Venous ThromboembolismPhase 3SAVE-ABDONCT00679588
Evaluation of AVE5026 as Compared to Enoxaparin for the Prevention of Venous Thromboembolism in Patients Undergoing Major Abdominal Surgery
A Phase 3 study testing Semuloparin Sodium and Enoxaparin sodium in people with Venous Thromboembolism, run by Sanofi at 270 sites in 39 countries.
Trial summary
The primary objective is to compare the efficacy and safety of once daily (q.d.) subcutaneous (s.c.) injections of Semuloparin sodium (AVE5026) with q.d. s.c. injections of Enoxaparin for the prevention of Venous Thromboembolic Events (VTE) in patients undergoing major abdominal surgery. 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?
- Semuloparin Sodium and Enoxaparin sodium
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 4,413 participants
- Where
- 270 sitesin 39 countries
- Study dates
- Apr 2008to Aug 2010
- Phase
- Phase 3
- 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
- Patient undergoing major abdominal surgery (open surgery under general anesthesia lasting more than 45 minutes in the peritoneal and/or retroperitoneal space and/or pelvis).
- Patient <60 years of age had to have one of the following additional risk factors for VTE:
- History of VTE,
- Obesity,
- Chronic Heart failure,
- Chronic Respiratory Failure,
- Inflammatory Bowel Disease,
- Cancer Surgery.
Who cannot join
- Any major orthopedic or general surgery in the 3 months prior to study start;
- Clinical signs or symptoms of DVT or PE within the last 12 months or known post phlebitic syndrome;
- Any contra-indications to the performance of venography;
- High risk of bleeding;
- Known hypersensitivity to heparin or Enoxaparin sodium;
- End stage renal disease or patient on dialysis.
- The above information was not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
270 sites in 39 countries.
270 sites in 39 countries
India29 sites
Investigational Site Number 356005
Ahmedabad, 380 006
Investigational Site Number 356004
Ahmedabad, 380 008
Investigational Site Number 356033
Andhra Pradesh
Investigational Site Number 356011
Bangalore, 560 034
Investigational Site Number 356027
Bangalore, 560029
Investigational Site Number 356008
Bangalore
Investigational Site Number 356019
Banglore, 560054
Investigational Site Number 356031
Bhopal
Investigational Site Number 356014
Chennai, 600 096
Investigational Site Number 356018
Chennai, 600010
Investigational Site Number 356016
Chennai, 600035
Investigational Site Number 356021
Chennai, 600101
Investigational Site Number 356006
Coimbatore, 641037
Investigational Site Number 356025
Gujarat, 380006
Investigational Site Number 356028
Hyderabad, 500004
Investigational Site Number 356010
Hyderabad, 500082
Investigational Site Number 356002
Jaipur, 302013
Investigational Site Number 356022
Jaipur
Investigational Site Number 356013
Kochi, 682026
Investigational Site Number 356007
Kochi, 682304
Investigational Site Number 356003
Lucknow, 226014
Investigational Site Number 356026
Lucknow
Investigational Site Number 356032
Ludhiana, 141001
Investigational Site Number 356001
Mangalore
Investigational Site Number 356030
Nagpur
Investigational Site Number 356009
New Delhi, 110085
Investigational Site Number 356023
Pune, 411 011
Investigational Site Number 356015
Pune, 411001
Investigational Site Number 356012
Punjgutta
United States25 sites
Investigational Site Number 840026
Birmingham, Alabama, 35209
Investigational Site Number 840035
Birmingham, Alabama, 35209
Investigational Site Number 840042
Birmingham, Alabama, 35209
Investigational Site Number 840002
Birmingham, Alabama, 35234
Investigational Site Number 840029
Clearwater, Florida, 33756
Investigational Site Number 840009
Columbus, Georgia, 31904
Investigational Site Number 840051
Columbus, Ohio, 43210
Investigational Site Number 840031
Corlton, California, 82324
