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Phase 3 N=12,019 Randomized Double-blind Prevention

A Study of Rivaroxaban (JNJ-39039039) on the Venous Thromboembolic Risk in Post-Hospital Discharge Patients

Heart Failure · Respiratory Insufficiency · Stroke Acute · Infectious Diseases · Rheumatic Diseases

Enrolled (actual)
12,019
Serious AEs
8.1%
Results posted
Nov 2019
Primary outcome: Primary: Time From Randomization to First Occurrence of Composite of All Symptomatic Venous Thromboembolism (VTE) and VTE Related Death Adjudicated by Clinical Event Committee (CEC) — 0.84; 1.11 Events per 100 participants in 45 days — p=0.136

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Rivaroxaban, 10 mg (Drug); Rivaroxaban, 7.5 mg (Drug); Placebo (Drug)
Age
Adult, Older Adult · 40+ yrs
Sex
All
Sponsor
Janssen Research & Development, LLC
Primary completion
Mar 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Time From Randomization to First Occurrence of Composite of All Symptomatic Venous Thromboembolism (VTE) and VTE Related Death Adjudicated by Clinical Event Committee (CEC)
0.84; 1.11 0.136
PRIMARY
Event Rate Based on Time From Randomization to the First Occurrence of Major Bleeding Adjudicated by CEC
0.28; 0.15 0.124
SECONDARY
Event Rate Based on Time From Randomization to First Occurrence of VTE-Related Death Adjudicated by CEC
0.72; 0.77 0.751
SECONDARY
Event Rate Based on Time From Randomization to the First Occurrence of a Symptomatic Venous Thromboembolism Event (VTE) Adjudicated by CEC
0.19; 0.42 0.023 sig
SECONDARY
Event Rate Based on Time From Randomization to the First Occurrence of a Composite of Symptomatic VTE and All-Cause Mortality (ACM) Adjudicated by CEC
1.31; 1.80 0.033 sig
SECONDARY
Event Rate Based on Time From Randomization to the First Occurrence of a Composite of Symptomatic VTE, Myocardial Infarction (MI), Non-Hemorrhagic Stroke, and Cardiovascular (CV) Death Adjudicated by CEC
1.58; 2.03 0.073
SECONDARY
Event Rate Based on Time From Randomization to First Occurrence of All-Cause Mortality (ACM) Adjudicated by CEC
1.19; 1.49 0.156

Summary

The purpose of this study is to evaluate the efficacy and safety of rivaroxaban compared with placebo in the prevention of symptomatic venous thromboembolism (VTE) events and VTE-related death post-hospital discharge in high-risk, medically ill patients.

Eligibility Criteria

Key Inclusion Criteria

  • The duration of the index hospitalization must have been at least 3 and no more than 10 consecutive days
  • Must meet venous thromboembolism (VTE) risk criteria with a total modified Improve VTE Risk Score of: greater than or equal 4, or 3 with D-dimer > 2* upper limit of normal (ULN), or 2 with D-dimer > 2*ULN

Key Exclusion Criteria

  • Any serious bleeding within 3 months prior to randomization or occurring during index hospitalization
  • Serious trauma (including head trauma) within 4 weeks before randomization
  • History of hemorrhagic stroke at any time in the past
  • Any medical condition that requires chronic use of any parenteral or oral anticoagulation
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02111564). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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