3-6 months versus 1.5-3 months | |||
Pinede, 2001 | Long course of therapy (6 months for proximal DVT and/or PE; 12 weeks for calf DVT) by fluindione adjusted for INR range of 2.0 to 3.0 versus Short oral anticoagulant course (3 months for proximal DVT and/or PE; 6 weeks for isolated calf DVT) by fluindione adjusted for INR range of 2.0 to 3.0 | open Follow-up duration: 15 months after randomizationÛ France | |
6 months versus 1.5 months | |||
Schulman, 1995 | 6 months treatment with warfarin or dicoumarol adjusted for a target INR between 2.0 - 2.85 versus 1.5 months warfarin or dicoumarol adjusted for a target INR between 2.0 - 2.85 | open Follow-up duration: Two years after randomization Sweden | |
apixaban (without LMWH) versus LMWH/VKA | |||
AMPLIFY, 2013 NCT00643201 | apixaban 10 mg twice daily for 7 days then 5 mg, twice daily, 6 months versus conventional therapy: enoxaparin 1mg/kg twice daily until INR>=2 then warfarin for an INR between 2-4, once daikly, 6 months | patients with deep vein thrombosis or pulmonary embolism | double blind Follow-up duration: 6 mo |
Botticelli DVT, 2008 NCT00252005 | apixaban 5 mg twice-daily, 10 mg twice-daily, or 20 mg once-daily for 84-91 days versus low molecular weight heparin followed by vitamin K antagonists | patients with symptomatic deep vein thrombosis | open |
apixaban 2.5mg versus discontinuation | |||
AMPLIFY-EXT 2.5mg, 2012 NCT00633893 | Extended Treatment with apixaban 2.5 mg twice daily 12 months versus placebo | patients who have completed their intended treatment for deep vein thrombosis or pulmonary embolism | double blind Follow-up duration: 12 mo |
apixaban 5mg versus discontinuation | |||
AMPLIFY-EXT 5mg, 2012 NCT00633893 | Extended Treatment with apixaban 5 mg twice daily 12 months
versus placebo | patients who have completed their intended treatment for deep vein thrombosis or pulmonary embolism | double blind Follow-up duration: 12 mo |
Bemiparin versus warfarin | |||
Kakkar, 2003 | LMWH, 115 IU/kg qd followed by Bemiparin 3,500 IU qd versus A: UFH, 30/40,000IU qd; B: LMWH, 115 IU/kg qd followed by Warfarin target INR 2-3 | patients with objective diagnosis of DVT by Venography/compression ultrasonography | open Follow-up duration: 3 mo |
Dalteparin versus unfractionated heparin | |||
Holm et al , 1986 | Dalteparin Subcutaneous twice daily ajusted for 7 Days, 57-107 U/kg BID versus unfractionated heparin subcutaneous twice daily 16000-30000 U | Follow-up duration: Hospital Stay | |
Bratt et al , 1985 | Dalteparin Intravenousv (ajusted) for >=5 Days, 120 U/kg BID versus unfractionated heparin intravenous APPTx1.7-3.5 | Follow-up duration: 23 Months (mean) | |
Bratt et al, 1990 | Dalteparin Subcutaneous twice daily ajusted for >= 5 Days, 120 U/kg BID versus unfractionated heparin intravenous APPTx2-4 | Follow-up duration: Hospital stay | |
Lindmarker et al , 1993 | Dalteparin Subcutaneous once daily for >= 5 Days, 200 U/kg BID versus unfractionated heparin intravenous APPTx1.5-3 | Follow-up duration: 6 Months | |
Dalteparin versus warfarin | |||
Lee, 2003 | LMWH, 200 IU/kg qd followed by Dalteparin 150 IU/kg qd versus LMWH, 200 IU/kg qd followed by Warfarin target INR 2-3 | patients with cancer and objective diagnosis of DVT by Venography/compression ultrasonography | open Follow-up duration: 6 mo |
Das, 1996 | UFH followed by Dalteparin 5,000 IU qd versus UFH followed by Warfarin target INR 2-3 | patients with objective diagnosis of DVT by Venography | open Follow-up duration: 3 mo |
Enoxaparin versus acenocoumarol | |||
Veiga, 2000 | UFH, APTT 1.5–2.0d followed by Enoxaparin 4,000 IU qd versus UFH, APTT 1.5–2.0d followed by Acenocoumarol target INR 2-3 | patients with objective diagnosis of DVT by Venography | open Follow-up duration: 6-9 mo |
Enoxaparin versus coumarin | |||
González-Fajardo, 2008 | long-term anticoagulant treatment with enoxaparin during at least 3 months versus long-term anticoagulant treatment with coumarin during at least 3 months | patients with symptomatic, unilateral, first-episode DVT | open, blind assessment Follow-up duration: 1y, 5y Spain |
