A Study to Evaluate the Safety and Efficacy of Intravenous JNJ-64179375 Versus Oral Apixaban in Participants Undergoing Elective Total Knee Replacement Surgery
TEXT-TKR
A Randomized, Double-blind, Double-dummy, Multicenter, Adaptive Design, Dose Escalation (Part 1) and Dose-Response (Part 2) Study to Evaluate the Safety and Efficacy of Intravenous JNJ-64179375 Versus Oral Apixaban in Subjects Undergoing Elective Total Knee Replacement Surgery
3 other identifiers
interventional
308
16 countries
103
Brief Summary
The primary purpose of Part 1 in this study is to assess the safety and tolerability of JNJ-64179375 for each dose level for dose escalation and any bleeding events (the composite of major, clinically relevant non-major, and minimal bleeding events) for the selection of doses for Part 2. The primary purpose of Part 2 is to assess the efficacy dose response of JNJ-64179375 for the prevention of total venous thromboembolism (VTE) (proximal and/or distal deep vein thrombosis \[DVT\] \[asymptomatic confirmed by venography assessment of the operated leg or objectively confirmed symptomatic\], nonfatal pulmonary embolism \[PE\], or any death).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2017
Shorter than P25 for phase_2
103 active sites
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
First Submitted
Initial submission to the registry
August 14, 2017
CompletedFirst Posted
Study publicly available on registry
August 16, 2017
CompletedStudy Start
First participant enrolled
November 13, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 5, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 5, 2018
CompletedResults Posted
Study results publicly available
November 25, 2019
CompletedNovember 25, 2019
November 1, 2019
12 months
August 14, 2017
November 5, 2019
November 5, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Number of Participants With Treatment-emergent Bleeding Events (Clinical Events Committee [CEC]- Adjudicated)
Number of participants with treatment-emergent bleeding events (BE) (adjudicated by CEC) were reported. Bleeding event was defined as the composite of major, clinically relevant nonmajor (CRNM), and minimal bleeding events assessed through the Day 10 to 14.
Up to Day 10 to 14 (visit observation period)
Number of Participants With Total Venous Thromboembolism (VTE) (CEC-adjudicated)
Number of participants with total VTE were reported. Total VTE was defined as the composite of CEC-adjudicated proximal and/or distal deep vein thrombosis (DVT) (asymptomatic confirmed by venography assessment of the operated leg or objectively confirmed symptomatic), nonfatal pulmonary embolism (PE), or any death assessed through the Day 10 to 14 visit. 1 participant had an asymptomatic distal clot in the non-operated leg which is not counted in the Total VTE and 2 participants had symptomatic proximal clots at the Day 10 to 14 venography and are counted in both the asymptomatic proximal and symptomatic proximal groups.
Up to Day 10 to 14 (visit observation period)
Secondary Outcomes (11)
Number of Participants With Composite of Major and CRNM Bleeding Events (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
Number of Participants With Major Bleeding Event (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
Number of Participants With Clinically Relevant Non-major (CRNM) Bleeding Events (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
Number of Participants With Major Bleeding or CRNM Bleeding Events (CEC-adjudicated)
Up to Day 10 and 14 (visit observation period)
Number of Participants With Minimal Bleeding Events (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
- +6 more secondary outcomes
Study Arms (11)
Part 1: Cohort 1 (0.3 mg/kg JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenously (IV) or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Cohort 2 (0.6 mg/kg JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 0.6 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Cohort 3 (1.2 mg/kg JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 1.2 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 4 (JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 Dose to be determined (TBD) based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 5 (JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 6 (JNJ-64179375/Apixaban)
EXPERIMENTALParticipants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 2: Group A: JNJ-64179375 A mg/kg and apixaban placebo
EXPERIMENTALParticipants will receive JNJ-64179375 Dose A mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group B: JNJ-64179375 B mg/kg and apixaban placebo
EXPERIMENTALParticipants will receive JNJ-64179375 Dose B mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group C: JNJ-64179375 C mg/kg and apixaban placebo
EXPERIMENTALParticipants will receive JNJ-64179375 Dose C mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group D: JNJ-64179375 D mg/kg and apixaban placebo
EXPERIMENTALParticipants will receive JNJ-64179375 Dose D mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group E: JNJ-64179375 placebo IV and apixaban 2.5 mg
EXPERIMENTALParticipants will receive JNJ-64179375 placebo (saline) IV as a single dose on Day 1 and apixaban 2.5 mg orally twice a day for 10 to 14 days.
