A Study of DU-176b, Prevention of Venous Thromboembolism in Patients After Total Hip Arthroplasty
Primary Purpose
Prevention, Venous Thromboembolism
Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
edoxaban
enoxaparin sodium
Sponsored by
About this trial
This is an interventional prevention trial for Prevention focused on measuring Anticoagulants, Venous thromboembolism, Thromboembolism, Thrombosis, enoxaparin sodium, Embolism, Deep vein thrombosis, DU-176b, edoxaban, factor Xa, total hip arthroplasty
Eligibility Criteria
Inclusion Criteria:
- Patients undergoing unilateral total hip arthroplasty
Exclusion Criteria:
- Subjects with risks of hemorrhage
- Subjects with thromboembolic risks
- Subjects who weigh less than 40 kg
- Subjects who are pregnant or suspect pregnancy, or subjects who want to become pregnant
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
DU-176b
enoxaparin sodium
Arm Description
DU-176b oral tablets, 30 mg., taken once daily for 2 weeks, initiated within 6 to 24 hours after surgery.
enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks, initiated within 24 to 36 hours after surgery.
Outcomes
Primary Outcome Measures
Incidence of Subjects With Venous Thromboembolism Events
The primary efficacy endpoint was the proportion of subjects who experienced at least one of the thromboembolic events listed below during the period from the start of study treatment to the venography at the end of study treatment.
Lower extremity DVT confirmed by bilateral venography at the end of study treatment
Definite diagnosis of symptomatic PE
Symptomatic DVT confirmed before the venography at the end of study treatment The objectives were to verify the non-inferiority of edoxaban to enoxaparin with regard to prevention of VTE
Secondary Outcome Measures
Incidence of Major Bleeding or Clinically Relevant Non-major Bleeding
Full Information
NCT ID
NCT01181167
First Posted
August 12, 2010
Last Updated
February 8, 2019
Sponsor
Daiichi Sankyo Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT01181167
Brief Title
A Study of DU-176b, Prevention of Venous Thromboembolism in Patients After Total Hip Arthroplasty
Official Title
A Phase 3, Randomized, Double-Blind, Double-Dummy Efficacy and Safety Study of the Oral Factor Xa Inhibitor DU-176b Compared With Enoxaparin Sodium for Prevention of Venous Thromboembolism in Patients After Total Hip Arthroplasty (STARS J-5 Trial)
Study Type
Interventional
2. Study Status
Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
May 2009 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
March 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Daiichi Sankyo Co., Ltd.
4. Oversight
5. Study Description
Brief Summary
The objective of this study is to assess the efficacy and safety of DU-176b compared with enoxaparin sodium for the prevention of venous thromboembolism in patients after elective total hip arthroplasty.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prevention, Venous Thromboembolism
Keywords
Anticoagulants, Venous thromboembolism, Thromboembolism, Thrombosis, enoxaparin sodium, Embolism, Deep vein thrombosis, DU-176b, edoxaban, factor Xa, total hip arthroplasty
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
610 (Actual)
8. Arms, Groups, and Interventions
Arm Title
DU-176b
Arm Type
Experimental
Arm Description
DU-176b oral tablets, 30 mg., taken once daily for 2 weeks, initiated within 6 to 24 hours after surgery.
Arm Title
enoxaparin sodium
Arm Type
Active Comparator
Arm Description
enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks, initiated within 24 to 36 hours after surgery.
Intervention Type
Drug
Intervention Name(s)
edoxaban
Intervention Type
Drug
Intervention Name(s)
enoxaparin sodium
Primary Outcome Measure Information:
Title
Incidence of Subjects With Venous Thromboembolism Events
Description
The primary efficacy endpoint was the proportion of subjects who experienced at least one of the thromboembolic events listed below during the period from the start of study treatment to the venography at the end of study treatment.
Lower extremity DVT confirmed by bilateral venography at the end of study treatment
Definite diagnosis of symptomatic PE
Symptomatic DVT confirmed before the venography at the end of study treatment The objectives were to verify the non-inferiority of edoxaban to enoxaparin with regard to prevention of VTE
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Incidence of Major Bleeding or Clinically Relevant Non-major Bleeding
Time Frame
2 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
84 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients undergoing unilateral total hip arthroplasty
Exclusion Criteria:
Subjects with risks of hemorrhage
Subjects with thromboembolic risks
Subjects who weigh less than 40 kg
Subjects who are pregnant or suspect pregnancy, or subjects who want to become pregnant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Takeshi Fuji
Organizational Affiliation
Osaka Koseinenkin Hospital
Official's Role
Principal Investigator
Facility Information:
City
Osaka
Country
Japan
City
Tokyo
Country
Japan
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
IPD Sharing Time Frame
Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
IPD Sharing Access Criteria
Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
IPD Sharing URL
https://vivli.org/ourmember/daiichi-sankyo/
Citations:
PubMed Identifier
27980462
Citation
Kawai Y, Fuji T, Fujita S, Kimura T, Ibusuki K, Abe K, Tachibana S. Edoxaban versus enoxaparin for the prevention of venous thromboembolism after total knee or hip arthroplasty: pooled analysis of coagulation biomarkers and primary efficacy and safety endpoints from two phase 3 trials. Thromb J. 2016 Dec 1;14:48. doi: 10.1186/s12959-016-0121-1. eCollection 2016.
Results Reference
derived
Learn more about this trial
A Study of DU-176b, Prevention of Venous Thromboembolism in Patients After Total Hip Arthroplasty
We'll reach out to this number within 24 hrs