Venous ThrombosisPhase 3NCT00643201
Efficacy and Safety Study of Apixaban for the Treatment of Deep Vein Thrombosis or Pulmonary Embolism
A Phase 3 study testing Enoxaparin and warfarin in people with Venous Thrombosis, run by Bristol-Myers Squibb at 381 sites in 31 countries.
Trial summary
The purpose of this study is to evaluate the effects of an investigational blood thinner, apixaban, in preventing venous thromboembolic (VTE) recurrence or death in patients with deep vein thrombosis (DVT) or pulmonary embolism (PE) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Venous Thrombosis
- What is being tested?
- Enoxaparin and warfarin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 5,614 participants
- Where
- 381 sitesin 31 countries
- Study dates
- Jul 2008to Mar 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Men and women ≥ 18 years of age
- Clinical diagnosis of DVT or PE
Who cannot join
- Contraindications for enoxaparin or warfarin
- Active bleeding or high risk for serious bleeding
- Short life expectancy
- Uncontrolled high blood pressure
- Significantly impaired kidney or liver function
Trial locations and contacts
381 sites in 31 countries.
381 sites in 31 countries
United States73 sites
Pulmonary & Critical Care Services, Pc
Albany, New York, 12205
Anne Arundel Medical Center
Annapolis, Maryland, 21401
Atlanta Pulmonary Group
Atlanta, Georgia, 30342
R Adams Cowley Shock Trauma Center
Baltimore, Maryland, 21201
Medstar Research Health Institute
Baltimore, Maryland, 21237
Beaver Medical Group
Banning, California, 92220
Bay Pines Va Healthcare Systems
Bay Pines, Florida, 33744
Lake Washington Vascular, Pllc
Bellevue, Washington, 98004
Alabama Clinical Therapeutics, Llc
Birmingham, Alabama, 35235
Daniel G. Lorch, Jr, Md, Cpi
Brandon, Florida, 33511
Bridgeport Hospital
Bridgeport, Connecticut, 06610
Holston Medical Group
Bristol, Tennessee, 37620
Kaleida Health System
Buffalo, New York, 14209
Mercury Street Medical Group, Pllc
Butte, Montana, 59701
Infectious Disease Of Indiana Psc
Carmel, Indiana, 46032
Carolinas Medical Center
Charlotte, North Carolina, 28203
Research Alliance, Inc.
Clearwater, Florida, 33756
Huron Hospital
Cleveland, Ohio, 44112
University Of Missouri-Columbia
Columbia, Missouri, 65212
Remington Davis Inc.
Columbus, Ohio, 43215
Atlanta Institute For Medical Research, Inc
Decatur, Georgia, 30030
Henry Ford Hospital
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
Hurley Medical Center
Flint, Michigan, 48503
Fort Smith Lung Center
Fort Smith, Arkansas, 72901
University Of California San Francisco-Fresno
Fresno, California, 93701
New West Physicians
Golden, Colorado, 80401
Altru Health System Clinic
Grand Forks, North Dakota, 58201
Internal Medical Associates Of Grand Island, P.C
Grand Island, Nebraska, 68803
Great Falls Clinic, Llp
Great Falls, Montana, 59405
Greenville Hospital System
Greenville, South Carolina, 29615
Kentucky Lung Clinic
Hazard, Kentucky, 41701
Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
Primecare Medical Group
Houston, Texas, 77024
Kore Cv Research
Jackson, Tennessee, 38305
River City Clinical Research
Jacksonville, Florida, 32207
Gateway Cardiology. P.C
Jerseyville, Illinois, 62052
Veterans Affairs Medical Center
Kansas City, Missouri, 64128
Univ. Of Kentucky Dept. Of Surgery
Lexington, Kentucky, 40536
University Of Arkansas For Medical Sciences
Little Rock, Arkansas, 72205
Horizon Research Group, Inc.
Mobile, Alabama, 36608
Morristown Memorial Hospital
Morristown, New Jersey, 07962
Dept Of Internal Med, Sect Of Pulmonary & Critical Care Med
New Haven, Connecticut, 06510
West Suburban Medical Center
Oak Park, Illinois, 60302
Creighton University Medical Center
Omaha, Nebraska, 68131
Research Integrity, Llc
Owensboro, Kentucky, 42303
Mississippi Medical Research, Llc
Picayune, Mississippi, 39466
Oregon Health Science University
Portland, Oregon, 97239
Rex Healthcare
Raleigh, North Carolina, 27607
Pen Bay Medical Center
Rockport, Maine, 04856
University Of California, Davis Medical Center
Sacramento, California, 95817
University Of Utah Medical Center
Salt Lake City, Utah, 84132
Cancer Care Centers Of South Texas
San Antonio, Texas, 78229
Chest Medicine & Critical Care Medical Gr. Inc.
San Diego, California, 92123
Chatham Hospitalists
Savannah, Georgia, 31405
Washington University School Of Medicine
St Louis, Missouri, 63110
St. John'S Mercy Medical Center
St Louis, Missouri, 63141
Pasadena Center For Medical Research
St. Petersburg, Florida, 33707
Stanford University Medical Center
Stanford, California, 94305
Richmond University Medical Center
Staten Island, New York, 10310
Piedmont Healthcare/Research
Statesville, North Carolina, 28625
Palmetto Clinical Research
Summerville, South Carolina, 29485
Franciscan Research Center
Tacoma, Washington, 98405
Tampa Clinical Research
Tampa, Florida, 33624
Harbor Ucla Medical Center
Torrance, California, 90509
New York Medical College
Valhalla, New York, 10595
Office Of Michele S. Maholtz Md
Vero Beach, Florida, 32960
George Washington University Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Cleveland Clinic Florida
Weston, Florida, 33331
Drogue Medical, Llc
Wheat Ridge, Colorado, 80033
Wilmington Medical Research
Wilmington, North Carolina, 28401
Heartland Vascular Medicine And Surgery
Windsor Heights, Iowa, 50324
Clinical Trials Of America, Inc.
