Heparin-induced thrombocytopenia
diseaseOn this page
Also known as HATheparin-associated thrombocytopeniaheparin-induced thrombocytopenia (disease)heparin-induced thrombocytopenia type 2HIT
Summary
Heparin-induced thrombocytopenia (MONDO:0018048) is a disease and 40 clinical trials. Top therapeutic interventions include fondaparinux, argatroban, and bivalirudin. A subtype of thrombotic disease — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: Unknown (Worldwide)
- Phenotypes (HPO): 15
- Clinical trials: 40
Clinical features
Signs & symptoms
Clinical features (HPO)
15 HPO clinical features (Orphanet curated; top 15 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001907 | Thromboembolism | Very frequent (80-99%) |
| HP:0001973 | Autoimmune thrombocytopenia | Very frequent (80-99%) |
| HP:0100724 | Hypercoagulability | Very frequent (80-99%) |
| HP:0002625 | Deep venous thrombosis | Frequent (30-79%) |
| HP:0003144 | Increased serum serotonin | Frequent (30-79%) |
| HP:0004420 | Arterial thrombosis | Frequent (30-79%) |
| HP:0004936 | Venous thrombosis | Frequent (30-79%) |
| HP:0001297 | Stroke | Occasional (5-29%) |
| HP:0001658 | Myocardial infarction | Occasional (5-29%) |
| HP:0002204 | Pulmonary embolism | Occasional (5-29%) |
| HP:0002637 | Cerebral ischemia | Occasional (5-29%) |
| HP:0005521 | Disseminated intravascular coagulation | Occasional (5-29%) |
| HP:0012649 | Increased inflammatory response | Occasional (5-29%) |
| HP:0030248 | Mesenteric venous thrombosis | Occasional (5-29%) |
| HP:0040231 | Abnormal onset of bleeding | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | heparin-induced thrombocytopenia |
| Mondo ID | MONDO:0018048 |
| Orphanet | 3325 |
| ICD-11 | 1143142333 |
| SNOMED CT | 73397007 |
| UMLS | C0272285 |
| MedGen | 124423 |
| GARD | 0002650 |
| MedDRA | 10062506 |
| Is cancer (heuristic) | no |
Also known as: HAT · heparin-associated thrombocytopenia · heparin-induced thrombocytopenia · heparin-induced thrombocytopenia (disease) · heparin-induced thrombocytopenia type 2 · HIT
Data availability: 1 HPO phenotype.
Disease family
This is a subtype of thrombotic disease. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › thrombotic disease › heparin-induced thrombocytopenia
Related subtypes (7): marantic endocarditis, portal vein thrombosis, intracranial thrombosis, coronary thrombosis, acquired purpura fulminans, isolated splenic vein thrombosis, isolated mesenteric vein thrombosis
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
No druggable-target or therapeutic data for this disease’s cohort.
Clinical trials & evidence
Clinical trials
Clinical trials: 40.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 23 |
| PHASE3 | 5 |
| PHASE2 | 5 |
| PHASE4 | 4 |
| PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00196417 | PHASE4 | UNKNOWN | The HIT-TRAP Trial |
| NCT00603824 | PHASE4 | WITHDRAWN | Fondaparinux in Patients With Acute Heparin-Induced Thrombocytopenia (HIT) |
| NCT00759083 | PHASE4 | WITHDRAWN | Bivalirudin PCI Registry in Heparin Induced Thrombocytopenia/Heparin Induced Thrombocytopenia and Thrombosis Syndrome (HIT/HITTS) Patients |
| NCT00798525 | PHASE4 | TERMINATED | Argatroban Versus Lepirudin in Critically Ill Patients |
| NCT00043940 | PHASE3 | COMPLETED | Anticoagulant Therapy With Bivalirudin in the Performance of Percutaneous Coronary Intervention in Patients With Heparin-Induced Thrombocytopenia (AT BAT, First Inning) |
| NCT00198588 | PHASE3 | COMPLETED | Efficacy and Safety Study of Argatroban to Treat Heparin-Induced Thrombocytopenia |
| NCT01598168 | PHASE3 | TERMINATED | Rivaroxaban for Treatment of Patients With Suspected or Confirmed Heparin-Induced Thrombocytopenia |
| NCT03147638 | PHASE3 | UNKNOWN | Multi-Center Single Arm Trial to Determine The Effectiveness of Warfarin Therapy Duration For Heparin-Induced Thrombocytopenia (HIT) |
| NCT03809481 | PHASE3 | TERMINATED | Open-Label, Randomised, Active Controlled, Multi-Centre Phase 3 Study Safety and Efficacy of Danaparoid vs Argatroban |
| NCT00673439 | PHASE2 | TERMINATED | Fondaparinux for the Treatment of Heparin-Induced Thrombocytopenia (HIT) |
