randomization and Day 49 (max)

InterventionPercentage of Participants (Number)
Betrixaban0.67
Enoxaparin0.57

Number of Patients With All Cause Death and Non-fatal Stroke

This is a key secondary endpoint. The number of observed patients with all cause death and non-fatal stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)50
Primary PCI (Group B)43

Number of Patients With All Cause Death and Shock

This is a key secondary endpoint. The number of observed patients with all cause death and shock within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)59
Primary PCI (Group B)73

Number of Patients With All Cause Death and Shock and CHF

This is a key secondary endpoint. The number of observed patients with all cause death and shock and CHF within 30 days was reported. (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)100
Primary PCI (Group B)123

Number of Patients With All Cause Death and Shock and CHF and Reinfarction and Disabling Stroke

This is a key secondary endpoint. The number of observed patients with all cause death and shock and CHF and reinfarction and disabling stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)117
Primary PCI (Group B)135

Number of Patients With All Cause Death and Shock and Reinfarction

This is a key secondary endpoint. The number of observed patients with all cause death and shock and reinfarction within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)77
Primary PCI (Group B)85

Number of Patients With All Cause Mortality

This is a key secondary endpoint. The number of observed patients with all cause mortality within 30 days was reported. (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)43
Primary PCI (Group B)42

Number of Patients With All-cause Mortality, Cardiogenic Shock, Congestive Heart Failure and Recurrent Myocardial Infarction Within 30 Days for FAS.

The number of observed patients with all-cause mortality, cardiogenic shock, congestive heart failure (CHF) and recurrent myocardial infarction within 30 days was reported for full analysis set (FAS). (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)116
Primary PCI (Group B)135

Number of Patients With Cardiac Mortality

This is a key secondary endpoint. The number of observed patients with cardiac mortality within 30 days was reported. (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)31
Primary PCI (Group B)32

Number of Patients With Cardiogenic Shock

This is a key secondary endpoint. The number of observed patients with cardiogenic shock within 30 days was reported. (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)41
Primary PCI (Group B)56

Number of Patients With Congestive Heart Failure (CHF)

This is a key secondary endpoint. The number of observed patients with congestive heart failure (CHF) within 30 days was reported. (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)57
Primary PCI (Group B)72

Number of Patients With Intracranial Haemorrhage

This is a key secondary endpoint. The number of observed patients with intracranial haemorrhage within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)9
Primary PCI (Group B)2

Number of Patients With Ischaemic Stroke

This is a key secondary endpoint. The number of observed patients with ischaemic stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)6
Primary PCI (Group B)3

Number of Patients With Major Non-intracranial Bleeds Including Blood Transfusions

This is a key secondary endpoint. The number of observed patients with major non-intracranial bleeds including blood transfusions within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)61
Primary PCI (Group B)45

Number of Patients With Minor Non-intracranial Bleeds

This is a key secondary endpoint. The number of observed patients with minor non-intracranial bleeds within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)206
Primary PCI (Group B)191

Number of Patients With Recurrent Myocardial Infarction (Reinfarction)

This is a key secondary endpoint. The number of observed patients with recurrent myocardial infarction (reinfarction) within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)23
Primary PCI (Group B)21

Number of Patients With Rehospitalisation for Cardiac Reasons

This is a key secondary endpoint. The number of observed patients with rehospitalisation for cardiac reasons within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)45
Primary PCI (Group B)41

Number of Patients With Rehospitalisation for Non-cardiac Reasons

This is a key secondary endpoint. The number of observed patients with rehospitalisation for non-cardiac reasons within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)19
Primary PCI (Group B)11

Number of Patients With Serious Repeat Target Vessel Revascularization

This is a key secondary endpoint. The number of observed patients with serious repeat target vessel revascularization within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)1
Primary PCI (Group B)2

Number of Patients With Serious Resuscitated Ventricular Fibrillation

This is a key secondary endpoint. The number of observed patients with serious resuscitated ventricular fibrillation within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)32
Primary PCI (Group B)38

Number of Patients With Serious Resuscitated Ventricular Fibrillation in Association With Invasive Procedures

This is a key secondary endpoint. The number of observed patients with serious resuscitated ventricular fibrillation in association with invasive procedures (occurring at any time during catheterisation or urgent/elective PCI) within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)10
Primary PCI (Group B)29

Number of Patients With Total Disabling Stroke

This is a key secondary endpoint. The number of observed patients with total disabling stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)2
Primary PCI (Group B)0

