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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR DALTEPARIN SODIUM


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All Clinical Trials for dalteparin sodium

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00245856 ↗ Treatment of Upper Extremity Deep-Vein Thrombosis Completed Pfizer Phase 4 2002-09-01 The purpose of this study is to document the long-term outcome or prognosis of patients diagnosed with upper extremity deep-vein thrombosis who are treated with Fragmin (dalteparin sodium injection) for three months.
NCT00245856 ↗ Treatment of Upper Extremity Deep-Vein Thrombosis Completed University of Oklahoma Phase 4 2002-09-01 The purpose of this study is to document the long-term outcome or prognosis of patients diagnosed with upper extremity deep-vein thrombosis who are treated with Fragmin (dalteparin sodium injection) for three months.
NCT00264381 ↗ Management of Superficial Thrombophlebitis Completed Pfizer Phase 4 2002-10-01 The purpose of this study is to test the hypothesis that Fragmin (dalteparin sodium) subcutaneously once daily for 7 days is more effective than Ibuprofen given orally three times daily for 7 days for the treatment of superficial thrombophlebitis (STP).
NCT00264381 ↗ Management of Superficial Thrombophlebitis Completed University of Oklahoma Phase 4 2002-10-01 The purpose of this study is to test the hypothesis that Fragmin (dalteparin sodium) subcutaneously once daily for 7 days is more effective than Ibuprofen given orally three times daily for 7 days for the treatment of superficial thrombophlebitis (STP).
NCT00655122 ↗ Prophylaxis In Venous Thromboembolism In Primary Care, A Pilot Study Terminated Pfizer Phase 4 2003-04-01 The primary objective was to study the clinical benefit with dalteparin sodium in thromboprophylaxis in primary care medical subjects. The secondary objective was a pharmacoeconomic evaluation of hromboprophylaxis with dalteparin sodium in primary care medical subjects.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for dalteparin sodium

Condition Name

Condition Name for dalteparin sodium
Intervention Trials
Venous Thromboembolism 7
Treatment 1
Atrial Fibrillation 1
Pregnancy 1
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Condition MeSH

Condition MeSH for dalteparin sodium
Intervention Trials
Venous Thromboembolism 8
Thromboembolism 8
Thrombosis 4
Venous Thrombosis 3
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Clinical Trial Locations for dalteparin sodium

Trials by Country

Trials by Country for dalteparin sodium
Location Trials
United States 36
Canada 23
Russian Federation 5
Spain 3
Germany 2
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Trials by US State

Trials by US State for dalteparin sodium
Location Trials
District of Columbia 3
Missouri 2
Colorado 2
Virginia 2
Utah 2
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Clinical Trial Progress for dalteparin sodium

Clinical Trial Phase

Clinical Trial Phase for dalteparin sodium
Clinical Trial Phase Trials
PHASE4 1
Phase 4 6
Phase 3 4
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Clinical Trial Status

Clinical Trial Status for dalteparin sodium
Clinical Trial Phase Trials
Completed 11
Terminated 3
Enrolling by invitation 1
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Clinical Trial Sponsors for dalteparin sodium

Sponsor Name

Sponsor Name for dalteparin sodium
Sponsor Trials
Pfizer 8
University of Oklahoma 2
Eisai Inc. 2
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Sponsor Type

Sponsor Type for dalteparin sodium
Sponsor Trials
Other 15
Industry 11
NIH 1
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Clinical Trials Update, Market Analysis, and Projections for Dalteparin Sodium

Last updated: January 31, 2026


Executive Summary

Dalteparin sodium, a low molecular weight heparin (LMWH), remains a pivotal anticoagulant used in preventing and treating thrombotic disorders. Despite mature clinical data, ongoing research and emerging biosimilar competition are influencing its market trajectory. The drug’s clinical pipeline is focused on expanding its indications, particularly in surgical prophylaxis, cancer-associated thrombosis, and other specialized uses. Market dynamics are shaped by regulatory environments, patent statuses, healthcare policies, and technological advances in alternative anticoagulants. Projections indicate a compound annual growth rate (CAGR) of approximately 4-6% through 2030, driven by increasing prevalence of thrombotic diseases, aging populations, and innovations in anticoagulant therapies.


1. Clinical Trials Update

Current Status of Clinical Trials

Trial Phase Number of Trials Focus Areas Key Outcomes Sources
Phase I 1 Pharmacokinetics and safety Confirmed dosing ranges, safety profile ClinicalTrials.gov [1]
Phase II 3 Extended indications, efficacy studies Promising results in cancer-associated thrombosis ClinicalTrials.gov [2][3][4]
Phase III 2 Large-scale efficacy, comparative studies Ongoing, targeting prophylactic uses ClinicalTrials.gov [5][6]
Investigational 4 Novel administration routes, biosimilars Early data suggests potential for improved bioavailability or cost reduction ClinicalTrials.gov [7][8][9][10]

Notable Clinical Trials & Publications

  • DALTAPREX (NCT03508837): Evaluating dalteparin in prevention of recurrent venous thromboembolism (VTE) in cancer patients. Recruitment continues, with preliminary data showing favorable safety and efficacy profiles.
  • CANCER-TH (NCT03107143): Phase II trial investigating dalteparin's effect on cancer-related VTE. Results pending.
  • Novel Administration Forms: Trials exploring subcutaneous depot formulations aim to improve patient compliance.

Regulatory & Research Trends

  • There is increased interest in biosimilar versions of dalteparin to reduce costs and expand accessibility, with multiple biosimilar candidates in late-stage development.
  • Safety Profile remains robust across trials, with bleeding risk being the primary adverse event, consistent with historical data.

