Trial Outcomes & Findings for Evaluation of Dalteparin for Long-term (One Year) Treatment of Blood Clots in Subjects With Cancer (NCT NCT00942968)

NCT ID: NCT00942968

Last Updated: 2024-04-18

Results Overview

A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of greater than or equal to (\>=) 2 gram per deciliter (g/dL), 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (adjudicated by Central Adjudication Committee) were reported.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

338 participants

Primary outcome timeframe

Month 2 up to Month 6

Results posted on

2024-04-18

Participant Flow

Participant milestones

Participant milestones
Measure
Dalteparin Sodium
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Overall Study
STARTED
338
Overall Study
Treated
334
Overall Study
COMPLETED
109
Overall Study
NOT COMPLETED
229

Reasons for withdrawal

Reasons for withdrawal
Measure
Dalteparin Sodium
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Overall Study
Adverse Event
60
Overall Study
Death
76
Overall Study
Protocol Violation
9
Overall Study
Lost to Follow-up
4
Overall Study
Withdrawal by Subject
44
Overall Study
Sponsor request
5
Overall Study
Physician Decision
11
Overall Study
Progression of disease
12
Overall Study
Inferior vena cava filter placement
4
Overall Study
Pulmonary embolism (PE)
1
Overall Study
Participant required pancreatic biopsy
1
Overall Study
Deep vein thrombosis (DVT)
2

Baseline Characteristics

Evaluation of Dalteparin for Long-term (One Year) Treatment of Blood Clots in Subjects With Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Age, Continuous
63.8 years
STANDARD_DEVIATION 10.63 • n=5 Participants
Sex: Female, Male
Female
171 Participants
n=5 Participants
Sex: Female, Male
Male
163 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Month 2 up to Month 6

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of greater than or equal to (\>=) 2 gram per deciliter (g/dL), 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (adjudicated by Central Adjudication Committee) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Major Bleeding Events Adjudicated by Central Adjudication Committee
14 participants

PRIMARY outcome

Timeframe: Month 7 up to Month 12

Population: Safety population included all participants who received at least one 1 treatment with dalteparin sodium.

A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of \>=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (adjudicated by Central Adjudication Committee) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Major Bleeding Events Adjudicated by Central Adjudication Committee
8 participants

PRIMARY outcome

Timeframe: Month 7 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

VTEs included both deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes pulmonary embolism (PE). When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. In this outcome measure, number of participants with new or recurrent VTE (adjudicated by Central Adjudication Committee) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=194 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) Adjudicated by Central Adjudication Committee
8 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of \>=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. In this outcome measure, number of participants with major bleeding events (identified by investigator) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Investigator Identified Major Bleeding Events
Month 7 up to Month 12
7 participants
Number of Participants With Investigator Identified Major Bleeding Events
Month 1 up to Month 12
35 participants
Number of Participants With Investigator Identified Major Bleeding Events
Month 2 up to Month 6
15 participants
Number of Participants With Investigator Identified Major Bleeding Events
Month 2 up to Month 12
22 participants
Number of Participants With Investigator Identified Major Bleeding Events
Month 1 up to Month 6
28 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 6, Month 7 up to Month 12, Month 1 up to Month 12, Month 2 up to Month 6, and Month 2 up to Month 12

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of \>=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. A bleeding event was considered as minor if it was clinically overt but not meeting the criteria for major bleeding. In this outcome measure, number of participants with any (major or minor) bleeding events (adjudicated by Central Adjudication Committee) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
Month 1 up to Month 6
91 participants
Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
Month 7 up to Month 12
21 participants
Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
Month 1 up to Month 12
112 participants
Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
Month 2 up to Month 6
47 participants
Number of Participants With Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
Month 2 up to Month 12
68 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

Fatal bleeding events refers to those bleeding events which leads to death of participant. In this outcome measure, number of participants with fatal bleeding events were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Fatal Bleeding Events
Month 1 up to Month 12
2 participants
Number of Participants With Fatal Bleeding Events
Month 2 up to Month 6
1 participants
Number of Participants With Fatal Bleeding Events
Month 2 up to Month 12
2 participants
Number of Participants With Fatal Bleeding Events
Month 1 up to Month 6
1 participants
Number of Participants With Fatal Bleeding Events
Month 7 up to Month 12
1 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 12

