Venous ThromboembolismPhase 3SAVERNCT04319627
Statins for Venous Event Reduction in Patients With Venous Thromboembolism
A Phase 3 study testing Rosuvastatin Calcium in people with Venous Thromboembolism and Blood Clot, run by Ottawa Hospital Research Institute at 31 sites in 6 countries.
Trial summary
The standard or usual treatment for patients diagnosed with deep vein thrombosis or pulmonary embolism is treatment with blood thinners (called anticoagulants). While treatment of blood clots with blood thinners is effective, some research has shown that adding a statin (medication used to lower cholesterol) may give… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Venous Thromboembolism, Blood Clot, Post Thrombotic Syndrome
- What is being tested?
- Rosuvastatin Calcium
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,700 participants
- Where
- 31 sitesin 6 countries
- Study dates
- 10 Feb 2021to Apr 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- 1. Symptomatic objectively confirmed proximal leg DVT (above the trifurcation of the popliteal vein) and/or PE (segmental or greater) diagnosed in the last 30 days.
Who cannot join
- Unable or unwilling to provide written informed consent;
- < 18 years of age;
- Women of childbearing potential unwilling to use appropriate contraception;
- Currently prescribed a statin;
- A known medical history or current diagnosis of any of the following for which statins are indicated in secondary prevention:
- Diabetes;
Show all 26Show fewer
- Abdominal aortic aneurysm;
- Peripheral arterial disease;
- Stroke;
- Transient ischemic attack (TIA);
- Myocardial infarction (MI);
- Acute coronary syndromes;
- Stable/unstable angina;
- Coronary or other arterial revascularization;
- Known diagnosis of hypercholesterolemia or dyslipidemia;
- Contraindication to rosuvastatin;
- Known hypersensitivity or intolerance to statins;
- History of muscle disorders or statin-related muscle pain;
- Known liver disease (active liver disease, e.g. Hepatitis A, B, C, non-alcoholic fatty liver);
- Chronic kidney disease (creatinine clearance < 30ml/min);
- Currently pregnant or breast feeding;
- Taking cyclosporine;
- Taking atazanavir/ritonavir;
- Taking darolutamide;
- Taking regorafenib;
- Unstable medical or psychological condition that would interfere with trial participation.
Trial locations and contacts
31 sites in 6 countries. Contact the study team or a site near you to ask about taking part.
OHRI Clinical Research Quality Team contact
31 sites in 6 countries
Canada14 sites, 11 recruiting
- Recruiting
Foothills Medical Centre
Calgary, Alberta, T2N 2T9
Leslie Skeith, MD
- Withdrawn
Queen Elizabeth II Hospital
Halifax, Nova Scotia, B3H 2Y9
- Recruiting
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2
Sam Schulman, MD
- Recruiting
St. Joseph's Healthcare
Hamilton, Ontario, L8N 4A6
Jim Douketis, MD
- Withdrawn
Juravinski Hospital
Hamilton, Ontario, L8V 1C3
- Recruiting
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Susan Kahn, MD
- Recruiting
McGill Univeristy Health Centre
Montreal, Quebec, H4A 3J1
Véronique Naessens, MD
- Recruiting
CIUSSS de-l'Ouest-de-l'Ile-de-Montreal -St. Mary's Hospital Center
Montreal, Quebec, H9R 2Y2
Carolyne Elbaz, MD
- Recruiting
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
Jennifer Brinkhurst, jbrinkhurst@ohri.ca
Aurélien Delluc, MD
- Withdrawn
Hôpital Montfort
Ottawa, Ontario, K1K 0T2
- Recruiting
CHU de Quebec-Université Laval
Québec, Quebec, G1V 4G2
Guillaume Roberge, MD
- Recruiting
Niagara Health - St. Catharines Site
St. Catharines, Ontario, L2S 0A9
Blair Leonard, MD
- Not yet recruiting
Sunnybrook Hospital
Toronto, Ontario, M4N 3M5
Jean-Philippe Galanaud, MD
- Recruiting
University Health Network
Toronto, Ontario, M5G 2C4
Erik Yeo, MD
France8 sites, 8 recruiting
- Recruiting
CHU d'Angers - Service d'accueil et traitement des Urgences
Angers
Jeane Hersant
- Recruiting
Brest University Hospital Centre
Brest
Raphael Le Mao, MD
- Recruiting
CHU de Clermont-Ferrand, Hôpital Gabriel Montpied
Clermont-Ferrand
Jeanot Schmidt, MD
- Recruiting
APHP Hôpital Louis Mourier
Colombes
Isabelle Mahe
- Recruiting
CHU de Dijon - Service d'imagerie diagnostique et thérapeutique
Dijon
Nicolas Falvo
- Recruiting
GH La Rochelle - Ré-Aunis - Service de Médecine vasculaire
La Rochelle
Christophe Roncato
- Recruiting
Centre Hospitalier Universitaire De Saint Etienne
