The primary objective is to compare the efficacy and safety of once daily (q.d.) subcutaneous (s.c.) injections of Semuloparin sodium (AVE5026) with q.d. s.c. injections of Enoxaparin for the prevention of Venous Thromboembolic Events (VTE) in patients undergoing major abdominal surgery. The secondary objectives are to evaluate the safety of Semuloparin sodium (AVE5026) and to document Semuloparin sodium (AVE5026) exposure in this population.
Randomization has to take place prior to the surgery. The total duration of observation per participant is 35-42 days from surgery broken down as follows: * 7 to 10-day double-blind treatment period; * 28 to 35-day follow-up period. Mandatory bilateral venography of the lower limbs has to be performed between 7 to 11 days after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
4,413
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml prefilled syringe strictly identical in appearance containing the same volume but without active component Subcutaneous injection
Percentage of Participants Who Experience Venous Thromboembolism Event (VTE) or All-cause Death
VTE includes any proximal or distal Deep Vein Thrombosis (DVT) (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 includes fatal PE and deaths for other reason than PE.
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Percentage of Participants Who Experience "major" VTE or All-cause Death
"major" VTE includes any proximal DVT, symptomatic distal DVT and non-fatal Pulmonary Embolism (PE) as as confirmed by the CIAC.
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Percentage of Participants Who Experience Clinically Relevant Bleedings ("major" and "clinically relevant non-major" bleedings )
Bleedings are centrally and blindly reviewed by the CIAC and classified as: * "major" (fatal, in a critical area/organ, causing a post-operative drop in hemoglobin ≥2 g/dL or requiring post-operative transfusion ≥2 units of blood, leading to an invasive diagnostic or therapeutic intervention, or associated with circulatory decompensation); * "clinically relevant non-major" (skin hematoma or epistaxis requiring surgical/medical intervention/treatment, macroscopic hematuria, or overt bleeding requiring specific attention by health care professional); * "Nonclinically relevant bleeding".
Time frame: From 1st study drug injection up to 3 days after last study drug injection
Percentage of Participants requiring the initiation of curative anticoagulant or thrombolytic treatment after VTE assessment
Initiation of curative anticoagulant or thrombolytic treatment after VTE assessment was defined from investigator's answer to the question "was the subject treated for VTE?" asked after the diagnostic tests for suspected VTE and after the mandatory venography.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Investigational Site Number 840026
Birmingham, Alabama, United States
Investigational Site Number 840035
Birmingham, Alabama, United States
Investigational Site Number 840042
Birmingham, Alabama, United States
Investigational Site Number 840002
Birmingham, Alabama, United States
Investigational Site Number 840031
Corlton, California, United States
Investigational Site Number 840007
Huntingdon Beach, California, United States
Investigational Site Number 840014
Los Angeles, California, United States
Investigational Site Number 840011
Sant Barbara, California, United States
Investigational Site Number 840021
Denver, Colorado, United States
Investigational Site Number 840029
Clearwater, Florida, United States
...and 260 more locations
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first