| NCT00861692 | PHASE2 | COMPLETED | Clinical Management of Argatroban in Patients With Heparin Induced Thrombocytopenia Type II |
| NCT02501434 | PHASE2 | SUSPENDED | Aneurysmal Subarachnoid Hemorrhage Trial RandOmizing Heparin |
| NCT03594045 | PHASE2 | TERMINATED | Efficacy and Safety of Apixaban in the Treatment of Heparin Induced Thrombocytopenia (HIT) |
| NCT05785819 | PHASE2 | TERMINATED | A Phase 2 Study of VLX-1005 Versus Placebo in Suspected Heparin Induced Thrombocytopenia |
| NCT00412464 | PHASE1 | COMPLETED | Pilot Dose Finding and Pharmacokinetic Study of Fondaparinux in Children With Thrombosis |
| NCT00489437 | PHASE1 | COMPLETED | Heparin-Induced Thrombocytopenia Score Card Study |
| NCT05325346 | PHASE1 | COMPLETED | A Phase I Study of the Co-administration of VLX-1005 and Argatroban in Healthy Human Subjects |
| NCT02717039 | Not specified | RECRUITING | Pharmacogenomics of Heparin-Induced Thrombocytopenia |
| NCT06033300 | Not specified | RECRUITING | Characterization and Quantification of Platelet/Leukocyte Aggregates in Patients With Suspected Heparin-induced Thrombocytopenia |
| NCT00198575 | Not specified | UNKNOWN | A Study on the Prevalence of Heparin-Induced Thrombocytopenia in Cardiovascular Patients |
| NCT00283322 | Not specified | COMPLETED | Heparin Antibodies in Intensive Care Unit Patients (HAICU) |
| NCT00456001 | Not specified | COMPLETED | Heparin Induced Thrombocytopenia: Pharmacoeconomics |
| NCT00456326 | Not specified | COMPLETED | Heparin-Induced Thrombocytopenia Registry |
| NCT00748839 | Not specified | COMPLETED | Heparin-Induced Thrombocytopenia: Development and Validation of a Predictive Clinical |
| NCT00946400 | Not specified | UNKNOWN | Validating 4Ts for Heparin Induced Thrombocytopenia (HIT) |
| NCT01102790 | Not specified | UNKNOWN | Generation of Heparin-induced Thrombocytopenia (HIT)-Antibodies Without Prior Heparin Exposure |
| NCT01178333 | Not specified | COMPLETED | Heparin-Induced Thrombocytopenia - Retrospective Analysis of Data on Incidence and Outcomes Study |
| NCT01654848 | Not specified | COMPLETED | Heparin-induced Thrombocytopenia (HIT II) in Liver Transplant Recipients |
| NCT02526485 | Not specified | COMPLETED | Immunogenetics of Heparin-Induced Thrombocytopenia: Aim 2 |
| NCT02790567 | Not specified | COMPLETED | Rapid Diagnosis of Heparin-Induced Thrombocytopenia in Surgical Critically Ill Patients |
| NCT03148912 | Not specified | UNKNOWN | Optimizing the Diagnosis of Heparin Induced Thrombocytopenia |
| NCT03269019 | Not specified | UNKNOWN | Thrombotic Biomarkers to Predict Thrombosis in Heparin-induced Thrombocytopenia |
| NCT03979625 | Not specified | COMPLETED | Prognosis Related to Induced Thrombopenia With Heparin Under Venoarterial ECMO in Reanimation |
| NCT04751357 | Not specified | UNKNOWN | Argatroban Monitoring in Critically Ill Patients: Evaluation of a Novel Ecarin-based Bedside Test |
| NCT04782843 | Not specified | UNKNOWN | Evaluation of the Intra-observer Agreement of the HEP Score in Surgical Intensive Care. |
| NCT04842760 | Not specified | UNKNOWN | PLATELET Function Assay With Flow Imaging on ImageSTREAM Cytometer |
| NCT05586854 | Not specified | UNKNOWN | Multicenter Study on Dialysis Modalities for End-stage Chronic Renal Failure Patients With Heparin-induced Thrombocytopenia |
| NCT05783895 | Not specified | UNKNOWN | Comparison of Pre-test Probability Model for Heparin-induced Thrombocytopenia in Post-operative Cardiac Surgery |
| NCT06066762 | Not specified | UNKNOWN | Argatroban Monitoring in Acute Suspected Heparin-induced Thrombocytopenia. |
| NCT06180785 | Not specified | UNKNOWN | Performance Evaluation of the Biological Diagnosis of HIT |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| FONDAPARINUX | 4 | 9 |
| ARGATROBAN | 4 | 5 |
| BIVALIRUDIN | 4 | 2 |
| DANAPAROID SODIUM | 4 | 1 |
| LEPIRUDIN | 4 | 1 |
| RIVAROXABAN | 4 | 1 |
| VLX-1005 | 2 | 2 |
| CHEMBL502016 | 0 | 5 |
| CHEMBL59461 | 0 | 5 |
| CHEMBL1276258 | 0 | 3 |
Related Atlas pages
- Drugs: Fondaparinux, Argatroban, Bivalirudin, Danaparoid, Lepirudin, Rivaroxaban