Number of Patients With Total Fatal Stroke

This is a key secondary endpoint. The number of observed patients with total fatal stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)7
Primary PCI (Group B)4

Number of Patients With Total Non-disabling Stroke

This is a key secondary endpoint. The number of observed patients with total non-disabling stroke within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)8
Primary PCI (Group B)1

Number of Patients With Total Non-intracranial Bleeds

This is a key secondary endpoint. The number of observed patients with total non-intracranial bleeds within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)267
Primary PCI (Group B)236

Number of Patients With Total Stroke (All Types)

This is a key secondary endpoint. The number of observed patients with total stroke (all types) within 30 days was reported (NCT00623623)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Tenecteplase (Group A)15
Primary PCI (Group B)5

Percent Change From Baseline In Anti-fXa Activity By FXa Inhibitor

Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. The change from baseline was calculated as the reduction in anti-fXa activity from baseline to the on-treatment nadir (that is, the minimum value between end of bolus and end of infusion). Percent reduction was calculated as the ratio between the maximum change from baseline and the baseline value, multiplied by 100. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

InterventionPercent Change (Median)
FXa Inhibitor: Apixaban-93.3
FXa Inhibitor: Rivaroxaban-94.1
FXa Inhibitor: Edoxaban-71.3
FXa Inhibitor: Enoxaparin-75.41
FXa Inhibitor: Rivaroxaban - Additional Participants-96.3

Participants Achieving Hemostatic Efficacy

Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. These ratings were based on pre-specified criteria that were included in the EAC Charter. The EAC was blinded to anti-fXa activity levels. Participant results were classified as either success or failure based on the hemostatic efficacy rating (success = excellent/good, failure = poor/none). Participants rated by the EAC as non-evaluable due to administrative reasons were excluded from the analysis of hemostatic efficacy. (NCT02329327)
Timeframe: 12 Hours (post infusion)

,,,,,,,,,,,,,
InterventionParticipants (Count of Participants)
Excellent/GoodPoor/None
Andexanet: High Dose5417
Andexanet: High Dose - Additional Participant10
Andexanet: Low Dose21851
Andexanet: Low Dose - Additional Participant10
Bleed Type: Gastrointestinal6113
Bleed Type: Intracranial Hemorrhage19351
Bleed Type: Intracranial Hemorrhage - Additional Participants20
Bleed Type: Other184
FXa Inhibitor: Apixaban13435
FXa Inhibitor: Edoxaban226
FXa Inhibitor: Enoxaparin142
FXa Inhibitor: Rivaroxaban10225
FXa Inhibitor: Rivaroxaban - Additional Participants20
Overall27268

Percent Change From Baseline In Anti-fXa Activity By Hemostatic Efficacy

This outcome measure assessed the relationship between hemostatic efficacy and anti-fXa activity in participants receiving an FXa inhibitor who had acute major bleeding. Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

InterventionPercent Change (Median)
Excellent/Good
FXa Inhibitor: Rivaroxaban - Additional Participants-96.3

Percent Change From Baseline In Anti-fXa Activity By Hemostatic Efficacy

This outcome measure assessed the relationship between hemostatic efficacy and anti-fXa activity in participants receiving an FXa inhibitor who had acute major bleeding. Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

,,,
InterventionPercent Change (Median)
Excellent/GoodPoor/None
FXa Inhibitor: Apixaban-93.4-93.3
FXa Inhibitor: Edoxaban-75.8-65.2
FXa Inhibitor: Enoxaparin-75.20-78.44
FXa Inhibitor: Rivaroxaban-94.6-92.4

Reviews

3 reviews available for dalteparin and Intracranial Hemorrhages

ArticleYear
Chemical venous thromboembolism prophylaxis in neurosurgical patients: an updated systematic review and meta-analysis.
    Journal of neurosurgery, 2018, Volume: 129, Issue:4

    Topics: Anticoagulants; Enoxaparin; Evidence-Based Medicine; Hemorrhage; Heparin, Low-Molecular-Weight; Intr

2018
Timing for deep vein thrombosis chemoprophylaxis in traumatic brain injury: an evidence-based review.
    Critical care (London, England), 2015, Mar-24, Volume: 19

    Topics: Anticoagulants; Brain Injuries; Enoxaparin; Humans; Intracranial Hemorrhages; Risk Factors; Venous T

