Global Heparin Industrial Chain

Techdow has a fully integrated global operation covering the entire heparin industrial chain, from the supply of raw materials and the manufacturing of APIs, to the scaled manufacturing of enoxaparin preparations. Techdow is among the few Chinese biopharmaceutical companies with a globally integrated close-loop operation in all parts of the heparin industrial chain. Techdow's integrated supply chain management system, designed to deliver traceability, quality, and reliable supply of raw materials, can ensure high product yield and quality.

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Approved Indications of Enoxaparin in China

1 drug adopted for treatment in

Enoxaparin sodium injection

4 therapeutic areas

  • Prophylaxis of VTE diseases:

    Prophylaxis of VTE in total hip arthroplasty (THA)

    Prophylaxis of VTE in total knee arthroplasty (TKA)

    Prophylaxis of VTE in orthopedic trauma

    Prophylaxis of VTE in pelvic surgery

    Prophylaxis of VTE in general surgery

    Prophylaxis of VTE in medical treatment

  • Treatment of existing DVT:

    Anticoagulant treatment of DVT with or without pulmonary embolism

  • NSTE-ACS:

    Anticoagulant in the treatment of unstable angina / non-Q wave myocardial infarction

    Anticoagulant in PCI treatment

    STEMI:

    Anticoagulant in the medical treatment of STEMI

    Anticoagulant in PCI treatment

  • Hemodialysis:

    Prevention of thrombosis in the extra-corporeal circulation of hemodialysis

  • VTE:venous thromboembolism
  • DVT:deep venous thrombosis
  • NSTE-ACS:Non-ST elevation-acute coronary syndrome
  • STEMI:ST-segment elevation myocardial infarction
  • PCI:percutaneous coronary intervention

Clinical Applications and Guideline Recommendations of Enoxaparin

  • Respiratory Diseases

    Clinical Applications

    Patients with following underlying risk factors

    Varicosity, chronic heart failure, malignant tumor, hemiparesis, prior VTE, or aged>75yrs;

    and

    Acute myocardial infarction with high risk of VTE

    Transient ischemic attack

    Acute/severe chronic obstructive pulmonary disease patients who are bedridden or with infections, polycythemia, hard-to-treat heart failure, or in need of non-invasive or Invasive mechanical ventilation due to respiratory failure

    High VTE risk patients in ICU

    Therapeutic Advantage and Guideline Recommendation

    ACC9 Guideline

    Recommended by the China Guideline issued in 2015

    6-14 days of prophylaxis (LMWH/LDUH/mechanical prophylaxis) in hospitalized high VTE risk patients with a Padua score≥4

  • COVID-19 Infections

    Clinical Applications

    Patients with COVID-19 infection and concomitant VTE

    Therapeutic Advantage and Guideline Recommendation

    WHO recommendations for the prevention of VTE associated with COVID-19 infections

  • Internal Medicine

    Clinical Applications

    Hospitalized patients with high VTE risk

    Patients with acute myocardial infarction and high risk of VTE

    Transient ischemic attack patients

    Acute/severe chronic obstructive pulmonary disease patients who are bedridden or with infections, polycythemia, hard-to-treat heart failure, or in need of non-invasive or Invasive mechanical ventilation due to respiratory failure

    High VTE risk patients in ICU

    Therapeutic Advantage and Guideline Recommendation

    The 2015 guideline issued in China recommends 6-14 days of prophylaxis (LMWH/LDUH/mechanical VTE prophylaxis) in hospitalized high VTE-risk patients with a Padua score≥4

  • Cardiology

    Clinical Applications

    Patients with ACS with or without prior PCI treatment

    Non-ST elevation-acute coronary syndrome (NSTE-ACS)

    Unstable angina (UA)

    ST-segment elevation myocardial infarction (STEMI)

    Therapeutic Advantage and Guideline Recommendation

    2014 AHA and ACS Guidelines 

    2018 ECS Guideline 

    2020 Guideline for the primary care of patients with STEMI 

    Chinese expert’s consensus on the use of enoxaparin for anticoagulation in patients with ACS 

    The TIMI 11B study

  • Gynecology and obstetrics / reproductive health*

    Clinical Applications

    Pregnant patients with acute VTE or prior VTE

    C-section patients, especially those with obesity, gestational diabetes, gestational hypertension, gemellary pregnancy, or prior c-section

    Potential application in the treatment of patients with recurrent spontaneous abortion (RSA)

    *Only use enoxaparin during pregnancy when doctors deem it necessary. Please see Prolongin®product insert for more information.

    Therapeutic Advantage and Guideline Recommendation

    ACOG Guidelines: LMWH is the preferred anticoagulant for the prevention of thrombosis during pregnancy

    Enoxaparin does not cross the placenta, is therefore safer to the pregnant woman and the fetus

    Meta-analysis showed that LMWH can improve the rate of live birth and reduce abortion

    Chinese Experts’ Consensus on the Use of LMWH in the Prevention of Spontaneous Abortions has commended LMWH in the prevention and treatment of RSA patients with PTS, APS, or AID etc**.

    **RSA, recurrent spontaneous abortion. PTS, postthrombotic syndrome. APS, antiphospholipid antibody syndrome. AID, autoimmune disorder
  • Neurology

    Clinical Applications

    Transient ischemic attack (TIA)

    Therapeutic Advantage and Guideline Recommendation

    2015 consensus on the comprehensive prevention of thrombosis: patients with TIA should be considered for LMWH treatment as early as possible. The consensus also recommends to combine LMWH with mechanical VTE prophylaxis

  • Burns and vascular surgery

    Clinical Applications

    Burn patients and patients receiving surgical treatment

    Therapeutic Advantage and Guideline Recommendation

    Based on Caprini risk modeling, Guideline recommends LMWH as anticoagulant in surgical patients with mid/high VTE risk (Caprini score >3)

  • Cancer

    Clinical Applications

    Prevention and treatment of VTE in cancer patients

    Therapeutic Advantage and Guideline Recommendation

    ASCO, ESMO, NCCN, and BJH Guidelines

  • Orthopedics

    Clinical Applications

    Patients receiving major orthopedic surgeries such as

    Total hip arthroplasty (THA)

    Total knee arthroplasty (TKA)

    Hip fracture surgery (HFS)

    Femoral neck, Intertrochanteric, or subtrochanteric fixations

    Patients with orthopedic injuries

    Therapeutic Advantage and Guideline Recommendation

    Patients undergoing major orthopedic surgeries require routine prophylaxis of VTE that should be determined by the VTE risk score

    Medicinal prophylaxis is required in patients with Caprini score ≥2

    Enoxaparin can significantly reduce the incidence of DVT and PTE without increasing the risk of excessive bleeding in patients who received major orthopedic surgeries

  • Surgery

    Clinical Applications

    Mid/High-risk surgical patients and high-risk surgical patients with abdominal / pelvic tumor (Caprini score≥3)

    Therapeutic Advantage and Guideline Recommendation

    The 2016 ACCP guideline for the prevention of VTE in non-orthopedic surgical patients recommends LMWH for anticoagulation in surgical patients with mid/high VTE risks (Caprini score>3)

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