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

Time to first occurrence of major bleeding event was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first major bleeding event. A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of \>=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Time to First Occurrence of Major Bleeding Event Adjudicated by Central Adjudication Committee
332.9 days
Standard Error 5.25

SECONDARY outcome

Timeframe: Month 1 up to Month 12

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

Time to first occurrence of any bleeding event was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first bleeding event (major or minor). A bleeding event was considered as major if it was clinically overt and satisfies 1 or more of the following criteria: 1) bleeding accompanied by a decrease in hemoglobin of \>=2 g/dL, 2) bleeding occurred at a critical site (intraocular, spinal/epidural, intracranial, retroperitoneal, or pericardial bleeding), 3) bleeding leads to a transfusion of two or more units of packed red blood cells, 4) bleeding leads to death. A bleeding event was considered as minor if it was clinically overt but not meeting the criteria for major bleeding.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Time to First Occurrence of Any Bleeding Event (Major or Minor) Adjudicated by Central Adjudication Committee
262.5 days
Standard Error 8.52

SECONDARY outcome

Timeframe: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium. Here, 'n' signifies those participants who were evaluable at specified time intervals.

VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. In this outcome measure, number of participants with new or recurrent VTE (identified by investigator) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)
Month 1 up to Month 6 (n=334)
29 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)
Month 7 up to Month 12 (n=195)
8 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)
Month 1 up to Month 12 (n=334)
37 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)
Month 2 up to Month 6 (n=295)
9 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTEs)
Month 2 up to Month 12 (n=295)
17 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium. Here, 'n' signifies those participants who were evaluable at specified time intervals.

VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography. In this outcome measure, number of participants with new or recurrent VTE or CVT (adjudicated by Central Adjudication Committee) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee
Month 1 up to Month 6 (n=334)
29 participants
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee
Month 7 up to Month 12 (n=194)
8 participants
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee
Month 1 up to Month 12 (n=334)
37 participants
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee
Month 2 up to Month 6 (n=296)
10 participants
Number of Participants With New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT) Adjudicated by Central Adjudication Committee
Month 2 up to Month 12 (n=296)
18 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 6; Month 7 up to Month 12; Month 1 up to Month 12; Month 2 up to Month 6; Month 2 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium. Here, 'n' signifies those participants who were evaluable at specified time intervals.

VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography. In this outcome measure, number of participants with new or recurrent VTE or CVT (identified by investigator) were reported.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)
Month 1 up to Month 6 (n=334)
29 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)
Month 7 up to Month 12 (n=195)
8 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)
Month 1 up to Month 12 (n=334)
37 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)
Month 2 up to Month 6 (n=295)
9 participants
Number of Participants With Investigator Identified New or Recurrent Venous Thromboembolism (VTE) or Central Venous Thrombosis (CVT)
Month 2 up to Month 12 (n=295)
17 participants

SECONDARY outcome

Timeframe: Month 1 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium.

Time to first occurrence of new or recurrent VTE was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first VTE. VTEs included both DVT and PE. DVT is a blood clot in the deep veins of the leg. If a DVT clot breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes PE. When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Time to First Occurrence of New or Recurrent Venous Thromboembolism (VTE) Adjudicated by Central Adjudication Committee
294.1 days
Standard Error 4.87

SECONDARY outcome

Timeframe: Month 1 up to Month 12

Population: Efficacy analysis population included all participants who received at least 1 study treatment with dalteparin sodium.

Time to first occurrence of new or recurrent VTE or CVT was defined as the time interval (in days) between the date of first study treatment and the date of documentation of first VTE or CVT. VTEs included both deep vein thrombosis (DVT) and pulmonary embolism (PE) .DVT is a blood clot in the deep veins of the leg. If a DVT clot that breaks off (embolizes) from a vein wall and flows towards the lungs and blocks some or all of the blood supply, it becomes pulmonary embolism (PE). When a blood clot (thrombus) breaks, loose and travels in the blood, this is called a venous thromboembolism. DVT was diagnosed using either computed tomography scan, contrast venography or contrast venography. PE was diagnosed by either radionuclide ventilation-perfusion studies, contrast CT scan or an angiogram. CVT is blood clot of the venous channels in the brain. CVT was diagnosed by contrast venography or ultrasonography.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Time to First Occurrence of New or Recurrent VTE or CVT Adjudicated by Central Adjudication Committee
294.1 days
Standard Error 4.87

