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Enoxaparin

Phase 4FDA approved 2007

Abdominal Neoplasms | Small molecule | Oncology |Sanofi|Trials Updated: Jan 23, 2013

Enoxaparin development status

FDA approval May 16, 2007 as Lovenox
Approval holderSanofi Aventis Us
ApplicationNDA022138
Highest phase Phase 4 (NCT00289042)
Phase scored for SNYPhase 3
Registered trials 48 across 22 sponsors since Aug 2002

Enoxaparin target and mechanism

ModalitySmall molecule

Also known as Enoxaparin sodium, enoxaparin (XRP4563), Enoxaparin sodium (XRP4563), Lovenox®

Success Probability

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Market & Valuation

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Trial Design

ACTIVE_CONTROLLED
Total Trials8
Total Enrollment33,474

FDA Designations

No designations recorded

Enoxaparin clinical trials

Enoxaparin · 8 trials · 10 indications

Phase 3 6Phase 2 1Phase 1 1
NCT00721760Evaluation of AVE5026 as Compared to Enoxaparin for the Prevention of Thromboembolism in Patients Undergoing Hip Fracture SurgeryVenous Thromboembolism
COMPLETED1,003 Analytics
NCT00723216Japanese Efficacy and Safety Study of Enoxaparin in Patients With Curative Abdominal Cancer SurgeryAbdominal Neoplasms
COMPLETED151 Analytics
NCT00685958Japanese Safety and Efficacy Study of Enoxaparin in Patients With Hip Fracture SurgeryHip Fractures
COMPLETED54 Analytics
NCT00349180Total Hip Replacement Study With XRP4563 (Enoxaparin Sodium)Arthroplasty, Replacement, Hip
COMPLETED156 Analytics
NCT00077792Enoxaparin and Thrombolysis Reperfusion for Acute Myocardial Infarction Treatment Thrombolysis in Myocardial Infarction - Study 25 (ExTRACT-TIMI25)Myocardial Infarction
COMPLETED20,506 Analytics
NCT00043784SYNERGY: Open Study of Enoxaparin Versus Unfractionated Heparin in Patients With Acute Coronary SyndromesUnstable Angina
COMPLETED8,000 Analytics
PHASE3COMPLETED
Evaluation of AVE5026 as Compared to Enoxaparin for the Prevention of Thromboembolism in Patients Undergoing Hip Fracture Surgery
Venous ThromboembolismUnlock trial analytics
PHASE3COMPLETED
Japanese Efficacy and Safety Study of Enoxaparin in Patients With Curative Abdominal Cancer Surgery
Abdominal NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Japanese Safety and Efficacy Study of Enoxaparin in Patients With Hip Fracture Surgery
Hip FracturesUnlock trial analytics
PHASE3COMPLETED
Total Hip Replacement Study With XRP4563 (Enoxaparin Sodium)
Arthroplasty, Replacement, HipUnlock trial analytics
PHASE3COMPLETED
Enoxaparin and Thrombolysis Reperfusion for Acute Myocardial Infarction Treatment Thrombolysis in Myocardial Infarction - Study 25 (ExTRACT-TIMI25)
Myocardial InfarctionUnlock trial analytics
PHASE3COMPLETED
SYNERGY: Open Study of Enoxaparin Versus Unfractionated Heparin in Patients With Acute Coronary Syndromes
Unstable AnginaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Who Experienced Venous Thromboembolism Event [VTE] or All-cause Death
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first

VTE included any Deep Vein Thrombosis \[DVT\] (proximal or distal, symptomatic or not) and non-fatal Pulmonary Embolism \[PE\] as confirmed by a Central Independent Adjudication Committee \[CIAC\] after review of mandatory bilateral venograms and diagnostic tests for VTE. All-cause deaths included fatal PE and deaths for other reason than PE.

Venous thromboembolism incidence
28 days
bleeding events
28 days
Incidence of VTE
Composite of all-cause mortality and non-fatal myocardial re-infarction
To measure the composite endpoint of all-cause mortality or the first clinical events committee (CEC)-adjudicated nonfatal myocardial infarction
within 30 days after randomization
To measure the incidence of major bleeding.
during the index hospitalization
the composite of non-CABG major and minor bleeding
up to H48 after index PCI
Concentration-time profiles of anti-Xa and anti-IIa levels
At baseline (Day 2) after the morning enoxaparin injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection.

