Multi-center Study to Evaluate the Safety of Apixaban (BMS-562247) in Indian Subjects Undergoing Elective Total Knee Replacement or Total Hip Replacement Surgery
A Phase IV, Open-Label, Multi-center Study to Evaluate the Safety of Apixaban in Indian Subjects Undergoing Elective Total Knee Replacement or Total Hip Replacement Surgery
1 other identifier
interventional
557
1 country
20
Brief Summary
The primary purpose of this protocol is to evaluate the safety of Apixaban in prophylaxis of Venous Thromboembolism (VTE) in Indian patients undergoing elective total knee or hip replacement
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Mar 2015
Typical duration for phase_4
20 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 6, 2013
CompletedFirst Posted
Study publicly available on registry
June 24, 2013
CompletedStudy Start
First participant enrolled
March 24, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 4, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 4, 2018
CompletedResults Posted
Study results publicly available
September 9, 2019
CompletedNovember 29, 2019
November 1, 2019
3.2 years
June 6, 2013
June 3, 2019
November 26, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Participants With Composite of International Society on Thrombosis and Haemostasis (ISTH) Major Bleeding/Clinically Relevant Non-major Bleeding (CRNM) While Undergoing Elective TKR or THR at the End of Treatment + 2 Days
TKR = Total knee replacement; THR = Total hip replacement. ISTH major bleeding is 1) Fatal or 2) Bleeding in a critical organ, such as brain, spine, eye, retroperitoneum, joint, heart sac, or skeletal muscle (and resulting in compartment syndrome), or 3) Bleeding that results in a fall of hemoglobin of 2 g/dL or more or transfusion of 2 units or more of packed red cells or whole blood within 24 hours. CRNM bleeding is bleeding that 1\) Is clinically acute and overt 2) Does not satisfy criteria as a major bleed but requires medical intervention, such as a visit to a physician's office, emergency room, or urgent care center for epistaxis
2 weeks + 2 days for TKR, 5 weeks + 2 days for THR
Secondary Outcomes (1)
Number of Participants With Composite of Venous Thromboembolism (VTE)/All Cause Death at the End of Treatment + 2 Days
2 weeks + 2 days for TKR, 5 weeks + 2 days for THR
Study Arms (1)
Apixaban (2.5 mg)
EXPERIMENTALApixaban 2.5 mg tablets by mouth twice daily, 12 days for TKR subjects or 35 days for THR subjects
Interventions
Eligibility Criteria
You may qualify if:
- Age ≥18 years
- Subjects undergoing elective total knee or hip replacement or a revision of at least one component of a total knee or hip replacement
You may not qualify if:
- Women who are pregnant or breastfeeding
- Known or suspected, acquired or bleeding or coagulation disorder in the subject or a first degree relative
- Active bleeding or at high risk for bleeding.
- Brain, spinal, ophthalmologic, or major surgery or trauma within the past 90 days other than the elective knee/hip surgery
- Active hepatobiliary disease
- Hemoglobin \<9 g/dL
- Platelet count \<100,000/mm3
- Creatinine clearance \<30 mL/min
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bristol-Myers Squibblead
- Pfizercollaborator
Study Sites (20)
Local Institution
Kozhikode, Kerala, 673008, India
Local Institution
Ahmedabad, 380015, India
Local Institution
Ahmedabad, 380016, India
Local Institution
Ahmedabad, 380060, India
Local Institution
Alappuzha, 688005, India
Local Institution
Aurangabad, 431003, India
Local Institution
Bangalore, 560054, India
Local Institution
Chandigarh, 160012, India
Local Institution
Chennai, 600010, India
Local Institution
Delhi, 110029, India
Local Institution
Hyderabad, 500034, India
Local Institution
Kerala, 695011, India
Local Institution
Lucknow, 226003, India
Local Institution
Mohali, 160062, India
Local Institution
Mumbai, 400 022, India
Local Institution
Nagpur, 440003, India
Local Institution
Pune, 411001, India
Local Institution
Pune, 411004, India
Local Institution
Pune, 411005, India
Local Institution
Pune, 411013, India
Related Links
MeSH Terms
Interventions
Results Point of Contact
- Title
- Bristol-Myers Squibb Study Director
- Organization
- Bristol-Myers Squibb
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 6, 2013
First Posted
June 24, 2013
Study Start
March 24, 2015
Primary Completion
June 4, 2018
Study Completion
June 4, 2018
Last Updated
November 29, 2019
Results First Posted
September 9, 2019
Record last verified: 2019-11