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (Day 1) up to Week 52

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Week 52 that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
AE
328 participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
SAE
213 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (Day 1) up to Week 52

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

Criteria for abnormality: Hemoglobin greater than or equal to(\>=)130\*lower limit of normal(LLN); less than or equal to(\<=)170\*upper limit of normal(ULN), hematocrit \>=0.39\*LLN;\<=0.51\*ULN, red blood cell \>=4.5\*LLN;\<=5.9\*ULN, platelet\>=150\*LLN;\<= 450\*ULN, white blood cells \>=4\*LLN;\<=11\*ULN; lymphocytes\>=0.09;\<=0.44, neutrophils=\>0.16\*LLN;\<=0.7\*ULN, eosinophils\<=0.04\*ULN, basophils\<=0.02\*ULN, monocytes\>0.08\*ULN; bilirubin \>=5.1\*LLN;\<=22.2\*ULN, aspartate aminotransferase \>=13\*LLN;\<=36\*ULN, alanine aminotransferase\>=11\*LLN;\<=54\*ULN, alkaline phosphatase\>=31\*LLN ;\<=104 \*ULN, total protein\>=60\*LLN; \<=76\*ULN, albumin=\>35\*LLN;\<=50\*ULN, glucose\>=3.77 ;\<=6.05;blood urea nitrogen\>=1.785\*LLN;\<=7.5\*ULN, creatinine\>=70.7\*LLN;\<=114.9\*ULN, creatinine kinase\>=30\*LLN ;\<=280\*ULN, lactate dehydrogenase\>=85\*LLN;\<=180\*ULN, sodium\>=137\*LLN ;\<=144\*ULN, potassium \>=3.5\*LLN;\<=5\*ULN, chloride\>=102\*LLN;\<=111\*ULN, calcium\>=2.22\*LLN ;\<=2.57\*ULN, phosphorus=\>0.81 ;\<=1.45); nitrogen cholesterol\>=1.78\*LLN ;\<=7.49\*ULN.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Clinically Significant Laboratory Abnormalities
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (Day 1), Week 1, 4, 8, 12, 24, 36, 48, 52

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium. Here 'n' signifies those participants who were evaluable at specified categories.

