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The purpose of this study is to learn whether apixaban can prevent the blood clots in the leg (deep vein thrombosis) and lung (pulmonary embolism) that sometimes occur after hip replacement surgery and to learn how apixaban compares with enoxaparin in preventing these clots. The safety of apixaban will also be studied
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Apixaban, 2.5 mg BID plus placebo | Active Comparator | Participants received apixaban, 2.5 mg twice daily (BID), as oral tablets, and matching enoxaparin-placebo injection once daily (QD) |
|
| Enoxaparin, 40 mg QD plus placebo | Experimental | Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enoxaparin | Drug | Subcutaneous, 40 mg, once daily, 5 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Composite of Adjudicated Venous Thromboembolic Event (VTE)-Related (Pulmonary Embolism and Symptomatic and Asymptomatic Deep Vein Thrombosis[DVT]) and All-cause Death During the Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. A mandatory bilateral ascending contrast venogram was to be obtained on Day 35 (± 3). Patients with confirmed symptomatic DVT at any time, or asymptomatic DVT upon venography, were to receive treatment for DVT according to the investigator's standard of care. Signs and symptoms suggestive of VTE included, but were not limited to: 1) lower extremity DVT: erythema, warmth, pain, swelling, tenderness; and 2) PE: pleuritic chest pain, dyspnea, cough, hemoptysis, syncope, light-headedness/dizziness, tachypnea, and tachycardia. Intended Treatment Period started on day of randomization and, for patients who received treatment, ended at the later of 2 days after last dose of study drug or 38 days after the first dose (presurgery) of study drug. For randomized patients who did not receive study drug, the period ended 38 days after randomization. | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Composite of Adjudicated Proximal Deep Vein Thrombosis (DVT), Nonfatal Pulmonary Embolism, and Venous Thromboembolic Event-related Death With Onset During Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. Each patient was categorized as having no proximal DVT, having proximal DVT, being nonevaluable for proximal DVT, having no distal DVT, having distal DVT, or being nonevaluable for distal DVT. Adjudication criteria were: Normal=All deep veins were visualized, and there was no intraluminal filling defect (ILFD). ILFD=An area of reduced, or absent filling, at least partially surrounded with contrast medium in ≥ 2 projections or a lack of filling in a vessel in which there was a cut-off that had the configuration of a thrombus. Indeterminate=A lack of filling of a region of the deep vein system, proximal or distal, without the presence of an ILFD elsewhere in the same region. Not Done=A venography was not performed. Proximal DVT was found if any of the proximal veins had an ILFD. Pulmonary embolism was radiographically (angiography, V/Q scan, computed tomography) determined. |
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Key Inclusion Criteria
Key Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Capstone Clinical Trials, Inc | Birmingham | Alabama | 35209 | United States | ||
| West Alabama Research, Llc |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35570249 | Derived | Jamieson MJ, Byon W, Dettloff RW, Crawford M, Gargalovic PS, Merali SJ, Onorato J, Quintero AJ, Russ C. Apixaban Use in Obese Patients: A Review of the Pharmacokinetic, Interventional, and Observational Study Data. Am J Cardiovasc Drugs. 2022 Nov;22(6):615-631. doi: 10.1007/s40256-022-00524-x. Epub 2022 May 16. | |
| 23279103 | Derived |
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A total of 5765 subjects were enrolled, and 5407 were randomized to double-blind study drug.
