Venous ThromboembolismPhase 2NCT00402467
An Oral, Direct Factor Xa Inhibitor, BAY59-7939, for Prophylaxis Against Venous Thromboembolism After Total Knee Replacement: a Dose-Ranging Study
A Phase 2 study testing Rivaroxaban (BAY59-7939), Rivaroxaban, (BAY59-7939) and Enoxaparine in people with Venous Thromboembolism, run by Bayer at 36 sites in 2 countries.
Trial summary
The study drug, BAY59-7939, is a new drug currently being tested in the prevention of VTE. It directly inhibits factor Xa, a blood component in the pathway which leads to coagulation (clotting of blood cells). It is available as a tablet. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Venous Thromboembolism
- What is being tested?
- Rivaroxaban (BAY59-7939), Rivaroxaban, (BAY59-7939) and Enoxaparine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 613 participants
- Where
- 36 sitesin 2 countries
- Study dates
- Feb 2004to Nov 2004
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male subjects aged 18 years or above and postmenopausal female subjects
- Subjects scheduled for elective total knee replacement
- Subjects written informed consent for participation after receiving detailed written and oral information previous to any study specific procedures
Who cannot join
- Related to medical history:
- Any prior DVT or PE
- Myocardial infarction (MI), TIA or ischaemic stroke within the last 6 months prior to randomization
- History of heparin-induced thrombocytopenia, allergy to heparins
- Intracerebral or intraocular bleeding within the last 6 months prior to randomization
- History of gastrointestinal disease (e.g. active peptic ulcer) with gastrointestinal bleeding within the last 6 months prior to randomization
Show all 37Show fewer
- History or presence of gastrointestinal disease which could result in an impaired absorption of the study drug (e.g. severe active inflammatory bowel disease, short gut syndrome)
- Amputation of one leg
- Related to current symptoms or findings:
- Heart insufficiency NYHA III-IV
- Congenital or acquired haemorrhagic diathesis (PT INR/aPTT not within normal limits)including patients with acquired or congenital thrombophilia
- Thrombocytopenia (platelets < 100,000/µl)
- Macroscopic haematuria
- Allergy to contrast media
- Severe hypertension (SBP > 200mmHg, DBP > 100 mmHg)
- Impaired liver function (transaminases > 2 x ULN)
- Impaired renal function (serum creatinine > 1.5 x ULN or decreased creatinine clearance < 30ml/min)
- Active malignant disease
- Presence of active peptic ulcer or gastrointestinal disease with increased risk of gastrointestinal bleeding
- Body weight < 45 kg
- Drug- or alcohol- abuse
- Related to current treatment:
- Therapy with oral anticoagulants (e.g. phenprocoumon, warfarin-sodium, heparins and factor Xa inhibitors other than study medication) and fibrinolytic therapy
- Therapy with acetylic salicylic acid or other thrombocyte aggregation inhibitors (e.g. clopidogrel, dipyridamole and ticlopidine) should be stopped one week before enrollment. Patient not able to stop ASA therapy will be excluded
- All other drugs influencing coagulation, (exception: NSAIDs with half life < 17 hrs will be allowed)
- Systemic and topical treatment with azole compounds (e.g. ketoconazole, fluconazole, itraconazole). Azole compounds should be stopped at least four days before enrollment
- Miscellaneous:
- Planned intermittent pneumatic compression during active treatment period
- Planned epidural anaesthesia with indwelling epidural catheter (spinal and epidural anaesthesia without indwelling catheter is allowed)
- Therapy with another investigational product within 30 days prior to the start of the study
- Concomitant participation in another trial or study
- Removal of Subjects from Study:
- A subject who withdraws is one who discontinued a clinical study for any reason.
- Subjects may be withdrawn from the study for the following reasons:
- At their own request or at the request of their legally acceptable representative
- If, in the investigator's opinion, continuation in the study would be detrimental to the subject's well-being
- At the specific request of the sponsor
Trial locations and contacts
36 sites in 2 countries.