Saint-Etienne
Laurant Bertoletti, MD
- Recruiting
CHI Toulon - La Seyne sur Mer - Hôpital Sainte Musse
Toulon
Jean-Noël Poggi
United Kingdom6 sites, 6 recruiting
- Not yet recruiting
Aberdeen Royal Infirmary
Aberdeen
Mary-Joan Macleod
- Not yet recruiting
Queen Elizabeth Hospital
Birmingham
Gillian Lowe
- Not yet recruiting
University Hospital of Wales
Cardiff
Raza Alikhan
- Not yet recruiting
Glasgow Royal Infirmary
Glasgow
Catherine Bagot
- Not yet recruiting
King's College Hospital NHS Foundation Trust
London
Lara Roberts
- Not yet recruiting
Oxford University Hospitals NHS Foundation Trust
Oxford
Nicola Curry
Ireland1 site, 1 recruiting
- Not yet recruiting
Mater Misericordiae University Hospital
Dublin
Fionnuala Ní Áinle, MD
Italy1 site, 1 recruiting
- Not yet recruiting
University of Insubria
Varese
Walter Ageno, MD
Norway1 site, 1 recruiting
- Recruiting
Ostfold Hopsital
Sarpsborg
Sven Arne Sogn
Waleed Ghanima, MD
About this study
The standard or usual treatment for patients diagnosed with deep vein thrombosis or pulmonary embolism is treatment with blood thinners (called anticoagulants).
While treatment of blood clots with blood thinners is effective, some research has shown that adding a statin (medication used to lower cholesterol) may give extra protection. It is thought that statins can improve how cells along the walls of the vein control inflammation, which can prevent new blood clots from forming.
Read more
The medication in this study, rosuvastatin, is approved in Canada for use as a cholesterol-lowering medication. The use of rosuvastatin in this study is considered investigational. This means that Health Canada has not approved the use of rosuvastatin as a treatment for blood clots. However, it has been approved for use in this research study.
The purpose of this study is to examine if adding a statin (rosuvastatin) to the usual blood thinner treatment will decrease the risk of another blood clot forming. The investigators also hope to discover if taking a statin reduces damage to your veins. To do this, some of the participants in this study will get rosuvastatin and others will receive a placebo (a substance that looks like the study rosuvastatin but does not have any active or medicinal ingredients). The placebo in this study is not intended to have any effect on your blood clot. A placebo is used to make the results of the study more reliable.
Read the detailed description
Recent research has demonstrated that it is plausible that statins have additive, and potentially even synergistic effects, in reducing recurrent VTE in patients managed with anticoagulant-based strategies. Furthermore, it is plausible that statins may reduce the risk of recurrent VTE in those not on anticoagulants and therefore offer an alternative in patients with contraindications to anticoagulants (e.g. after major intracranial bleed), who refuse to take anticoagulants long-term (e.g. due to lifestyle modifications or fear of bleeding) or who cannot afford anticoagulants (e.g. vulnerable or impoverished populations). Finally, statins may also provide protection from recurrent VTE in patients who are not fully compliant with anticoagulant therapy. However, no known RCTs have been done to explore these possibilities.
This study aims to determine if generic rosuvastatin reduces the risk of recurrent VTE compared to placebo in patients with symptomatic major VTE.
Primary Objectives
- To determine the primary outcome event rate (i.e. symptomatic recurrent major VTE [proximal DVT or segmental or larger PE]) in patients taking generic rosuvastatin compared to placebo.
Secondary Objectives
- To determine the major bleeding event rate in patients taking generic rosuvastatin compared to placebo.
- To explore if rosuvastatin reduces the incidence of PTS, as measured by the Villalta scale at end of study.
- Conditions
- Venous Thromboembolism, Blood Clot, Post Thrombotic Syndrome
- Being tested
- Rosuvastatin Calcium, Placebo Oral Tablet
- Keywords
- Rosuvastatin, Statin, PTS, VTE
- Medical subject headings
- Venous Thromboembolism, Thrombosis, Postthrombotic Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rosuvastatin CalciumDrug
Also called Rosuvastatin
Each participant will receive the usual treatment for their newly diagnosed blood clot in addition to the intervention they are randomized to.
