Enoxaparin (Lovenox, Clexane)

Other Medications · Approved since 1993

US FDA Approved EU EMA Approved ES Funded by SNS other indication Subcutaneous 2 Clinical Trials
Factor Xa Factor IIa (thrombin)

Description

Enoxaparin is a low molecular weight heparin anticoagulant used for venous thromboembolism prophylaxis and treatment in colorectal cancer patients. In CRC care, it serves as supportive therapy to prevent blood clots that commonly occur due to cancer-induced hypercoagulability and prolonged immobilization during treatment. The clinical trials indicate its use for thromboprophylaxis in cancer patients with elevated tissue factor-bearing microparticles and for preventing radiation-induced liver toxicity when combined with other hepatoprotective agents.

Mechanism of Action

Enoxaparin binds to antithrombin III and accelerates its inhibition of factor Xa and thrombin (factor IIa), with preferential activity against factor Xa. This anticoagulant effect disrupts the coagulation cascade, preventing fibrin formation and subsequent clot development in cancer patients who have increased thrombotic risk.

Molecular Targets

Side Effects

Bleeding Bruising Injection site reactions Thrombocytopenia Elevated liver enzymes Osteoporosis with long-term use Allergic reactions Spinal hematoma

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT01149304 Phase 2
Completed
Preventive Effect of Enoxaparin, Pentoxifylline and Ursodeoxycholic Acid to Radiation Induced Liver Toxicity
Germany
NCT00908960 Phase 2
Archived
Enoxaparin Thromboprophylaxis in Cancer Patients With Elevated Tissue Factor Bearing Microparticles
United States