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| ID | Title | Description |
|---|---|---|
| FG000 | Apixaban, 2.5 mg BID Plus Placebo | Participants received apixaban, 2.5 mg twice daily (BID), as oral tablets, and matching enoxaparin-placebo injection once daily (QD) |
| FG001 | Enoxaparin, 40 mg QD Plus Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Apixaban | Drug | Oral tablets, 2.5 mg, twice daily, 5weeks |
|
|
| Enoxaparin-matching placebo | Drug | Administered as injection |
|
| Apixaban-matching placebo | Drug | Administered as oral tablets |
|
| Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
| Rates of Adjudicated All-cause Death, VTE-related Death, Pulmonary Embolism (PE), Nonfatal PE, Deep Vein Thrombosis (DVT) (Symptomatic and Asymptomatic), Symptomatic and Asymptomatic Proximal and Distal DVT During the Intended Treatment Period | VTE=venous thromboembolic event; VTE-related death=combination of fatal or nonfatal PE and symptomatic or asymptomatic DVT. Event rate=Number of events divided by the number of patients evaluated. | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
| Rate of Major Bleeding, Clinically Relevant Nonmajor Bleeding (CRNM), Major or CRNM, and Any Bleeding During the Treatment Period | Event rate=Number of events divided by the number of patients evaluated. Major bleeding event defined as a bleeding event that was 1) Acute clinically overt bleeding accompanied by at least 1 of the following: decrease in hemoglobin of ≥ 2 g/dL over a 24-hour period, transfusion of ≥2 units of packed red blood cells; bleeding that occurred in at least 1 of the following sites: intracranial, intra-spinal, intraocular, pericardial, an operated joint and requires reoperation or intervention, intramuscular with compartment syndrome, or retroperitoneal; 2) Fatal. CRNM was defined as acute clinically overt bleeding that did not satisfy the criteria for a major bleeding event and met at least 1 of the following: epistaxis, gastrointestinal bleed, hematuria, bruising/ecchymosis, or hemoptysis. Minor bleeding was defined as an acute clinically overt bleeding event that did not meet the criteria for major bleeding or a CRNM. Fatal bleeding event was defined as bleeding that was the primary | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Serious Adverse Events (SAEs), Bleeding Adverse Events (AEs), and Death as Outcome | AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. All suspected bleeding events were to be reported by the investigator as either an AE or SAE and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. | First dose of study drug (presurgery) through 30 days after the last dose of study drug |
| Number of Participants With a Bleeding-related Adverse Event During the Treatment Period | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With a Bleeding-related Adverse Events During the Treatment Period (Continued) | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With a Bleeding-related Adverse Event During the Treatment Period (Continued) | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Neurologic Adverse Events With Onset During the Treatment Period | Neurologic events were based on Medical Dictionary for Regulatory Activities search categories.For new or worsening events that were not related to the site of surgery, additional information was collected on a specific form. In addition, neurology consultation was to be obtained for these patients. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. MA criteria: Hemoglobin: >2 g/dL decrease from preRx or value ≤ 8 g/dL; hematocrit (%): <0.75*preRx; platelet count (*10^9 cells/L): <100,000/mm^3; erythrocytes (*10^6 cells/μL): <0.75*preRx level; leukocytes (*10^3 cells/μL): < 0.75*LLN or >1.25*ULN, or if preRx LLN use < 0.8*preRx or >ULN if preRx >ULN use >1.2*preRx or <LLN; basophils (*10^3 cells/μL): >400/mm^3; eosinophils (*10^3 cells/μL): > 0.75*10^3 cells/μL; lymphocytes (*10^3 cells/μL): >0.75*10^3 cells/μL; monocytes (*10^3 cells/μL): >2000/mm^3; neutrophils (*10^3 cells/μL): <1.0; | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period (Continued) | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. Alanine aminotransferase (ALT) (U/L): >3 *ULN: alkaline phosphatase (ALP) (U/L): >2* ULN; aspartate aminotransferase (ASP) (U/L): >3 *ULN; bilirubin, direct (mg/dL): >2*ULN; bilirubin, total (mg/dL): >2*ULN; BUN (mg/dL): >2*ULN; creatinine (mg/dL): >1.5*ULN; calcium (mg/dL): < 0.8*LLN or >1.2 *ULN, or if preRx <LLN use <0.75* preRx or >ULN if preRx >ULN use > 1.25*preRx or <LLN; chloride (mEq/L): <0.9*LLN or >1.1*ULN, or if preRx <LLN use <0.9*preRx or >ULN if preRx >ULN use >1.1* preRx or <LLN; bicarbonate (mEq/L): < 0.75* LLN or >1.25*ULN, or if preRx <LLN use <0.75*preRx or >ULN if preRx >ULN use >1.25*preRx or <LLN; potassium (mEq/L): < 0.9*LLN or >1.1*ULN, or if preRx <LLN use <0.9*preRx or >ULN if preRx >ULN use >1.1* preRx or < LLN; sodium (mEq/L): <0.95* LLN or >1.05×ULN, or if preRx <LLN use <0.95* predose or >ULN if preRx >ULN use >1.05 *preRx or < LLN. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period (Continued) | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. Glucose, fasting (mg/dL): <.8*LLN or >1.5*ULN, or if preRx <LLN use <.8*preRx or >ULN if preRx >ULN use >2*preRx or <LLN; protein, total (g/L): If missing preRx use ≥2, or if value ≥4 or preRx =0 or .5 use ≥2, or if preRx=1 use ≥3, or if preRx =2 or 3 use ≥4; creatine kinase (U/L): >5*ULN; uric acid (mg/dL): >.5* ULN, or if preRx >ULN use >2*preRx; blood, urine: If missing preRx use ≥2, or if value ≥4, or if preRx=0 or 0.5 use ≥2, or if preRx=1 use ≥3, or if preRx =2 or 3 use ≥4; glucose, urine : If missing preRx use ≥2, or if value ≥4, or if preRx=0 or .5 use ≥2, or if preRx=1 use ≥3, or if preRx=2 or 3 use ≥4; RBC, urine (hpf): If missing preRx use ≥2, or if value ≥4, or if preRx=0 or 0.5 use ≥2, or if preRx dose= 1 use ≥3, or if preRx=2 or 3 use ≥4; WBC, urine (h): If missing preRx use ≥2, or if value ≥4, or if preRx =0 or .5 use ≥2, or if preRx =1 use ≥3, or if preRx=2 or 3 use ≥4. | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