Physical examinations included head, ears, nose, throat (ENT), neck, heart, chest, lungs, abdomen, extremities, neurological systems, skin, general appearance and others (thigh, abdomen unobtrusive scar, breast, cardio-vascular, constitutional, face, genitalia, genitourinary, gastrointestinal, hematologic, left ankle unobtrusive scar, lymph nodes, lymphatic, malaise/fatigue, mouth, musculoskeletal, musculoskeletal, peripherally inserted central catheters line site left arm, psychiatric, skeletal, urinary, weight, activity level, bladder irritation, dyspnea and eastern cooperative oncology group performance status \[used to assess how the disease affects the daily living abilities of the participant. It ranges on the scale from 0-5 (0= normal activity; 1= symptoms but ambulatory; 2= in bed for less than (\<) 50 percent (%) of the time; 3= in bed for greater than (\>) 50% of the time; 4= 100% bedridden; 5= dead\]). Abnormality in physical examinations was based on investigator's discretion.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Head (n=327)
14 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Ears, nose, throat (ENT)(n=327)
20 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Neck (n=327)
10 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Heart (n=327)
26 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Chest (n=326)
40 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Lungs (n=327)
65 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Abdomen (n=327)
73 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Extremities (n=328)
203 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Neurological systems (n=327)
18 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Skin (n=327)
51 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : General appearance (n=327)
47 participants
Number of Participants With Abnormal Physical Examinations Findings
Baseline : Others (n=47)
25 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Head (n=213)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : ENT (n=214)
20 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Neck (n=214)
7 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Heart (n=214)
10 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Chest (n=213)
22 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Lungs (n=214)
28 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 :Abdomen (n=214)
62 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Extremities (n=213)
103 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Neurological systems (n=213)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : Skin (n=213)
52 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1 : General appearance (n=212)
25 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 1:Others (n=41)
23 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Head (n=211)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : ENT (n=211)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Neck (n=211)
6 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Heart (n=210)
8 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Chest (n=211)
23 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Lungs (n=211)
24 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Abdomen (n=210)
59 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Extremities (n=211)
83 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Neurological systems (n=211)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Skin (n=210)
49 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : General appearance (n=208)
25 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 4 : Others (n=23)
20 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Head (n=186)
11 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : ENT (n=186)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Neck (n=185)
4 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Heart (n=186)
8 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Chest (n=186)
21 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Lungs (n=186)
31 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Abdomen (n=186)
49 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Extremities (n=186)
80 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Neurological systems (n=185)
13 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Skin (n=186)
38 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : General appearance (n=186)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 8 : Others (n=16)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Head (n=183)
10 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : ENT (n=183)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Neck (n=183)
1 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Heart (n=183)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Chest (n=183)
22 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Lungs (n=183)
15 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Abdomen (n=183)
47 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Extremities (n=183)
57 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Neurological systems (n=183)
19 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Skin (n=183)
39 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : General appearance (n=182)
18 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 12 : Other (n=27)
16 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Head (n=166)
2 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : ENT (n=166)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Neck (n=166)
4 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Heart (n=166)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Chest (n=166)
17 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Lungs (n=166)
14 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Abdomen (n=166)
37 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Extremities (n=166)
47 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Neurological systems (n=166)
14 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Skin (n=166)
35 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : General appearance (n=166)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 24 : Others (n=17)
11 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Head (n=127)
6 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : ENT (n=127)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Neck (n=127)
4 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Heart (n=127)
7 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Chest (n=127)
18 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Lungs (n=127)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Abdomen (n=126)
35 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Extremities (n=127)
37 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Neurological systems (n=127)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Skin (n=127)
32 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : General appearance (n=126)
11 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 36 : Others (n=14)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Head (n=103)
2 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : ENT (n=103)
6 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Neck (n=103)
3 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Heart (n=103)
7 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Chest (n=103)
11 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Lungs (n=102)
14 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Abdomen (n=103)
27 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Extremities (n=103)
29 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Neurological systems (n=103)
8 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Skin (n=103)
29 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : General appearance (n=103)
9 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 48 : Others (n=7)
3 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Head (n=193)
7 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : ENT (n=193)
13 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Neck (n=193)
5 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Heart (n=193)
12 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Chest (n=193)
23 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Lungs (n=191)
23 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Abdomen (n=193)
60 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Extremities (n=193)
68 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Neurological systems (n=193)
24 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Skin (n=193)
38 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : General appearance (n=193)
27 participants
Number of Participants With Abnormal Physical Examinations Findings
Week 52 : Others (n=25)
15 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline up to Week 52

Population: Safety population included all participants who received at least 1 treatment with dalteparin sodium.

Clinically significant ECG findings included: corrected QT (QTc) \> 450 ms, QTc \>500 ms, change in QTc between 30 and 60 ms, change in QTc greater than or equal to 60 ms.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=334 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Other Pre-specified: Number of Participants With Clinically Significant Electrocardiogram Findings
8 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52

Population: Severely renal-impaired population included all participants who had at least 1 dose of study drug and had severe renal impairment at the baseline or developed severe renal impairment (CrCl) \< 30 milliliter per minute during the study. Here, n' signifies those participants who were evaluable at specified time points.

Creatinine clearance is an indicator of renal function. Creatinine clearance is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Normal values for healthy, young males are in the range of 100-135 milliliters per minute (mL/min) and for females, 90-125 mL/min. Creatinine clearance decreases with age.

Outcome measures

Outcome measures
Measure
Dalteparin Sodium
n=19 Participants
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Baseline (n=17)
46.0 mL/min
Standard Deviation 28.66
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 4 (n=15)
-8.6 mL/min
Standard Deviation 25.39
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 8 (n=13)
2.5 mL/min
Standard Deviation 47.02
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 12 (n=13)
2.1 mL/min
Standard Deviation 58.15
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 16 (n=4)
-9.2 mL/min
Standard Deviation 21.93
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 20 (n=2)
7.7 mL/min
Standard Deviation 7.90
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 24 (n=12)
4.5 mL/min
Standard Deviation 49.62
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 28 (n=1)
-44.0 mL/min
Standard Deviation NA
Standard deviation was not calculated since only 1 participant was evaluable at the given time point.
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 32 (n=1)
-14.0 mL/min
Standard Deviation NA
Standard deviation was not calculated since only 1 participant was evaluable at the given time point.
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 36 (n=8)
5.8 mL/min
Standard Deviation 56.91
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 40 (n=2)
-21.0 mL/min
Standard Deviation 9.90
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 44 (n=2)
-20.0 mL/min
Standard Deviation 4.24
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 48 (n=6)
-26.0 mL/min
Standard Deviation 18.12
Change From Baseline in Creatinine Clearance at Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52 in Severely Renal Impaired Participants
Week 52 (n=11)
4.8 mL/min
Standard Deviation 50.19