Interventions
JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenous (IV) infusion as a single dose on Day 1.
JNJ-64179375 0.6 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 1.2 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
JNJ-64179375 Dose A mg/kg IV as a single dose on Day 1.
JNJ-64179375 Dose B mg/kg IV as a single dose on Day 1.
JNJ-64179375 Dose C mg/kg IV as a single dose on Day 1.
JNJ-64179375 Dose D mg/kg IV as a single dose on Day 1.
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Eligibility Criteria
You may qualify if:
- Weight greater than or equal to (\>=) 40 kg to less than or equal to (\<=) 150 kilogram (kg)
- Medically appropriate for postoperative anticoagulant prophylaxis as determined by the investigator
- Has undergone an elective primary unilateral total knee replacement (TKR)
- Before randomization, a woman must not be of childbearing potential defined as postmenopausal (defined as no menses for 12 months without an alternative medical cause) and/ or permanently sterile (include hysterectomy, bilateral salpingectomy, bilateral tubal occlusion/ligation procedures, and bilateral oophorectomy)
- Contraceptive use by men should be consistent with local regulations regarding the use of contraceptive methods for participant participating in clinical studies
You may not qualify if:
- Any condition for which the use of apixaban is not recommended in the opinion of the investigator
- Bilateral, revision or unicompartmental procedure
- Known or suspected hypersensitivity or intolerance to any biologic medication or known allergies or clinically significant reactions to murine, chimeric, or human proteins, monoclonal antibodies or antibody fragments, or any of the excipients of JNJ-64179375
- Unable to undergo venography
- Known previous deep vein thrombosis (DVT) in either lower extremity
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (103)
Arizona Research Center
Phoenix, Arizona, 85053, United States
Harbor-UCLA Medical Center
Torrance, California, 90509, United States
Denver Metro Orthopedics, PC
Englewood, Colorado, 80113, United States
Florida Research Associates, LLC
DeLand, Florida, 32720, United States
Avanza research
Pensacola, Florida, 32504, United States
University Orthopedic and Joint Replacement Center
Tamarac, Florida, 33321, United States
Memorial Hermann Memorial City Medical Center
Houston, Texas, 77024, United States
Hospital Italiano de Buenos Aires
Caba, C1199ABB, Argentina
Clínica Adventista Belgrano
CABA, C1430EGF, Argentina
Hospital San Roque
Córdoba, 5000, Argentina
Clínica Chutro
Córdoba, X5000EPU, Argentina
Hospital Italiano La Plata
La Plata, B1900AXI, Argentina
Sanatorio Britanico de Rosario
Rosario, 2000, Argentina
Sanatorio San Miguel
San Miguel, B1663GFL, Argentina
ZNA Middelheim
Antwerp, 2020, Belgium
Ziekenhuis Oost-Limburg
Genk, 3600, Belgium
Jessa Ziekenhuis
Hasselt, 3500, Belgium
ZNA Jan Palfijn
Merksem, 2170, Belgium
Universidade Federal de Minas Gerais (UFMG) - Faculdade de Medicina
Belo Horizonte, 30130-100, Brazil
Hospital Sao Francisco de Assis
Belo Horizonte, 30360-290, Brazil
Unicamp - Hospital de Clinicas
Campinas, 13083-888, Brazil
Uniort.e - Hospital de ortopedia
Londrina, 86050-000, Brazil
Irmandade da Santa Casa de Misericórdia de Marília
Marília, 17515-000, Brazil
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90020-090, Brazil
Hospital e Maternidade Dr Christovão da Gama
Santo André, 09030-010, Brazil
Hospital Estadual Mario covas
Santo André, 09190-615, Brazil
Hospital Das Clinicas Da Faculdade De Medicina Da Universidade De Sao Paulo
São Paulo, 05403-010, Brazil
Multiprofile Hospital for Active Treatment Russe
Rousse, 7002, Bulgaria
Acibadem City Clinic Tokuda Hospital
Sofa, 1407, Bulgaria
Military Medical Academy
Sofia, 1606, Bulgaria
Lakeridge Health Ajax
Ajax, Ontario, L1S 2J4, Canada
Source Trial Solutions Inc.