Secondary Endpoints

Percentage of Participants Who Experienced "Major" VTE or All-cause Death
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first
Percentage of Participants Who Experienced Clinically Relevant Bleedings
From first study drug injection up to 3 days after last study drug injection
Percentage of Participants Who Required the Initiation of Curative Anticoagulant or Thrombolytic Treatment After VTE Assessment
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
SemuloparinEXPERIMENTALSemuloparin sodium 20 mg (10 mg if Severe Renal Impairment \[SRI\]) once daily for 7-10 days with an initial dose given 8 hours after surgery Placebo for Enoxaparin sodium prior to surgery according to local standard for Enoxaparin and 12 hours after surgery to maintain the blind
EnoxaparinACTIVE_COMPARATOREnoxaparin sodium 40 mg (20 mg if Severe Renal Impairment \[SRI\]) once daily for 7-10 days with an initial dose given prior to or 12 hours after surgery according to local standard for Enoxaparin sodium Placebo for Semuloparin sodium 8 hours after surgery to maintain the blind
1ACTIVE_COMPARATOREnoxaparin
2OTHERIntermittent Pneumatic Compression (IPC)
AEXPERIMENTAL70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 4 hours following the last injection of enoxaparin
BEXPERIMENTAL70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 6 hours following the last injection of enoxaparin
CEXPERIMENTAL70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 10 hours following the last injection of enoxaparin

Interventions

NameTypeDescription
Enoxaparin sodiumDRUG0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection
Semuloparin sodiumDRUG0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection
PlaceboDRUG0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml prefilled syringe strictly identical in appearance but without active component Subcutaneous injection
enoxaparinDRUG20 mg twice a day
Physical prophylaxisOTHER -
enoxaparin (XRP4563)DRUG14 days of treatment
Enoxaparin sodium (XRP4563)DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: * Standard surgery for fracture of the upper third of the femur including femoral head and neck. Exclusion Criteria: * Estimated time of injury/fracture \> 24 hours before admission to hospital; * Any major orthopedic surgery in the 3 months prior to study start; * Multiple tr...

Countries:United StatesArgentinaBelarusBulgariaCanadaChileChinaColombiaCzechiaDenmarkFinlandGreeceIndiaItalyMexicoPeruPolandPortugalRomaniaRussiaSouth AfricaSpainSwedenTurkey (Türkiye)UkraineJapanAustraliaAustriaBelgiumBrazilCroatiaEstoniaFranceGermanyHong KongHungaryIrelandIsraelJordanLatviaLebanonLithuaniaMalaysiaNetherlandsNorwaySingaporeSlovakiaSouth KoreaSwitzerlandThailandUnited KingdomUruguay
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Frequently asked questions about Enoxaparin

What is enoxaparin?

Enoxaparin is a small molecule drug developed by Sanofi (ticker SNY). It has been studied in Phase 3 clinical development across several conditions, including abdominal neoplasms, hip fracture surgery, hip replacement arthroplasty, myocardial infarction, percutaneous coronary intervention, and thrombosis. It is also known as enoxaparin sodium and enoxaparin (XRP4563).

What is enoxaparin used for?

Enoxaparin has been studied for use in abdominal neoplasms, hip fractures, hip replacement arthroplasty, myocardial infarction, percutaneous coronary intervention, and thrombosis. Its clinical program includes a Phase 3 trial in patients with curative abdominal cancer surgery and Phase 3 trials in patients undergoing hip fracture surgery.

Who makes enoxaparin?

Enoxaparin is developed by Sanofi, which trades under the ticker SNY. Sanofi is the sponsor associated with the clinical development program for enoxaparin and its alternative names, enoxaparin sodium and enoxaparin (XRP4563).

What phase is enoxaparin in?

Enoxaparin is in Phase 3 clinical development. Its trial record includes Phase 3 studies in abdominal neoplasms and hip fracture surgery, along with a completed Phase 1 study in thrombosis. The Phase 3 program includes a completed Japanese efficacy and safety study in patients with curative abdominal cancer surgery.

What clinical trials is enoxaparin in?

Enoxaparin has been evaluated in completed trials including NCT00723216, a Phase 3 Japanese efficacy and safety study in patients with curative abdominal cancer surgery, NCT00721760, a Phase 3 study of AVE5026 compared with enoxaparin for thromboembolism prevention in hip fracture surgery, NCT00685958, a Phase 3 Japanese hip fracture surgery study, and NCT00622115, a Phase 1 study in thrombosis.

Is enoxaparin the same as enoxaparin sodium?

Yes. Enoxaparin is also known as enoxaparin sodium and enoxaparin (XRP4563). These names refer to the same Sanofi-developed small molecule. Searches for enoxaparin sodium or XRP4563 refer to the same clinical development program covering abdominal neoplasms, hip fractures, thrombosis, and related conditions.