Winston-Salem, North Carolina, 27103
Russia23 sites
Local Institution
Arkhangelsk, 163045
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Chelyabinsk, 454136
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Kazan', 420101
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Moscow, 109386
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Moscow, 111539
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Moscow, 115093
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Moscow, 115280
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Moscow, 117292
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Moscow, 119049
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Moscow, 121359
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Moscow, 121552
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Moscow, 127473
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Novosibirsk, 630090
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Rostov-on-Don, 344022
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Ryazan, 390026
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Saint Petersburg, 192242
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Saint Petersburg, 194044
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Saint Petersburg, 196247
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Saint Petersburg, 197022
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Saint Petersburg, 197341
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Saint Petersburg, 199106
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Saratov, 410012
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Yaroslavl, 150062
Brazil19 sites
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Belo Horizonte - Mg, Minas Gerais, 30150
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Botucatu, São Paulo, 18618
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Curitiba, Paraná, 80035
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Curitiba, Paraná, 80050
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Curitiba, Paraná, 80810
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Curitiba, Paraná, 81520
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Liberdade, São Paulo, 01509
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Port Alegre, Rio Grande do Sul, 90020
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Porto Alegre, Rio Grande do Sul, 90035
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Porto Alegre, Rio Grande do Sul, 90110
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Porto Alegre, Rio Grande do Sul, 90610
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Rio de Janeiro, Rio de Janeiro, 20551
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Rio Janeiro, Rio de Janeiro, 22280
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São Bernardo do Campo, São Paulo, 09715
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São José do Rio Preto, São Paulo, 15090
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São Paulo, São Paulo, 01323
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São Paulo, São Paulo, 04005
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São Paulo, São Paulo, 04025
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São Paulo, São Paulo, 05403
France18 sites
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Angers, 49000
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Arras, 62022
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Besançon, 25000
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Clamart, 92141
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Clermont-Ferrand, 63003
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Dijon, 21079
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Grenoble, 38043
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Langres, 52206
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Le Kremlin-Bicêtre, 94275
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Lille, 59020
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Limoges, 87042
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Nantes, 44093
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Paris, 75004
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Paris, 75010
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Pierre-Bénite, 69495
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Saint-Priest-en-Jarez, 42270
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Toulouse, 31059
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Vernon, 27200
Canada17 sites
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Edmonton, Alberta, T5H 4B9
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Edmonton, Alberta, T6G 2B7
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Greenfield Park, Quebec, J4V 2H1
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Hamilton, Ontario, L8L 2X2
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Hamilton, Ontario, L8N 4A6
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Hamilton, Ontario, L8S 4K1
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Montreal, Quebec, H1T 2M4
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Ottawa, Ontario, K1Y 4E9
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Saint John, New Brunswick, E2L 4L2
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Saint-Jérôme, Quebec, J7Z 5T3
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Toronto, Ontario, M5G 2C4
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Vancouver, British Columbia, V5Z 1M9
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Vancouver, British Columbia, V6Z 1Y6
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Victoria, British Columbia, V8R 6R5
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Waterloo, Ontario, N2J 1C4
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Windsor, Ontario, N8X 5A6
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Winnipeg, Manitoba, R2H 2A6
Germany17 sites
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Berlin, 10117
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Berlin, 10787
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Berlin, 12559
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Berlin, 14050
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Bochum, 44791
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Cologne, 50937
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Dortmund, 44137
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Dresden, 01067
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Dresden, 01307
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Frankfurt, 60596
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Göttingen, 37075
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Karlsbad, 76307
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Ludwigshafen, 67063
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Mannheim, 68161
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Mannheim, 68163
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München, 80331
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Munich, 80336
China16 sites
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Beijing, Beijing Municipality, 100020
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Beijing, Beijing Municipality, 100029
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Beijing, Beijing Municipality, 100032
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Beijing, Beijing Municipality, 100035
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Beijing, Beijing Municipality, 100037
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Beijing, Beijing Municipality, 100038
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Beijing, Beijing Municipality, 100053
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Beijing, Beijing Municipality, 100191
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Guangzhou, Guangdong, 510080
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Hangzhou, Zhejiang, 130016
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Hangzhou, Zhejiang, 310016
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Shanghai, Shanghai Municipality, 200032
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Shanghai, Shanghai Municipality, 200127
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Shengyang, Liaoning, 110004
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Wuhan, Hubei, 430022
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Xi'an, 710032
Israel16 sites
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Afula, 18101
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Ashkelon, 78278
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Hadera, 38101
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Haifa, 31048
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Haifa, 31096
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Holon, 58100
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Jerusalem, 91031
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Jerusalem, 91120
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Kfar Saba, 44281
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Nahariya, 22100
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Petah Tikva, 49100
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Rehovot, 76100
