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Once-daily Oral Direct Factor Xa Inhibitor BAY59-7939 in Patients With Acute Symptomatic Deep-vein Thrombosis

Primary Purpose

Venous Thromboembolism

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Xarelto (Rivaroxaban, BAY59-7939)
Xarelto (Rivaroxaban, BAY59-7939)
Xarelto (Rivaroxaban, BAY59-7939)
(LMW) Heparin + Vitamin K Antagonist
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Venous Thromboembolism focused on measuring Treatment of venous thromboembolism

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Confirmed acute symptomatic DVT, i.e. proximal or extensive calf-vein thrombosis involving at least the upper third part of the calf veins, without concomitant symptomatic PE
  • Written informed consent

Exclusion Criteria:

  • Legal lower age limitations (country specific)
  • Thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current episode of DVT
  • Other indication for VKA than PE/DVT
  • More than 36 hours pre-randomization treatment with therapeutic dosages of (LMW) heparin or more than a single dose of VKA prior to randomization
  • Participation in another pharmacotherapeutic study within the prior 30 days
  • Creatinine clearance < 30 mL/min, impaired liver function (transaminases > 2 x ULN), or bacterial endocarditis
  • Life expectancy < 3 months
  • Active bleeding or high risk for bleeding contraindicating treatment with (LMW) heparin
  • Uncontrolled hypertension: systolic blood pressure > 200 mmHg and diastolic blood pressure > 110 mmHg
  • Pregnancy or childbearing potential without proper contraceptive measures
  • Any other contraindication listed in the labeling of warfarin, acenocoumarol, phenprocoumon, fluindione, UFH, enoxaparin, or tinzaparin
  • Systemic treatment with azole compounds or other strong CYP3A4 inhibitors (e.g. ketoconazole, fluconazol, itraconazole, HIV protease inhibitors) within 4 days prior to randomization and during the study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Arm 4

Arm 1

Arm 2

Arm 3

Arm Description

Outcomes

Primary Outcome Measures

The primary efficacy endpoint was the composite of symptomatic recurrent DVT or symptomatic fatal and non-fatal PE at 12 weeks and deterioration in thrombotic burden, as assessed by CUS and PLS, at baseline and at 12 weeks.

Secondary Outcome Measures

The principal safety outcome is all clinically relevant bleeding (i.e. major bleeding and clinically relevant non-major bleeding) within 12 weeks.
The separate components of the primary efficacy outcome at 12 weeks.

Full Information

First Posted
November 2, 2006
Last Updated
October 27, 2014
Sponsor
Bayer
Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
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1. Study Identification