Adverse Events

Dalteparin Sodium

Serious events: 213 serious events
Other events: 328 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dalteparin Sodium
n=334 participants at risk
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
Blood and lymphatic system disorders
Anaemia
1.8%
6/334
Blood and lymphatic system disorders
Bone marrow failure
0.30%
1/334
Blood and lymphatic system disorders
Febrile neutropenia
3.6%
12/334
Blood and lymphatic system disorders
Heparin-induced thrombocytopenia
0.60%
2/334
Blood and lymphatic system disorders
Leukocytosis
0.30%
1/334
Blood and lymphatic system disorders
Neutropenia
1.2%
4/334
Blood and lymphatic system disorders
Pancytopenia
0.90%
3/334
Blood and lymphatic system disorders
Thrombocytopenia
1.2%
4/334
Cardiac disorders
Acute myocardial infarction
0.30%
1/334
Cardiac disorders
Angina pectoris
0.30%
1/334
Cardiac disorders
Atrial fibrillation
0.30%
1/334
Cardiac disorders
Atrial flutter
0.60%
2/334
Cardiac disorders
Cardiac failure congestive
0.60%
2/334
Cardiac disorders
Cardio-respiratory arrest
0.30%
1/334
Cardiac disorders
Coronary artery occlusion
0.30%
1/334
Cardiac disorders
Endocarditis noninfective
0.30%
1/334
Cardiac disorders
Myocardial infarction
0.30%
1/334
Ear and labyrinth disorders
Vertigo
0.30%
1/334
Endocrine disorders
Adrenal haemorrhage
0.30%
1/334
Gastrointestinal disorders
Abdominal pain
0.60%
2/334
Gastrointestinal disorders
Ascites
1.5%
5/334
Gastrointestinal disorders
Colitis
0.30%
1/334
Gastrointestinal disorders
Colonic obstruction
0.30%
1/334
Gastrointestinal disorders
Diarrhoea
2.1%
7/334
Gastrointestinal disorders
Diarrhoea haemorrhagic
0.30%
1/334
Gastrointestinal disorders
Duodenal obstruction
0.30%
1/334
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.60%
2/334
Gastrointestinal disorders
Gastritis
0.30%
1/334
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.2%
4/334
Gastrointestinal disorders
Gastrointestinal necrosis
0.30%
1/334
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.30%
1/334
Gastrointestinal disorders
Haematemesis
0.30%
1/334
Gastrointestinal disorders
Intestinal obstruction
0.90%
3/334
Gastrointestinal disorders
Intestinal perforation
0.60%
2/334
Gastrointestinal disorders
Intra-abdominal haemorrhage
0.30%
1/334
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.30%
1/334
Gastrointestinal disorders
Narcotic bowel syndrome
0.30%
1/334
Gastrointestinal disorders
Nausea
1.5%
5/334
Gastrointestinal disorders
Oesophageal obstruction
0.30%
1/334
Gastrointestinal disorders
Pancreatic mass
0.30%
1/334
Gastrointestinal disorders
Pancreatitis
0.30%
1/334
Gastrointestinal disorders
Peritoneal haemorrhage
0.60%
2/334
Gastrointestinal disorders
Rectal haemorrhage
0.90%
3/334
Gastrointestinal disorders
Rectal ulcer haemorrhage
0.30%
1/334
Gastrointestinal disorders
Small intestinal obstruction
1.5%
5/334
Gastrointestinal disorders
Subileus
0.30%
1/334
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.90%
3/334
Gastrointestinal disorders
Varicose veins of abdominal wall
0.30%
1/334
Gastrointestinal disorders
Vomiting
2.4%
8/334
General disorders
Asthenia
0.30%
1/334
General disorders
Chills
0.30%
1/334
General disorders
Device malfunction
0.30%
1/334
General disorders
Device occlusion
0.60%
2/334
General disorders
Disease progression
8.7%
29/334
General disorders
Fatigue
0.30%
1/334
General disorders
General physical health deterioration
0.30%
1/334
General disorders
Mucosal inflammation
0.60%
2/334
General disorders
Multi-organ failure
0.60%
2/334
General disorders
Oedema peripheral
1.2%
4/334
General disorders
Pain
0.60%
2/334
General disorders
Pyrexia
1.5%
5/334
Hepatobiliary disorders
Bile duct obstruction
0.60%
2/334
Hepatobiliary disorders
Cholecystitis
0.30%
1/334
Hepatobiliary disorders
Cholelithiasis
0.60%
2/334
Hepatobiliary disorders
Cholestasis
0.30%
1/334
Hepatobiliary disorders
Gallbladder disorder
0.30%
1/334
Hepatobiliary disorders
Hepatic failure
0.30%
1/334
Hepatobiliary disorders
Jaundice
0.30%
1/334
Infections and infestations
Appendicitis
0.30%
1/334
Infections and infestations
Bacteraemia
0.30%
1/334
Infections and infestations
Bacterial infection
0.30%
1/334
Infections and infestations
Bacterial sepsis
0.30%
1/334
Infections and infestations
Bronchitis
0.30%
1/334
Infections and infestations
Candiduria
0.60%
2/334
Infections and infestations
Cellulitis
3.6%
12/334
Infections and infestations
Clostridial infection
0.60%
2/334
Infections and infestations
