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SVTPhase 2/3RIVA-SVTNCT06965998

A Pilot Trial Comparing Full Dose Rivaroxaban to Prophylactic Dose Rivaroxaban in Patients With Superficial Vein Thrombosis in the Leg

A Phase 2/3 study testing Full dose rivaroxaban and Low dose rivaroxaban in people with SVT and Thrombosis, run by Ottawa Hospital Research Institute at 2 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial, called a pilot study or a feasibility study, is to test the study plan and to find out whether enough participants will join a larger study and accept the study procedures. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
SVT, Thrombosis, Superficial Vein Thrombosis
What is being tested?
Full dose rivaroxaban and Low dose rivaroxaban
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
2 sitesCanada
Study dates
6 Aug 2025to Feb 2027
Phase
Phase 2/3
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

  • Adult patients age ≥ 18 years old.
  • Objectively confirmed diagnosis within 14 days of an acute symptomatic SVT of the lower extremities by standardized CUS, where SVT is defined as incompressibility of a venous segment located along the course of a known superficial vein.
  • Anticoagulation for SVT is warranted per clinicians.
  • Able and willing to provide written informed consent.

Who cannot join

  • Other indication(s) for therapeutic or prophylactic dose anticoagulation (e.g. atrial fibrillation, mechanical valve, etc.).
  • History of PE or DVT within 6 months (180 days) of screening.
  • >5 days of any anticoagulants for the index SVT.
  • Requires use of aspirin >100mg daily or other antiplatelet agents.
  • Patients receiving concomitant systemic treatment with strong inhibitors of both CYP 3A4 and P-gp (e.g. cobicistat, ketoconazole, itraconazole, posaconazole, ritanovir, etc.).
  • Active bleeding or history of CRNMB or major bleeding (as defined by the ISTH) within 30 days of screening.
Show all 16Show fewer
  • History of severe head trauma or ophthalmic, spinal, cerebral surgery within 90 days of screening.
  • Have acute endocarditis.
  • Thrombocytopenia (platelet count <50,000/uL), acute hepatitis, chronic active hepatitis, cirrhosis with severe hepatic impairment defined by a Childs-Pugh class B or C.
  • Creatinine clearance <30 ml/min.
  • Known contraindication to treatment with rivaroxaban.
  • Are participating in another interventional trial that would compromise the results or integrity of this trial as determined by the investigator.
  • Pregnant or breast feeding.
  • Known hereditary or acquired severe hemorrhagic disease.
  • Life expectancy <3 months.
  • Unstable medical or psychological condition that would interfere with trial participation at the discretion of the site investigator.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Tzu-Fei Wang, MD,MPH contact

613-737-9988 ext. 73755

tzwang@toh.ca

Miriam Kimpton, MD,MSc,FRCPC contact

mkimpton@toh.ca

Canada2 sites, 2 recruiting
  • The Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

    Veronica Bates, BSc, CCRP, 613-737-8899 ext. 71068, vebates@ohri.ca

    Tzu-Fei Wang, MD, MPH

    Recruiting
  • Hopital Montfort

    Ottawa, Ontario, K1K 0T2

    Christine-Nadia Compas, 613-746-4621 ext. 3623, christinencompas@montfort.on.ca

    Miriam Kimptom, MD,MSc,FRCPC

    Not yet recruiting

Other trials in Canada

About this study

Official title: A Pilot Randomized Double-Blinded Comparison of Full Treatment Dose Rivaroxaban for 90 Days to Prophylactic Dose Rivaroxaban for 45 Days in Patients With Lower Extremity Superficial Vein Thrombosis

The goal of this clinical trial, called a pilot study or a feasibility study, is to test the study plan and to find out whether enough participants will join a larger study and accept the study procedures. This type of study includes a small number of participants so it is not expected to prove how safe the treatment is or how well the treatment works.

The main question it hopes to answer is:

Read more

1.What is the average number of patients that are recruited per month during the 12 month study period?

To test the study plan, adults being treated for a superficial vein thrombosis (SVT), which is a blood clot in the superficial veins of the leg, will be given a type of blood thinner called rivaroxaban. Half of the participants in this study will be given the standard (low-dose) rivaroxaban for 45 days, then 45 days of placebo (a substance that looks like the study medication but does not have any active or medicinal ingredients). The other half of participants will be given full-dose rivaroxaban for a total of 90 days. The placebo in this study is not intended to have any effect on the participants blood clot. A placebo is used to make the results of the study more reliable.