Unique Protocol Identification Number
NCT00395772
Brief Title
Once-daily Oral Direct Factor Xa Inhibitor BAY59-7939 in Patients With Acute Symptomatic Deep-vein Thrombosis
Official Title
Once-daily Oral Direct Factor Xa Inhibitor BAY59-7939 in Patients With Acute Symptomatic Deep-vein Thrombosis The Einstein-DVT Dose-finding Study. A Phase II Evaluation.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
December 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer
Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the optimal dose of BAY 59-7939 and to compare the safety and effectiveness of this new drug with the standard way of treatment of deep vein thrombosis (heparin infusion plus one of the vitamin K antagonists), taking into account new events of thrombosis and pulmonary embolism and bleeding risk.
Detailed Description
Within the U.S., Johnson & Johnson is sponsor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Venous Thromboembolism
Keywords
Treatment of venous thromboembolism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
543 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 4
Arm Type
Active Comparator
Arm Title
Arm 1
Arm Type
Experimental
Arm Title
Arm 2
Arm Type
Experimental
Arm Title
Arm 3
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Xarelto (Rivaroxaban, BAY59-7939)
Intervention Description
BAY59-7939 20 mg once daily (od) for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Xarelto (Rivaroxaban, BAY59-7939)
Intervention Description
BAY59-7939 30 mg od for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Xarelto (Rivaroxaban, BAY59-7939)
Intervention Description
BAY59-7939 40 mg od for 12 weeks
Intervention Type
Drug
Intervention Name(s)
(LMW) Heparin + Vitamin K Antagonist
Intervention Description
Low Molecular Weight (LMW) Heparin + Vitamin K Antagonist (VKA) for 5 days, then VKA only for the rest of 12 weeks
Primary Outcome Measure Information:
Title
The primary efficacy endpoint was the composite of symptomatic recurrent DVT or symptomatic fatal and non-fatal PE at 12 weeks and deterioration in thrombotic burden, as assessed by CUS and PLS, at baseline and at 12 weeks.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
The principal safety outcome is all clinically relevant bleeding (i.e. major bleeding and clinically relevant non-major bleeding) within 12 weeks.
Time Frame
12 weeks
Title
The separate components of the primary efficacy outcome at 12 weeks.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed acute symptomatic DVT, i.e. proximal or extensive calf-vein thrombosis involving at least the upper third part of the calf veins, without concomitant symptomatic PE Written informed consent Exclusion Criteria: Legal lower age limitations (country specific) Thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current episode of DVT Other indication for VKA than PE/DVT More than 36 hours pre-randomization treatment with therapeutic dosages of (LMW) heparin or more than a single dose of VKA prior to randomization Participation in another pharmacotherapeutic study within the prior 30 days Creatinine clearance < 30 mL/min, impaired liver function (transaminases > 2 x ULN), or bacterial endocarditis Life expectancy < 3 months Active bleeding or high risk for bleeding contraindicating treatment with (LMW) heparin Uncontrolled hypertension: systolic blood pressure > 200 mmHg and diastolic blood pressure > 110 mmHg Pregnancy or childbearing potential without proper contraceptive measures Any other contraindication listed in the labeling of warfarin, acenocoumarol, phenprocoumon, fluindione, UFH, enoxaparin, or tinzaparin Systemic treatment with azole compounds or other strong CYP3A4 inhibitors (e.g. ketoconazole, fluconazol, itraconazole, HIV protease inhibitors) within 4 days prior to randomization and during the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87108-4763
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599-7065
Country
United States
City
Fredericksburg
State/Province
Virginia
ZIP/Postal Code
22401
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
Country
United States
City
Canberra
State/Province
Australian Capital Territory
ZIP/Postal Code
2605
Country
Australia
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2065
Country
Australia
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2217
Country
Australia
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3128
Country
Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3181
Country
Australia
City
Curitiba
State/Province
