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. 2021 Mar 26;19(5):1174–1185. doi: 10.1111/jth.15290

TABLE 3.

Study characteristics of the included studies

Study

No. of

patients

Inclusion criteria

for pregnancy loss

Inclusion criteria

for aPL antibodies

Treatment Comparator Ref
Aspirin vs. placebo
Pattison 2000 40 ≥3 pregnancy losses aCL antibodies or positive LAC on 2 occasions Aspirin 75 mg/day Placebo 27
Heparin +Aspirin vs. Aspirin
Kutteh 1996a 50 ≥3 spontaneous consecutive losses Presence of aPL antibodies on 2 occasions a

UFH 5000 U bidaily +

Aspirin 81 mg/day

Aspirin 81 mg/day 28
Rai 1997 90 ≥3 consecutive losses aCL antibodies or positive LAC on 2 occasions, at least 8 weeks apart

UFH 5000 U bidaily +

Aspirin 75 mg/day

Aspirin 75 mg/day 29
Farquharson 2002 98 ≥3 consecutive losses or 2 losses >10 weeks aCL antibodies or positive LAC on 2 occasions, at least 6 weeks apart

Dalteparin 5000 U/day +

Aspirin 75 mg/day

Aspirin 75 mg/day 30
Laskin 2009 42 ≥2 unexplained consecutive losses <32 weeks aCL antibodies or positive LAC on 2 occasions, at least 8 weeks apart

Dalteparin 5000 U/day +

Aspirin 81 mg/day

Aspirin 81 mg/day 31
Bao 2017 1015 ≥2 consecutive losses Presence of any aPL antibodies on 2 occasions, at least 12 weeks apart

Nadroparin 4100 IU/day +

Aspirin 75 mg/day

Aspirin 75 mg/day 32
Heparin vs.ASPIRIN
Alalaf 2012 141 ≥2 consecutive losses <20 weeks aCL antibodies or positive LAC on 2 occasions, at least 8 weeks apart Bemiparin 2500 IU/day Aspirin 100 mg/day 33
LMWH +Aspirin vs.UFH + Aspirin
Stephenson 2004 26 ≥3 unexplained losses <10 weeks or ≥1 loss ≥10 weeks aCL antibodies or positive LAC on 2 occasions, at least 6 weeks apart

Dalteparin 2500–5000–7500 IU/day b

+ Aspirin 81 mg/day

UFH 5000–7500–10000 U bid c

+ Aspirin 81 mg /day

34

Fouda 2011 60 ≥3 consecutive losses <10 weeks aCL antibodies or positive LAC on 2 occasions, at least 12 weeks apart

Enoxaparin 40 mg/day +

Aspirin 75 mg/day

UFH 5000 U bidaily +

Aspirin 75 mg/day

35
Higher dose Heparin + ASPIRIN vs.lower dose Heparin + Aspirin
Kutteh 1996b 50 ≥3 documented losses Presence of aPL antibodies on 2 occasions a UFH 5000 U bidaily (higher PTT) c + Aspirin 81 mg/day UFH 5000 U bidaily (lower PTT) b + Aspirin 81 mg/day 36
Fouda 2010 60 ≥3 consecutive losses <10 weeks aCL antibodies or positive LAC on 2 occasions, at least 12 weeks apart

Enoxaparin 40 mg/day +

Aspirin 75 mg/day

Enoxaparin 20 mg/day +

Aspirin 75 mg/day

37

Abbreviations: aCL=anticardiolipin antibodies; aPL, antipohospholipid antibodies; LAC, lupus anticoagulant; LMWH, low molecular weight heparin; PTT, partial thromboplastin time; U, (international) units; UFH, unfractionated heparin.

a

aPL and timeframe between tests not specified; LAC positivity was an exclusion criterion.

b

LMWH 2500 IU/day in 1st trimester, 5000 IU/day in 2nd trimester, 7500 IU/day in 3rd trimester; UFH 5000 IU bidaily in 1st trimester, 7500 IU in 2nd trimester, 10.000 IU in 3rd trimester.

c

UFH dose adjusted to maintain the PTT at 1.2 to 1.5 times the baseline (high‐dose); UFH dose adjusted to maintain PTT at the upper limit of normal (low‐dose).