Kitchener, Ontario, N2M 1A1, Canada
The Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6, Canada
Cliniche Humanitas Gavazzeni
Bergamo, 24125, Italy
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127, Italy
Istituto Ortopedico Rizzoli
Bologna, 40136, Italy
Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
Istituto Clinico Humanitas
Rozzano, 20089, Italy
IRCCS Policlinico San Donato
S. Donato Milanese, 20097, Italy
A.O.U. Città della Salute e della Scienza
Torino, 10126, Italy
Ospedale Mauriziano (Torino)
Torino, 10128, Italy
Matsudo City General Hospital
Chiba, 270-2296, Japan
Hakodate Goryokaku Hospital
Hakodate, 040-8611, Japan
Ritsuzankai Iida Hospital
Iida-shi, 395-8505, Japan
Itami City Hospital
Itami-shi, 664-8540, Japan
Yonemori Hospital
Kagoshima, 890-0062, Japan
Bange Kousei General Hospital
Kawanuma-Gun, 969-6593, Japan
Osaka Saiseikai Nakatsu Hospital
Osaka, 530-0012, Japan
Osaka Rosai Hospital
Osaka, 591-8025, Japan
Tokushima Municipal Hospital
Tokushima, 770-0812, Japan
Yuaikai Tomishiro Central Hospital
Tomishiro, 901-0243, Japan
Regional Hospital of Liepaja
Liepāja, LV-3414, Latvia
Riga 2nd Hospital
Riga, LV1004, Latvia
Hospital of Traumatology and Orthopedics
Riga, LV1005, Latvia
Vidzemes Hospital
Valmiera, LV-4201, Latvia
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, LT50161, Lithuania
Klaipeda University Hospital
Klaipėda, 92288, Lithuania
University Malaya Medical Center
Kuala Lumpur, 59100, Malaysia
Hospital Tengku Ampuan Afzan
Kuantan, 25100, Malaysia
Hospital Miri
Miri, 98000, Malaysia
Hospital Sibu
Sibu, 96000, Malaysia
Hospital Sultan Abdul Halim
Sungai Petani, 08000, Malaysia
Klinika Ortopedii i Traumatologii UMB
Bialystok, 15-276, Poland
Oddzial Ortopedii i Traumatologii - Szpital Ogolny im. W.Ginela
Grajewo, 19-203, Poland
Klinika Ortopedii Gornoslaskie Centrum Medyczne
Katowice, 40-635, Poland
Oddzial Ortopedii i Traumatologii Szpital Specjalistyczny im. L.Rydygiera
Krakow, 31-826, Poland
SP ZOZ MSWiA w Krakowie Oddzial Urazowo-Ortopedyczny
Krakow, 33-332, Poland
CSK UM Klinika Ortopedii
Lodz, 92-213, Poland
Oddzial Urazowo-Ortopedyczny Wojewodzki Szpital Specjalistyczny
Lublin, 20-718, Poland
Klinika Ortopedii I Traumatologii,Szpital Kliniczny Ortopedyczno-Rehabilitacyjny UM
Poznan, 61-545, Poland
Oddzial Ortopedii Specjalistyczny Szpital im. E.Szczeklika
Tarnów, 33-100, Poland
Oddzial Chirurgii Urazowej iOrtopedycznej,Wojewodzki Szpital Brodnowski, SPZOZ
Warsaw, 03-242, Poland
Barnaul Federal Center of Traumatology, Orthopedics and Endoprothesis replacement
Barnaul, 656045, Russia
Russian Ilizarov Scientific Center For Restorative Traumatology And Ortopaedics
Kurgan, 640014, Russia
Moscow City Clinical Hospital #1 n.a. N.I.Pirogov
Moscow, 117049, Russia
