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    The EU Clinical Trials Register currently displays   43873   clinical trials with a EudraCT protocol, of which   7292   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

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    Clinical Trial Results:
    Kan behandling med lavmolekylært heparin under graviditet med intrauterin væksthæmning øge fostervæksten?

    Summary
    EudraCT number
    2011-000818-20
    Trial protocol
    DK  
    Global end of trial date
    30 Dec 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    27 Dec 2020
    First version publication date
    27 Dec 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    2009/318
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Aarhus University Hospital
    Sponsor organisation address
    palle Juul-jensens Boulevard 99, Aarhus N, Denmark, 8200
    Public contact
    Anette Tarp Hansen, Aarhus University Hospital , anette.tarp.hansen@dadlnet.dk
    Scientific contact
    Anette Tarp Hansen, Aarhus University Hospital , anette.tarp.hansen@dadlnet.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Dec 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Dec 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Dec 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Fødselsvægt/Birth weight
    Protection of trial subjects
    Monitoring by center for Good Clinical Practice, Aarhus University Hospital. Upon first injection of active drug, study participants stayed 30 minutes for taking care of hypothetical allergic reactions. Control of platelets 14 days after randomisation to exclude heparin induced thrombocytopenia Plasma creatinine measured upon inclusion to exlude renal impairment
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Nov 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 53
    Worldwide total number of subjects
    53
    EEA total number of subjects
    53
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    53
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Inclusion criteria: 1. Singleton pregnancy 2. FGR: Estimated fetal weigth is -22 % of expected or increased resistance in the uter-ine arteries: pulsatility index>1.7. 3. Can understand and read Danish

    Pre-assignment
    Screening details
    Inclusion criteria: 1. Singleton pregnancy 2. FGR: Estimated fetal weigth is -22 % of expected or increased resistance in the uter-ine arteries: pulsatility index>1.7. 3. Can understand and read Danish

    Pre-assignment period milestones
    Number of subjects started
    53
    Number of subjects completed
    53

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment arm
    Arm description
    Tinzaparin 4,500 IE daily subcutaneously until 37 gestational weeks or delivery
    Arm type
    Experimental

    Investigational medicinal product name
    Innohep
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Innohep 4,500 IE once daily dose subcutaneously

    Arm title
    No treatment
    Arm description
    No intervention
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 1
    Treatment arm No treatment
    Started
    27
    26
    Completed
    27
    26

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment arm
    Reporting group description
    Tinzaparin 4,500 IE daily subcutaneously until 37 gestational weeks or delivery

    Reporting group title
    No treatment
    Reporting group description
    No intervention

    Reporting group values
    Treatment arm No treatment Total
    Number of subjects
    27 26 53
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    27 26 53
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    33 ± 6 32 ± 6 -
    Gender categorical
    Units: Subjects
        Female
    27 26 53
        Male
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    Treatment arm
    Reporting group description
    Tinzaparin 4,500 IE daily subcutaneously until 37 gestational weeks or delivery

    Reporting group title
    No treatment
    Reporting group description
    No intervention

    Primary: Birth weight

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    End point title
    Birth weight [1]
    End point description
    End point type
    Primary
    End point timeframe
    At delivery
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical analysis are described in the published paper (please follow the attached link)
    End point values
    Treatment arm No treatment
    Number of subjects analysed
    27
    26
    Units: grams
    2222
    1968
    No statistical analyses for this end point

    Primary: Birthweight % of expected

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    End point title
    Birthweight % of expected [2]
    End point description
    End point type
    Primary
    End point timeframe
    At delivery
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical analysis are described in the published paper (please follow the attached link)
    End point values
    Treatment arm No treatment
    Number of subjects analysed
    27
    26
    Units: percentage
    71
    69
    No statistical analyses for this end point

    Primary: Average fetal growth rate

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    End point title
    Average fetal growth rate [3]
    End point description
    End point type
    Primary
    End point timeframe
    The measurable unit is really a growth rate, e.g., grams/week as measured from baseline to delivery.
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The statistical analysis are described in the published paper (please follow the attached link)
    End point values
    Treatment arm No treatment
    Number of subjects analysed
    27
    26
    Units: grams
        arithmetic mean (confidence interval 95%)
    124 (110 to 138)
    119 (99 to 139)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Every second week from randomisation until date of delivery
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    13
    Frequency threshold for reporting non-serious adverse events: 0%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: We observed no non-serious or serious adverse events related to the trial or trial drug. in the linked published paper, we describe adverse events not related to the trial and trial drug.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Jun 2014
    Adding of additional study center for improving the number of elligible patients
    13 Jan 2016
    Change of data sources

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/30114561
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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