Enoxaparin versus unfractionated heparin | |||
Simonneau et al , 1993 | Enoxaparin Subcutaneous twice daily for 0 Days, 100 U/kg BID versus unfractionated heparin intravenous APPTx1.5-2.5 | Follow-up duration: 3 Months | |
Enoxaparin versus warfarin | |||
Deitcher, 2003 | LMWH: 1a, 1 mg/kg q12h; 1b, 1 mg/kg qd12h followed by Enoxaparin 1a: 1 mg/kg qd; 1b: 1.5 mg/kg qd versus LMWH, 1 mg/kg q12h followed by Warfarin target INR 2-3 | patients with objective diagnosis of DVT | open Follow-up duration: 6 mo |
Meyer, 2002 | LMWH, 1.5 mg/kg qd followed by Enoxaparin 1.5 mg/Kg qd versus LMWH, 1.5 mg/kg qd followed by Warfarin target INR 2-3 | patients with cancer and objective diagnosis of DVT by Venography/compression ultrasonography | open Follow-up duration: 3 mo |
Gonzalez-Fajardo, 1999 | LMWH, 4,000 IU bid followed by Enoxaparin 4,000 IU qd versus UFH followed by Warfarin target INR 2-3 | patients with objective diagnosis of DVT by Venography | open Follow-up duration: 9 mo |
Pini, 1994 | UFH, APTT 1.3–1.9 followed by Enoxaparin 4,000 IU qd versus UFH, APTT 1.3–1.9 followed by Warfarin target INR 2-3.5 | patients with objective diagnosis of DVT by Venography (diagnosed by strain-gauge plethysmography plus D-dimer latex assay and confirmed by venography) | open Follow-up duration: 9 mo |
fondaparinux versus enoxaparin | |||
MATISSE, 2004 | fondaparinux 7.5 mg subcutaneously once daily for at least 5 days and until vitamin K antagonists induced an INR greater than 2.0. versus enoxaparin, 1 mg/kg of body weight, subcutaneously twice daily for at least 5 days and until vitamin K antagonists induced an INR greater than 2.0. | patients with acute symptomatic deep venous thrombosis | double blind Follow-up duration: 3 months international |
fondaparinux versus heparin | |||
MATISSE PE, 2003 | fondaparinux subcutaneously once daily versus continuous intravenous infusion of unfractionated heparin | patients with acute symptomatic pulmonary embolism | open Follow-up duration: 3 mo |
heparin+phenprocoumon versus phenylbutazone | |||
Nielsen importé, 1994 | heparin and phenprocoumon for 3 months versus phenylbutazone | open Denmark | |
heparin+warfarin versus placebo | |||
Ott importé, 1998 | anticoagulants (s.c. heparin followed by oral warfarin) (duration NA) versus s.c. saline followed by oral placebo tablets | double blind Denmark | |
heparin/dabigatran versus heparin/VKA | |||
RE-COVER, 2009 NCT00291330 | dabigatran 150 mg twice daily in a fixed-dose versus warfarin dose-adjusted to an INR between 2.0 and 3.0 | patients with acute venous thromboembolism , treated with low molecular weight or unfractionated heparin for 5 to 11 days | double blind Follow-up duration: 6 months |
idraparinux versus discontinuation | |||
VanGogh extension, 2007 NCT00071279 | once-weekly injections of 2.5 mg of idraparinux for 6 months versus placebo | patients who had completed 6 months of prophylaxis with idraparinux or a vitamin K antagonist and in whom extended anticoagulation was warranted | Follow-up duration: 6 months |
idraparinux (without heparin) versus heparin/VKA | |||
VanGogh DVT, 2007 NCT00067093 | subcutaneous idraparinux (2.5 mg once weekly) versus heparin followed by an adjusted-dose vitamin K antagonist | patients with deep-vein thrombosis | open Follow-up duration: 3 mo (6 mo) |
VanGogh PE, 2007 NCT00062803 | subcutaneous idraparinux (2.5 mg once weekly)
versus heparin followed by an adjusted-dose vitamin K antagonist | patients with pulmonary embolism | open Follow-up duration: 3 mo (6 mo) |
LMWH at home versus UFH in hospital | |||
Koopman, 1996 | home treatment with twice daily injections of nadroparin at a dose adjusted for patient’s weight; versus UH (APTT adjusted dose, continuous intravenous infusion of 1250 IU per hour after initial intravenous bolus of 5000 IU) in hospital. | patients with acute symptomatic proximal DVT proven by venography or duplex scan | open Follow-up duration: 12 weeks The Netherlands, France, Italy, New Zealand Australia |
Boccalon, 2000 | home treatment with sub-cutaneous injection of LMWH (dalteparin sodium, enoxaparin sodium or nadroparin calciumas
chosen by the attending physician) at the recommended dose followed by anticoagulant for 6months versus Sub-cutaneous injection of LMWH(dalteparin sodium, enoxaparin sodium or nadroparin calcium as chosen by attending physician) at the recommended dose followed by anticoagulant for 6 months initially in hospital for 10 +/- 2 days then at home | patienst with confirmed diagnosis (by ultrasonography or venography) of proximal DVT not more than 30 days before enrolment | NA Follow-up duration: 6 months France |
Levine, 1996 | home treatment by Sub-cutaneous enoxaparin 1 mg per kg body weight twice a day for at least 5 days versus UH (APTT adjusted dose, continuous intravenous infusion of 20,000 IU after initial intravenous bolus of 5000 IU) in hospital for at least 5 days | patients with acute proximal DVT proven on venography or duplex scan | open Follow-up duration: 90 days Canada |
Ramacciotti, 2004 | home treatment by once daily Subcutaneous injection of enoxaparin at a dose of 1.5 mg/kg for 5-10 days versus in hospital intravenous bolus injection of 5000 IU of UFH followed by intravenous 500 IU/kg/day adjusted to maintain an aPTT of 1.5-2.5 times the normal value for 5-10 days. | patienst with DVT symptoms for greater than or equal to 10 days and proximal lower limb DVT confirmed by duplex ultrasound or venography | open Brazil |
Daskalopoulos, 2005 | home treatment with single sub- cutaneous injection of LMWH (tinzaparin sodium) in a weight adjusted dose (175
anti Xa IU/Kg) daily for 6 months versus Intravenous bolus of 5000IU UFH followed by intrvenous infusion of UFH for 5-7 days. APTT was measured after 4 hours of the initiation of heparin administration and was repeated 6 hours thereafter to reach the therapeutic range (ratio: 1.5-2.5). Oral an | patients with acute proximal DVT confirmed by colour duplex UScan not more than 1 week onset | open Greece |
Chong, 2005 | once daily sub-cutaneous injection of enoxaparin 1.5mg/kg for a minimum of 5 days plus 10mg
of warfarin for 3 months adjusted to achieve INR above 2 and within range accepted by the investigator versus 5000 IU bolus of unfractionated heparin (UFH) for a minimum of 5 days plus 10mg warfarin started on day 1 of the treatment for 3 months | patients with diagnosis of symptomatic lower extrimity DVT (proimal or distal) confirmed by either contrast venography and/or ultrasonography, be suitable for treatment in an outpatient setting | open Follow-up duration: 24 months Australia, New Zealand, Poland, South Africa |
Minoctoparine versus unfractionated heparin | |||
Faivre et al , 1988 | Minoctoparine (CY222) Subcutaneous twice daily for 10 Days,155 U/kg BID versus unfractionated heparin subcutaneous twice daily APPTx2-3 | Follow-up duration: 10 Days | |
Nadroparin versus acenocoumarol | |||
Lopez-Beret, 2001 | LMWH, 1,025 IU/10 kg bid followed by Nadroparin 1,025 IU/10 kg bid versus LMWH, 1,025 IU/10 kg bid followed by Acenocoumarol target INR 2-3 | patients with objective diagnosis of DVT by compression ultrasonography | open Follow-up duration: 6-9 mo |
Lopaciuk, 1999 | LMWH, 85 UI/kg bid followed by Nadroparin 85 IU/kg qd versus LMWH, 85 UI/kg bid followed by Acenocoumarol target INR 2-3 | patients with objective diagnosis of DVT by Venography | open Follow-up duration: 9 mo |
Nadroparin versus unfractionated heparin | |||
Collaborative European Multicentre, 1991 | Nadroparin Subcutaneous twice daily for 10 Days, 90 U/kg BID versus unfractionated heparin intravenous APPTx1.5-2 | Follow-up duration: 12 Weeks | |
Prandoni et al , 1992 | Nadroparin Subcutaneous twice daily for >=0 Days, 90 U/kg BID versus unfractionated heparin intravenous APPTx1.5-2 | Follow-up duration: 6 Months | |
Lopaciuk et al , 1992 | Nadroparin Subcutaneous twice daily for 10 Days, 92 U/kg BID versus unfractionated heparin subcutaneous twice daily APPTx1.5-2.5 | Follow-up duration: 3 Months | |
once daily dalteparin versus twice daily dalteparin | |||