| Number of Participants With Adverse Events Related to Elevations in Liver Function Test Results With Onset During the Treatment Period | Treatment guidelines were provided for jaundice and elevated results of liver function tests. | First dose of study drug (presurgery) through 30 days after the last dose of study drug |
| Rates of Adjudicated Myocardial Infarction (MI)/Stroke, MI, Stroke, and Thrombocytopenia During the Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. All suspected events were reported by investigator. Acute MI=the presence of a clinical situation (eg, abnormal history, physical examination, new electrocardiogram changes) suggestive of an MI and at least 1 of the following: elevated creatine kinase (CK)-MB or troponin T or troponin I ≥2*upper limit of normal (ULN); if CK-MB or troponin values not available, total CK ≥2*ULN; or new significant (≥0.04 sec) Q waves in ≥2 contiguous leads. Stroke=a new focal neurologic deficit of sudden onset lasting at least 24 hours that was not due to a readily identifiable nonvascular cause. Adjudication classified each reported stroke as primary hemorrhagic, nonhemorrhagic, infarction with hemorrhagic conversion, or unknown type. Thrombocytopenia=after 3 days as drop in platelet count to <100,000/mm^3 for patients with a baseline value >150,000/mm^3 or a >50% decline, if the baseline value was ≤150,000/mm^3. | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
| Birmingham |
| Alabama |
| 35209 |
| United States |
| Martin Bowen Hefley Orthopedics | Little Rock | Arkansas | 72205 | United States |
| Orthoarkansas, P.A. | Little Rock | Arkansas | 72205 | United States |
| Uc Davis Medical Center | Sacramento | California | 95817 | United States |
| Colorado Orthopedic Consultants, Pc | Aurora | Colorado | 80012 | United States |
| Advanced Orthopedic And Sports Medicine Specilists | Denver | Colorado | 80230 | United States |
| Denver-Vail Orthopedics, P.C. | Denver | Colorado | 80230 | United States |
| Pab Clinical Research | Brandon | Florida | 33511 | United States |
| Research Alliance, Inc. | Clearwater | Florida | 33756 | United States |
| Shrock Orthopedic Research | Fort Lauderdale | Florida | 33316 | United States |
| Phoenix Clinical Research, Llc | Tamarac | Florida | 33321 | United States |
| Atlanta Knee And Sports Medicine | Decatur | Georgia | 30033 | United States |
| Americana Orthopedics | Boise | Idaho | 83702 | United States |
| Bosie Orthopedic Clinic | Meridian | Idaho | 83642 | United States |
| University Orthopedic Center | Altoona | Pennsylvania | 16602 | United States |
| Gill Orthopedic Center | Lubbock | Texas | 79410 | United States |
| Robert R. King, Md | Lubbock | Texas | 79410 | United States |
| Unlimited Research | San Antonio | Texas | 78217 | United States |
| Local Institution | Capital Federal | Buenos Aires | C1199ACK | Argentina |
| Local Institution | Capital Federal | Buenos Aires | C1280AEB | Argentina |
| Local Institution | Capital Federal | Buenos Aires | C1425AGP | Argentina |
| Local Institution | Ciudad de Buenos Aires | Buenos Aires | C1426BOS | Argentina |
| Local Institution | Coronel Suárez | Buenos Aires | B7540GHD | Argentina |
| Local Institution | Monte Grande | Buenos Aires | B1842DID | Argentina |
| Local Institution | Camperdown | New South Wales | 2050 | Australia |
| Local Institution | Kogarah | New South Wales | 2217 | Australia |
| Local Institution | Lismore | New South Wales | 2480 | Australia |
| Local Institution | Southport | Queensland | 4215 | Australia |
| Local Institution | Bedford Park | South Australia | 5042 | Australia |
| Local Institution | Box Hill | Victoria | 3128 | Australia |
| Local Institution | Malvern | Victoria | 3144 | Australia |
| Local Institution | Windsor | Victoria | 3181 | Australia |
| Local Institution | Perth | Western Australia | 6000 | Australia |
| Local Institution | Antwerp | 2020 | Belgium |
| Local Institution | Brasschaat | 2930 | Belgium |
| Local Institution | Genk | 3600 | Belgium |
| Local Institution | Hasselt | 3500 | Belgium |
| Local Institution | Leuven | 3000 | Belgium |
| Local Institution | Edmonton | Alberta | T6G 2B7 | Canada |
| Local Institution | Ajax | Ontario | L1S 2J5 | Canada |
| Local Institution | Cambridge | Ontario | N1R 7L7 | Canada |
| Local Institution | Chatham | Ontario | N7L 4T1 | Canada |
| Local Institution | Guelph | Ontario | N1E 6L9 | Canada |
| Local Institution | Newmarket | Ontario | L3Y 5G8 | Canada |
| Local Institution | Oshawa | Ontario | L1J 2J2 | Canada |
| Local Institution | Sarnia | Ontario | N7T 6H3 | Canada |
| Local Institution | Scarborough Village | Ontario | M1S 4T7 | Canada |