Placebo Oral TabletDrug
Also called Placebo
Each participant will receive the usual treatment for their newly diagnosed blood clot in addition to the intervention they are randomized to.
| Study group | Role | What they receive |
|---|---|---|
| Rosuvastatin | Experimental | Participants randomized to the experimental arm will take one rosuvastatin 20 mg tablet by mouth every day for the duration of their participation in the study. Receives: Drug: Rosuvastatin Calcium |
| Placebo | Placebo comparator | Participants randomized to the control arm will take one placebo tablet by mouth every day for the duration of their participation in the study. Receives: Drug: Placebo Oral Tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrent Major VTE
Symptomatic recurrent major VTE (proximal DVT or segmental or larger PE) occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin as compared with placebo.
Measured: Up to 60 months
Secondary outcomes (4)
Post Thrombotic Syndrome
Post-thrombotic syndrome as measured by the Villalta scale throughout the follow-up period in patients taking generic rosuvastatin as compared with placebo. The Villalta PTS scale has been adopted by the International Society on Thrombosis and Haemostasis (ISTH) as a standard to diagnose and grade the severity of PTS in clinical studies.
Points are summed to yield total score: 0-4: No PTS; 5-9: Mild PTS; 10-14: Moderate PTS; 15 or more, or presence of ulcer: Severe PTS.
Measured: Up to 60 months
Number of participants diagnosed with non-major VTE during follow-up
Symptomatic non-major VTE (see below) occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin as compared with placebo.
Non-major VTE:
- Distal DVT (distal to the trifurcation of the popliteal vein);
- Isolated sub-segmental PE;
- Upper extremity DVT;
- Superficial phlebitis > 5 cm;
- Superficial phlebitis ≤ 5 cm.
Measured: Up to 60 months
Number of participants diagnosed with an arterial vascular event during follow-up
Components of composite arterial vascular events (see below) occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin as compared with placebo.
Components of composite arterial vascular events:
- Fatal myocardial infarction;
- Non-fatal myocardial infarction;
- Hospitalization for unstable angina;
- Coronary artery revascularization;
- Sudden cardiac death;
- Ischemic stroke.
Measured: Up to 60 months
Number of deaths during study participation
All-cause mortality occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin as compared with placebo.
Measured: Up to 60 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2020
- Study start10 Feb 2021
- Primary completionJan 2028 (estimated)
- Study completionApr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Venous ThromboembolismStudies of the same condition, open and under way.
- More trials run by Ottawa Hospital Research InstituteThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,700 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ottawa Hospital Research Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR), Eastern Norway Health Authorities RHF, Southern health region, Norway, Programme hospitalier de recherche clinique, France, British Heart Foundation
- Responsible party
- Sponsor
- Investigators
- Aurélien Delluc, MD, Principal investigator, Ottawa Hospital Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04319627
- Sponsor's protocol ID
- SAVER Trial
- Acronym
- SAVER
- Status last verified
- Jan 2026
- First submitted
- 20 Mar 2020
- Last updated
- 15 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Statins for Venous Event Reduction in Patients With Venous Thromboembolism
- ClinicalTrials.gov ID
- NCT04319627
- Acronym / sponsor ID
- SAVER / SAVER Trial
- Conditions
- Venous Thromboembolism, Blood Clot, Post Thrombotic Syndrome
- Keywords
- Rosuvastatin, Statin, PTS, VTE
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 2,700 participants (estimated)
- Lead sponsor
- Ottawa Hospital Research InstituteUniversity, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR), Eastern Norway Health Authorities RHF, Southern health region, Norway, Programme hospitalier de recherche clinique, France, British Heart Foundation
- Study start
- 10 Feb 2021 (actual)
- Primary completion
- Jan 2028 (estimated)
- Study completion
- Apr 2028 (estimated)
- First posted
- 24 Mar 2020 (actual)
- 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 standard or usual treatment for patients diagnosed with deep vein thrombosis or pulmonary embolism is treatment with blood thinners (called anticoagulants).
While treatment of blood clots with blood thinners is effective, some research has shown that adding a statin (medication used to lower cholesterol) may give extra protection. It is thought that statins can improve how cells along the walls of the vein control inflammation, which can prevent new blood clots from forming.
