NCT00398905

Brief Summary

Patients undergoing surgery, especially hip and knee surgery, are at high risk for VTE. The administration of drugs for thromboprophylaxis, such as heparins, significantly lowers that risk, but heparins have to be applied by injections below the skin. The purpose of this study was to compare the safety and efficacy of BAY 59-7939 with the safety and efficacy of the licensed drug enoxaparin and to find the optimal dose of BAY 59-7939 for the anticipated phase III trials. Enoxaparin, a so-called low molecular weight heparin, is approved and widely used in the area of thromboprophylaxis and was given once daily subcutaneously. In this study 5 different doses of the investigational drug BAY 59-7939 were tested in comparison to Enoxaparin. The following doses of BAY 59-7939 were tested: 2.5 mg twice daily (5 mg total daily dose); 5 mg twice daily (10 mg total daily dose), 10 mg twice daily (20 mg total daily dose), 20 mg twice daily (40 mg total daily dose) and 30 mg twice daily ( 60 mg total daily dose). This study ran for approximately 7 months in a number of countries. In total, 726 patients were enrolled in this study.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
726

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2004

Shorter than P25 for phase_2

Geographic Reach
13 countries

61 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2004

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2004

Completed
2.2 years until next milestone

First Submitted

Initial submission to the registry

November 7, 2006

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 14, 2006

Completed
Last Updated

May 8, 2009

Status Verified

May 1, 2009

First QC Date

November 7, 2006

Last Update Submit

May 7, 2009

Conditions

Keywords

Prevention of venous thromboembolism

Outcome Measures

Primary Outcomes (1)

  • Composite Endpoint: Any Deep Vein Thrombosis (DVT) (proximal and/or distal) and Non fatal Pulmonary Embolism (PE) and Death from all causes

    5-9 days after surgery

Secondary Outcomes (4)

  • Incidence of DVTs (total, proximal, distal)

    5-9 days after surgery

  • Incidence of symptomatic Venous Thrombo Embolisms (VTEs)

    5-9 days after surgery

  • Incidence of symptomatic VTEs (total, PE, DVT) within 30 days after stop of treatment with the study drug

    40 days

  • Healthcare Resource Utilisation Questionnaire

    9 days and 40 days after surgery

Study Arms (6)

Arm 1

EXPERIMENTAL
Drug: Rivaroxaban (Xarelto, BAY59-7939)

Arm 2

EXPERIMENTAL
Drug: Rivaroxaban (Xarelto, BAY59-7939)

Arm 3

EXPERIMENTAL
Drug: Rivaroxaban (Xarelto, BAY59-7939)

Arm 4

EXPERIMENTAL
Drug: Rivaroxaban (Xarelto, BAY59-7939)

Arm 5

EXPERIMENTAL
Drug: Rivaroxaban (Xarelto, BAY59-7939)

Arm 6

ACTIVE COMPARATOR
Drug: Enoxaparin

Interventions

2,5 mg twice daily (5 mg total daily dose)

Arm 1

40 mg once daily (40 mg total daily dose)

Arm 6

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male patients aged 18 years or above and postmenopausal female patients
  • Patients scheduled for elective primary total hip replacement (cemented or non-cemented prosthesis
  • Patients written informed consent for participation after receiving detailed written and oral previous information to any study specific procedures

You may not qualify if:

  • Any VTE prior to randomization
  • Myocardial infarction (MI) or TIA or ischaemic stroke within the last 6 months prior to randomisation
  • History of heparin-induced thrombocytopenia, allergy to heparins
  • Intracerebral or intraocular bleeding within the last 6 months prior to randomisation
  • History of gastrointestinal disease with gastrointestinal bleeding within the last 6 months prior to the study
  • History or presence of gastrointestinal disease which could result in an impaired absorption of the study drug (e.g. severe active inflammatory bowel disease, short gut syndrome)
  • Amputation of one leg
  • Heart insufficiency NYHA III-IV
  • Congenital or acquired haemorrhagic diathesis (PT INR/aPTT not within normal limits) including patients with acquired or congenital thrombopathy
  • Thrombocytopenia (platelets \< 100.000/µl)
  • Macroscopic haematuria.
  • Allergy to contrast media.
  • Severe hypertension (SBP \> 200mmHg, DBP \> 100 mmHg)
  • Impaired liver function (transaminases \> 2 x ULN)
  • Impaired renal function (serum creatinine \> 1.5 x ULN or creatinine clearance \< 30 ml/min)
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (61)