2015
Efficacy and safety of unfractionated heparin versus enoxaparin: a pooled analysis of ASSENT-3 and -3 PLUS data.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2006, May-09, Volume: 174, Issue:10

    Topics: Area Under Curve; Drug Therapy, Combination; Emergency Treatment; Enoxaparin; Fibrinolytic Agents; H

2006

Trials

10 trials available for dalteparin and Intracranial Hemorrhages

ArticleYear
Comparison of Fatal or Irreversible Events With Extended-Duration Betrixaban Versus Standard Dose Enoxaparin in Acutely Ill Medical Patients: An APEX Trial Substudy.
    Journal of the American Heart Association, 2017, Jul-11, Volume: 6, Issue:7

    Topics: Acute Disease; Adult; Aged; Anticoagulants; Benzamides; Cardiovascular Diseases; Double-Blind Method

2017
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction.
    The New England journal of medicine, 2013, Apr-11, Volume: 368, Issue:15

    Topics: Aged; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Angiography; Drug Therapy, Combination;

2013
Safety and efficacy of early thromboembolism chemoprophylaxis after intracranial hemorrhage from traumatic brain injury.
    Journal of neurosurgery, 2013, Volume: 119, Issue:6

    Topics: Adult; Aged; Anticoagulants; Brain Injuries; Chemoprevention; Clinical Protocols; Cohort Studies; En

2013
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Relations between bleeding and outcomes in patients with ST-elevation myocardial infarction in the ExTRACT-TIMI 25 trial.
    European heart journal, 2010, Volume: 31, Issue:17

    Topics: Aged; Cause of Death; Drug Therapy, Combination; Enoxaparin; Female; Fibrinolytic Agents; Hemorrhage

2010
Is early venous thromboembolism prophylaxis safe in trauma patients with intracranial hemorrhage.
    The Journal of trauma, 2011, Volume: 70, Issue:2

    Topics: Adult; Age Factors; Anticoagulants; Enoxaparin; Female; Humans; Injury Severity Score; Intracranial

2011
A randomized, double-blinded, placebo-controlled pilot trial of anticoagulation in low-risk traumatic brain injury: The Delayed Versus Early Enoxaparin Prophylaxis I (DEEP I) study.
    The journal of trauma and acute care surgery, 2012, Volume: 73, Issue:6

    Topics: Adult; Anticoagulants; Brain Injuries; Double-Blind Method; Enoxaparin; Female; Humans; Intracranial

2012
Enoxaparin versus unfractionated heparin with fibrinolysis for ST-elevation myocardial infarction.
    The New England journal of medicine, 2006, Apr-06, Volume: 354, Issue:14

    Topics: Aged; Anticoagulants; Drug Therapy, Combination; Electrocardiography; Enoxaparin; Female; Fibrinolyt

2006
Randomized comparison of enoxaparin, a low-molecular-weight heparin, with unfractionated heparin adjunctive to recombinant tissue plasminogen activator thrombolysis and aspirin: second trial of Heparin and Aspirin Reperfusion Therapy (HART II).
    Circulation, 2001, Aug-07, Volume: 104, Issue:6

    Topics: Anticoagulants; Aspirin; Coronary Angiography; Coronary Circulation; Enoxaparin; Female; Heparin; He

2001
Randomized, pilot study of intermittent pneumatic compression devices plus dalteparin versus intermittent pneumatic compression devices plus heparin for prevention of venous thromboembolism in patients undergoing craniotomy.
    Surgical neurology, 2003, Volume: 59, Issue:5

    Topics: Adult; Aged; Anticoagulants; Combined Modality Therapy; Craniotomy; Dalteparin; Female; Heparin; Hum

2003

Other Studies

16 other studies available for dalteparin and Intracranial Hemorrhages

ArticleYear
[Intracranial hemorrhage due to pulmonary thromboembolism in heparin therapy and therapeutic management of patients hospitalized with massive pulmonary embolism after discharge].
    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir, 2013, Volume: 41, Issue:3

    Topics: Angiography; Anticoagulants; Embolectomy; Female; Heparin; Heparin, Low-Molecular-Weight; Humans; In

2013
Early venous thromboembolism prophylaxis in patients with trauma intracranial hemorrhage: Analysis of the prospective multicenter Consortium of Leaders in Traumatic Thromboembolism study.
    The journal of trauma and acute care surgery, 2023, 11-01, Volume: 95, Issue:5

    Topics: Anticoagulants; Enoxaparin; Heparin; Humans; Intracranial Hemorrhage, Traumatic; Intracranial Hemorr