Read the detailed description

The standard or usual treatment for a superficial vein thrombosis (SVT) is to treat with a low-dose (often called a prophylactic dose) of blood thinner for 45 days. Rivaroxaban is a type of oral blood thinner that is used in the treatment and prevention of blood clots. Currently, rivaroxaban 10mg daily for 45 days is the most commonly used treatment in patients with lower extremity SVT.

Recent studies of participants with SVT suggest that treatment with full-dose (sometimes called therapeutic dose) blood thinners could be promising in preventing additional complications from SVT such as:

  • A new blood clot in the deep veins of the legs or arms
  • A new pulmonary embolism (a blood clot in the lungs)
  • A recurrence or extension of the existing SVT (the existing clot comes back after treatment is stopped or gets bigger)

The Investigators are studying whether a full-dose of rivaroxaban for 90 days could prevent or improve additional complications from SVT.

Being tested
Full dose rivaroxaban, Low dose rivaroxaban, Placebo
Keywords
Pilot, Rivaroxaban, Feasibility, Full dose rivaroxaban, Treatment dose rivaroxaban, Superficial vein thrombosis
Medical subject headings
Thrombosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Full dose rivaroxabanDrug

    The intervention group will receive full dose rivaroxaban for 90 days.

  • Low dose rivaroxabanDrug

    The comparator group will receive the standard treatment of low dose rivaroxaban.

  • PlaceboDrug

    Since the treatment arm has an AM and PM dose of study drug from Day 1-21, the comparator group will take 1 placebo pill in the PM to keep the two arms blinded.

Study groups in NCT06965998
Study groupRoleWhat they receive
Group A (Intervention)ExperimentalDay 1-21: 15mg Rivaroxaban twice per day Day 22-90: 20mg Rivaroxaban once a day for 69 days
Receives: Drug: Full dose rivaroxaban
Group B (Comparator)Active comparatorDay 1-21: 10mg Rivaroxaban once a day AND placebo once a day Day 22-45: 10mg Rivaroxaban once a day Day 46-90: Placebo once a day for 45 days
Receives: Drug: Low dose rivaroxaban; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Feasibility Outcome

    The primary feasibility outcome of this pilot trial is the average number of patients recruited per month during the 12 month recruitment period.

    Measured: 12 months from when recruitment opens.

Secondary outcomes (4)
  1. Secondary Feasibility Outcomes

    The rate (%) of eligible patients that give consent to participate.

    Measured: From the start of study recruitment to the last follow-up of the last participant enrolled.

  2. Secondary Feasibility Outcomes

    The rate (%) of patients that are not lost to follow-up.

    Measured: From the start of study recruitment to the last follow-up of the last participant enrolled.

  3. Secondary Feasibility Outcomes

    The rate (%) of patients who complete and adhere to the study procedures.

    Measured: From the start of study recruitment to the last follow-up of the last participant enrolled.

  4. Secondary Feasibility Outcomes

    Reasons why eligible patients chose not to participate.

    Measured: From the start of study recruitment to the last follow-up of the last participant enrolled.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 May 2025
  2. Study start6 Aug 2025
  3. Primary completionAug 2026 (estimated)
  4. Study completionFeb 2027 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06965998
Sponsor's protocol ID
RIVA-SVT Pilot
Acronym
RIVA-SVT
Status last verified
Aug 2025
First submitted
22 Apr 2025
Last updated
11 Aug 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Beyer-Westendorf J, Schellong SM, Gerlach H, Rabe E, Weitz JI, Jersemann K, Sahin K, Bauersachs R; SURPRISE investigators. Prevention of thromboembolic complications in patients with superficial-vein thrombosis given rivaroxaban or fondaparinux: the open-label, randomised, non-inferiority SURPRISE phase 3b trial. Lancet Haematol. 2017 Mar;4(3):e105-e113. doi: 10.1016/S2352-3026(17)30014-5. Epub 2017 Feb 16.

    PubMed 28219692
  • Samama MM. The mechanism of action of rivaroxaban--an oral, direct Factor Xa inhibitor--compared with other anticoagulants. Thromb Res. 2011 Jun;127(6):497-504. doi: 10.1016/j.thromres.2010.09.008. Epub 2010 Oct 2.