Unknown Facility

Wiener Neustadt, Lower Austria, 2700, Austria

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Linz, Upper Austria, 4010, Austria

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Vienna, Vienna, 1220, Austria

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Baudour, 7331, Belgium

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Bruxelles - Brussel, 1020, Belgium

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Genk, 3600, Belgium

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Huy, 4500, Belgium

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Sint-Truiden, 3800, Belgium

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Hellerup, 2900, Denmark

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Herlev, 2730, Denmark

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Hørsholm, DK-2970, Denmark

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Silkeborg, 8600, Denmark

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Amiens, 80030, France

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Lille, 59037, France

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Poitiers, 86000, France

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Rheinfelden, Baden-Wurttemberg, 79618, Germany

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Ulm, Baden-Wurttemberg, 89075, Germany

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Fürth, Bavaria, 90766, Germany

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Garmisch-Partenkirchen, Bavaria, 82467, Germany

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Sommerfeld, Brandenburg, 16766, Germany

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Frankfurt am Main, Hesse, 60528, Germany

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Frankfurt am Main, Hesse, 65929, Germany

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Marburg, Hesse, 35043, Germany

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Düsseldorf, North Rhine-Westphalia, 40225, Germany

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Dresden, Saxony, 01307, Germany

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Berlin, State of Berlin, 14165, Germany

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Haifa, 31096, Israel

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Tel Aviv, 64239, Israel

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Tel Litwinsky, 52621, Israel

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Ẕerifin, 70300, Israel

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Rozzano, Milano, 20089, Italy

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Gubbio, Perugia, 06024, Italy

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Milan, 20132, Italy

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Pavia, 27100, Italy

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Perugia, 06122, Italy

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Reggio Emilia, 42100, Italy

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Varese, 21100, Italy

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Hilversum, 1213 XZ, Netherlands

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Nijmegen, 6522 JV, Netherlands

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Sittard, 6131 BK, Netherlands

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Bodø, NO-8005, Norway

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Drammen, NO-3019, Norway

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Notodden, NO-3675, Norway

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Oslo, 0440, Norway

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Rjukan, NO-3660, Norway

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Bialystok, 15-276, Poland

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Gdansk, 80-742, Poland

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Krakow, 31-826, Poland

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Lodz, 91-425, Poland

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Lublin, 20-090, Poland

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Lublin, 20-718, Poland

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Warsaw, 00-909, Poland

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Badalona, Barcelona, 08916, Spain

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Barcelona, Barcelona, 08035, Spain

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Barcelona, Barcelona, 08036, Spain

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Valencia, Valencia, 46010, Spain

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Gothenburg, 416 85, Sweden

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Halmstad, 301 85, Sweden

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Jönköping, 551 85, Sweden

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Kungälv, 442 83, Sweden

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London, Greater London, SE5 9RS, United Kingdom

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MeSH Terms

Conditions

Venous Thromboembolism

Interventions

RivaroxabanEnoxaparin

Condition Hierarchy (Ancestors)

ThromboembolismEmbolism and ThrombosisVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsMorpholinesOxazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeparin, Low-Molecular-WeightHeparinGlycosaminoglycansPolysaccharidesCarbohydrates

Study Officials

  • Bayer Study Director

    Bayer

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

November 7, 2006

First Posted

November 14, 2006

Study Start

January 1, 2004

Study Completion

September 1, 2004

Last Updated

May 8, 2009

Record last verified: 2009-05

Locations