Intervention: Lovenox
Trial phase: Phase 3
SMILES: CC(=O)NC1C(O)OC(COS(=O)(=O)O)C(OC2OC(C(=O)O)C(OC3OC(CO)C(OC4OC(C(=O)O)C(O)C(O)C4OS(=O)(=O)O)C(OS(=O)(=O)O)C3NS(=O)(=O)O)C(O)C2OS(=O)(=O)O)C1O
Sex: All
Age groups: Adult | Older Adult
Healthy volunteers: No
Participants at risk: 64
Group description: Sodium enoxaparine 40 mg (4 000 anti-Xa IU / 0,4 ml) at pre-filled syringe. Administration of BCD-080 30 mg (0,3 ml) every 12 hours during 14 days after surgery for preventing venous thromboembolic complications after surgery.

Sodium Enoxaparine: 30 mg (0,3 ml), subcutaneously, twice a day (every 12 h).
Eligibility criteria:
Inclusion Criteria:

Written informed consent
Age ≥18 years and age ≤80 years
Women body mass 50-110kg, men body mass 57-110 kg inclusive
Patients who are planned for hip or knee replacement
Willingness of patients of both sexes and their sexual partners with preserved reproductive function to use reliable methods of contraception, starting from screening and up to 4 weeks after the last dose of the studied drug. This requirement does not apply to patients who underwent surgical sterilization. Reliable methods of contraception involves a 1-barrier method combined with one of the following: spermicides/oral contraceptive
Ability of the patient, in the opinion of the investigator, to meet the Protocol requirements.

Exclusion Criteria:

Hypersensitivity to the components included in the formula of preparation BCD-080 (CJSC BIOCAD) Clexane (Sanofi-Avensis France, France) or medications of the same class
Conditions and diseases in which there is a high risk of bleeding: cerebral aneurysm or aortic dissection, hemorrhagic stroke (including in history)
Intractable hemorrhage
History of documented diseases of blood coagulation (hemophilia A or B, Willebrand disease and other coagulopathies, idiopathic thrombocytopenic purpura, Heparin induced thrombocytopenia associated with thrombosis or without it, thrombohemorrhagic syndrome, etc.) in anamnesis and/or at the moment of examination
Gastric or duodenal ulcer or other erosive and ulcerative lesions of gastrointestinal tract
Recent ischemic stroke
Uncontrolled severe hypertension; that is, all cases of hypertension, in which blood pressure decrease cannot be achieved with the use of combination of 3 antihypertensive drugs, compulsorily including a diuretic, and non-drug methods of correction (salt-free diet, graduated exercise); or if the results of two successive measurements of supine arterial blood pressure with an interval of 15-30 minutes, systolic blood pressure> 180 mm Hg. or diastolic blood pressure> 105 mm Hg
Diabetic or hemorrhagic retinopathy
Decompensated diabetes mellitus, diabetes mellitus complications
Recent delivery (during last 90 days)
Bacterial endocarditis (acute or subacute)
Pericarditis and pericardial effusion
Renal and/or hepatic insufficiency
Intrauterine contraception
Surgeries or injuries of brain/spinal cord, spine, eyes, and major surgeries and injuries within 90 days prior to randomization)
Spinal surgeries or its deformation in history of patients who are planned for epidural/spinal anesthesia
Active liver diseases
Anamnestic information about alcoholism, addiction or drug abuse over the last year
Contraindications to surgeries
Hemoglobin <100 g/l
Platelet count <100х10*9/l
Creatine clearance <30 ml/min
Biochemical blood assay indexes: AST/ALT > UNLх3; total bilirubin > UNLх1,5 (unless other causal factors provided, such as Gilbert's syndrome)
Necessity for continued treatment with anticoagulants (except for planned under this study), antiaggregant and fibrinolytics (eg, patients with artificial cardiac valve, atrial fibrillation patients receiving warfarin, etc.)
The use of dextrans or fibrinolytic therapy or other drugs affecting hemostasis;
Necessity for use of systemic glucocorticosteroids and non-steroidal anti-inflammatory drugs (except for the use of the latter with the purpose of anaesthesia in the early postoperative period - during 3 days after the planned hip or knee replacement)
Impossibility of contrast venography: contrast allergy, inability to install an intravenous catheter, etc
Pregnancy, lactation period
Donation of 450 ml or more of blood or plasma within 60 calendar days before inclusion enrolment
Participation in clinical trials no less than 30 days before enrolment into this study or previous participation in this clinical study.