| Local Institution | St. Catharines | Ontario | L2R 7P3 | Canada |
| Local Institution | Stratford | Ontario | N5A 2N4 | Canada |
| Local Institution | Waterloo | Ontario | N2J 1C4 | Canada |
| Local Institution | Windsor | Ontario | N8W 1E6 | Canada |
| Local Institution | Montreal | Quebec | H3G 1A4 | Canada |
| Local Institution | Québec | Quebec | G1L 3L5 | Canada |
| Local Institution | Beijing | Beijing Municipality | 100035 | China |
| Local Institution | Beijing | Beijing Municipality | 100853 | China |
| Local Institution | Guangzhou | Guangdong | 510405 | China |
| Local Institution | Qingdao | Shandong | 266003 | China |
| Local Institution | Shanghai | Shanghai Municipality | 200011 | China |
| Local Institution | Shanghai | Shanghai Municipality | 200025 | China |
| Local Institution | Shanghai | Shanghai Municipality | 200233 | China |
| Local Institution | Amager | 2300 | Denmark |
| Local Institution | Frederiksberg | 2000 | Denmark |
| Local Institution | Herlev | 2730 | Denmark |
| Local Institution | Hvidovre | 2650 | Denmark |
| Local Institution | Hørsholm | 2970 | Denmark |
| Local Institution | København NV | 2400 | Denmark |
| Local Institution | Silkeborg | 8600 | Denmark |
| Local Institution | Nice | 06200 | France |
| Local Institution | Paris | 75014 | France |
| Local Institution | Paris | 75019 | France |
| Local Institution | Paris | 75679 | France |
| Local Institution | Saint-Etienne | 42100 | France |
| Local Institution | Saint-Saulve | 59880 | France |
| Local Institution | Frankfurt | 60528 | Germany |
| Local Institution | Frankfurt am Main | 65929 | Germany |
| Local Institution | Rheinfelden | 79618 | Germany |
| Local Institution | Budapest | 1081 | Hungary |
| Local Institution | Kecskemét | 6000 | Hungary |
| Local Institution | Szeged | 6720 | Hungary |
| Local Institution | Szolnok | 5000 | Hungary |
| Local Institution | Ahmedabad | Gujarat | 380015 | India |
| Local Institution | Ludhiana | Punjab | 141001 | India |
| Local Institution | Lucknow | Uttar Prsdesh | 226003 | India |
| Local Institution | Bangalore | 560034 | India |
| Local Institution | Mangalore | 575001 | India |
| Local Institution | Beersheba | 84101 | Israel |
| Local Institution | Haifa | 31096 | Israel |
| Local Institution | Holon | 58100 | Israel |
| Local Institution | Kfar Saba | 44281 | Israel |
| Local Institution | Ẕerifin | 70300 | Israel |
| Local Institution | Aguascalientes | Aguascalientes | 20010 | Mexico |
| Local Institution | Chihuahua City | Chihuahua | 31020 | Mexico |
| Local Institution | Tijuana | Estado de Baja California | 22010 | Mexico |
| Local Institution | Guadalajara | Jalisco | 45235 | Mexico |
| Local Institution | Mexico City | Mexico City | 06726 | Mexico |
| Local Institution | Mexico City | Mexico City | 07760 | Mexico |
| Local Institution | Monterrey | Nuevo León | 64460 | Mexico |
| Local Institution | Ciudad Madero | Tamaulipas | 89240 | Mexico |
| Local Institution | Gjettum | 1346 | Norway |
| Local Institution | Kongsvinger | 2212 | Norway |
| Local Institution | Lillehammer | 2629 | Norway |
| Local Institution | Tynset | 2500 | Norway |
| Local Institution | Tønsberg | 3116 | Norway |
| Local Institution | Gdansk | 80-803 | Poland |
| Local Institution | Lodz | 91-002 | Poland |
| Local Institution | Szczecin | 71-252 | Poland |
| Local Institution | Warsaw | 02-005 | Poland |
| Local Institution | Warsaw | 03-242 | Poland |
| Local Institution | Wroclaw | 50-556 | Poland |
| Local Institution | Bucharest | 021659 | Romania |
| Local Institution | Cluj-Napoca | 400132 | Romania |
| Local Institution | Chelyabinsk | 454021 | Russia |
| Local Institution | Kazan' | 420029 | Russia |
| Local Institution | Moscow | 111539 | Russia |
| Local Institution | Moscow | 115522 | Russia |
| Local Institution | Moscow | 117292 | Russia |
| Local Institution | Moscow | 119415 | Russia |
| Local Institution | Saint Petersburg | 192242 | Russia |
| Local Institution | Saint Petersburg | 193312 | Russia |
| Local Institution | Saint Petersburg | 194354 | Russia |
| Local Institution | Saint Petersburg | 195427 | Russia |
| Local Institution | Saint Petersburg | 196247 | Russia |
| Local Institution | Saint Petersburg | 199106 | Russia |
| Local Institution | Samara | 443095 | Russia |
| Local Institution | Yaroslavl | 150003 | Russia |
| Local Institution | Badalona-Barcelone | 08916 | Spain |
| Local Institution | Barcelona | 08006 | Spain |
| Local Institution | Barcelona | 08024 | Spain |
| Local Institution | Barcelona | 08035 | Spain |
| Local Institution | Barcelona | 08036 | Spain |
| Local Institution | Gothenburg | 416 85 | Sweden |
| Local Institution | Stockholm | 182 88 | Sweden |
| Local Institution | Cherkassy | 18009 | Ukraine |
| Local Institution | Chernivtsy | 58013 | Ukraine |
| Local Institution | Dnipropetrovsk | 49005 | Ukraine |
| Local Institution | Ivano-Frankivsk | 76008 | Ukraine |
| Local Institution | Kyiv | 01601 | Ukraine |
| Local Institution | Kyiv | 04107 | Ukraine |
| Local Institution | Sevastopol | 99018 | Ukraine |
| Local Institution | London | Greater London | SE5 9RS | United Kingdom |
| Local Institution | Wigan | Lancashire | WN6 9EP | United Kingdom |
| Local Institution | Epsom | Surrey | KT18 7EG | United Kingdom |