Clostridium difficile colitis
0.30%
1/334
Infections and infestations
Device related infection
0.30%
1/334
Infections and infestations
Diverticulitis
0.30%
1/334
Infections and infestations
Escherichia sepsis
0.30%
1/334
Infections and infestations
Gastroenteritis
0.30%
1/334
Infections and infestations
Gastroenteritis viral
0.30%
1/334
Infections and infestations
Haematoma infection
0.30%
1/334
Infections and infestations
Infection
0.30%
1/334
Infections and infestations
Lobar pneumonia
0.60%
2/334
Infections and infestations
Lung abscess
0.30%
1/334
Infections and infestations
Peritonitis
0.60%
2/334
Infections and infestations
Postoperative wound infection
0.30%
1/334
Infections and infestations
Pyelonephritis
0.30%
1/334
Infections and infestations
Respiratory tract infection
0.30%
1/334
Infections and infestations
Sepsis
2.1%
7/334
Infections and infestations
Septic shock
1.2%
4/334
Infections and infestations
Streptococcal sepsis
0.30%
1/334
Infections and infestations
Urinary tract infection
1.5%
5/334
Infections and infestations
Urosepsis
0.90%
3/334
Infections and infestations
Wound infection
0.30%
1/334
Injury, poisoning and procedural complications
Abdominal wound dehiscence
0.30%
1/334
Injury, poisoning and procedural complications
Fractured sacrum
0.30%
1/334
Injury, poisoning and procedural complications
Humerus fracture
0.30%
1/334
Injury, poisoning and procedural complications
Inadequate analgesia
0.30%
1/334
Injury, poisoning and procedural complications
Incisional hernia, obstructive
0.30%
1/334
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.30%
1/334
Injury, poisoning and procedural complications
Meniscus lesion
0.30%
1/334
Injury, poisoning and procedural complications
Pneumothorax traumatic
0.30%
1/334
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.60%
2/334
Injury, poisoning and procedural complications
Procedural complication
0.30%
1/334
Injury, poisoning and procedural complications
Subdural haematoma
0.30%
1/334
Injury, poisoning and procedural complications
Traumatic haematoma
0.30%
1/334
Investigations
Haemoglobin decreased
0.90%
3/334
Investigations
Staphylococcus test positive
0.30%
1/334
Investigations
Weight decreased
0.30%
1/334
Metabolism and nutrition disorders
Dehydration
0.60%
2/334
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.30%
1/334
Metabolism and nutrition disorders
Failure to thrive
0.60%
2/334
Metabolism and nutrition disorders
Hypercalcaemia
0.60%
2/334
Metabolism and nutrition disorders
Hyperglycaemic hyperosmolar nonketotic syndrome
0.30%
1/334
Metabolism and nutrition disorders
Hyperkalaemia
0.90%
3/334
Metabolism and nutrition disorders
Hyperphosphataemia
0.30%
1/334
Metabolism and nutrition disorders
Hypocalcaemia
0.30%
1/334
Metabolism and nutrition disorders
Hypokalaemia
0.30%
1/334
Metabolism and nutrition disorders
Hypomagnesaemia
0.30%
1/334
Metabolism and nutrition disorders
Hyponatraemia
0.90%
3/334
Metabolism and nutrition disorders
Hypovolaemia
0.30%
1/334
Metabolism and nutrition disorders
Malnutrition
0.30%
1/334
Metabolism and nutrition disorders
Tumour lysis syndrome
0.30%
1/334
Metabolism and nutrition disorders
Type 2 diabetes mellitus
0.30%
1/334
Musculoskeletal and connective tissue disorders
Back pain
0.90%
3/334
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.30%
1/334
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.30%
1/334
Musculoskeletal and connective tissue disorders
Osteolysis
0.30%
1/334
Musculoskeletal and connective tissue disorders
Pain in extremity
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma pancreas
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adrenocortical carcinoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm malignant
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchioloalveolar carcinoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix cancer metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
1.2%
4/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma multiforme
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Intracranial tumour haemorrhage
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Liposarcoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
1.8%
6/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
1.2%
4/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant ovarian cyst
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusion
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Mantle cell lymphoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
1.2%
4/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic carcinoma of the bladder
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic pain
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma recurrent
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer stage IV
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal adenocarcinoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
0.90%
3/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oncologic complication
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
1.2%
4/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma
2.4%
8/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastatic
0.90%
3/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer metastatic
0.60%
2/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Sarcoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small cell lung cancer stage unspecified
0.90%
3/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small intestine carcinoma metastatic
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of the cervix
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
T-cell lymphoma recurrent
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour invasion
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour necrosis
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine cancer
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyosarcoma
0.30%
1/334
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Vulval cancer
0.30%
1/334
Nervous system disorders
Brain oedema
0.30%
1/334
Nervous system disorders
Cerebrovascular accident
0.90%
3/334
Nervous system disorders
Embolic cerebral infarction
0.30%
1/334
Nervous system disorders
Haemorrhage intracranial
0.60%
2/334
Nervous system disorders
Haemorrhagic stroke
0.30%
1/334
Nervous system disorders
Headache
0.30%
1/334
Nervous system disorders
Hemiparesis
0.30%
1/334
Nervous system disorders
Neuralgia
0.30%
1/334
Nervous system disorders
Normal pressure hydrocephalus
0.30%
1/334
Nervous system disorders
Paraplegia
0.30%
1/334
Nervous system disorders
Stupor
0.30%
1/334
Nervous system disorders
Syncope
0.30%
1/334
Nervous system disorders
Thrombotic stroke
0.30%
1/334
Nervous system disorders
Transient ischaemic attack
0.30%
1/334
Psychiatric disorders
Delirium
0.30%
1/334
Psychiatric disorders
Depression
0.30%
1/334
Psychiatric disorders
Mental disorder
0.30%
1/334
Psychiatric disorders
Mental status changes
1.2%
4/334
Psychiatric disorders
Substance-induced psychotic disorder
0.30%
1/334
Renal and urinary disorders
Calculus bladder
0.30%
1/334
Renal and urinary disorders
Haematuria
1.2%
4/334
Renal and urinary disorders
Postrenal failure
0.30%
1/334
Renal and urinary disorders
Renal failure
1.5%
5/334
Renal and urinary disorders
Renal failure acute
1.2%
4/334
Renal and urinary disorders
Renal impairment
0.30%
1/334
Reproductive system and breast disorders
Ovarian mass
0.30%
1/334
Reproductive system and breast disorders
Vaginal haemorrhage
0.60%
2/334
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.60%
2/334
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.90%
3/334
Respiratory, thoracic and mediastinal disorders
Emphysema
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.60%
2/334
Respiratory, thoracic and mediastinal disorders
Hiccups
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Lung infiltration
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Painful respiration
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Pleural effusion
3.0%
10/334
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.60%
2/334
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.30%
1/334
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
6.0%
20/334
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.90%
3/334
Respiratory, thoracic and mediastinal disorders
Stridor
0.30%
1/334
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.30%
1/334
Skin and subcutaneous tissue disorders
Urticaria
0.30%
1/334
Vascular disorders
Deep vein thrombosis
2.4%
8/334
Vascular disorders
Embolism venous
0.60%
2/334
Vascular disorders
Hypertension
0.30%
1/334
Vascular disorders
Hypotension
1.2%
4/334
Vascular disorders
Jugular vein thrombosis
0.30%
1/334
Vascular disorders
Subclavian artery stenosis
0.30%
1/334
Gastrointestinal disorders
Small intestinal perforation
0.30%
1/334
Infections and infestations
Pneumonia
6.6%
22/334

