anticoagulant versus no anticoagulant | |||
BARRIT, 1960 | heparin IV 10000 UI every 6 hours for 6 doses, nicoumalone ajusted for prothrombin time between 2-3x control versus no anticoagulant | patients with pulmonary embolism | open |
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 |
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 |
Certoparin versus unfractionated heparin | |||
Certoparin-Study Group sub group, 1998 | Certoparin, 8000 IU twice daily, 14 days versus Unfractioned heparin: bolus 5000 IU, infusion 20 IU/kg per hour | Symptomatic PE | open Follow-up duration: 6 mo |
Dalteparin versus unfractionated heparin | |||
Kuijer, 1995 | Dalteparin, 120 IU/kg twice daily, 5 days versus Unfractioned heparin: bolus 5000 IU, infusion 1250 IU/h | Symptomatic PE | open Follow-up duration: 3 mo |
Meyer, 1995 | Dalteparin, 120 IU/kg twice daily, 10 days versus Unfractioned heparin: no bolus, infusion 500 IU/kg per day | Symptomatic PE | open Follow-up duration: 3 mo |
Enoxaparin versus unfractionated heparin | |||
PREPIC, 1998 | Enoxaparin, 1 mg/kg twice daily, 8-12 days versus Unfractioned heparin: bolus 5000 IU, infusion 500 IU/kg per day | patients with proximal deep-vein thrombosis who were at risk for pulmonary embolism | open Follow-up duration: 2 y |
Merli sub group, 2001 | Enoxaparin, 1mg/kg twice daily or 1.5 mg/kg once daily, 5 days versus Unfractioned heparin: according nomogram at local institution | patients with confirmed pulmonary embolism | open Follow-up duration: 3 mo 16 countries |
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 |
idrabiotaparinux versus warfarin | |||
CASSIOPEA, 2012 NCT00345618 | subcutaneous idrabiotaparinux (starting dose 3·0 mg) after 5-10 days' enoxaparin 1·0 mg/kg twice daily for at least 3 months or 6 months dependent on clinical presentation versus adjusted-dose warfarin (target INR 2-3) after 5-10 days' enoxaparin 1·0 mg/kg twice daily | adults with objectively documented acute symptomatic pulmonary embolism | double-blind Follow-up duration: 99 days 37 countries |
idraparinux (without heparin) versus heparin/VKA | |||
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) |
Nadroparin versus unfractionated heparin | |||
European multicentre study, 1991 | Nadroparin, 4750–6650 antifactor Xa IU twice daily, 10 days versus Unfractioned heparin: no bolus, infusion, 20 IU/kg per hour | Symptomatic proximal DVT | open (blind assessment) Follow-up duration: 3 mo Europe |
Prandoni sub-group, 1992 | Nadroparin, 4750–6650 antifactor Xa IU twice daily, 10 days versus Unfractioned heparin: bolus 100 IU/kg, infusion 35 000 IU/d | Symptomatic proximal DVT | open Follow-up duration: 6 mo |
Thery, 1992 | Nadroparin, 76 IU/kg twice daily, 14 days versus Unfractioned heparin: bolus 50 IU/kg, infusion 600 IU/kg per day | patients with submassive pulmonary embolism | open Follow-up duration: 14 d |
outpatient treatment versus inpatient treatment | |||
OTPE (Aujesky), 2011 NCT00425542 | initial outpatient treatment with subcutaneous enoxaparin (¡Ý5 days) followed by oral anticoagulation (¡Ý90 days). versus inpatient treatment with subcutaneous enoxaparin (¡Ý5 days) followed by oral anticoagulation (¡Ý90 days) | patients with acute, symptomatic pulmonary embolism and a low risk of death (pulmonary embolism severity index risk classes I or II) | open-label Follow-up duration: 90 days Switzerland, France, Belgium, and the USA |
Otero, 2010 NCT00214929 | early discharge versus standard hospitalization | low-risk patients with acute symptomatic PE | open-label Follow-up duration: 3 months Spain |
Reviparin versus unfractionated heparin | |||
COLOMBUS sub group, 1997 | Reviparin, 3500–6300 IU twice daily, 5 days versus Unfractioned heparin: bolus 5000 IU, infusion 1250 IU/h | patients with symptomatic DVT and associated pulmonary embolism | open Follow-up duration: 3 mo |
rivaroxaban (without LMWH) versus LMWH/VKA | |||
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 |
Tinzaparin versus unfractionated heparin | |||
ACTSG (Hull) sub-group, 1992 | Tinzaparin, 175 IU/kg once daily, 6 days versus Unfractioned heparin: bolus 5000 IU, infusion 29 760–40 320 IU/d | patients with objectively documented PE and underlying proximal deep vein thrombosi | double blind Follow-up duration: 3mo US, Canada |
THESEE, 1997 | Tinzaparin, 175 IU/kg once daily, 5 days versus Unfractioned heparin: bolus 50 IU/kg, infusion 500 IU/kg per day | patients with symptomatic pulmonary embolism | open Follow-up duration: 3 mo |
Campbell, 1998 | Tinzaparin, 175 IU/kg once daily, 5 days versus Unfractioned heparin: bolus 5000 IU, infusion 1400 IU/h | Symptomatic PE | open Follow-up duration: 3 mo |
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