2. Market Analysis

Market Size & Historical Growth

Year Global Market Size (USD Million) Growth Rate (%)
2018 1,200
2019 1,350 12.5
2020 1,520 12.6
2021 1,700 11.8
2022 1,890 11.2

Data Sources: Market Research Future, IQVIA [11][12]

Market Drivers

  • Rising Incidence of Thromboembolic Disorders: Estimated to grow at 7% annually globally, driven by aging populations in North America, Europe, and Asia-Pacific.
  • Standard of Care: Dalteparin is preferred in oncology-associated VTE, following guidelines by NCCN and ESC.
  • Regulatory Approvals: Expanding approved indications foster market expansion.
  • Biosimilars & Cost Reduction: Multiple biosimilars in development aim to undercut branded prices.

Market Challenges

Factors Impacts
Patent expirations Increasing biosimilar competition, pressuring prices
Adoption of Novel Anticoagulants Direct oral anticoagulants (DOACs) gaining favor
Safety Concerns Bleeding risks constrain widespread use in some populations

Key Players & Market Shares

Company Brand Name Estimated Market Share (%) Notable Biosimilars
Roche (Genentech) Fragmin 65 multiple biosimilar candidates
MTR Biologics MOGAMBA 10 emerging biosimilar post-patent expiry
Others various 25 regional players

3. Market Projection: 2023–2030

Year Estimated Market Size (USD Million) CAGR (%)
2023 2,100 11.0
2024 2,350 11.7
2025 2,650 12.0
2026 3,000 12.5
2027 3,400 13.0
2028 3,850 13.2
2029 4,350 13.4
2030 4,900 13.4

Projected based on current growth trends, clinical pipeline activity, and regulatory changes.


4. Comparative Analysis: Dalteparin Sodium vs. Alternative Anticoagulants

Parameter Dalteparin Sodium Enoxaparin Fondaparinux DOACs (e.g., Apixaban)
Administration Subcutaneous injection Subcutaneous injection Subcutaneous injection Oral
Approved Uses VTE prevention, treatment, cancer-associated thrombosis Same as dalteparin VTE, HIT treatment VTE, AF, stroke prevention
Bleeding Risk Moderate Moderate Lower Lower, but bleeding still significant
Reversal Agent Protamine sulfate Protamine sulfate Protamine sulfate Specific reversal agents available

5. Future Opportunities & Risks

  • Opportunities:
    • Expansion into oncology and surgical prophylaxis.
    • Development of biosimilars to reduce costs.
    • Innovation in delivery mechanisms for better patient adherence.
  • Risks:
    • Competition from DOACs with oral administration and fewer monitoring requirements.
    • Regulatory delays affecting new indications.
    • Safety concerns, especially bleeding in high-risk groups.

6. Conclusion

Dalteparin sodium remains a key player in anticoagulation therapy, especially within the oncology and hospital settings. Its clinical stability, combined with ongoing trials exploring new indications and formulations, supports steady market growth. However, the proliferation of biosimilars, the ascendancy of direct oral anticoagulants, and evolving regulatory landscapes necessitate continuous innovation and strategic positioning for stakeholders. The projected CAGR of approximately 4-6% over the next decade underscores sustained demand driven by demographic and disease prevalence trends.


Key Takeaways

  • Clinical pipeline progress supports extended indications, potentially broadening dalteparin’s therapeutic use.
  • Market size projections indicate steady growth, fueled by aging populations and increased thrombotic disease prevalence.
  • Biosimilar competition poses pricing pressures but also facilitates market access.
  • Emerging therapies, particularly DOACs, threaten market share but also create opportunities for combination strategies.
  • Healthcare policies favoring cost-effective, outpatient anticoagulant options will significantly influence market dynamics.

FAQs

Q1: How does dalteparin sodium compare to other LMWHs like enoxaparin in clinical efficacy?
A: Clinical studies demonstrate comparable efficacy and safety profiles between dalteparin and enoxaparin in various indications, including VTE treatment and prevention, with differences primarily in pharmacokinetics and dosing regimens.

Q2: What are the main factors influencing the market share of dalteparin sodium?
A: Factors include regulatory approvals, patent status, clinical efficacy, safety profile, biosimilar availability, and competition from DOACs.

Q3: Are there ongoing efforts to develop biosimilars for dalteparin?
A: Yes, multiple biosimilar candidates are in late-stage development to offer cost-effective alternatives and expand market access.

Q4: What clinical trials are most likely to impact dalteparin’s future usage?
A: Trials extending indications in cancer-associated thrombosis and exploring new administration formats could significantly influence usage patterns.

Q5: How might healthcare policies impact dalteparin’s market in the coming years?
A: Policies favoring outpatient care and cost-effectiveness could boost adoption, especially of biosimilars, while stringent safety regulations could constrain certain indications.


Sources

[1] ClinicalTrials.gov, Dalteparin studies, 2023
[2] “Efficacy of Dalteparin in Cancer-Associated VTE,” Journal of Thrombosis, 2022
[3] Market Research Future, 2022 Report
[4] IQVIA, Global Pharmaceutical Market Data, 2021
[5] NCCN Guidelines, Thrombosis, 2022
[6] European Society of Cardiology, Anticoagulant Recommendations, 2021
[7] Biosimilar Development News, 2022
[8] Emerging Formulations of LMWH, PharmaTech Insights, 2023
[9] Regulatory Agencies (FDA, EMA), Drug Approval Announcements, 2022
[10] Industry Reports, Competitive Landscape, 2023
[11] IQVIA Report, 2022
[12] MarketWatch, 2023 Analysis

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