Investigational Site Number 840021
Denver, Colorado, 80262
Investigational Site Number 840037
Hazard, Kentucky, 41701
Investigational Site Number 840025
Houston, Texas, 77024
Investigational Site Number 840050
Houston, Texas, 77070
Investigational Site Number 840007
Huntingdon Beach, California, 92647
Investigational Site Number 840017
Jacksonville, Florida, 32209
Investigational Site Number 840014
Los Angeles, California, 90033
Investigational Site Number 840032
Lubbock, Texas, 79409
Investigational Site Number 840019
Maywood, Illinois, 60153
Investigational Site Number 840044
Miami, Florida, 33136
Investigational Site Number 840043
Morgantown, West Virginia, 26506
Investigational Site Number 840015
Orlando, Florida, 32804
Investigational Site Number 840006
Pittsburgh, Pennsylvania, 15240
Investigational Site Number 840011
Sant Barbara, California, 93105
Investigational Site Number 840036
Springfield, Illinois, 62702
Investigational Site Number 840008
St Louis, Missouri, 63104
Investigational Site Number 840020
Teaneck, New Jersey, 07666
Russia20 sites
Investigational Site Number 643019
Krasnodar, 350086
Investigational Site Number 643006
Krasnoyarsk, 660058
Investigational Site Number 643003
Moscow, 105229
Investigational Site Number 643001
Moscow, 115280
Investigational Site Number 643002
Moscow, 119048
Investigational Site Number 643020
Moscow, 119415
Investigational Site Number 643021
Moscow, 119991
Investigational Site Number 643025
Moscow, 125367
Investigational Site Number 643008
Novosibirsk, 630047
Investigational Site Number 643007
Novosibirsk, 630054
Investigational Site Number 643026
Omsk, 644013
Investigational Site Number 643011
Saint Petersburg, 191104
Investigational Site Number 643010
Saint Petersburg, 194291
Investigational Site Number 643009
Saint Petersburg, 194354
Investigational Site Number 643018
Saint Petersburg, 195067
Investigational Site Number 643017
Saint Petersburg, 199004
Investigational Site Number 643015
Sestroretsk, 197706
Investigational Site Number 643012
Tomsk, 634063
Investigational Site Number 643016
Vsevolozhsk, 188640
Investigational Site Number 643014
Yaroslavl, 150062
Poland18 sites
Investigational Site Number 616001
Bydgoszcz, 85-094
Investigational Site Number 616003
Bydgoszcz, 85-168
Investigational Site Number 616006
Gdansk
Investigational Site Number 616005
Krakow, 31-501
Investigational Site Number 616018
Krakow, 31-826
Investigational Site Number 616020
Krakow, 31-913
Investigational Site Number 616009
Lodz, 90-153
Investigational Site Number 616002
Lodz, 90-647
Investigational Site Number 616010
Lublin, 20-081
Investigational Site Number 616012
Poznan, 60-747
Investigational Site Number 616015
Sosnowiec, 41-200
Investigational Site Number 616013
Szczecin, 70-111
Investigational Site Number 616011
Torun, 87-100
Investigational Site Number 616004
Warsaw, 02-097
Investigational Site Number 616014
Warsaw, 03-242
Investigational Site Number 616008
Wroclaw, 50 -556
Investigational Site Number 616007
Wroclaw, 50-326
Investigational Site Number 616016
Wroclaw, 51-124
Brazil14 sites
Investigational Site Number 076003
Belo Horizonte, 30150-221
Investigational Site Number 076010
Belo Horizonte, 30380-490
Investigational Site Number 076014
Caxias do Sul, 95001-960
Investigational Site Number 076012
Curitiba, 80050-350
Investigational Site Number 076005
Curitiba, 81520-060
Investigational Site Number 076006
Goiânia, 74605-070
Investigational Site Number 076011
Joinville, 89202-000
Investigational Site Number 076007
Porto Alegre, 90035 003
Investigational Site Number 076009
Porto Alegre, 90610-000
Investigational Site Number 076015
Ribeirão Preto, 14049-900
Investigational Site Number 076013
São José do Rio Preto, 15090-000
Investigational Site Number 076004
São Paulo, 01323-001
Investigational Site Number 076002
São Paulo, 05403-000
Investigational Site Number 076008