2023
Effective use of weight-based enoxaparin for deep vein thrombosis chemoprophylaxis in patients with traumatic brain injury.
    American journal of surgery, 2022, Volume: 223, Issue:1

    Topics: Adult; Aged; Anticoagulants; Body Weight; Brain Injuries, Traumatic; Drug Dosage Calculations; Enoxa

2022
Predicting the higher rate of intracranial hemorrhage in glioma patients receiving therapeutic enoxaparin.
    Blood, 2017, 06-22, Volume: 129, Issue:25

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Brain Neoplasms; Cohort Studies; Enoxaparin; Female;

2017
Delayed Catheter-Related Intracranial Hemorrhage After a Ventriculoperitoneal or Ventriculoatrial Shunt in Hydrocephalus.
    World neurosurgery, 2017, Volume: 107

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Brain; Cerebrospinal Fluid Shunts; Enoxaparin; Femal

2017
The impact of enoxaparin administration in relationship to hemorrhage in mild traumatic brain injury.
    Injury, 2018, Volume: 49, Issue:12

    Topics: Animals; Anticoagulants; Brain Concussion; Disease Models, Animal; Enoxaparin; Intracranial Hemorrha

2018
Intracranial hemorrhage in patients with brain metastases treated with therapeutic enoxaparin: a matched cohort study.
    Blood, 2015, Jul-23, Volume: 126, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Boston; Brain Neoplasms; Case-Control Studies; Enoxa

2015
Unfractionated heparin-clopidogrel combination in ST-elevation myocardial infarction not receiving reperfusion therapy.
    Atherosclerosis, 2015, Volume: 241, Issue:1

    Topics: Aged; Anticoagulants; Clopidogrel; Drug Therapy, Combination; Enoxaparin; Europe; Female; Fibrinolyt

2015
Balancing bleeding in brain metastases.
    Blood, 2015, Jul-23, Volume: 126, Issue:4

    Topics: Anticoagulants; Brain Neoplasms; Enoxaparin; Female; Humans; Intracranial Hemorrhages; Male; Neoplas

2015
Antithrombotic Medication Use and Misuse Among Patients with Intracranial Hemorrhage: A 16-Year, Lebanese, Single-Center Experience.
    World neurosurgery, 2016, Volume: 95

    Topics: Acenocoumarol; Adult; Aged; Aged, 80 and over; Anticoagulants; Aspirin; Atrial Fibrillation; Cerebra

2016
Adjuvant enoxaparin therapy may decrease the incidence of postoperative thrombotic events though does not increase the incidence of postoperative intracranial hemorrhage in patients with meningiomas.
    Journal of neuro-oncology, 2009, Volume: 93, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Chemotherapy, Adjuvant; Enoxaparin; Female; Humans;

2009
Advances in antithrombotic therapy in acute myocardial infarction: the ExTRACT-TIMI 25 and OASIS-6 Trials.
    Current cardiology reports, 2006, Volume: 8, Issue:4

    Topics: Angioplasty, Balloon, Coronary; Anticoagulants; Clinical Trials, Phase III as Topic; Drug Therapy, C

2006
Intracranial bleed in a pregnant patient on oral anticoagulants for prosthetic heart valve.
    Acta obstetricia et gynecologica Scandinavica, 2001, Volume: 80, Issue:8

    Topics: Acenocoumarol; Adult; Anticoagulants; Aortic Valve; Enoxaparin; Female; Heart Valve Prosthesis; Huma

2001
Venous thromboembolism during pregnancy: a retrospective study of enoxaparin safety in 624 pregnancies.
    BJOG : an international journal of obstetrics and gynaecology, 2001, Volume: 108, Issue:11

    Topics: Adult; Anticoagulants; Cerebral Hemorrhage; Enoxaparin; Female; Humans; Infant, Newborn; Intracrania

2001
Early antithrombotic prophylaxis with low molecular weight heparin in neurosurgery.
    Acta neurochirurgica, 2003, Volume: 145, Issue:12

    Topics: Adult; Aged; Aged, 80 and over; Brain Injuries; Brain Neoplasms; Cerebrospinal Fluid Shunts; Contrai

2003
Management of unstable coronary-artery disease.
    Lancet (London, England), 2000, Feb-12, Volume: 355, Issue:9203

    Topics: Anticoagulants; Coronary Disease; Dalteparin; Humans; Intracranial Hemorrhages

2000