36 sites in 2 countries
Canada21 sites
Study site
Barrie, Ontario, L4M 6M2
Study site
Charlottetown, Prince Edward Island, C1A 1L2
Study site
Edmonton, Alberta, T6G 2B7
Study site
Fredericton, New Brunswick, E3B 5N5
Study site
Greater Sudbury, Ontario, P3E 6C3
Study site
Kelowna, British Columbia, V1Y 1T2
Study site
Kitchener, Ontario, N2G 1G3
Study site
Montreal, Quebec, H3G 1A4
Study site
Niagara Falls, Ontario, L2G 5X8
Study site
Oshawa, Ontario, L1G 2B9
Study site
Ottawa, Ontario, K1H 8L6
Study site
Peterborough, Ontario, K9J 7H8
Study site
Québec, Quebec, G1J 1Z4
Study site
Red Deer, Alberta, T4N 4E7
Study site
Richmond Hill, Ontario, L4C 4Z3
Study site
St. Catharines, Ontario, L2R 5K3
Study site
Thunder Bay, Ontario, P7B 6V4
Study site
Toronto, Ontario, M3M 2G2
Study site
Vancouver, British Columbia, V6Z 1Y6
Study site
Welland, Ontario, L3B 4W6
Study site
Winnipeg, Manitoba, R3A 1M3
United States15 sites
Study site
Aurora, Colorado, 80011-6798
Study site
Aurora, Colorado, 80012
Study site
Birmingham, Alabama, 35205
Study site
Cincinnati, Ohio, 45219
Study site
Dallas, Texas, 75231
Study site
Decatur, Georgia, 30033
Study site
Jacksonville, Florida, 32216
Study site
La Mesa, California, 91942-3019
Study site
Lubbock, Texas, 79410
Study site
Palm Beach Gardens, Florida, 33410
Study site
Phoenix, Arizona, 85023
Study site
Sarasota, Florida, 34239
Study site
St. Petersburg, Florida, 33703
Study site
Torrance, California, 90502-2004
Study site
Tucson, Arizona, 85712
About this study
The study drug, BAY59-7939, is a new drug currently being tested in the prevention of VTE. It directly inhibits factor Xa, a blood component in the pathway which leads to coagulation (clotting of blood cells). It is available as a tablet. The purpose of this study is to compare the safety and efficacy of BAY59-7939 with the safety and efficacy of the licensed drug Enoxaparin. Enoxaparin, a so-called low molecular heparin, is approved and widely used in the area of thromboprophylaxis and will be given once daily subcutaneously. In this study 4 different doses of the investigational drug BAY59-7939 will be tested in comparison to Enoxaparin. You will receive during the study either one of the following BAY59-7939 treatments or Enoxaparin. The following doses of BAY59-7939 will be tested: Dose I ; Dose II, Dose III, Dose IV. This study will run for approximately 7 months in a number of countries. In total, up to 600 patients may participate in this study.
- Conditions
- Venous Thromboembolism
- Being tested
- Rivaroxaban (BAY59-7939), Rivaroxaban, (BAY59-7939), Enoxaparine
- Keywords
- Prevention of venous thromboembolism
- Medical subject headings
- Venous Thromboembolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rivaroxaban (BAY59-7939)Drug
2.5mg bid
Rivaroxaban, (BAY59-7939)Drug
5mg bid
Rivaroxaban, (BAY59-7939)Drug
10 mg bid
Rivaroxaban, (BAY59-7939)Drug
20mg bid
EnoxaparineDrug
30mg bid
EnoxaparineDrug
30mg bid
| Study group | Role | What they receive |
|---|---|---|
| Arm 6 | Experimental | Not described Receives: Drug: Enoxaparine |
| Arm 1 | Experimental | Not described Receives: Drug: Rivaroxaban (BAY59-7939) |
| Arm 2 | Experimental | Not described Receives: Drug: Rivaroxaban, (BAY59-7939) |
| Arm 3 | Experimental | Not described Receives: Drug: Rivaroxaban, (BAY59-7939) |
| Arm 4 | Experimental | Not described Receives: Drug: Rivaroxaban, (BAY59-7939) |
| Arm 5 | Experimental | Not described Receives: Drug: Enoxaparine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Composite endpoints of Deep vein Thrombosis (proximal and/or distal),non fatal PE and death from all causes
Measured: 5-9 days after surgery or earlier in case of symptoms indicating deep vein Thrombosis.