The medication in this study, rosuvastatin, is approved in Canada for use as a cholesterol-lowering medication. The use of rosuvastatin in this study is considered investigational. This means that Health Canada has not approved the use of rosuvastatin as a treatment for blood clots. However, it has been approved for use in this research study.
The purpose of this study is to examine if adding a statin (rosuvastatin) to the usual blood thinner treatment will decrease the risk of another blood clot forming. The investigators also hope to discover if taking a statin reduces damage to your veins. To do this, some of the participants in this study will get rosuvastatin and others will receive a placebo (a substance that looks like the study rosuvastatin but does not have any active or medicinal ingredients). The placebo in this study is not intended to have any effect on your blood clot. A placebo is used to make the results of the study more reliable.
Detailed description
Recent research has demonstrated that it is plausible that statins have additive, and potentially even synergistic effects, in reducing recurrent VTE in patients managed with anticoagulant-based strategies. Furthermore, it is plausible that statins may reduce the risk of recurrent VTE in those not on anticoagulants and therefore offer an alternative in patients with contraindications to anticoagulants (e.g. after major intracranial bleed), who refuse to take anticoagulants long-term (e.g. due to lifestyle modifications or fear of bleeding) or who cannot afford anticoagulants (e.g. vulnerable or impoverished populations). Finally, statins may also provide protection from recurrent VTE in patients who are not fully compliant with anticoagulant therapy. However, no known RCTs have been done to explore these possibilities.
This study aims to determine if generic rosuvastatin reduces the risk of recurrent VTE compared to placebo in patients with symptomatic major VTE.
Primary Objectives
- To determine the primary outcome event rate (i.e. symptomatic recurrent major VTE [proximal DVT or segmental or larger PE]) in patients taking generic rosuvastatin compared to placebo.
Secondary Objectives
- To determine the major bleeding event rate in patients taking generic rosuvastatin compared to placebo.
- To explore if rosuvastatin reduces the incidence of PTS, as measured by the Villalta scale at end of study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rosuvastatin | Experimental | Drug: Rosuvastatin CalciumParticipants randomized to the experimental arm will take one rosuvastatin 20 mg tablet by mouth every day for the duration of their participation in the study. |
| Placebo | Placebo comparator | Drug: Placebo Oral TabletParticipants randomized to the control arm will take one placebo tablet by mouth every day for the duration of their participation in the study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- 1. Symptomatic objectively confirmed proximal leg DVT (above the trifurcation of the popliteal vein) and/or PE (segmental or greater) diagnosed in the last 30 days.
Key exclusion criteria (26 listed)
- Unable or unwilling to provide written informed consent;
- < 18 years of age;
- Women of childbearing potential unwilling to use appropriate contraception;
- Currently prescribed a statin;
- A known medical history or current diagnosis of any of the following for which statins are indicated in secondary prevention:
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 |
|---|---|---|
| Rosuvastatin CalciumAlso: RosuvastatinEach participant will receive the usual treatment for their newly diagnosed blood clot in addition to the intervention they are randomized to. | Drug | Rosuvastatin |
| Placebo Oral TabletAlso: PlaceboEach participant will receive the usual treatment for their newly diagnosed blood clot in addition to the intervention they are randomized to. | Drug | Placebo |
Primary outcome
Recurrent Major VTE
Time frame: Up to 60 months
Symptomatic recurrent major VTE (proximal DVT or segmental or larger PE) occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin as compared with placebo.
4 secondary outcomes
Post Thrombotic Syndrome
Time frame: Up to 60 months
Number of participants diagnosed with non-major VTE during follow-up
Time frame: Up to 60 months
Number of participants diagnosed with an arterial vascular event during follow-up
Time frame: Up to 60 months
Number of deaths during study participation
Time frame: Up to 60 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jan 2026.
- Individual participant dataSharing planned: No
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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.
OHRI Clinical Research Quality Team contact
Aurélien Delluc, MD principal investigator
Ottawa Hospital Research Institute
31 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rosuvastatin Calcium in people with Venous Thromboembolism and Blood Clot, run by Ottawa Hospital Research Institute at 31 sites in 6 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 26 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: looking for participants now, as of the sponsor's last update on 15 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in Canada, France, United Kingdom, Ireland, Italy and 1 more country. 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Jennifer Brinkhurst (613-737-8899, jbrinkhurst@ohri.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recurrent Major VTE (time frame: Up to 60 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2026.