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The primary objective of this 6 month open-label extension trial is to evaluate long-term safety and tolerability of dalteparin in treatment of chronic neuroischaemic foot ulcers in diabetic patients with peripheral arterial occlusive disease (PAOD) and peripheral neuropathy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active | Experimental | Active study treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fragmin | Drug | Pre-filled syringes containing a single dose of 5000 IU Fragmin/ Dalteparin Sodium |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of All Hemorrhages | Major hemorrhages: defined as fatal bleeding, clinically overt bleeding causing a fall in hemoglobin greater than or equal to 20 gram (g)/litre (L) (2 g/ decilitre [dL]), clinically overt bleeding leading to transfusion of greater than or equal to 2 units of whole blood or red cells, or symptomatic bleeding in areas of special concern (intracranial, retroperitoneal, intraocular, intraspinal, pericardial, intramuscular with compartmental syndrome, or intraarticular). Minor hemorrhages: defined as bleeding that did not meet the definition of major bleeding. | Baseline to Week 24 (end of treatment [EOT]) or early termination (ET) |
| Number of Major Hemorrhages | Major hemorrhages: defined as fatal bleeding, clinically overt bleeding causing a fall in hemoglobin greater than or equal to 20 g/L (2 g/dL), clinically overt bleeding leading to transfusion of greater than or equal to 2 units of whole blood or red cells, or symptomatic bleeding in areas of special concern (intracranial, retroperitoneal, intraocular, intraspinal, pericardial, intramuscular with compartmental syndrome, or intraarticular). | Baseline to Week 24 (EOT) or ET |
| Number of Minor Hemorrhages | Minor hemorrhages: defined as bleeding that did not meet the definition of major bleeding. | Baseline to Week 24 (EOT) or ET |
| Number of Clinically Relevant Minor Hemorrhages | Clinically relevant minor (non-major) bleeding was defined as any bleeding compromising hemodynamics, leading to hospitalization, subcutaneous haematoma more than 25 cm^2, intramuscular haematoma, epistaxis lasting for more than 5 minutes, spontaneous gingival bleeding, macroscopic hematuria and gastrointestinal hemorrhage (including at least 1 episode of melaena or hematemesis), rectal blood loss, hemoptysis, and any other bleeding with clinical consequences. | Baseline to Week 24 (EOT) or ET |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Intact Skin Healing | Intact skin healing was defined as 100 percent reduction in ulcer surface area with full epithelialisation. The ulcer area was measured in square millimetre (mm) by measuring the longest width and length of the ulcer after debridement. The area was calculated from an acetate tracing. Ulcers were also documented by standardized photographs. The largest ulcer was considered the study ulcer in participants with multiple ulcers. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Vienna | A-1090 | Austria | |||
| Pfizer Investigational Site |
Not provided
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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This was a follow-up study of A6301083 (NCT00662831)
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| ID | Title | Description |
|---|---|---|
| FG000 | Dalteparin | Dalteparin sodium 5000 International Units (IU) (0.2 mL) administered subcutaneously (s.c.) once daily (OD) for a maximum duration of 24 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Number of Trivial Hemorrhages |
Trivial bleeding was defined as all minor bleeding that did not meet the definition of clinically relevant minor bleeding. |
| Baseline to Week 24 (EOT) or ET |
| Baseline through Week 24 (EOT) or ET |
| Number of Participants With Improved Ulcer Healing | Improved ulcer healing was defined as greater than or equal to 50 percent reduction in ulcer surface area from baseline of the A6301083 study excluding intact skin healing. The ulcer area was measured in square mm by measuring the longest width and length of the ulcer after debridement. Ulcers were also documented by standardized photographs. | Baseline through Week 24 (EOT) or ET |
| Number of Participants Who Underwent Amputation | A major amputation was defined as above the ankle and was reported as below-the-knee and above-the-knee amputations. A minor amputation was defined as below the ankle amputation. | Baseline through Week 24 (EOT) or ET |
| Time to Intact Skin Healing | Median time (in months) taken to achieve intact skin healing which was defined as 100 percent reduction in ulcer surface area with full epithelialisation. | Baseline through Week 24 (EOT) or ET |
| Time to First Amputation | Baseline through Week 24 (EOT) or ET |
| Number of Participants With Major Cardiovascular Disease Events (MCVE) | MCVE were defined as death due to vascular cause; non-fatal myocardial infarction (MI) excluding procedure related to MI; coronary revascularization procedures not related to MIs; hospitalization for unstable angina or non-fatal stroke. | Baseline through Week 24 (EOT) or ET |
| 11-point Likert Pain Scale | The 11 point Likert pain scale which used a 0 (no pain) to 10 (worst possible pain) point rating system was used to assess participant's pain score. No distinction was made between neuropathy and inflammatory (nociceptive) pain. | Baseline and Week 24 (EOT) or ET |
| 36-Item Short-Form Health Survey (SF-36) Score | SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). | Baseline and Week 24 (EOT) or ET |
| Ransart |
| 6043 |
| Belgium |
| Pfizer Investigational Site | Winnipeg | Manitoba | R3A 1R9 | Canada |
| Pfizer Investigational Site | Prague | 150 06 | Czechia |
| Pfizer Investigational Site | Zlín | 760 01 | Czechia |
| Pfizer Investigational Site | Aarhus C | 8000 | Denmark |
| Pfizer Investigational Site | Karlsbad | 76307 | Germany |
