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. 2022 Mar 4;2022(3):CD013739. doi: 10.1002/14651858.CD013739.pub2

NCT04508439.

Study name Effect of the use of anticoagulant therapy during hospitalization and discharge in patients with COVID‐19 infection
Starting date 20 June 2020
Contact information Omar Ramos‐Peñafiel, MD, PhD
Hospital Regional de Alta Especialidad de Ixtapaluca
Mexico City, Ixtapaluca, Mexico, 56530
+525523351588 | christian.ramos.penafiel@gmail.com
Methods Double‐blind, 1:1, parallel‐assignment RCT
Participants 130 participants, ≥ 18 years, female and male
Inclusion criteria:
  • Patients with a diagnosis of COVID‐19 infection confirmed by RQ‐PCR requiring hospital care for the administration of supplemental oxygen


Exclusion criteria:
  • Patients with life expectancy < 48h

  • Patients who require ventilatory support upon admission

  • Age > 75 years or with a history of atrial fibrillation

  • History of venous or arterial thrombosis

  • Severe neurological impairment

  • Absence of a primary caregiver to supervise the administration of medication

  • History of cerebral haemorrhage

  • History of previous use of oral anticoagulants

  • History of major surgery 30 days prior to admission

  • Uncontrolled systemic arterial hypertension

  • KDIGO stage III chronic kidney disease or less

  • Haemodialysis or peritoneal dialysis treatment

  • History of active or inactive cancer

  • Pregnant or postpartum patients

Interventions Experimental: prophylactic enoxaparin
  • Enoxaparin dose of 1 mg/kg/dose twice daily


Comparator: therapeutic enoxaparin
  • Enoxaparin dose of 1 mg/kg/dose daily

Outcomes Primary
  • LMWH (enoxaparin) and ventilatory support time (time frame: 30 days)

  • Thrombotic complications and rivaroxaban (time frame: 30 days)

  • LMWH (enoxaparin) and length of hospital stay (time frame: 30 days)

  • LMWH (enoxaparin) and mortality rate (time frame: 30 days)

Notes NCT04508439 | No data provided