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Safed, 13100
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Tel Aviv, 64239
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Tel HaShomer, 52621
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Tiberias, Lower Galillee, 15208
Italy16 sites
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Bologna, 40138
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Castelfranco Veneto (Tv), 31033
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Chieti Scalo, 66013
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Cosenza, 87100
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Milan, 20132
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Padova, 35128
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Palermo, 90127
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Pavia, 27100
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Piacenza, 29100
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Pisa, 56124
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Reggio Emilia, 42100
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Rome, 00168
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Rozzano (Mi), 20089
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San Daniele Del Friuli (Ud), 33038
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Vicenza, 36100
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Vittorio Veneto (Tv), 31029
Poland16 sites
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Bialystok, 15-276
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Bydgoszcz, 85-168
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Bydgoszcz, 85-681
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Gdansk, 80-803
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Gdynia, 81-348
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Lodz, 90-153
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Lublin, 20-081
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Lublin, 20-718
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Poznan, 61-848
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Przeworsk, 37-200
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Szczecin, 70-111
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Warsaw, 01-138
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Warsaw, 02-005
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Warsaw, 02-776
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Wroclaw, 50-981
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Wroclaw, 51-124
Australia14 sites
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Adelaide, South Australia, 5000
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Bedford Park, South Australia, 5042
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Box Hill, Victoria, 3128
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Clayton, Victoria, 3168
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Concord, New South Wales, 2139
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Garran, Australian Capital Territory, 2605
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Herston, Queensland, 4029
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Hobart, Tasmania, 7000
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Kogarah, New South Wales, 2217
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Lismore, New South Wales, 2480
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Perth, Western Australia, 6001
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Randwick, New South Wales, 2031
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Ringwood East, Victoria, 3135
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Windsor, Victoria, 3181
India14 sites
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Ahmedabad, Gujarat, 380006
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Bangalore, Karnataka, 560054
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Bangalore, 560052
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Bangalore, 560099
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Bengaluru, Karnataka, 560017
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Chennai, Tamil Nadu, 600 006
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Gurgaon, Haryana, 122001
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Hyderabad, Andhra Pradesh, 500 082
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Hyderabad, Andhra Pradesh, 500034
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Ludhiana, Tagore Nagar, 141001
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Manipal, Karnataka, 576104
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Mohali, Punjab, 160062
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Pune, Maharashtra, 411001
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Pune, 411001
Czechia12 sites
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Hradec Králové, 500 05
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Kladno, 272 59
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Litomyšl, 570 14
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Městec Králové, 289 03
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Ostrava, 708 52
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Ostrava Vitkovice, 703 84
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Prague, 100 34
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Prague, 110 00
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Prague, 118 33
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Prague, 128 08
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Ústí nad Labem, 401 13
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Ústí nad Orlicí, 562 18
Ukraine12 sites
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Chernihiv, 14034
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Dnipropetrovsk, 49000
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Donetsk, 83045
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Ivano-Frankivsk, 76008
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Ivano-Frankivsk, 76018
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Kharkiv, 61018
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Kyiv, 03680
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Lviv, 79010
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Odesa, 65117
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Ternopil, 46000
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Vinnytsia, 21018
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Zaporizhzhya, 69035
Mexico10 sites
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Aguascalientes, Aguascalientes, 20230
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Durango, Durango, 34080
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Guadalajara, Jalisco, 44280
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León, Guanajuato, 37320
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Monterrey, Nuevo León, 64000
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Monterrey, Nuevo León, 64718
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Tijuana, Estado de Baja California, 22500
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Xalapa, Veracruz, 91020
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Zapopan, Jalisco, 45170
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Zapopan, Jalisco, 45200
Norway10 sites
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Ålesund, 6017
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Fredrikstad, 1606
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Gjettum, 1346
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Gjøvik, 2819
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Hamar, 2318
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Oslo, 0319
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Oslo, 0407
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Oslo, 0456
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Trondheim, 7006
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Tynset, 2500
South Africa10 sites
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Bellville, Western Cape, 7530
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Bioemfontein, Free State, 9301
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Centurion, Gauteng, 0157
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Durban, KwaZulu-Natal, 4001
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George, Western Cape, 6529
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Parktown, Gauteng, 2193
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Pietermaritzburg, KwaZulu-Natal, 3201
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Pretoria, Gauteng, 0084
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Somerset West, Western Cape, 7130
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Worcester, Western Cape, 6850
Spain10 sites
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Getafe, 28905
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L'Hospitalet de Llobregat, 08907
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León, 24008
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Madrid, 28007
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Madrid, 28029
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Madrid, 28041
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Málaga, 29010