    PubMed 20888031
  • Blondon M, Righini M, Bounameaux H, Veenstra DL. Fondaparinux for isolated superficial vein thrombosis of the legs: a cost-effectiveness analysis. Chest. 2012 Feb;141(2):321-329. doi: 10.1378/chest.11-0625. Epub 2011 Jul 14.

    PubMed 21757569
  • Wichers IM, Di Nisio M, Buller HR, Middeldorp S. Treatment of superficial vein thrombosis to prevent deep vein thrombosis and pulmonary embolism: a systematic review. Haematologica. 2005 May;90(5):672-7.

    PubMed 15921382
  • Duffett L. Management of Superficial Venous Thrombosis: A Systematic Review of Literature and Survey of Canadian Physicians. Thesis. Université d'Ottawa / University of Ottawa; 2018. doi:10.20381/ruor-21377

  • Duffett L, Kearon C, Rodger M, Carrier M. Treatment of Superficial Vein Thrombosis: A Systematic Review and Meta-Analysis. Thromb Haemost. 2019 Mar;119(3):479-489. doi: 10.1055/s-0039-1677793. Epub 2019 Feb 4.

    PubMed 30716777
  • Frappe P, Buchmuller-Cordier A, Bertoletti L, Bonithon-Kopp C, Couzan S, Lafond P, Leizorovicz A, Merah A, Presles E, Preynat P, Tardy B, Decousus H; STEPH Study Group. Annual diagnosis rate of superficial vein thrombosis of the lower limbs: the STEPH community-based study. J Thromb Haemost. 2014 Jun;12(6):831-8. doi: 10.1111/jth.12575.

    PubMed 24679145
  • Leon L, Giannoukas AD, Dodd D, Chan P, Labropoulos N. Clinical significance of superficial vein thrombosis. Eur J Vasc Endovasc Surg. 2005 Jan;29(1):10-7. doi: 10.1016/j.ejvs.2004.09.021.

    PubMed 15570265
  • Di Minno MN, Ambrosino P, Ambrosini F, Tremoli E, Di Minno G, Dentali F. Prevalence of deep vein thrombosis and pulmonary embolism in patients with superficial vein thrombosis: a systematic review and meta-analysis. J Thromb Haemost. 2016 May;14(5):964-72. doi: 10.1111/jth.13279. Epub 2016 Mar 15.

    PubMed 26845754
  • Di Nisio M, Wichers IM, Middeldorp S. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev. 2018 Feb 25;2(2):CD004982. doi: 10.1002/14651858.CD004982.pub6.

    PubMed 29478266
  • Geersing GJ, Cazemier S, Rutten F, Fitzmaurice DA, Hoes AW. Incidence of superficial venous thrombosis in primary care and risk of subsequent venous thromboembolic sequelae: a retrospective cohort study performed with routine healthcare data from the Netherlands. BMJ Open. 2018 Apr 20;8(4):e019967. doi: 10.1136/bmjopen-2017-019967.

    PubMed 29678975
  • Beyer-Westendorf J. Controversies in venous thromboembolism: to treat or not to treat superficial vein thrombosis. Hematology Am Soc Hematol Educ Program. 2017 Dec 8;2017(1):223-230. doi: 10.1182/asheducation-2017.1.223.

    PubMed 29222259
  • Bauer KA, Hawkins DW, Peters PC, Petitou M, Herbert JM, van Boeckel CA, Meuleman DG. Fondaparinux, a synthetic pentasaccharide: the first in a new class of antithrombotic agents - the selective factor Xa inhibitors. Cardiovasc Drug Rev. 2002 Winter;20(1):37-52. doi: 10.1111/j.1527-3466.2002.tb00081.x.

    PubMed 12070533
  • Mathieu ME, Duffett L, Caiano L, Scarvelis D, Code C, Wells P, Le Gal G. Management and outcomes of superficial vein thrombosis: a single-center retrospective study. Res Pract Thromb Haemost. 2023 Nov 18;8(1):102263. doi: 10.1016/j.rpth.2023.102263. eCollection 2024 Jan.

    PubMed 38187826

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Full dose rivaroxaban and Low dose rivaroxaban in people with SVT and Thrombosis, run by Ottawa Hospital Research Institute at 2 sites in Canada.

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 4 inclusion and 16 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 11 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Canada. 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?

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 Tzu-Fei Wang, MD,MPH (613-737-9988 ext. 73755, tzwang@toh.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Feasibility Outcome (time frame: 12 months from when recruitment opens.). 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 NCT06965998, which also lists 14 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 11 Aug 2025.

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