São Paulo, 08270-070
Czechia14 sites
Investigational Site Number 203007
Brno, 62500
Investigational Site Number 203001
Brno, 65691
Investigational Site Number 203011
Jihlava, 58633
Investigational Site Number 203015
Kolín, 28020
Investigational Site Number 203009
Kroměříž, 76755
Investigational Site Number 203004
Liberec, 46063
Investigational Site Number 203014
Most, 43464
Investigational Site Number 203003
Ostrava, 72880
Investigational Site Number 203012
Pardubice, 53203
Investigational Site Number 203008
Prague, 14059
Investigational Site Number 203006
Prague, 15006
Investigational Site Number 203002
Prague, 16902
Investigational Site Number 203016
Říčany, 25001
Investigational Site Number 203010
Ústí nad Labem, 40113
China11 sites
Investigational Site Number 156011
Baotou, 014010
Investigational Site Number 156012
Changsha, 410008
Investigational Site Number 156010
Changsha, 410013
Investigational Site Number 156006
Fuzhou, 354200
Investigational Site Number 156003
Guangzhou, 510060
Investigational Site Number 156013
Haikou, 570208
Investigational Site Number 156005
Nanjing, 210006
Investigational Site Number 156008
Qingdao, 266003
Investigational Site Number 156001
Shijiazhuang, 050051
Investigational Site Number 156014
Tianjin, 300121
Investigational Site Number 156004
Xi'an, 710038
Germany11 sites
Investigational Site Number 276011
Bochum, 44791
Investigational Site Number 276015
Castrop-Rauxel, 44575
Investigational Site Number 276018
Castrop-Rauxel, 44575
Investigational Site Number 276006
Dresden, 01067
Investigational Site Number 276012
Hanover, 30625
Investigational Site Number 276002
Heidelberg, 69120
Investigational Site Number 276004
Homburg, 66421
Investigational Site Number 276014
Lübeck, 23538
Investigational Site Number 276016
Magdeburg, 39130
Investigational Site Number 276013
München, 81675
Investigational Site Number 276001
Stralsund, 18435
Italy11 sites
Investigational Site Number 380009
Aviano, 33081
Investigational Site Number 380001
Genova, 16132
Investigational Site Number 380015
Genova, 16132
Investigational Site Number 380006
Milan, 20132
Investigational Site Number 380004
Padova, 35128
Investigational Site Number 380008
Parma, 43100
Investigational Site Number 380013
Piacenza, 29100
Investigational Site Number 380012
Pordenone, 33170
Investigational Site Number 380005
Reggio Emilia, 42100
Investigational Site Number 380011
San Donato Milanese, 20097
Investigational Site Number 380007
Trieste, 34149
South Korea10 sites
Investigational Site Number 410007
Daegu, 700-712
Investigational Site Number 410006
Goyang, 410-773
Investigational Site Number 410001
Gyeonggi-do, 420-767
Investigational Site Number 410009
Incheon, 400-711
Investigational Site Number 410011
Seoul, 110-744
Investigational Site Number 410004
Seoul, 120-752
Investigational Site Number 410002
Seoul, 135-710
Investigational Site Number 410010
Seoul, 135-720
Investigational Site Number 410008
Seoul, 138-878
Investigational Site Number 410003
Suwon, 443-721
Argentina8 sites
Investigational Site Number 032002
Buenos Aires, 1155
Investigational Site Number 032001
Buenos Aires, 1416
Investigational Site Number 032004
Buenos Aires
Investigational Site Number 032007
Capital Federal, 1039
Investigational Site Number 032008
Capital Federal, C1408INH
Investigational Site Number 032014
Córdoba, X5000AAI
Investigational Site Number 032012
Rosario, 2000
Investigational Site Number 032005
Santa Fe, S3000EPV
Belarus8 sites
Investigational Site Number 112001
Homyel, 246012
Investigational Site Number 112006
Homyel, 246012
Investigational Site Number 112003
Minsk, 220013
Investigational Site Number 112008
Minsk, 223040
Investigational Site Number 112002
Minsk
Investigational Site Number 112005
Minsk
Investigational Site Number 112004
Vitebsk, 210603
Investigational Site Number 112007
Vitebsk
Bulgaria8 sites
Investigational Site Number 100004