| Pineo GF, Gallus AS, Raskob GE, Chen D, Ramirez LM, Ramacciotti E, Lassen MR, Wang L. Apixaban after hip or knee arthroplasty versus enoxaparin: efficacy and safety in key clinical subgroups. J Thromb Haemost. 2013 Mar;11(3):444-51. doi: 10.1111/jth.12109. |
| 21175312 | Derived | Lassen MR, Gallus A, Raskob GE, Pineo G, Chen D, Ramirez LM; ADVANCE-3 Investigators. Apixaban versus enoxaparin for thromboprophylaxis after hip replacement. N Engl J Med. 2010 Dec 23;363(26):2487-98. doi: 10.1056/NEJMoa1006885. |
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID
| Participants Who Received Treatment |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Apixaban, 2.5 mg BID Plus Placebo | Participants received apixaban, 2.5 mg twice daily (BID), as oral tablets, and matching enoxaparin-placebo injection once daily (QD) |
| BG001 | Enoxaparin, 40 mg QD Plus Placebo | Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Age, Customized | Number | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Rate of Composite of Adjudicated Venous Thromboembolic Event (VTE)-Related (Pulmonary Embolism and Symptomatic and Asymptomatic Deep Vein Thrombosis[DVT]) and All-cause Death During the Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. A mandatory bilateral ascending contrast venogram was to be obtained on Day 35 (± 3). Patients with confirmed symptomatic DVT at any time, or asymptomatic DVT upon venography, were to receive treatment for DVT according to the investigator's standard of care. Signs and symptoms suggestive of VTE included, but were not limited to: 1) lower extremity DVT: erythema, warmth, pain, swelling, tenderness; and 2) PE: pleuritic chest pain, dyspnea, cough, hemoptysis, syncope, light-headedness/dizziness, tachypnea, and tachycardia. Intended Treatment Period started on day of randomization and, for patients who received treatment, ended at the later of 2 days after last dose of study drug or 38 days after the first dose (presurgery) of study drug. For randomized patients who did not receive study drug, the period ended 38 days after randomization. | All randomized participants who, during the Intended Treatment Period, had an adjudicated and evaluable bilateral venogram, had an adjudicated venous thromboembolic event, or died of any cause. | Posted | Number | 95% Confidence Interval | Percentage of events/patients evaluated | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
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| Secondary | Rate of Composite of Adjudicated Proximal Deep Vein Thrombosis (DVT), Nonfatal Pulmonary Embolism, and Venous Thromboembolic Event-related Death With Onset During Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. Each patient was categorized as having no proximal DVT, having proximal DVT, being nonevaluable for proximal DVT, having no distal DVT, having distal DVT, or being nonevaluable for distal DVT. Adjudication criteria were: Normal=All deep veins were visualized, and there was no intraluminal filling defect (ILFD). ILFD=An area of reduced, or absent filling, at least partially surrounded with contrast medium in ≥ 2 projections or a lack of filling in a vessel in which there was a cut-off that had the configuration of a thrombus. Indeterminate=A lack of filling of a region of the deep vein system, proximal or distal, without the presence of an ILFD elsewhere in the same region. Not Done=A venography was not performed. Proximal DVT was found if any of the proximal veins had an ILFD. Pulmonary embolism was radiographically (angiography, V/Q scan, computed tomography) determined. | Randomized participants with either an adjudicated event or an adjudicated evaluable bilateral venogram | Posted | Number | 95% Confidence Interval | Percentage of events/patients evaluated | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
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| Secondary | Rates of Adjudicated All-cause Death, VTE-related Death, Pulmonary Embolism (PE), Nonfatal PE, Deep Vein Thrombosis (DVT) (Symptomatic and Asymptomatic), Symptomatic and Asymptomatic Proximal and Distal DVT During the Intended Treatment Period | VTE=venous thromboembolic event; VTE-related death=combination of fatal or nonfatal PE and symptomatic or asymptomatic DVT. Event rate=Number of events divided by the number of patients evaluated. | All participants randomized to treatment | Posted | Number | Percentage of events/patients evaluated | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
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| Secondary | Rate of Major Bleeding, Clinically Relevant Nonmajor Bleeding (CRNM), Major or CRNM, and Any Bleeding During the Treatment Period | Event rate=Number of events divided by the number of patients evaluated. Major bleeding event defined as a bleeding event that was 1) Acute clinically overt bleeding accompanied by at least 1 of the following: decrease in hemoglobin of ≥ 2 g/dL over a 24-hour period, transfusion of ≥2 units of packed red blood cells; bleeding that occurred in at least 1 of the following sites: intracranial, intra-spinal, intraocular, pericardial, an operated joint and requires reoperation or intervention, intramuscular with compartment syndrome, or retroperitoneal; 2) Fatal. CRNM was defined as acute clinically overt bleeding that did not satisfy the criteria for a major bleeding event and met at least 1 of the following: epistaxis, gastrointestinal bleed, hematuria, bruising/ecchymosis, or