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NCT04646655: EMOS-COVID
Enoxaparin at Prophylactic or Therapeutic Doses in COVID-19
Phase 3 trial testing Enoxaparin in Covid19 in 142 participants. Completed in 30 April 2023.
16 October 2022
Quick facts
| Lead sponsor | ASST Fatebenefratelli Sacco |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 142 |
| Start date | 27 July 2020 |
| Primary completion | 16 October 2022 |
| Estimated completion | 30 April 2023 |
| Sites | 1 location across Italy |
Drugs / interventions tested
- Enoxaparin — full drug profile →
Conditions studied
- Covid19 — all drugs for Covid19 →
- Thrombosis — all drugs for Thrombosis →
Sponsor
ASST Fatebenefratelli Sacco — full company profile →
Who can join
Adults 18 to 80, any sex, with Covid19 or Thrombosis. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
SINGLE CENTER PHASE III INTERVENTIONAL RANDOMIZED CONTROLLED TRIAL comparing efficacy and safety of enoxaparin at prophylactic dose (standard treatment) and enoxaparin at therapeutic dose (OFF-LABEL treatment) in 300 COVID-19 infected patients with moderate-severe respiratory failure (PaO2/FiO2\<250) and/or increased D-dimer levels enrolled in different Units (Infectious disease, Internal Medicine, Emergency Medicine, Pneumology) of Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco (ASST-FBF-SACCO).
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
Cardiac involvement in the long-term implications of COVID-19.
Satterfield BA, Bhatt DL, Gersh BJ. · · 2022 · cited 101× · PMID 34686843 · DOI 10.1038/s41569-021-00631-3 -
The mechanism underlying extrapulmonary complications of the coronavirus disease 2019 and its therapeutic implication.
Ning Q, Wu D, Wang X, Xi D, et al · · 2022 · cited 64× · PMID 35197452 · DOI 10.1038/s41392-022-00907-1 -
Anticoagulants for people hospitalised with COVID-19: a rapid review
Flumignan RL, Civile VT, Tinôco JDS, Pascoal PI, et al · · 2022 · cited 41× · PMID 35244208 · DOI 10.1002/14651858.cd013739.pub2 -
Neurological complications associated with Covid-19; molecular mechanisms and therapeutic approaches.
Mahboubi Mehrabani M, Karvandi MS, Maafi P, Doroudian M. · · 2022 · cited 29× · PMID 35138001 · DOI 10.1002/rmv.2334 -
COVID-19 and venous thromboembolism: A narrative review.
Angelini DE, Kaatz S, Rosovsky RP, Zon RL, et al · · 2022 · cited 24× · PMID 35224417 · DOI 10.1002/rth2.12666 -
Is It All About Endothelial Dysfunction and Thrombosis Formation? The Secret of COVID-19.
Elyaspour Z, Zibaeenezhad MJ, Razmkhah M, Razeghian-Jahromi I. · · 2021 · cited 11× · PMID 34693754 · DOI 10.1177/10760296211042940 -
Role of Therapeutic Anticoagulation in COVID-19: The Current Situation.
Rahi MS, Parekh J, Pednekar P, Mudgal M, et al · · 2023 · cited 4× · PMID 37367086 · DOI 10.3390/hematolrep15020037 -
Low-molecular-weight heparin for the prevention of clinical worsening in severe non-critically ill COVID-19 patients: a joint analysis of two randomized controlled trials.
Wu MA, Del GIovane C, Colombo R, Dolci G, et al · · 2024 · cited 3× · PMID 37794281 · DOI 10.1007/s11739-023-03439-w
Verify or expand the search:
- PubMed search for NCT04646655
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04646655 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by ASST Fatebenefratelli Sacco
- Last refreshed: 25 July 2023
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