Secondary outcomes (4)
Incidence of DVTs (total, proximal, distal)
Measured: Day 6-10
Incidence of symptomatic VTEs
Measured: Day 6-10
The composite endpoint that results from the primary endpoint by substituting VTE related death for all deaths
Measured: Day 6-10
Incidence of symptomatic VTEs (total, PE, DVT)
Measured: Day 6-10
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Nov 2006 (estimated)
- Study startFeb 2004
- Primary completionNov 2004
- Study completionNov 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Venous ThromboembolismStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 613 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00402467
- Sponsor's protocol ID
- 10945
- Status last verified
- Dec 2014
- First submitted
- 21 Nov 2006
- Last updated
- 23 Dec 2014
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 23 Dec 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Oral, Direct Factor Xa Inhibitor, BAY59-7939, for Prophylaxis Against Venous Thromboembolism After Total Knee Replacement: a Dose-Ranging Study
- ClinicalTrials.gov ID
- NCT00402467
- Acronym / sponsor ID
- 10945
- Conditions
- Venous Thromboembolism
- Keywords
- Prevention of venous thromboembolism
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 613 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Feb 2004
- Primary completion
- Nov 2004 (actual)
- Study completion
- Nov 2004 (actual)
- First posted
- 22 Nov 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study drug, BAY59-7939, is a new drug currently being tested in the prevention of VTE. It directly inhibits factor Xa, a blood component in the pathway which leads to coagulation (clotting of blood cells). It is available as a tablet. The purpose of this study is to compare the safety and efficacy of BAY59-7939 with the safety and efficacy of the licensed drug Enoxaparin. Enoxaparin, a so-called low molecular heparin, is approved and widely used in the area of thromboprophylaxis and will be given once daily subcutaneously. In this study 4 different doses of the investigational drug BAY59-7939 will be tested in comparison to Enoxaparin. You will receive during the study either one of the following BAY59-7939 treatments or Enoxaparin. The following doses of BAY59-7939 will be tested: Dose I ; Dose II, Dose III, Dose IV. This study will run for approximately 7 months in a number of countries. In total, up to 600 patients may participate in this study.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Arm 6 | Experimental | Drug: Enoxaparine |
| Arm 1 | Experimental | Drug: Rivaroxaban (BAY59-7939) |
| Arm 2 | Experimental | Drug: Rivaroxaban, (BAY59-7939) |
| Arm 3 | Experimental | Drug: Rivaroxaban, (BAY59-7939) |
| Arm 4 | Experimental | Drug: Rivaroxaban, (BAY59-7939) |
| Arm 5 | Experimental | Drug: Enoxaparine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male subjects aged 18 years or above and postmenopausal female subjects
- Subjects scheduled for elective total knee replacement
- Subjects written informed consent for participation after receiving detailed written and oral information previous to any study specific procedures
Key exclusion criteria (37 listed)
- Any prior DVT or PE
- Myocardial infarction (MI), TIA or ischaemic stroke within the last 6 months prior to randomization
- History of heparin-induced thrombocytopenia, allergy to heparins
- Intracerebral or intraocular bleeding within the last 6 months prior to randomization
- History of gastrointestinal disease (e.g. active peptic ulcer) with gastrointestinal bleeding within the last 6 months prior to randomization
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rivaroxaban (BAY59-7939)2.5mg bid | Drug | Arm 1 |
| Rivaroxaban, (BAY59-7939)5mg bid | Drug | Arm 2 |
| Rivaroxaban, (BAY59-7939)10 mg bid | Drug | Arm 3 |
| Rivaroxaban, (BAY59-7939)20mg bid | Drug | Arm 4 |
| Enoxaparine30mg bid | Drug | Arm 5 |
| Enoxaparine30mg bid | Drug | Arm 6 |
Primary outcome
Composite endpoints of Deep vein Thrombosis (proximal and/or distal),non fatal PE and death from all causes
Time frame: 5-9 days after surgery or earlier in case of symptoms indicating deep vein Thrombosis.
4 secondary outcomes
Incidence of DVTs (total, proximal, distal)
Time frame: Day 6-10
Incidence of symptomatic VTEs
Time frame: Day 6-10
The composite endpoint that results from the primary endpoint by substituting VTE related death for all deaths
Time frame: Day 6-10
Incidence of symptomatic VTEs (total, PE, DVT)
Time frame: Day 6-10
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Dec 2014.
Related trials for Venous Thromboembolism
RecruitingPhase 3
REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in Adults
Venous Thromboembolism (VTE)
RecruitingPhase 3
Treatment and Secondary Prevention of Venous Thromboembolism (VTE) in Adult Participants With Solid and Hematologic Cancers
Venous Thromboembolism (VTE)
RecruitingPhase 3
REGN7508 in Adult Participants for Prevention of Cancer-Associated Thrombosis
Cancer-Associated Thrombosis (CAT)
RecruitingPhase 3
REGN7508 Versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis After Total Knee Arthroplasty in Adult Participants
Symptomatic Venous Thromboembolism (VTE)
Recruiting
DEFIANCE: RCT of ClotTriever System Versus Anticoagulation In Deep Vein Thrombosis
Venous Thromboembolism, Deep Venous Thrombosis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
36 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Rivaroxaban (BAY59-7939), Rivaroxaban, (BAY59-7939) and Enoxaparine in people with Venous Thromboembolism, run by Bayer at 36 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 37 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Dec 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in Canada, United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Composite endpoints of Deep vein Thrombosis (proximal and/or distal),non fatal PE and death from all causes (time frame: 5-9 days after surgery or earlier in case of symptoms indicating deep vein Thrombosis.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Dec 2014.