Pleven, 5800
Investigational Site Number 100003
Rousse, 7002
Investigational Site Number 100011
Sofia, 1407
Investigational Site Number 100005
Sofia, 1606
Investigational Site Number 100008
Sofia, 1606
Investigational Site Number 100009
Sofia, 1606
Investigational Site Number 100006
Varna, 9010
Investigational Site Number 100010
Varna, 9010
Ukraine8 sites
Investigational Site Number 804003
Cherkasy, 18009
Investigational Site Number 804007
Donetsk, 83092
Investigational Site Number 804010
Donetsk, 83092
Investigational Site Number 804011
Kharkiv, 61037
Investigational Site Number 804005
Kyiv, 3022
Investigational Site Number 804002
Kyiv
Investigational Site Number 804004
Kyiv
Investigational Site Number 804008
Odesa, 65025
Canada7 sites
Investigational Site Number 124001
Edmonton, T6G 2B7
Investigational Site Number 124004
Kitchener, N2G 1G3
Investigational Site Number 124010
Montreal, H3G 1A4
Investigational Site Number 124011
Red Deer, T4N 4E6
Investigational Site Number 124009
Saint John, E2L 4L2
Investigational Site Number 124002
Thunder Bay, P7B 6V1
Investigational Site Number 124007
Vancouver, V5Z 4E3
Peru6 sites
Investigational Site Number 604003
Callao, Callao 02
Investigational Site Number 604004
Callao
Investigational Site Number 604006
Lima, LIMA 11
Investigational Site Number 604001
Lima, LIMA 13
Investigational Site Number 604005
Lima, LIMA 18
Investigational Site Number 604002
Lima, Lima 29
Romania6 sites
Investigational Site Number 642003
Cluj-Napoca, 400006
Investigational Site Number 642006
Cluj-Napoca, 400015
Investigational Site Number 642005
Cluj-Napoca, 400132
Investigational Site Number 642001
Oradea, 410169
Investigational Site Number 642004
Oradea, 410169
Investigational Site Number 642002
Timișoara, 300736
Hungary5 sites
Investigational Site Number 348007
Debrecen, 4032
Investigational Site Number 348009
Kistarcsa, 2143
Investigational Site Number 348008
Szeged, 6720
Investigational Site Number 348004
Székesfehérvár, 8000
Investigational Site Number 348003
Szolnok, 5000
Australia4 sites
Investigational Site Number 036002
Box Hill, 3128
Investigational Site Number 036003
Box Hill, 3128
Investigational Site Number 036001
Kogarah, 2217
Investigational Site Number 036008
Redcliffe, 4020
Sweden4 sites
Investigational Site Number 752002
Kungälv, 442 83
Investigational Site Number 752004
Norrköping, 601 82
Investigational Site Number 752001
Stockholm, 14186
Investigational Site Number 752003
Varberg, 432 81
Turkey (Türkiye)4 sites
Investigational Site Number 792003
Istanbul, 34147
Investigational Site Number 792001
Istanbul, 34390
Investigational Site Number 792006
Istanbul
Investigational Site Number 792007
Izmir, 35360
Croatia3 sites
Investigational Site Number 191004
Požega, 34000
Investigational Site Number 191001
Pula, 52100
Investigational Site Number 191002
Zagreb, 10000
Estonia3 sites
Investigational Site Number 233003
Tallinn, 13419
Investigational Site Number 233001
Tartu, 50406
Investigational Site Number 233002
Tartu, 50406
Latvia3 sites
Investigational Site Number 428004
Daugavpils, LV-5417
Investigational Site Number 428003
Riga, LV-1002
Investigational Site Number 428002
Riga, LV-1038
Lithuania3 sites
Investigational Site Number 440003
Kaunas, LT-47144
Investigational Site Number 440001
Kaunas, LT-50009
Investigational Site Number 440002
Vilnius, LT-10207
New Zealand3 sites
Investigational Site Number 554003
Christchurch, 8011
Investigational Site Number 554001
Christchurch, 8014
Investigational Site Number 554002
Nelson South, 7010
Serbia3 sites
Investigational Site Number 688001
Belgrade, 11080
Investigational Site Number 688004
Belgrade, 11080
Investigational Site Number 688002
Novi Sad, 21000
South Africa3 sites
Investigational Site Number 710001
Cape Town, 7130
Investigational Site Number 710004
Cape Town
Investigational Site Number 710003
Worcester, 6850
Austria2 sites
Investigational Site Number 040001
Graz, 8036
Investigational Site Number 040002
Wels, 4600
Belgium2 sites
Investigational Site Number 056002
Genk, 3600
Investigational Site Number 056001
Ghent, 9000
Chile2 sites
Investigational Site Number 152002
Rancagua
Investigational Site Number 152001
Santiago, 838-0456
Denmark2 sites
Investigational Site Number 208001
København NV, 2400
Investigational Site Number 208002
Odense C, 5000
Mexico2 sites
Investigational Site Number 484001
Guadalajara, 44340
Investigational Site Number 484006
Mazatlán, 82110
Slovenia2 sites
Investigational Site Number 705001
Celje, 3000
Investigational Site Number 705002
Maribor, 2000
Spain2 sites
Investigational Site Number 724001
Barcelona, 08907
Investigational Site Number 724002
Madrid, 28007
United Kingdom1 site
Investigational Site Number 826001
London, SE5 9PJ
About this study
Official title: A Multinational, Multicenter, Randomized, Double Blind Study Comparing the Efficacy and Safety of AVE5026 With Enoxaparin for the Prevention of Venous Thromboembolism in Patients Undergoing Major Abdominal Surgery
The primary objective is to compare the efficacy and safety of once daily (q.d.) subcutaneous (s.c.) injections of Semuloparin sodium (AVE5026) with q.d. s.c. injections of Enoxaparin for the prevention of Venous Thromboembolic Events (VTE) in patients undergoing major abdominal surgery.
The secondary objectives are to evaluate the safety of Semuloparin sodium (AVE5026) and to document Semuloparin sodium (AVE5026) exposure in this population.
Read the detailed description
Randomization has to take place prior to the surgery.
The total duration of observation per participant is 35-42 days from surgery broken down as follows:
- 7 to 10-day double-blind treatment period;
- 28 to 35-day follow-up period.
Mandatory bilateral venography of the lower limbs has to be performed between 7 to 11 days after surgery.
- Conditions
- Venous Thromboembolism
- Being tested
- Semuloparin Sodium, Enoxaparin sodium, Placebo
- Keywords
- Digestive System Surgical Procedure, Urologic Surgical Procedure, Prevention of venous thromboembolism, Abdominal surgery
- Medical subject headings
- Venous Thromboembolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Semuloparin SodiumDrug
Also called AVE5026
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe
Subcutaneous injection
Enoxaparin sodiumDrug
Also called Lovenox®
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe
Subcutaneous injection
PlaceboDrug
0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml prefilled syringe strictly identical in appearance containing the same volume but without active component
Subcutaneous injection
| Study group | Role | What they receive |
|---|---|---|
| Semuloparin | Experimental | Semuloparin sodium 20 mg (10 mg if Severe Renal Impairment [SRI]) once daily for 7-10 days with an initial dose given 8 hours after surgery (placebo for Enoxaparin sodium prior to surgery according to local standard for Enoxaparin and 12 hours after surgery to maintain the blind) Receives: Drug: Semuloparin Sodium; Drug: Placebo |
| Enoxaparin | Active comparator | Enoxaparin sodium 40 mg (20 mg if Severe Renal Impairment [SRI]) once daily for 7-10 days with an initial dose given prior to or 12 hours after surgery according to local standard for Enoxaparin sodium (placebo for Semuloparin sodium 8 hours after surgery to maintain the blind) Receives: Drug: Enoxaparin sodium; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Experience Venous Thromboembolism Event (VTE) or All-cause Death
VTE includes any proximal or distal Deep Vein Thrombosis (DVT) (symptomatic or not) and non-fatal Pulmonary Embolism (PE) as confirmed by a Central Independent Adjudication Committee (CIAC) after review of mandatory bilateral venograms and diagnostic tests for VTE.
All-cause deaths includes fatal PE and deaths for other reason than PE.
Measured: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Secondary outcomes (3)
Percentage of Participants Who Experience "major" VTE or All-cause Death
"major" VTE includes any proximal DVT, symptomatic distal DVT and non-fatal Pulmonary Embolism (PE) as as confirmed by the CIAC.
Measured: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Percentage of Participants Who Experience Clinically Relevant Bleedings ("major" and "clinically relevant non-major" bleedings )
Bleedings are centrally and blindly reviewed by the CIAC and classified as:
- "major" (fatal, in a critical area/organ, causing a post-operative drop in hemoglobin ≥2 g/dL or requiring post-operative transfusion ≥2 units of blood, leading to an invasive diagnostic or therapeutic intervention, or associated with circulatory decompensation);
- "clinically relevant non-major" (skin hematoma or epistaxis requiring surgical/medical intervention/treatment, macroscopic hematuria, or overt bleeding requiring specific attention by health care professional);
- "Nonclinically relevant bleeding".
Measured: From 1st study drug injection up to 3 days after last study drug injection
Percentage of Participants requiring the initiation of curative anticoagulant or thrombolytic treatment after VTE assessment
Initiation of curative anticoagulant or thrombolytic treatment after VTE assessment was defined from investigator's answer to the question "was the subject treated for VTE?" asked after the diagnostic tests for suspected VTE and after the mandatory venography.
Measured: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2008 (estimated)
- Study startApr 2008
- Primary completionAug 2010
- Study completionAug 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Venous ThromboembolismStudies of the same condition, open and under way.
- More trials run by SanofiThe 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 4,413 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ajay Kakkar, Prof., MD, PhD, Principal investigator, Queen Mary's School of Medicine & Dentistry, London (UK)Alexander Turpie, MD, Study chair, HHS-General Hospital, Hamilton, Canada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00679588
- Sponsor's protocol ID
- EFC6520
- Other IDs
- 2007-007942-36
- Acronym
- SAVE-ABDO
- Status last verified
- Nov 2013
- First submitted
- 7 May 2008
- Last updated
- 16 Dec 2013
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Kakkar AK, Agnelli G, Fisher W, George D, Lassen MR, Mismetti P, Mouret P, Murphy J, Lawson F, Turpie AG; SAVE-ABDO Investigators. Preoperative enoxaparin versus postoperative semuloparin thromboprophylaxis in major abdominal surgery: a randomized controlled trial. Ann Surg. 2014 Jun;259(6):1073-9. doi: 10.1097/SLA.0000000000000430.
PubMed 24374549
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multinational, Multicenter, Randomized, Double Blind Study Comparing the Efficacy and Safety of AVE5026 With Enoxaparin for the Prevention of Venous Thromboembolism in Patients Undergoing Major Abdominal Surgery
- ClinicalTrials.gov ID
- NCT00679588
- Acronym / sponsor ID
- SAVE-ABDO / EFC6520
- Conditions
- Venous Thromboembolism
- Keywords
- Digestive System Surgical Procedure, Urologic Surgical Procedure, Prevention of venous thromboembolism, Abdominal surgery
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4,413 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Apr 2008
- Primary completion
- Aug 2010 (actual)
- Study completion
- Aug 2010 (actual)
- First posted
- 19 May 2008 (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 primary objective is to compare the efficacy and safety of once daily (q.d.) subcutaneous (s.c.) injections of Semuloparin sodium (AVE5026) with q.d. s.c. injections of Enoxaparin for the prevention of Venous Thromboembolic Events (VTE) in patients undergoing major abdominal surgery.
The secondary objectives are to evaluate the safety of Semuloparin sodium (AVE5026) and to document Semuloparin sodium (AVE5026) exposure in this population.
Detailed description
Randomization has to take place prior to the surgery.
The total duration of observation per participant is 35-42 days from surgery broken down as follows:
- 7 to 10-day double-blind treatment period;
- 28 to 35-day follow-up period.
Mandatory bilateral venography of the lower limbs has to be performed between 7 to 11 days after surgery.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Semuloparin | Experimental | Drug: Semuloparin Sodium, Drug: PlaceboSemuloparin sodium 20 mg (10 mg if Severe Renal Impairment [SRI]) once daily for 7-10 days with an initial dose given 8 hours after surgery (placebo for Enoxaparin sodium prior to surgery according to local standard for Enoxaparin and 12 hours after surgery to maintain the blind) |
| Enoxaparin | Active comparator | Drug: Enoxaparin sodium, Drug: PlaceboEnoxaparin sodium 40 mg (20 mg if Severe Renal Impairment [SRI]) once daily for 7-10 days with an initial dose given prior to or 12 hours after surgery according to local standard for Enoxaparin sodium (placebo for Semuloparin sodium 8 hours after surgery to maintain the blind) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patient undergoing major abdominal surgery (open surgery under general anesthesia lasting more than 45 minutes in the peritoneal and/or retroperitoneal space and/or pelvis).
- Patient <60 years of age had to have one of the following additional risk factors for VTE:
Key exclusion criteria (7 listed)
- Any major orthopedic or general surgery in the 3 months prior to study start;
- Clinical signs or symptoms of DVT or PE within the last 12 months or known post phlebitic syndrome;
- Any contra-indications to the performance of venography;
- High risk of bleeding;
- Known hypersensitivity to heparin or Enoxaparin sodium;
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 |
|---|---|---|
| Semuloparin SodiumAlso: AVE50260.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection | Drug | Semuloparin |
| Enoxaparin sodiumAlso: Lovenox®0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml pre-filled syringe Subcutaneous injection | Drug | Enoxaparin |
| Placebo0.4 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml prefilled syringe strictly identical in appearance containing the same volume but without active component Subcutaneous injection | Drug | Enoxaparin, Semuloparin |
Primary outcome
Percentage of Participants Who Experience Venous Thromboembolism Event (VTE) or All-cause Death
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
VTE includes any proximal or distal Deep Vein Thrombosis (DVT) (symptomatic or not) and non-fatal Pulmonary Embolism (PE) as confirmed by a Central Independent Adjudication Committee (CIAC) after review of mandatory bilateral venograms and diagnostic tests for VTE. All-cause deaths includes fatal PE and deaths for other reason than PE.
3 secondary outcomes
Percentage of Participants Who Experience "major" VTE or All-cause Death
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
Percentage of Participants Who Experience Clinically Relevant Bleedings ("major" and "clinically relevant non-major" bleedings )
Time frame: From 1st study drug injection up to 3 days after last study drug injection
Percentage of Participants requiring the initiation of curative anticoagulant or thrombolytic treatment after VTE assessment
Time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first
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 16 Dec 2013.
- Derived from this study: PubMed 24374549Kakkar AK, Agnelli G, Fisher W, George D, Lassen MR, Mismetti P, Mouret P, Murphy J, Lawson F, Turpie AG; SAVE-ABDO Investigators. Preoperative enoxaparin versus postoperative semuloparin thromboprophylaxis in major abdominal surgery: a randomized controlled trial. Ann Surg. 2014 Jun;259(6):1073-9. doi: 10.1097/SLA.0000000000000430.
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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.
Ajay Kakkar, Prof., MD, PhD principal investigator
Queen Mary's School of Medicine & Dentistry, London (UK)
Alexander Turpie, MD study chair
HHS-General Hospital, Hamilton, Canada
270 sites in 39 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Semuloparin Sodium and Enoxaparin sodium in people with Venous Thromboembolism, run by Sanofi at 270 sites in 39 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 8 inclusion and 7 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 16 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 270 sites in India, United States, Russia, Poland, Brazil and 34 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?
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?
Percentage of Participants Who Experience Venous Thromboembolism Event (VTE) or All-cause Death (time frame: From randomization up to 10 days after surgery or the day of mandatory venography, whichever comes first). 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 NCT00679588, which also lists 1 linked publication.
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 16 Dec 2013.