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