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Mourente, 36071
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Tarragona, 43007
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Torrevieja, Alicante, 03186
Hungary9 sites
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Budapest, 1032
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Budapest, 1097
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Budapest, 1125
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Gyula, 5700
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Kecskemét, 6000
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Miskolc, 3501
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Mosonmagyaróvár, 9200
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Székesfehérvár, 8000
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Zalaegerszeg, 8900
Argentina7 sites
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Buenos Aires, Buenos Aires, C1280AEB
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Ciudad Autonoma de Buenos Aire, Buenos Aires, C1180AAX
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Córdoba, Córdoba Province, 5000
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Corrientes, Corrientes Province, 3400
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Rosario, Santa Fe Province, 2000
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Rosario, Santa Fe Province, S2000CVB
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Rosario, Santa Fe Province, S2000DSV
Denmark7 sites
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Arhus C, 8000
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Hellerup, 2900
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Herning, 7400
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Hilleroed, 3400
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Horsens, 8700
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Næstved, 4700
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Silkeborg, 8600
Austria6 sites
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Graz, 8036
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Innsbruck, 6020
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Vienna, 1090
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Vienna, 1100
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Vienna, 1140
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Vienna, 1160
Chile5 sites
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Independencia, Santiago Metropolitan, XXXXX
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Punta Arenas, Magallanes Antartica, 6212296
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Santiago, Santiago Metropolitan, 7600448
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Santiago, Santiago Metropolitan, 8330024
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Viña del Mar, Valparaiso, 2520000
Romania5 sites
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Baia Mare, 430031
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Bucharest, 022328
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Bucharest, 030171
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Bucharest, 050098
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Târgu Mureş, 540136
Malaysia4 sites
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George Town, Pulau Pinang, 10350
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Ipoh, Perak, 30990
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Kuala Lumpur, Kuala Lumpur, 50586
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Malacca, Melaka, 75400
Portugal4 sites
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Coimbra, 3004-548
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Guarda, 6301-857
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Lisbon, 1169-050
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Lisbon, 1769-001
South Korea4 sites
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Busan, 602-702
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Seoul, 120752
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Seoul, 137-040
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Seoul, 138736
Singapore3 sites
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Singapore, 169608
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Singapore, 308433
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Singapore, 529889
Hong Kong2 sites
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Pokfulman, XXXXX
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Shatin, N.T
United Kingdom1 site
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Livingston, West Lothian, EH54 7BH
About this study
Official title: A Safety and Efficacy Trial Evaluating the Use of Apixaban in the Treatment of Symptomatic Deep Vein Thrombosis and Pulmonary Embolism
The purpose of this study is to evaluate the effects of an investigational blood thinner, apixaban, in preventing venous thromboembolic (VTE) recurrence or death in patients with deep vein thrombosis (DVT) or pulmonary embolism (PE)
- Conditions
- Venous Thrombosis
- Being tested
- Enoxaparin, warfarin, Placebo for apixaban, Placebo for enoxaparin, Placebo for warfarin
- Medical subject headings
- Venous Thrombosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EnoxaparinDrug
solution, subcutaneous, 1 mg/kg Q12h until International normalized ratio (INR) ≥2.
warfarinDrug
Also called Coumadin, BMS-565793
tablets, oral, dosing to target INR range between 2.0 - 3.0, once daily, 6 months
Placebo for apixabanDrug
tablets, oral, 10 mg tablets, twice daily, for 7 days followed by placebo for apixaban 5 mg tablets, twice daily, 6 months
Placebo for enoxaparinDrug
solution, subcutaneous, 1 mg/kg Q12h until sham INR ≥2.
Placebo for warfarinDrug
tablets, oral, dosing to target sham INR range between 2.0 - 3.0, once daily, 6 months
apixabanDrug
Also called BMS-562247
tablets, oral, 10 mg tablets, twice daily, for 7 days followed by apixaban 5 mg, twice daily, 6 months
| Study group | Role | What they receive |
|---|---|---|
| Apixaban | Active comparator | apixaban: tablets, oral, 10 milligram (mg) tablets, twice daily, for 7 days followed by apixaban 5 mg, twice daily, 6 months. Receives: Drug: Enoxaparin; Drug: warfarin; Drug: Placebo for apixaban |
| Enoxaparin + Warfarin | Experimental | Enoxaparin: solution, subcutaneous, 1 mg/kg Q12h until international normalized ratio (INR) ≥2. Receives: Drug: Placebo for enoxaparin; Drug: Placebo for warfarin; Drug: apixaban |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adjudicated Composite of Symptomatic, Recurrent Venous Thromboembolism (VTE) or VTE-Related Death During 6 Months of Treatment
VTE: nonfatal deep vein thrombosis (DVT) or nonfatal pulmonary embolism (PE). All events were adjudicated by an ICAC blinded to treatment. DVT assessed by compression ultrasound and/or venography; PE assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants): n/N (n=number of participants with observation; N=total number of efficacy evaluable participants). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Composite endpoint: events at any time from randomization until end of intended treatment, regardless whether drug treatment was received. All randomized participants with a non-missing primary endpoint were summarized. Missing endpoint = outcomes which could not be documented on or after study Day 154. Participants were categorized to the assigned group regardless of the treatment actually received (intent-to-treat).
Measured: Day 1 to Week 24 + 2 Days or 355 days (Discontinued Early)
Secondary outcomes (20)
Incidence of Adjudicated Composite of Recurrent Symptomatic Venous Thromboembolism (VTE) or All-Cause Death
VTE included: nonfatal DVT or nonfatal PE. All events were adjudicated by an ICAC blinded to treatment. DVT was assessed by compression ultrasound and/or venography; PE was assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants with event) calculated as n/N (n=number of participants with observation; N=total number of efficacy evaluable participants). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Composite endpoint included events at any time from randomization until end of the intended treatment period, regardless whether drug treatment was received, ie intent to treat (ITT) principle. Each participant scored as having an event only if they experienced one or more of the elements of the composite. Participants with missing endpoint information excluded.
Measured: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE or Cardiovascular (CV)-Related Death
VTE included: nonfatal DVT or nonfatal PE. All events were adjudicated by an ICAC blinded to treatment. DVT was assessed by compression ultrasound and/or venography; PE was assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants with event) calculated as n/N (n=number of participants with observation; N=total number of efficacy evaluable participants, participants with missing endpoint information excluded). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Composite endpoint included events at any time from randomization until end of the intended treatment period, regardless whether drug treatment was received, ie, ITT principle. Each participant scored as having an event only if the participant experienced one or more of the elements of the composite.
