Organ support & nutrition

Low‐Molecular‐Weight Heparin for Adult Intensive Care Unit (ICU) Patients Who Require Thromboprophylaxis: Protocol for the Intensive Care Platform Trial (INCEPT) ‐Thromboprophylaxis Platform Trial Domain

Acta Anaesthesiol ScandPublished Protocol for a randomised controlled trial domain

Study context

Population
Adult acutely admitted ICU patients with an indication for thromboprophylaxisplanned max 10,000
Planned comparison
Fixed low dose vs Fixed intermediate dose vs Weight-adjusted dose
Primary endpoint
Days alive out of hospital
Follow-up
30 days
Methodological detailsINCEPT platform trial, investigator-initiated, open-label, integrated feasibility phase, international, pragmatic, parallel-group, embedded, multifactorial, adaptive, Bayesian, response-adaptive randomisation, Feasibility assessed after 300 participants; adaptive analyses after 1500 participants and every additional 500 to a max of 10,000, Adaptive stopping for superiority/inferiority and practical equivalence (MD in primary outcome < 1 day); adaptive arm-dropping, Equal allocation initially, then response-adaptive randomisation with minimum 25% allocation per arm, Expected sample sizes 2265 to 4892, ≈100% probabilities of conclusiveness, Primary analysis in ITT population, Bayesian models with neutral, weakly informative priors
  • INCEPT platform trial
  • Investigator-initiated
  • Open-label
  • Integrated feasibility phase
  • International
  • Pragmatic
  • Parallel-group
  • Embedded
  • Multifactorial
  • Adaptive
  • Bayesian
  • Response-adaptive randomisation
  • Feasibility assessed after 300 participants; adaptive analyses after 1500 participants and every additional 500 to a max of 10,000
  • Adaptive stopping for superiority/inferiority and practical equivalence (MD in primary outcome < 1 day); adaptive arm-dropping
  • Equal allocation initially, then response-adaptive randomisation with minimum 25% allocation per arm
  • Expected sample sizes 2265 to 4892, ≈100% probabilities of conclusiveness
  • Primary analysis in ITT population, Bayesian models with neutral, weakly informative priors

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Low‐Molecular‐Weight Heparin for Adult ICU Patients Who Require Thromboprophylaxis: Protocol for the INCEPT ‐Thromboprophylaxis Platform Trial Domain. Acta Anaesthesiol Scand. Published 30 January 2026. doi:10.1111/aas.70199

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