| Pfizer Investigational Site | Melissia/Athens | 15127 | Greece |
| Pfizer Investigational Site | Florence | 50139 | Italy |
| Pfizer Investigational Site | Tønsberg | 3103 | Norway |
| Pfizer Investigational Site | Lodz | 90-153 | Poland |
| Pfizer Investigational Site | Puławy | 24-100 | Poland |
| Pfizer Investigational Site | Warsaw | 02-097 | Poland |
| Pfizer Investigational Site | Wroclaw | 51-124 | Poland |
| Pfizer Investigational Site | Moscow | Russia | 119034 | Russia |
| Pfizer Investigational Site | Moscow | 123423 | Russia |
| Pfizer Investigational Site | Moscow | 127486 | Russia |
| Pfizer Investigational Site | Saint Petersburg | 194156 | Russia |
| Pfizer Investigational Site | Karlstad | 651 85 | Sweden |
| Pfizer Investigational Site | Malmö | 205 02 | Sweden |
| Pfizer Investigational Site | Stockholm | 118 83 | Sweden |
| Pfizer Investigational Site | Stockholm | 171 76 | Sweden |
| Pfizer Investigational Site | Stockholm | 182 88 | Sweden |
| Pfizer Investigational Site | Kharkiv | 61002 | Ukraine |
| Pfizer Investigational Site | Kyiv | 02091 | Ukraine |
| Pfizer Investigational Site | Lviv | 79010 | Ukraine |
| Pfizer Investigational Site | Birmingham | B9 5SS | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Dalteparin | Dalteparin sodium 5000 International Units (IU) (0.2 mL) administered subcutaneously (s.c.) once daily (OD) for a maximum duration of 24 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of All Hemorrhages | Major hemorrhages: defined as fatal bleeding, clinically overt bleeding causing a fall in hemoglobin greater than or equal to 20 gram (g)/litre (L) (2 g/ decilitre [dL]), clinically overt bleeding leading to transfusion of greater than or equal to 2 units of whole blood or red cells, or symptomatic bleeding in areas of special concern (intracranial, retroperitoneal, intraocular, intraspinal, pericardial, intramuscular with compartmental syndrome, or intraarticular). Minor hemorrhages: defined as bleeding that did not meet the definition of major bleeding. | Safety analysis population included all participants who were known to have taken at least one dose of the study medication. | Posted | Number | Hemorrhages | Baseline to Week 24 (end of treatment [EOT]) or early termination (ET) |
|
|
| ||||||||||||||||||||||||||
| Primary | Number of Major Hemorrhages | Major hemorrhages: defined as fatal bleeding, clinically overt bleeding causing a fall in hemoglobin greater than or equal to 20 g/L (2 g/dL), clinically overt bleeding leading to transfusion of greater than or equal to 2 units of whole blood or red cells, or symptomatic bleeding in areas of special concern (intracranial, retroperitoneal, intraocular, intraspinal, pericardial, intramuscular with compartmental syndrome, or intraarticular). | Safety analysis population included all participants who were known to have taken at least one dose of the study medication. | Posted | Number | Hemorrhages | Baseline to Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Primary | Number of Minor Hemorrhages | Minor hemorrhages: defined as bleeding that did not meet the definition of major bleeding. | Safety analysis population included all participants who were known to have taken at least one dose of the study medication. | Posted | Number | Hemorrhages | Baseline to Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Primary | Number of Clinically Relevant Minor Hemorrhages | Clinically relevant minor (non-major) bleeding was defined as any bleeding compromising hemodynamics, leading to hospitalization, subcutaneous haematoma more than 25 cm^2, intramuscular haematoma, epistaxis lasting for more than 5 minutes, spontaneous gingival bleeding, macroscopic hematuria and gastrointestinal hemorrhage (including at least 1 episode of melaena or hematemesis), rectal blood loss, hemoptysis, and any other bleeding with clinical consequences. | Safety analysis population included all participants who were known to have taken at least one dose of the study medication. | Posted | Number | Hemorrhages | Baseline to Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Primary | Number of Trivial Hemorrhages | Trivial bleeding was defined as all minor bleeding that did not meet the definition of clinically relevant minor bleeding. | Safety analysis population included all participants who were known to have taken at least one dose of the study medication. | Posted | Number | Hemorrhages | Baseline to Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants With Intact Skin Healing | Intact skin healing was defined as 100 percent reduction in ulcer surface area with full epithelialisation. The ulcer area was measured in square millimetre (mm) by measuring the longest width and length of the ulcer after debridement. The area was calculated from an acetate tracing. Ulcers were also documented by standardized photographs. The largest ulcer was considered the study ulcer in participants with multiple ulcers. | Intent to treat (ITT) population included all participants who were enrolled into the study. | Posted | Number | Participants | Baseline through Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants With Improved Ulcer Healing | Improved ulcer healing was defined as greater than or equal to 50 percent reduction in ulcer surface area from baseline of the A6301083 study excluding intact skin healing. The ulcer area was measured in square mm by measuring the longest width and length of the ulcer after debridement. Ulcers were also documented by standardized photographs. | ITT population included all participants who were enrolled into the study. | Posted | Number | Participants | Baseline through Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants Who Underwent Amputation | A major amputation was defined as above the ankle and was reported as below-the-knee and above-the-knee amputations. A minor amputation was defined as below the ankle amputation. | ITT population included all participants who were enrolled into the study. | Posted | Number | Participants | Baseline through Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Time to Intact Skin Healing | Median time (in months) taken to achieve intact skin healing which was defined as 100 percent reduction in ulcer surface area with full epithelialisation. | The data was not analyzed as planned because the study enrollment was terminated before the planned number of randomized participants was obtained. | Posted | Median | 95% Confidence Interval | Months | Baseline through Week 24 (EOT) or ET |