Measured: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE or VTE-related Death or Major Bleeding
VTE included: nonfatal DVT or nonfatal PE. All events were adjudicated by an ICAC blinded to treatment. DVT assessed by compression ultrasound and/or venography; PE assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Major bleeding defined by International Society on Thrombosis and Haemostasis: acute, clinically overt bleeding associated with decrease in hemoglobin (Hgb) of 2 g/dL or more or bleeding leading to transfusion or bleeding in a critical site or bleeding that is fatal . Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants, excluding those with missing endpoint and including those not in the efficacy evaluable population with a bleeding event that occurred during treatment period. Events included regardless of whether or not participant received treatment, ie, ITT principle
Measured: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE, Myocardial Infarction, Stroke, CV-related Death, Clinically Relevant Non-major (CRNM) Bleeding or Major Bleeding
VTE=Nonfatal DVT or nonfatal PE adjudicated by ICAC blinded to treatment. DVT: compression ultrasound and/or venography; PE: spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Major Bleeding = acute, clinically overt bleeding: decrease in Hgb of 2 g/dL or more or bleeding leading to transfusion or bleeding in a critical site or fatal bleeding. CRNM = acute clinically overt bleeding: compromising hemodynamics, leading to hospitalization, hematoma, epistasis >5 minutes or repetitive, gingival bleeding, hematuria, macroscopic gastrointestinal hemorrhage, rectal blood loss, hemoptysis. n/N (n=number of participants with observation; N=Total number of participants, excluding those with missing endpoint and including those not in the efficacy evaluable population with a bleeding event that occurred during treatment period). Events included regardless of whether or not treatment was received (ITT).
Measured: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Symptomatic Nonfatal Deep Vein Thrombosis (DVT) During the Intended Treatment Period
DVT adjudicated by an ICAC blinded to treatment. DVT evaluated by: compression ultrasound and/or venography. Includes events that occurred during the intended treatment period, regardless of whether the participant received study medication, intent to treat principle (ITT). Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants, excluding those with missing endpoint). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early).
Measured: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Symptomatic Nonfatal Pulmonary Embolism (PE) During the Intended Treatment Period
PE adjudicated by an ICAC blinded to treatment. PE: spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Includes events that occurred during the intended treatment period, regardless of whether the participant received study medication (ITT principle). Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants, excluding those with missing endpoint). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early).
Measured: Day 1 to Week 24 + + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Venous Thromboembolism (VTE)-Related Death During the Intended Treatment Period
VTE-related death included: DVT-related death or PE-related death. All events were adjudicated by an ICAC blinded to treatment. DVT was assessed by compression ultrasound and/or venography; PE was assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants with event) calculated as n/N (n=number of participants with observation; N=total number of participants in respective treatment groups excluding participants with missing endpoint information). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Includes events that occur during the intended treatment period regardless of whether or not the participant received study medication (ITT principle).
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Cardiovascular (CV)-Related Death Including VTE-related Death During the Intended Treatment Period
VTE-related death included: DVT-related death or PE-related death. All events were adjudicated by an ICAC blinded to treatment. DVT assessed by compression ultrasound and/or venography; PE assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants with event) calculated as n/N (n=number of participants with observation; N=total number of participants in respective treatment groups excluding participants with missing endpoint information). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Includes events that occur during the intended treatment period regardless of whether or not the participant received study medication (ITT principle).
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of All-Cause Death During the Intended Treatment Period
Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Includes events that occurred during the intended treatment period, regardless of whether the participant received study medication (ITT principle). Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants, excluding those with missing endpoint information).
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Major Bleeding During the Treatment Period in Treated Participants
All events were adjudicated by an ICAC blinded to treatment. Bleeding defined by International Society on Thrombosis and Haemostasis: Major Bleeding: acute, clinically overt bleeding: decrease in hemoglobin (hgb) of 2 g/dL or more or bleeding leading to transfusion or bleeding in a critical site or fatal bleeding. Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants in respective treatment group (all participants who received at least one dose of study drug). Participants were categorized to the treatment group to which they were assigned unless incorrect study treatment was received throughout the study, in which case the participant was categorized according to the treatment received.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Major/CRNM Bleeding During the Treatment Period in Treated Participants
Major Bleeding = acute, clinically overt bleeding: decrease in hemoglobin of 2 g/dL or more, or bleeding leading to transfusion, or bleeding in a critical site, or fatal bleeding. CRNM = acute clinically overt bleeding: compromising hemodynamics, leading to hospitalization, hematoma, epistasis >5 minutes or repetitive, gingival bleeding, hematuria, macroscopic gastrointestinal hemorrhage, rectal blood loss, hemoptysis. Minor =: All acute clinically overt bleeding events not meeting the criteria for either major bleeding or CRNM. All events were adjudicated by an ICAC blinded to treatment. Total bleeding = any of major, or CRNM, or minor bleeding. Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of treated (received at least 1 dose of study drug).