Holmström, 1992 | once daily dalteparin 200 U (anti-FXa)/kg for at least 5 days versus twice daily dalteparin 100 U (anti-FXa)/kg for at least 5 days | Patients with a first occurence of DVT in the lower limb, confirmed with phlebographytio | open Sweden |
Partsch, 1996 | Fragmin administered 200 IU/kg once daily for at least 7 days versus Fragmin 100 IU/kg twice daily for at least 7 days | patients presented with DVT extending into the iliofemoral segment diagnosed by duplex ultrasonographyA | NA Austria |
once daily enoxaparin versus twice daily enoxaparin | |||
Merli, 2001 | enoxaparin 1.5 mg/kg body weight
once daily versus S.c. enoxaparin at fixed dosages of 1.0 mg/kg of body weight twice daily | patients with a symptomatic lower-extremity DVT confirmed by venography or ultrasonography (including patients with confirmed PE) | double blind Europe, United States of America and Australia, image/pj |
once daily enoxaparin versus UFH | |||
Merli (once daily vs UFH), 2001 | Initial therapy with enoxaparin 1.5 mg/kg body weight
once daily
versus Initial therapy with dose-adjusted intravenous unfractionated heparin | patients with a symptomatic lower-extremity DVT confirmed by venography or ultrasonography (including patients with confirmed PE) | partialy blinded Follow-up duration: 3 months Europe, United States of America and Australia, image/pj |
once daily logiparin versus twice daily logiparin | |||
Siegbahn, 1989 | Once daily logiparin 150 XaI U/kgp, imag versus twice daily logiparin 75 XaI U/kg | patients with a venographically confirmed episode of DVT | single blind Sweden and Denmark |
once daily nadroparin versus twice daily nadroparin | |||
Charbonnier, 1998 | Once daily nadroparin 20,500 (AXa IU/ml)continued for at least 5 days versus twice daily nadroparin 10,250 (AXa IU/ml)continued for at least 5 days | patients with acute symptomatic proximal DVT in popliteal vein or above documented by venography | double blind Europe |
rivaroxaban versus discontinuation | |||
EINSTEIN-extension, 2009 NCT00439725 | rivaroxaban 20 mg once-daily for an additional 6 or 12 months versus placebo | patients who had completed six to 12 months of anticoagulant treatment for an acute episode of VTE | double blind 28 countries |
rivaroxaban (without LMWH) versus LMWH/VKA | |||
Einstein-DVT Dose-Ranging Study, 2008 | rivaroxaban 20, 30, or 40 mg once daily versus low-molecular-weight heparin followed by vitamin K antagonists | patients with deep vein thrombosis | open |
Einstein-DVT Evaluation, 2010 NCT00440193 | rivaroxaban 15 mg twice daily for 3 weeks, then 20 mg daily versus enoxaparin 1 mg/kg twice daily >=5 days, then warfarin with target INR between 2-3 | Patients with Confirmed Acute Symptomatic Deep-Vein Thrombosis without Pulmonary Embolism | open (assessor-blind) |
Einstein-PE Evaluation, 2012 NCT00439777 | rivaroxaban (15 mg twice daily for 3 weeks, followed by 20 mg once daily) for 3, 6, or 12 months versus standard therapy with enoxaparin followed by an adjusted-dose vitamin K antagonist | patients who had acute symptomatic pulmonary embolism with or without deep-vein thrombosis | open Follow-up duration: 9.8 months 38 countries |
subcutaneous heparin versus intravenous heparin | |||
Krahenbuhl, 1979 | subcutaneous sodic heparin 30 000 U daily (mean) versus intravenous sodic heparin 30 000 U daily (mean) | ||
Bentley, 1980 | subcutaneous calcic heparin 37 000 U daily (mean) versus intravenous sodic heparin 36 800 U daily (mean) | ||
Andersson, 1982 | subcutaneous sodic heparin 36 800 U daily (mean) versus intravenous sodic heparin 33 250 U daily (mean) | ||
Hull, 1986 | subcutaneous sodic heparin 32 300 U daily (mean) versus intravenous sodic heparin 29 700 U daily (mean) | ||
Doyle, 1987 | subcutaneous calcic heparin 29 200 U daily (mean) versus intravenous calcic heparin 29 600 U daily (mean) | ||
Walker, 1987 | subcutaneous calcic heparin 29 375 U daily (mean) versus intravenous calcic heparin 24 384 U daily (mean) | ||
Lopaciuk, 3000 | subcutaneous sodic heparin 34 400 U daily (mean) versus intravenous sodic heparin 37 000 U daily (mean) | ||