|
| ||||||||||||||||||||||||||
| Secondary | Time to First Amputation | The data was not analyzed as planned because the study enrollment was terminated before the planned number of randomized participants was obtained. | Posted | Median | 95% Confidence Interval | Months | Baseline through Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants With Major Cardiovascular Disease Events (MCVE) | MCVE were defined as death due to vascular cause; non-fatal myocardial infarction (MI) excluding procedure related to MI; coronary revascularization procedures not related to MIs; hospitalization for unstable angina or non-fatal stroke. | The data was not analyzed as planned because the study enrollment was terminated before the planned number of randomized participants was obtained. | Posted | Number | Participants | Baseline through Week 24 (EOT) or ET |
|
| |||||||||||||||||||||||||||
| Secondary | 11-point Likert Pain Scale | The 11 point Likert pain scale which used a 0 (no pain) to 10 (worst possible pain) point rating system was used to assess participant's pain score. No distinction was made between neuropathy and inflammatory (nociceptive) pain. | ITT population included all participants who were enrolled into the study. | Posted | Mean | Standard Deviation | Units on a scale | Baseline and Week 24 (EOT) or ET |
|
| ||||||||||||||||||||||||||
| Secondary | 36-Item Short-Form Health Survey (SF-36) Score | SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). | ITT population included all participants who were enrolled into the study. This was calculated only when more than half of the questions within dimension were answered. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively. | Posted | Mean | Standard Deviation | Units on a scale | Baseline and Week 24 (EOT) or ET |
|
|
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The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Dalteparin | Dalteparin sodium 5000 International Units (IU) (0.2 mL) administered subcutaneously (s.c.) once daily (OD) for a maximum duration of 24 weeks. | 11 | 62 | 26 | 62 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Erysipelas | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Gangrene | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Infected skin ulcer | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 13.1 | Non-systematic Assessment |
| |
| Femoral neck fracture | Injury, poisoning and procedural complications | MedDRA 13.1 | Non-systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Carpal tunnel syndrome | Nervous system disorders | MedDRA 13.1 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Panophthalmitis | Eye disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Haemorrhoidal haemorrhage | Gastrointestinal disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Ulcer haemorrhage | General disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Diabetic foot infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Erysipelas | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Folliculitis | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Infected skin ulcer | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Orchitis | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Tooth infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Wound infection | Infections and infestations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Chest injury | Injury, poisoning and procedural complications | MedDRA 13.1 | Non-systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 13.1 | Non-systematic Assessment |
| |
| Wound | Injury, poisoning and procedural complications | MedDRA 13.1 | Non-systematic Assessment |
| |
| Body temperature increased | Investigations | MedDRA 13.1 | Non-systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Osteitis | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Sleep disorder | Psychiatric disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Decubitus ulcer | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Diabetic ulcer | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Dry gangrene | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Skin discolouration | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Skin ulcer | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Tooth extraction | Surgical and medical procedures | MedDRA 13.1 | Non-systematic Assessment |
| |
| Circulatory collapse | Vascular disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Hypertensive crisis | Vascular disorders | MedDRA 13.1 | Non-systematic Assessment |
| |
| Intra-abdominal haematoma | Vascular disorders | MedDRA 13.1 | Non-systematic Assessment |
|
Study enrollment was terminated before planned number of participants was obtained. Although randomized participants were allowed to complete entire course of therapy according to protocol and study status was therefore designated as completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
| D007871 | Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
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| ID | Term |
|---|---|
| D017985 | Dalteparin |
| ID | Term |
|---|---|
| D006495 | Heparin, Low-Molecular-Weight |
| D006493 | Heparin |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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