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Clinically Relevant Non Major (CRNM) Bleeding During the Treatment Period in Treated Participants
Bleeding defined by International Society on Thrombosis and Haemostasis: CRNM defined as acute clinically overt bleeding: compromising hemodynamics, leading to hospitalization, hematoma, epistasis >5 minutes or repetitive, gingival bleeding, hematuria, macroscopic gastrointestinal hemorrhage, rectal blood loss, hemoptysis. All events were adjudicated by an ICAC blinded to treatment. Event rate (proportion of participants with event): calculated as n/N (n=number of participants with observation; N=Total number of participants in respective treatment group (all participants who received at least one dose of study drug). Participants were categorized to the treatment group to which they were assigned unless incorrect study treatment was received throughout the study, in which case the participant was categorized according to the treatment received.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Minor Bleeding During the Treatment Period in Treated Participants
Bleeding defined by International Society on Thrombosis and Haemostasis: Minor bleeding: all acute clinically overt bleeding events not meeting the criteria for either major bleeding or CRNM. All events wre adjudicated by an ICAC blinded to treatment. Event rate (proportion of participants) calculated as n/N (n=number of participants with observation; N=Total number of participants in respective treatment group (all participants who received at least one dose of study drug). Participants were categorized to the treatment group to which they were assigned unless incorrect study treatment was received throughout the study, in which case the participant was categorized according to the treatment received.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Total Bleeding During the Treatment Period in Treated Participants
Bleeding defined by International Society on Thrombosis and Haemostasis: Total Bleeding defined as any of major, CRNM, or minor bleeding. All events were adjudicated by an ICAC blinded to treatment. Event rate (proportion of participants with event): n/N (n=number of participants with observation; N=Total number of participants in respective treatment group (all participants who received at least one dose of study drug). Participants were categorized to the treatment group to which they were assigned unless incorrect study treatment was received throughout the study, in which case the participant was categorized according to the treatment received.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Bleeding AEs, Discontinuations Due to AEs and Death During the Treatment Period in Treated Participants
Treated Participants: all who received at least 1 dose of study drug. Participants categorized to the treatment group to which they were assigned unless incorrect study treatment was received throughout the study, in which case the participant was categorized according to treatment received. Included all SAEs and AEs with onset from first dose to last dose + 2 days (for AEs) or + 30 days (for SAEs); note; bleeding AEs and SAEs from first dose to last dose + 2 days included. Discontinuations due to AE included all AEs/SAEs from first dose until drug was discontinued. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.
Measured: First dose to last dose of 24 Weeks + 2 days (AEs) or + 30 days (SAEs) or until drug discontinued
Number of Treated Participants With Marked Abnormalities in Hematology Laboratory Tests
Lower limit of normal (LLN). Upper limit of normal (ULN). Pre-therapy (PreRx). Absolute (Abs) neutrophil count, bands + neutrophils (ANC). Cells per microliter (c/µL). Grams per deciliter (g/dL). Cells per Liter (c/L). Millimeter (MM). White blood cells: < 0.75*LLN, > 1.25*ULN; Hemoglobin: <= 11.5 g/dL (males), <= 9.5 g/dL (females); Hematocrit: <= 37% (males), <= 32% (females); Erythrocytes: <0.75*10^6 c/µL*PreRx; Platelet count: < 75*10^9 c/L, > 700*10^9 c/L; ANC: < 1.00*10^3 c/µL; Abs eosinophils: > 0.750*10^3 c/µL; Abs Basophils: > 400/MM^3; Abs Monocytes> 2000/MM^3; Abs Lymphocytes: < 0.750*10*3 c/ µL, > 7.5*10^3 c/ µL.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Electrolyte Laboratory Tests
Bicarbonate milliequivalents/Liter (mEq/L) Low/High: < 0.75*LLN or > 1.25*ULN, or if pre-dose < LLN then use < 0.75*pre-dose or > ULN if pre-dose > ULN then use > 1.25*pre-dose or < LLN; Serum Calcium mg/dL Low/High: < 0.8*LLN or > 1.2*ULN, or if pre-dose < LLN then use < 0.75*pre-dose or > ULN if pre-dose > ULN then use > 1.25*pre-dose or < LLN; Serum Chloride mEq/L: < 0.9*LLN or > 1.1*ULN, or if pre-dose < LLN then use < 0.9*pre-dose or > ULN if pre-dose > ULN then use > 1.1*pre-dose or < LLN; Serum Potassium mEq/L: < 0.9*LLN or > 1.1*ULN, or if pre-dose < LLN then use < 0.9*pre-dose or > ULN if pre-dose > ULN then use > 1.1*pre-dose or < LLN; Serum Sodium mEq/L: < 0.95*LLN or > 1.05*ULN, or if pre-dose < LLN then use < 0.95*pre-dose or > ULN if pre-dose > ULN then use > 1.05*pre-dose or < LLN.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Kidney and Liver Function Laboratory Tests
Blood urea nitrogen (BUN), milligrams/deciliter (mg/dL), units per liter (U/L). BUN mg/dL High: > 1.5*ULN; Creatinine mg/dL: > 1.5*ULN; Alanine aminotransferase (ALT) U/L: > 3*ULN; Aspartate aminotransferase (AST) U/L: > 3*ULN; Alkaline phosphatase U/L: > 2*ULN; Bilirubin Direct mg/dL: > 1.5*ULN; Bilirubin Total mg/dL: > 2*ULN.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Creatine Kinase, Uric Acid, and Total Protein Laboratory Tests
Creatine kinase High: >5*ULN Units/Liter (U/L); Total Protein High/Low: < 0.9 *LLN or > 1.1*ULN, or if pre-dose < LLN then use 0.9* pre-dose or > ULN if pre-dose > ULN then use 1.1 *pre-dose or <LLN; Uric acid High: > 1.5* ULN, or if pre-dose > ULN then use > 2 *pre-dose.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Urinalysis Laboratory Tests
All tests in urine: Glucose: If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4; Protein: If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4; Blood: If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4; Leukocyte esterase: If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4;Red blood cells (RBC): If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4; White blood cells (WBC): If missing pre-dose use ≥ 2, or if value ≥ 4, or if pre-dose = 0 or 0.5 use ≥ 2, or if pre-dose = 1 use ≥ 3, or if pre-dose = 2 or 3 use ≥ 4.