Paraná
ZIP/Postal Code
80050-350
Country
Brazil
City
Porto Alegre
State/Province
RS
ZIP/Postal Code
90470 340
Country
Brazil
City
Sorocaba
State/Province
Sao Paulo
ZIP/Postal Code
18031-000
Country
Brazil
City
São Paulo
State/Province
SP
ZIP/Postal Code
01323-001
Country
Brazil
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 3A7
Country
Canada
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
City
Hradec Kralove
ZIP/Postal Code
500 05
Country
Czech Republic
City
Karlovy Vary
ZIP/Postal Code
360 66
Country
Czech Republic
City
Ostrava
ZIP/Postal Code
708 52
Country
Czech Republic
City
Plzen
ZIP/Postal Code
323 33
Country
Czech Republic
City
Praha 10
ZIP/Postal Code
10034
Country
Czech Republic
City
Praha 5
ZIP/Postal Code
150 06
Country
Czech Republic
City
Usti nad Labem
ZIP/Postal Code
401 13
Country
Czech Republic
City
Aarhus
ZIP/Postal Code
8000
Country
Denmark
City
Brædstrup
ZIP/Postal Code
8740
Country
Denmark
City
Frederiksberg
ZIP/Postal Code
2000
Country
Denmark
City
Brest Cedex
ZIP/Postal Code
29609
Country
France
City
Grenoble
ZIP/Postal Code
38043
Country
France
City
Montpellier Cedex
ZIP/Postal Code
34295
Country
France
City
Paris Cedex 15
ZIP/Postal Code
75908
Country
France
City
Paris
ZIP/Postal Code
75475
Country
France
City
Saint-etienne
ZIP/Postal Code
42055
Country
France
City
Valenciennes Cedex
ZIP/Postal Code
59322
Country
France
City
Afula
ZIP/Postal Code
18101
Country
Israel
City
Ashkelon
ZIP/Postal Code
78306
Country
Israel
City
Haifa
ZIP/Postal Code
31048
Country
Israel
City
Haifa
ZIP/Postal Code
31096
Country
Israel
City
Haifa
ZIP/Postal Code
34362
Country
Israel
City
Holon
ZIP/Postal Code
58100
Country
Israel
City
Kfar Saba
ZIP/Postal Code
44281
Country
Israel
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
City
Safed
ZIP/Postal Code
13100
Country
Israel
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
City
Tel Hashomer
ZIP/Postal Code
52621
Country
Israel
City
Milano
ZIP/Postal Code
20122
Country
Italy
City
Milano
ZIP/Postal Code
20132
Country
Italy
City
Milano
ZIP/Postal Code
20142
Country
Italy
City
Padova
ZIP/Postal Code
35128
Country
Italy
City
Pavia
ZIP/Postal Code
27100
Country
Italy
City
Reggio Emilia
ZIP/Postal Code
42100
Country
Italy
City
Venezia
ZIP/Postal Code
30122
Country
Italy
City
Amersfoort
ZIP/Postal Code
3818 ES
Country
Netherlands
City
Amsterdam
ZIP/Postal Code
1081 HV
Country
Netherlands
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
City
Arnhem
ZIP/Postal Code
6815 AD
Country
Netherlands
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
City
Hoofddorp
ZIP/Postal Code
2134 TM
Country
Netherlands
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
City
Sittard-geleen
ZIP/Postal Code
6162 BG
Country
Netherlands
City
Zwolle
ZIP/Postal Code
8025 AB
Country
Netherlands
City
Bydgoszcz
ZIP/Postal Code
85-168
Country
Poland
City
Warszawa
ZIP/Postal Code
01-138
Country
Poland
City
Warszawa
ZIP/Postal Code
02-097
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-367
Country
Poland
City
Wroclaw
ZIP/Postal Code
51-124
Country
Poland
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2132
Country
South Africa
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2157
Country
South Africa
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2191
Country
South Africa
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2193
Country
South Africa
City
Johannesburg
State/Province
Gauteng
Country
South Africa
City
Göteborg
ZIP/Postal Code
416 85
Country
Sweden
City
Jönköping
ZIP/Postal Code
551 85
Country
Sweden
City
Stockholm
ZIP/Postal Code
118 83
Country
Sweden
City
Stockholm
ZIP/Postal Code
171 76
Country
Sweden
City
Västervik
ZIP/Postal Code
593 81
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
18621928
Citation
Buller HR, Lensing AW, Prins MH, Agnelli G, Cohen A, Gallus AS, Misselwitz F, Raskob G, Schellong S, Segers A; Einstein-DVT Dose-Ranging Study investigators. A dose-ranging study evaluating once-daily oral administration of the factor Xa inhibitor rivaroxaban in the treatment of patients with acute symptomatic deep vein thrombosis: the Einstein-DVT Dose-Ranging Study. Blood. 2008 Sep 15;112(6):2242-7. doi: 10.1182/blood-2008-05-160143. Epub 2008 Jul 11.
Results Reference
derived
Links:
URL
http://www.clinicaltrialsregister.eu/
Description
Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Learn more about this trial

Once-daily Oral Direct Factor Xa Inhibitor BAY59-7939 in Patients With Acute Symptomatic Deep-vein Thrombosis

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