Privolzhsky Research Medical University of Ministry of Health of Russian Federation
Nizhny Novgorod, 603155, Russia
St. Petersburg State Medical Institution City Multifunctional Hospital #2
Saint Petersburg, 194354, Russia
Russian Research Institute of Traumatology and Orthopaedics n.a.R.R.Vreden
Saint Petersburg, 195427, Russia
State Healthcare Institution Samara Regional Clinical Hospital named after V.D.Seredavin
Samara, 443095, Russia
Clinical Emergency Hospital n.a. N.V. Solovyev
Yaroslavl, 150003, Russia
Hosp. Univ. Germans Trias I Pujol
Badalona, 08916, Spain
Hosp. Clinico San Carlos
Madrid, 28040, Spain
Hosp. Univ. Fund. Jimenez Diaz
Madrid, 28040, Spain
Hosp. Univ. 12 de Octubre
Madrid, 28041, Spain
Hosp. Univ. La Paz
Madrid, 28046, Spain
Corporacio Sanitari Parc Tauli
Sabadell, 08208, Spain
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706, Spain
Hosp. Univ. I Politecni La Fe
Valencia, 46026, Spain
Ankara Numune Research and Training Hospital
Ankara, 06100, Turkey (Türkiye)
Dışkapı Yıldırım Beyazıd Training and Research Hospital
Ankara, 06110, Turkey (Türkiye)
Yıldırım Beyazıt University Yenimahalle Training and Research Hospital
Ankara, 06370, Turkey (Türkiye)
Yildirim Beyazit University Medical Faculty Ankara Atatürk Research and Training Hospital
Ankara, 06800, Turkey (Türkiye)
Bakirkoy Training and Research Hospital
Istanbul, 34147, Turkey (Türkiye)
Umraniye Training and Research Hospital
Istanbul, 34764, Turkey (Türkiye)
Izmir Tepecik Training and Research Hospital
Izmir, 35180, Turkey (Türkiye)
Municipal Institution Cherkasy Regional Hospital of Cherkasy Regional Council
Cherkasy, 18009, Ukraine
Ivano-Frankivsk Regional Clinical Hospital
Ivano-Frankivsk, 76008, Ukraine
Institute of Spine and JointPathology named after Prof.Sytenko of NationalAcademy of MedicalSciences
Kharkiv, 61024, Ukraine
Municipal Institution of Health Care 'Kharkiv Regional Clinical Traumatology Hospital'
Kharkiv, 61176, Ukraine
Kyiv Regional Clinical Hospital
Kyiv, 04107, Ukraine
Communal Institution of Lviv Regional Council 'Lypa Lviv Regional Hospital'
Lviv-Vynnyky, 79495, Ukraine
Vinnytsya Regional Clinical Hospital named after M.I.Pirogov
Vinnytsia, 21018, Ukraine
Zaporizhzhia Regional Clinical Hospital
Zaporizhzhia, 69600, Ukraine
MeSH Terms
Interventions
Results Point of Contact
- Title
- Senior Director
- Organization
- Janssen Research & Development, LLC
Study Officials
- STUDY DIRECTOR
Janssen Research Development, LLC Clinical Trial
Janssen Research & Development, LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 14, 2017
First Posted
August 16, 2017
Study Start
November 13, 2017
Primary Completion
November 5, 2018
Study Completion
November 5, 2018
Last Updated
November 25, 2019
Results First Posted
November 25, 2019
Record last verified: 2019-11