Measured: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Mar 2008 (estimated)
- Study startJul 2008
- Primary completionMar 2013
- Study completionMar 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Venous ThrombosisStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 5,614 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00643201
- Sponsor's protocol ID
- CV185-056
- Other IDs
- EUDRACT: 2007-007867-25
- Status last verified
- Apr 2014
- First submitted
- 20 Mar 2008
- Last updated
- 21 Apr 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Jamieson MJ, Byon W, Dettloff RW, Crawford M, Gargalovic PS, Merali SJ, Onorato J, Quintero AJ, Russ C. Apixaban Use in Obese Patients: A Review of the Pharmacokinetic, Interventional, and Observational Study Data. Am J Cardiovasc Drugs. 2022 Nov;22(6):615-631. doi: 10.1007/s40256-022-00524-x. Epub 2022 May 16.
PubMed 35570249Cohen AT, Pan S, Byon W, Ilyas BS, Taylor T, Lee TC. Efficacy, Safety, and Exposure of Apixaban in Patients with High Body Weight or Obesity and Venous Thromboembolism: Insights from AMPLIFY. Adv Ther. 2021 Jun;38(6):3003-3018. doi: 10.1007/s12325-021-01716-8. Epub 2021 Apr 22.
PubMed 33890242Cohen AT, Agnelli G, Buller HR, Gallus A, Raskob GE, Sanders P, Thompson J, Weitz JI. Characteristics and Outcomes in Patients with Venous Thromboembolism Taking Concomitant Anti-Platelet Agents and Anticoagulants in the AMPLIFY Trial. Thromb Haemost. 2019 Mar;119(3):461-466. doi: 10.1055/s-0038-1676983. Epub 2019 Jan 16.
PubMed 30650446Liu X, Johnson M, Mardekian J, Phatak H, Thompson J, Cohen AT. Apixaban Reduces Hospitalizations in Patients With Venous Thromboembolism: An Analysis of the Apixaban for the Initial Management of Pulmonary Embolism and Deep-Vein Thrombosis as First-Line Therapy (AMPLIFY) Trial. J Am Heart Assoc. 2015 Dec 1;4(12):e002340. doi: 10.1161/JAHA.115.002340.
PubMed 26627879Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, Masiukiewicz U, Pak R, Thompson J, Raskob GE, Weitz JI; AMPLIFY Investigators. Oral apixaban for the treatment of acute venous thromboembolism. N Engl J Med. 2013 Aug 29;369(9):799-808. doi: 10.1056/NEJMoa1302507. Epub 2013 Jul 1.
PubMed 23808982
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Safety and Efficacy Trial Evaluating the Use of Apixaban in the Treatment of Symptomatic Deep Vein Thrombosis and Pulmonary Embolism
- ClinicalTrials.gov ID
- NCT00643201
- Acronym / sponsor ID
- CV185-056
- Conditions
- Venous Thrombosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,614 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Study start
- Jul 2008
- Primary completion
- Mar 2013 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 26 Mar 2008 (estimated)
- Results
- Posted 10 Apr 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effects of an investigational blood thinner, apixaban, in preventing venous thromboembolic (VTE) recurrence or death in patients with deep vein thrombosis (DVT) or pulmonary embolism (PE)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Apixaban | Active comparator | Drug: Enoxaparin, Drug: warfarin, Drug: Placebo for apixabanapixaban: tablets, oral, 10 milligram (mg) tablets, twice daily, for 7 days followed by apixaban 5 mg, twice daily, 6 months. |
| Enoxaparin + Warfarin | Experimental | Drug: Placebo for enoxaparin, Drug: Placebo for warfarin, Drug: apixabanEnoxaparin: solution, subcutaneous, 1 mg/kg Q12h until international normalized ratio (INR) ≥2. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Men and women ≥ 18 years of age
- Clinical diagnosis of DVT or PE
Key exclusion criteria (5 listed)
- Contraindications for enoxaparin or warfarin
- Active bleeding or high risk for serious bleeding
- Short life expectancy
- Uncontrolled high blood pressure
- Significantly impaired kidney or liver function
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 |
|---|---|---|
| Enoxaparinsolution, subcutaneous, 1 mg/kg Q12h until International normalized ratio (INR) ≥2. | Drug | Apixaban |
| warfarinAlso: Coumadin, BMS-565793tablets, oral, dosing to target INR range between 2.0 - 3.0, once daily, 6 months | Drug | Apixaban |
| Placebo for apixabantablets, oral, 10 mg tablets, twice daily, for 7 days followed by placebo for apixaban 5 mg tablets, twice daily, 6 months | Drug | Apixaban |
| Placebo for enoxaparinsolution, subcutaneous, 1 mg/kg Q12h until sham INR ≥2. | Drug | Enoxaparin + Warfarin |
| Placebo for warfarintablets, oral, dosing to target sham INR range between 2.0 - 3.0, once daily, 6 months | Drug | Enoxaparin + Warfarin |
| apixabanAlso: BMS-562247tablets, oral, 10 mg tablets, twice daily, for 7 days followed by apixaban 5 mg, twice daily, 6 months | Drug | Enoxaparin + Warfarin |
Primary outcome
Incidence of Adjudicated Composite of Symptomatic, Recurrent Venous Thromboembolism (VTE) or VTE-Related Death During 6 Months of Treatment
Time frame: Day 1 to Week 24 + 2 Days or 355 days (Discontinued Early)
VTE: nonfatal deep vein thrombosis (DVT) or nonfatal pulmonary embolism (PE). All events were adjudicated by an ICAC blinded to treatment. DVT assessed by compression ultrasound and/or venography; PE assessed by spiral computed tomography scanning, pulmonary angiography, and/or ventilation/perfusion lung scan. Event rate (proportion of participants): n/N (n=number of participants with observation; N=total number of efficacy evaluable participants). Intended treatment period: longer of the dosing period plus 2 days (completed treatment) or 355 days (discontinued early). Composite endpoint: events at any time from randomization until end of intended treatment, regardless whether drug treatment was received. All randomized participants with a non-missing primary endpoint were summarized. Missing endpoint = outcomes which could not be documented on or after study Day 154. Participants were categorized to the assigned group regardless of the treatment actually received (intent-to-treat).