hemoptysis. Minor bleeding was defined as an acute clinically overt bleeding event that did not meet the criteria for major bleeding or a CRNM. Fatal bleeding event was defined as bleeding that was the primary | All participants who received at least 1 dose of study drug | Posted | Number | 95% Confidence Interval | Percentage of events/patients evaluted | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Serious Adverse Events (SAEs), Bleeding Adverse Events (AEs), and Death as Outcome | AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. All suspected bleeding events were to be reported by the investigator as either an AE or SAE and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. | All participants who received at least 1 dose of study medication | Posted | Number | Participants | First dose of study drug (presurgery) through 30 days after the last dose of study drug |
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| Secondary | Number of Participants With a Bleeding-related Adverse Event During the Treatment Period | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With a Bleeding-related Adverse Events During the Treatment Period (Continued) | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With a Bleeding-related Adverse Event During the Treatment Period (Continued) | All suspected bleeding events were to be reported by the investigator as either an adverse event or serious adverse event or and adjudicated by the Independent Central Adjudication Committee (ICAC). Definitions of bleeding outcomes: Acute clinically overt bleeding =new onset, visible bleeding, or signs or symptoms suggestive of bleeding with confirmatory imaging techniques that could detect the presence of blood. All acute clinically overt bleeding events were adjudicated by the ICAC as a major bleeding event or a clinically relevant nonmajor bleeding event; suspected minor bleeding events were not sent for adjudication. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Neurologic Adverse Events With Onset During the Treatment Period | Neurologic events were based on Medical Dictionary for Regulatory Activities search categories.For new or worsening events that were not related to the site of surgery, additional information was collected on a specific form. In addition, neurology consultation was to be obtained for these patients. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. MA criteria: Hemoglobin: >2 g/dL decrease from preRx or value ≤ 8 g/dL; hematocrit (%): <0.75*preRx; platelet count (*10^9 cells/L): <100,000/mm^3; erythrocytes (*10^6 cells/μL): <0.75*preRx level; leukocytes (*10^3 cells/μL): < 0.75*LLN or >1.25*ULN, or if preRx LLN use < 0.8*preRx or >ULN if preRx >ULN use >1.2*preRx or <LLN; basophils (*10^3 cells/μL): >400/mm^3; eosinophils (*10^3 cells/μL): > 0.75*10^3 cells/μL; lymphocytes (*10^3 cells/μL): >0.75*10^3 cells/μL; monocytes (*10^3 cells/μL): >2000/mm^3; neutrophils (*10^3 cells/μL): <1.0; | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period (Continued) | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. Alanine aminotransferase (ALT) (U/L): >3 *ULN: alkaline phosphatase (ALP) (U/L): >2* ULN; aspartate aminotransferase (ASP) (U/L): >3 *ULN; bilirubin, direct (mg/dL): >2*ULN; bilirubin, total (mg/dL): >2*ULN; BUN (mg/dL): >2*ULN; creatinine (mg/dL): >1.5*ULN; calcium (mg/dL): < 0.8*LLN or >1.2 *ULN, or if preRx <LLN use <0.75* preRx or >ULN if preRx >ULN use > 1.25*preRx or <LLN; chloride (mEq/L): <0.9*LLN or >1.1*ULN, or if preRx <LLN use <0.9*preRx or >ULN if preRx >ULN use >1.1* preRx or <LLN; bicarbonate (mEq/L): < 0.75* LLN or >1.25*ULN, or if preRx <LLN use <0.75*preRx or >ULN if preRx >ULN use >1.25*preRx or <LLN; potassium (mEq/L): < 0.9*LLN or >1.1*ULN, or if preRx <LLN use <0.9*preRx or >ULN if preRx >ULN use >1.1* preRx or < LLN; sodium (mEq/L): <0.95* LLN or >1.05×ULN, or if preRx <LLN use <0.95* predose or >ULN if preRx >ULN use >1.05 *preRx or < LLN. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Marked Abnormalities (MA) in Clinical Laboratory Test Results During the Treatment Period (Continued) | preRx=predose; LLN=lower limit of normal; ULN=upper limit of normal. Glucose, fasting (mg/dL): <.8*LLN or >1.5*ULN, or if preRx <LLN use <.8*preRx or >ULN if preRx >ULN use >2*preRx or <LLN; protein, total (g/L): If missing preRx use ≥2, or if value ≥4 or preRx =0 or .5 use ≥2, or if preRx=1 use ≥3, or if preRx =2 or 3 use ≥4; creatine kinase (U/L): >5*ULN; uric acid (mg/dL): >.5* ULN, or if preRx >ULN use >2*preRx; blood, urine: If missing preRx use ≥2, or if value ≥4, or if preRx=0 or 0.5 use ≥2, or if preRx=1 use ≥3, or if preRx =2 or 3 use ≥4; glucose, urine : If missing preRx use ≥2, or if value ≥4, or if preRx=0 or .5 use ≥2, or if preRx=1 use ≥3, or if preRx=2 or 3 use ≥4; RBC, urine (hpf): If missing preRx use ≥2, or if value ≥4, or if preRx=0 or 0.5 use ≥2, or if preRx dose= 1 use ≥3, or if preRx=2 or 3 use ≥4; WBC, urine (h): If missing preRx use ≥2, or if value ≥4, or if preRx =0 or .5 use ≥2, or if preRx =1 use ≥3, or if preRx=2 or 3 use ≥4. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 2 days after the last dose of study drug |
