W. Klein et al., FRAGMIN IN UNSTABLE ANGINA-PECTORIS OR IN NON-Q-WAVE ACUTE MYOCARDIA INFARCTION (THE FRIC STUDY), The American journal of cardiology, 80, 1997, pp. 30-34
The safety and efficacy of weight-adjusted, low-molecular-weight hepar
in (dalteparin) was compared with that of unfractionated heparin durin
g 6 days of treatment in 1,482 patients with unstable angina or non-Q-
wave myocardial infarction, Dalteparin, at a lower dose, was compared
with placebo during the following 39 days, No significant outcome diff
erence was found between the 2 treatment regimens in the unblinded pha
se (days 1-6), Between days 6-45 the rates of death, myocardial infarc
tion, and recurrence of angina were comparable between the active trea
tment and placebo groups, The results suggest that twice-daily adminis
tration of subcutaneous dalteparin may be an effective and safe altern
ative to unfractionated heparin during the acute phase of unstable cor
onary artery disease, Prolonged treatment with dalteparin at a lower o
nce-daily dose did not confer any additional benefit over aspirin (75-
165 mg) alone, (C) 1997 by Excerpta Medica, Inc.