Pini, 1990 | subcutaneous calcic heparin 33 800 U daily (mean) versus intravenous sodic heparin 31 700 U daily (mean) | ||
Tinzaparin versus acenocoumarol | |||
Romera, 2009 | tinzaparin SC 175 IU anti-Xa per kg once daily for 6 months versus acenocoumarol for target INR 2-3 for 6 months after initial LMWH (until INR 2-3) | patients with symptomatic proximal DVT of the lowerlimbs confirmed by compression duplex ultrasound scan | open Follow-up duration: 12 months Spain |
Tinzaparin versus unfractionated heparin | |||
Hull et al , 1992 | Tinzaparin Subcutaneous once daily for >= Days, 175 U/kg BID versus unfractionated heparin intravenous APPTx2-3 | Follow-up duration: 3 Months | |
Tinzaparin versus warfarin | |||
Hull, 2002 | LMWH, 175 IU/kg qd followed by Tinzaparin 175 IU/kg qd versus UFH 5 d, followed by UFH therapeutic APTT followed by Warfarin target INR 2-3 | patients with objective diagnosis of DVT by Venography/compression ultrasonography | open Follow-up duration: 9 mo |
warfarin versus discontinuation | |||
PREVENT (Ridker), 2003 | extension with low-intensity warfarin (target INR, 1.5 to 2.0) versus placebo | Patients with idiopathic venous thromboembolism who had received full-dose anticoagulation therapy for a median of 6.5 months | Follow-up duration: 2.1 years |
Agnelli, 2003 | continuation for 3 or 9 additionnal months of warfarin or other oral anticoagulant was adjusted to achieve a target INR between 2.0 and 3.0. versus discontinuation (after 3 months) | patients who had had 3 months of oral anticoagulant therapy without experiencing recurrence or bleeding after a first episode of pulmonary embolism | open Follow-up duration: 33 months Italy |
Agnelli, 2001 | continuation for 9 additional months; warfarin or acenocoumarol adjusted to achieve a target INR between 2.0 and 3.0 versus discontinuation (after 3 months months) | Patients with a first episode of idiopathic proximal deep venous thrombosis who had completed three months of oral anticoagulant therapy | open Follow-up duration: 33 months Italy |
LAFIT (Kearon), 1999 | Continuation of the oral anticoagulant therapy up to 24 months,
warfarin was adjusted to achieve
a target INR between 2.0 and 3.0. versus discontinuation (after 3 months) | patients who had completed 3 months of anticoagulant therapy for a first episode of idiopathic venous thromboembolism | |
ELAET (Kearon), 2004 | continuation for 2 additionnal months of warfarin adjusted to achieve
a target INR between 2.0 and 3.0. versus discontinuation (after 1 months) | double blind Follow-up duration: 11 months (after randomizatio) Canada, US | |
Levine, 1995 | continuation for 2 months of warfarin adjusted INR value of 2.0 to 3.0 versus Discontinue oral anticoagulant therapy (after 1 months) | Patients with venographically confirmed acute proximal DVT who had received four weeks of warfarin after initial heparin and whose four week IPG was normal | double blind Follow-up duration: 11 months after randomization. Canada, Italy |
DURAC (Schulman), 1997 | indefinite warfarin or dicoumarol adjusted for a target INR between 2.0 and 2.85 versus 6 months warfarin or dicoumarol adjusted for a target INR between 2.0 and 2.85 | open Follow-up duration: Four years after randomization Sweden | |
ximelagatran versus discontinuation | |||
THRIVE III, 2003 | ximelagatran 24 mg twice daily for 18 months versus placebo for 18 months | patients with venous thromboembolism who had undergone six months of anticoagulant therapy | double blind Follow-up duration: 18 months 18 countries |
ximelagatran versus LMWH/VKA | |||
Fiessinger , 2005 | ximelagatran 36 mg twice daily versus subcutaneous enoxaparin, 1 mg/kg twice daily, for 5 to 20 days followed by warfarin adjusted to maintain an international normalized ratio of 2.0 to 3.0. | patients with acute deep vein thrombosis | double blind |
ximelagatran (without LMWH) versus LMWH/VKA | |||
THRIVE I, 2003 | oral ximelagatran (24, 36, 48 or 60 mg twice daily) for 2 weeks versus dalteparin and warfarin for 2 weeks | Patients with acute DVT |
in first
in second