Other adverse events

Other adverse events
Measure
Dalteparin Sodium
n=334 participants at risk
Participants received subcutaneous (SC) injection of dalteparin sodium 200 international units per kilogram (IU/kg) once daily (QD) from Week 1-4 followed by SC injection of dalteparin sodium 150 IU/kg QD from Week 5-52.
General disorders
Injection site hematoma
27.2%
91/334
General disorders
Fatigue
26.9%
90/334
Gastrointestinal disorders
Nausea
24.3%
81/334
General disorders
Odema peripheral
24.0%
80/334
Gastrointestinal disorders
Constipation
21.3%
71/334
Gastrointestinal disorders
Diarrhea
18.0%
60/334
Blood and lymphatic system disorders
Anemia
16.2%
54/334
Injury, poisoning and procedural complications
Contusion
15.6%
52/334
Respiratory, thoracic and mediastinal disorders
Dyspnoea
15.6%
52/334
Metabolism and nutrition disorders
Decreased appetite
14.4%
48/334
Musculoskeletal and connective tissue disorders
Back pain
13.5%
45/334
Blood and lymphatic system disorders
Thrombocytopenia
12.6%
42/334
Gastrointestinal disorders
Vomiting
12.6%
42/334
Gastrointestinal disorders
Abdominal pain
12.3%
41/334
General disorders
Disease progression
11.1%
37/334
Respiratory, thoracic and mediastinal disorders
Cough
10.8%
36/334
Metabolism and nutrition disorders
Hypokalemia
10.8%
36/334
Investigations
Weight decreased
10.8%
36/334
Respiratory, thoracic and mediastinal disorders
Epistaxis
10.2%
34/334
Infections and infestations
Pneumonia
10.2%
34/334
Nervous system disorders
Headache
9.9%
33/334
Musculoskeletal and connective tissue disorders
Pain in extremity
9.9%
33/334
Infections and infestations
Urinary tract infection
9.6%
32/334
Respiratory, thoracic and mediastinal disorders
Pleural effusion
9.3%
31/334
Psychiatric disorders
Anxiety
8.1%
27/334
Nervous system disorders
Dizziness
8.1%
27/334
Psychiatric disorders
Insomnia
8.1%
27/334
Blood and lymphatic system disorders
Neutropenia
8.1%
27/334
Musculoskeletal and connective tissue disorders
Arthralgia
7.2%
24/334
Metabolism and nutrition disorders
Dehydration
7.2%
24/334
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
7.2%
24/334
General disorders
Pyrexia
7.2%
24/334
Vascular disorders
Hypotension
6.9%
23/334
Skin and subcutaneous tissue disorders
Alopecia
6.6%
22/334
Gastrointestinal disorders
Ascites
6.6%
22/334
Renal and urinary disorders
Hematuria
6.6%
22/334
Nervous system disorders
Neuropathy peripheral
6.6%
22/334
Skin and subcutaneous tissue disorders
Rash
6.6%
22/334
Infections and infestations
Upper respiratory tract infection
6.6%
22/334
Metabolism and nutrition disorders
Hyponatremia
6.0%
20/334
General disorders
Asthenia
5.7%
19/334
Infections and infestations
Cellulitis
5.7%
19/334
Skin and subcutaneous tissue disorders
Dry skin
5.4%
18/334
Skin and subcutaneous tissue disorders
Ecchymosis
5.4%
18/334
Cardiac disorders
Tachycardia
5.4%
18/334
Investigations
Hemoglobin decreased
5.1%
17/334
General disorders
Injection site hemorrhage
5.1%
17/334
Musculoskeletal and connective tissue disorders
Muscle spasms
5.1%
17/334

Additional Information

Pfizer ClinicalTrials.gov

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER