Venous ThromboembolismPhase 2/3ONYX-3NCT00902928
A Study Evaluating Efficacy and Safety of YM150 Compared to Enoxaparin in Subjects Undergoing Hip Replacement Surgery
A Phase 2/3 study testing YM150 and enoxaparin in people with Venous Thromboembolism and Arthroplasty, Replacement, Hip, run by Astellas Pharma Europe B.V. at 156 sites in 28 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of various doses of YM150 (the experimental drug) compared to enoxaparin in the prevention of venous thromboembolism in patients that are undergoing elective hip replacement surgery. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Venous Thromboembolism, Arthroplasty, Replacement, Hip
- What is being tested?
- YM150 and enoxaparin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,992 participants
- Where
- 156 sitesin 28 countries
- Study dates
- Apr 2009to Aug 2010
- Phase
- Phase 2/3
- 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
- Subject is scheduled for elective hip replacement surgery
Who cannot join
- Subject has active bleeding or any condition associated with increased risk of bleeding
- Subject has had major trauma or surgery within 3 months before planned hip replacement surgery or requires major surgery or other invasive procedures with potential for uncontrolled bleeding during the study
- Subject has had an MI or stroke within 3 months before planned hip replacement surgery
Trial locations and contacts
156 sites in 28 countries.
156 sites in 28 countries
United States18 sites
Study site
Aurora, Colorado, 80015
Study site
Austin, Texas, 78745
Study site
Baltimore, Maryland, 21215
Study site
Charleston, South Carolina, 29414
Study site
Dallas, Texas, 75231
Study site
DeLand, Florida, 32720
Study site
Houston, Texas, 77024
Study site
Lexington, Kentucky, 40509
Study site
Little Rock, Arkansas, 72205
Study site
Long Beach, California, 90806
Study site
Meridian, Idaho, 83642
Study site
Phoenix, Arizona, 85023
Study site
Phoenix, Arizona, 85050
Study site
Pinellas Park, Florida, 33781
Study site
Sarasota, Florida, 34239
Study site
Tamarac, Florida, 33321
Study site
Torrance, California, 90507
Study site
Tuscon, Arizona, 85712
India11 sites
Study site
Bangalore, Karnataka, 560054
Study site
Bhopal, Madhya Pradesh, 462010
Study site
Gurgaon, Haryana, 122001
Study site
Hyderabaad, Andhra Pradesh, 500034
Study site
Jaipur, Rajasthan, 302004
Study site
Jamshedpur, Jharkhand, 831004
Study site
Kormangala, Karnataka, 5600034
Study site
Mangalore, Karnataka, 575001
Study site
Secunderabad, Andhra Pradesh, 500003
Study site
Secunderabad, Andhra Prasdesh, 500003
Study site
Vadodara, Gujarat, 390007
Poland11 sites
Study site
Głogów Małopolski, 36-060
Study site
Gmina Końskie, 26-200
Study site
Krakow, 31-913
Study site
Lodz, 91-002
Study site
Lodz, 93-513
Study site
Lublin, 20-718
Study site
Opole, 45-372
Study site
Otwock, 05-400
Study site
Poznan, 61-485
Study site
Warsaw, 00-909
Study site
Warsaw, 02-005
Czechia9 sites
Study site
Brno, 66250
Study site
Chomutov, 43001
Study site
Havlíčkův Brod, 580 22
Study site
Jihlava, 58633
Study site
Jindřichův Hradec, 37738
Study site
Klatovy, 33938
Study site
Liberec, 46001
Study site
Prague, 18081
Study site
Třebíč, 67401
Russia9 sites
Study site
Kazan', 420012
Study site
Moscow, 119049
Study site
Nizhny Novgorod, 603155
Study site
Novosibirsk, 630091
Study site
Omsk, 644043
Study site
Saint Petersburg, 194291
Study site
Saint Petersburg, 194354
Study site
Samara, 443095
Study site
Yaroslavl, 150003
Hungary8 sites
Study site
Budapest, 1113
Study site
Debrecen, 4012
Study site
Győr, 9023
Study site
Kecskemét, 6000
Study site
Szeged, 6725
Study site
Székesfehérvár, 8000
Study site
Szekszárd, 7100
Study site
Szolnok, 5000
Romania7 sites
Study site
Bucharest, 021382
Study site
Bucharest, 021659
Study site
Bucharest, 042122
Study site
Cluj-Napoca, 0400132
Study site
Craiova, 20116
Study site
Iași, 0700483
Study site
Timișoara, Timiș County, 300736
Canada6 sites
Study site
Burlington, Ontario, L7R 4B7
Study site
Guelph, Ontario, N1E 6L9
Study site
Newmarket, Ontario, L3Y 2P9
Study site
Red Deer, Alberta, T4N 6V7
Study site
Thunder Bay, Ontario, P7B 6V4
Study site
Waterloo, Ontario, N2J 1CA
Denmark6 sites
Study site
Copenhagen, 2300
Study site
Copenhagen, 2400
Study site
Frederiksberg, 2000
Study site
Herlev, 2730
Study site
Hørsholm, 2970
Study site
Silkeborg, 8600
South Africa6 sites
Study site
Benoni, 1501
Study site
Bryanston, 2021
Study site
Port Elizabeth, 6014
Study site
Pretoria, 0001
Study site
Pretoria, 0083
Study site
Worcester, Cape Town, 6850
Australia5 sites
Study site
Box Hill, Victoria, 3128
Study site
Kogarah, 2217
Study site
Perth, Western Australia, 6000
Study site
Ringwood East, Victoria, 3135
Study site
Windsor, Victoria, 3181
Austria5 sites
Study site
Graz, 8036
Study site
Innsbruck, A-6020
Study site
Linz, 4010
Study site
Vienna, 1090
Study site
Vienna, 1130
Israel5 sites
Study site
Afula, 18101
Study site
Haifa, 31096
Study site
Kfar Saba, 44281
Study site
Petah Tikva, 49100
Study site
Rehovot, 76100
Latvia5 sites
Study site
Daugavpils, LV4317
Study site
Liepāja, LV 3400
Study site
Riga, LV 1005
Study site
Riga, LV1004
Study site
Valmiera, LV4201
Norway5 sites
Study site
Gjøvik, 2819
Study site
Kongsvinger, 2226
Study site
Lillehammer, 2629
Study site
Tønsberg, 3116
Study site
Tynset, 2500
Sweden5 sites
Study site
Kalmar, 391 85
Study site
Mölndal, 41685
Study site
Motala, 591 85
Study site
Stockholm, 182 88
Study site
Varberg, 43281
Brazil4 sites
Study site
Curitiba, Puerto Rico, 80060-900
Study site
Porto Alegre, Rio Grande do Sul, 30130-100
Study site
Porto Alegre, Rio Grande do Sul, 90610-000
Study site
São Paulo, So Paulo, 04262-000
Colombia4 sites
Study site
Barranquilla
Study site
Bogota, Cundinamarca
Study site
Floridablanca, Santander Department
Study site
Medellín, Antioquia
Spain4 sites
Study site
Barcelona, 08036
Study site
Castelló, 12004
Study site
Madrid, 28006
Study site
Palma Mallorca, 07014
Ukraine4 sites
Study site
Cherkassy, 18009
Study site
Ivano-Frankivsk, 76008
Study site
Lviv, 79495
Study site
Sevastopol, 99018
Estonia3 sites
Study site
Kohtla-Järve, 30322
Study site
Tallinn, 10611
Study site
Tartu, 51014
Lithuania3 sites
Study site
Kaunas, LT-44320
Study site
Klaipėda, 92288
Study site
Vilnius, 04130
Slovakia3 sites
Study site
Banska Bysterica, 975 01
Study site
Kosice Saca, 04015
Study site
Prešov, 08181
United Kingdom3 sites
Study site
Epsom, Surrey, KT18 7EG
Study site
London, SE5 9RS
Study site
Northampton, NN1 5 BD
About this study
Official title: A Randomized, Double-Blind, Double-Dummy, Parallel Group Study to Compare YM150 Bid and qd Doses and Enoxaparin for Prevention of Venous Thromboembolism in Subjects Undergoing Elective Hip Replacement Surgery
The purpose of this study is to evaluate the efficacy and safety of various doses of YM150 (the experimental drug) compared to enoxaparin in the prevention of venous thromboembolism in patients that are undergoing elective hip replacement surgery.
- Being tested
- YM150, enoxaparin
- Keywords
- Elective hip replacement surgery, Factor Xa, Venous Thromboembolism, Thrombosis, Anticoagulants, Prevention, YM150
- Medical subject headings
- Venous Thromboembolism, Thrombosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YM150Drug
oral
enoxaparinDrug
SC injection
| Study group | Role | What they receive |
|---|---|---|
| 1. YM150, Dose X, twice daily | Experimental | Not described Receives: Drug: YM150 |
| 2, YM150, Dose X, once daily | Experimental | Not described Receives: Drug: YM150 |
| 3. YM150, Dose Y, twice daily | Experimental | Not described Receives: Drug: YM150 |
| 4. YM150, Dose Y, once daily | Experimental | Not described Receives: Drug: YM150 |
| 5. Enoxaparin | Active comparator | Not described Receives: Drug: enoxaparin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of symptomatic Venous Thromboembolisms and death from all causes
Measured: 12 days
Secondary outcomes (2)
Incidence of all Venous Thromboembolic events
Measured: Until day 12, during the treatment period, follow-up period and entire study period
Incidence of Bleeding events
Measured: During the treatment period, follow-up period and entire study period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2009 (estimated)
- Study startApr 2009
- Primary completionJun 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.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,992 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Europe B.V.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Use Central Contact, Study chair, Astellas Pharma Europe B.V.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00902928
- Sponsor's protocol ID
- 150-CL-040
- Other IDs
- 2008-004416-13, 2008
- Acronym
- ONYX-3
- Status last verified
- Oct 2015
- First submitted
- 30 Apr 2009
- Last updated
- 27 Oct 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Eriksson BI, Agnelli G, Gallus AS, Lassen MR, Prins MH, Renfurm RW, Kashiwa M, Turpie AG. Darexaban (YM150) versus enoxaparin for the prevention of venous thromboembolism after total hip arthroplasty: a randomised phase IIb dose confirmation study (ONYX-3). Thromb Haemost. 2014 Feb;111(2):213-25. doi: 10.1160/TH13-04-0296. Epub 2013 Oct 17.
PubMed 24136153
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Double-Dummy, Parallel Group Study to Compare YM150 Bid and qd Doses and Enoxaparin for Prevention of Venous Thromboembolism in Subjects Undergoing Elective Hip Replacement Surgery
- ClinicalTrials.gov ID
- NCT00902928
- Acronym / sponsor ID
- ONYX-3 / 150-CL-040
- Keywords
- Elective hip replacement surgery, Factor Xa, Venous Thromboembolism, Thrombosis, Anticoagulants, Prevention, YM150
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,992 participants (actual)
- Lead sponsor
- Astellas Pharma Europe B.V.Industry (pharma, biotech, devices)
- Study start
- Apr 2009
- Primary completion
- Jun 2010 (actual)
- Study completion
- Aug 2010 (actual)
- First posted
- 15 May 2009 (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 purpose of this study is to evaluate the efficacy and safety of various doses of YM150 (the experimental drug) compared to enoxaparin in the prevention of venous thromboembolism in patients that are undergoing elective hip replacement surgery.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| 1. YM150, Dose X, twice daily | Experimental | Drug: YM150 |
| 2, YM150, Dose X, once daily | Experimental | Drug: YM150 |
| 3. YM150, Dose Y, twice daily | Experimental | Drug: YM150 |
| 4. YM150, Dose Y, once daily | Experimental | Drug: YM150 |
| 5. Enoxaparin | Active comparator | Drug: enoxaparin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Subject is scheduled for elective hip replacement surgery
Key exclusion criteria (3 listed)
- Subject has active bleeding or any condition associated with increased risk of bleeding
- Subject has had major trauma or surgery within 3 months before planned hip replacement surgery or requires major surgery or other invasive procedures with potential for uncontrolled bleeding during the study
- Subject has had an MI or stroke within 3 months before planned hip replacement surgery
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 |
|---|---|---|
| YM150oral | Drug | 1. YM150, Dose X, twice daily, 2, YM150, Dose X, once daily, 3. YM150, Dose Y, twice daily, 4. YM150, Dose Y, once daily |
| enoxaparinSC injection | Drug | 5. Enoxaparin |
Primary outcome
Incidence of symptomatic Venous Thromboembolisms and death from all causes
Time frame: 12 days
2 secondary outcomes
Incidence of all Venous Thromboembolic events
Time frame: Until day 12, during the treatment period, follow-up period and entire study period
Incidence of Bleeding events
Time frame: During the treatment period, follow-up period and entire study period
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 27 Oct 2015.
- Derived from this study: PubMed 24136153Eriksson BI, Agnelli G, Gallus AS, Lassen MR, Prins MH, Renfurm RW, Kashiwa M, Turpie AG. Darexaban (YM150) versus enoxaparin for the prevention of venous thromboembolism after total hip arthroplasty: a randomised phase IIb dose confirmation study (ONYX-3). Thromb Haemost. 2014 Feb;111(2):213-25. doi: 10.1160/TH13-04-0296. Epub 2013 Oct 17.
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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.
Use Central Contact study chair
Astellas Pharma Europe B.V.
156 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing YM150 and enoxaparin in people with Venous Thromboembolism and Arthroplasty, Replacement, Hip, run by Astellas Pharma Europe B.V. at 156 sites in 28 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 1 inclusion and 3 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 27 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 156 sites in United States, India, Poland, Czechia, Russia and 23 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Incidence of symptomatic Venous Thromboembolisms and death from all causes (time frame: 12 days). 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 NCT00902928, 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 27 Oct 2015.