20 secondary outcomes
Incidence of Adjudicated Composite of Recurrent Symptomatic Venous Thromboembolism (VTE) or All-Cause Death
Time frame: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE or Cardiovascular (CV)-Related Death
Time frame: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE or VTE-related Death or Major Bleeding
Time frame: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Composite of Recurrent Symptomatic VTE, Myocardial Infarction, Stroke, CV-related Death, Clinically Relevant Non-major (CRNM) Bleeding or Major Bleeding
Time frame: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Symptomatic Nonfatal Deep Vein Thrombosis (DVT) During the Intended Treatment Period
Time frame: Day 1 up to 24 Weeks + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Symptomatic Nonfatal Pulmonary Embolism (PE) During the Intended Treatment Period
Time frame: Day 1 to Week 24 + + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Venous Thromboembolism (VTE)-Related Death During the Intended Treatment Period
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Cardiovascular (CV)-Related Death Including VTE-related Death During the Intended Treatment Period
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of All-Cause Death During the Intended Treatment Period
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Major Bleeding During the Treatment Period in Treated Participants
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Major/CRNM Bleeding During the Treatment Period in Treated Participants
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Clinically Relevant Non Major (CRNM) Bleeding During the Treatment Period in Treated Participants
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Minor Bleeding During the Treatment Period in Treated Participants
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Incidence of Adjudicated Total Bleeding During the Treatment Period in Treated Participants
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Bleeding AEs, Discontinuations Due to AEs and Death During the Treatment Period in Treated Participants
Time frame: First dose to last dose of 24 Weeks + 2 days (AEs) or + 30 days (SAEs) or until drug discontinued
Number of Treated Participants With Marked Abnormalities in Hematology Laboratory Tests
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Electrolyte Laboratory Tests
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Kidney and Liver Function Laboratory Tests
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Creatine Kinase, Uric Acid, and Total Protein Laboratory Tests
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Number of Treated Participants With Marked Abnormalities in Urinalysis Laboratory Tests
Time frame: Day 1 to Week 24 + 2 Days or 355 Days (Discontinued Early)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35570249Jamieson MJ, Byon W, Dettloff RW, Crawford M, Gargalovic PS, Merali SJ, Onorato J, Quintero AJ, Russ C. Apixaban Use in Obese Patients: A Review of the Pharmacokinetic, Interventional, and Observational Study Data. Am J Cardiovasc Drugs. 2022 Nov;22(6):615-631. doi: 10.1007/s40256-022-00524-x. Epub 2022 May 16.
- Derived from this study: PubMed 33890242Cohen AT, Pan S, Byon W, Ilyas BS, Taylor T, Lee TC. Efficacy, Safety, and Exposure of Apixaban in Patients with High Body Weight or Obesity and Venous Thromboembolism: Insights from AMPLIFY. Adv Ther. 2021 Jun;38(6):3003-3018. doi: 10.1007/s12325-021-01716-8. Epub 2021 Apr 22.
- Derived from this study: PubMed 30650446Cohen AT, Agnelli G, Buller HR, Gallus A, Raskob GE, Sanders P, Thompson J, Weitz JI. Characteristics and Outcomes in Patients with Venous Thromboembolism Taking Concomitant Anti-Platelet Agents and Anticoagulants in the AMPLIFY Trial. Thromb Haemost. 2019 Mar;119(3):461-466. doi: 10.1055/s-0038-1676983. Epub 2019 Jan 16.
- Derived from this study: PubMed 26627879Liu X, Johnson M, Mardekian J, Phatak H, Thompson J, Cohen AT. Apixaban Reduces Hospitalizations in Patients With Venous Thromboembolism: An Analysis of the Apixaban for the Initial Management of Pulmonary Embolism and Deep-Vein Thrombosis as First-Line Therapy (AMPLIFY) Trial. J Am Heart Assoc. 2015 Dec 1;4(12):e002340. doi: 10.1161/JAHA.115.002340.
- Derived from this study: PubMed 23808982Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, Masiukiewicz U, Pak R, Thompson J, Raskob GE, Weitz JI; AMPLIFY Investigators. Oral apixaban for the treatment of acute venous thromboembolism. N Engl J Med. 2013 Aug 29;369(9):799-808. doi: 10.1056/NEJMoa1302507. Epub 2013 Jul 1.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
381 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Enoxaparin and warfarin in people with Venous Thrombosis, run by Bristol-Myers Squibb at 381 sites in 31 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 2 inclusion and 5 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 21 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 381 sites in United States, Russia, Brazil, France, Canada and 26 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Apr 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Incidence of Adjudicated Composite of Symptomatic, Recurrent Venous Thromboembolism (VTE) or VTE-Related Death During 6 Months of Treatment (time frame: Day 1 to Week 24 + 2 Days or 355 days (Discontinued Early)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00643201, which also lists 5 linked publications.
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 21 Apr 2014.