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| Secondary | Number of Participants With Adverse Events Related to Elevations in Liver Function Test Results With Onset During the Treatment Period | Treatment guidelines were provided for jaundice and elevated results of liver function tests. | All participants who received at least 1 dose of study drug | Posted | Number | Participants | First dose of study drug (presurgery) through 30 days after the last dose of study drug |
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| Secondary | Rates of Adjudicated Myocardial Infarction (MI)/Stroke, MI, Stroke, and Thrombocytopenia During the Intended Treatment Period | Event rate=Number of events divided by the number of patients evaluated. All suspected events were reported by investigator. Acute MI=the presence of a clinical situation (eg, abnormal history, physical examination, new electrocardiogram changes) suggestive of an MI and at least 1 of the following: elevated creatine kinase (CK)-MB or troponin T or troponin I ≥2*upper limit of normal (ULN); if CK-MB or troponin values not available, total CK ≥2*ULN; or new significant (≥0.04 sec) Q waves in ≥2 contiguous leads. Stroke=a new focal neurologic deficit of sudden onset lasting at least 24 hours that was not due to a readily identifiable nonvascular cause. Adjudication classified each reported stroke as primary hemorrhagic, nonhemorrhagic, infarction with hemorrhagic conversion, or unknown type. Thrombocytopenia=after 3 days as drop in platelet count to <100,000/mm^3 for patients with a baseline value >150,000/mm^3 or a >50% decline, if the baseline value was ≤150,000/mm^3. | All participants who received at least 1 dose of study drug | Posted | Number | 95% Confidence Interval | Percent of events/patients evaluated | Day 1 (first dose of study drug) to later of 2 days after last dose or 38 days after first dose |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Apixaban, 2.5 mg BID + Placebo | Participants received apixaban, 2.5 mg twice daily (BID), as oral tablets, and matching enoxaparin-placebo injection once daily (QD) | 184 | 2,673 | 1,260 | 2,673 | ||
| EG001 | Enoxaparin, 40 mg QD + Placebo | Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID | 172 | 2,659 | 1,315 | 2,659 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Angina unstable | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Diverticulum intestinal haemorrhagic | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Exostosis | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Localised infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Osteochondrosis | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pancreatitis | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Peroneal nerve palsy | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Prostatitis | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Acute coronary syndrome | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Anaphylactic shock | Immune system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hiatus hernia | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Impaired healing | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Incorrect dose administered | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Lower limb fracture | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Lung disorder | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Microcytic anaemia | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Multiple injuries | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Neuropathy peripheral | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Periprosthetic fracture | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Rectal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
| |
| Skin infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Subcutaneous abscess | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Abdominal compartment syndrome | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Alcohol withdrawal syndrome | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Cardiopulmonary failure | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Chronic lymphocytic leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Dislocation of joint prosthesis | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Fat embolism | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Haematemesis | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Haemoglobin decreased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Jaundice cholestatic | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Metastases to liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
| |
| Oedema | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Paralysis | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Paresis | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pleurisy | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Seroma | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Suicidal ideation | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| White blood cell count increased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Wound infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Wound secretion | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Arterial injury | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Blood culture positive | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Contrast media allergy | Immune system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Inflammation of wound | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Monoparesis | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Suicide attempt | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Unequal limb length | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Wound dehiscence | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Wound haemorrhage | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Aphasia | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Atrioventricular block second degree | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Body temperature increased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Breast hyperplasia | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Catheter site discharge | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Cerebral infarction | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Drug level increased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Duodenal ulcer | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Haematocrit decreased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Haematoma infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Hyperthermia | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Incision site haemorrhage | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Knee arthroplasty | Surgical and medical procedures | MedDRA 12.0 | Systematic Assessment |
| |
| Medical device complication | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Occult blood positive | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Overdose | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Oxygen saturation decreased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Post procedural haematoma | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Postoperative wound infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Renal failure chronic | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Vertigo positional | Ear and labyrinth disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Arthritis bacterial | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Bradycardia | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Incision site haematoma | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Mallory-Weiss syndrome | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Operative haemorrhage | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Osteomyelitis | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Osteonecrosis | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Reflux oesophagitis | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Secretion discharge | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Sedation | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Anaemia postoperative | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Atelectasis | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Contrast media reaction | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Device dislocation | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Device failure | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Ischaemia | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Mobility decreased | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Peroneal nerve injury | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
| |
| Respiratory depression | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Sciatica | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Anaphylactic reaction | Immune system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Bloody discharge | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| C-reactive protein increased | Investigations | MedDRA 12.0 | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Colon neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
| |
| Confusion postoperative | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Ileal perforation | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Joint dislocation | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Osteomyelitis chronic | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Post procedural discharge | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Post procedural infection | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
| |
| Postoperative wound complication | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Presyncope | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Procedural site reaction | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Renal artery stenosis | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
| |
| Anaemia postoperative | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bristol-Myers Squibb Study Director | Bristol-Myers Squibb | Clinical.Trials@bms.com |
| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| D011655 | Pulmonary Embolism |
| ID | Term |
|---|---|
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004617 | Embolism |
Not provided
Not provided
| ID | Term |
|---|---|
| D017984 | Enoxaparin |
| C522181 | apixaban |
| ID | Term |
|---|---|
| D006495 | Heparin, Low-Molecular-Weight |
| D006493 | Heparin |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
Not provided
Not provided
| 65 to younger than 75 years |
|
| 75 years and older |
|
| Male |
|
| Spain |
|
| Ukraine |
|
| Russian Federation |
|
| Israel |
|
| United Kingdom |
|
| India |
|
| France |
|
| Hungary |
|
| Mexico |
|
| Canada |
|
| Argentina |
|
| Belgium |
|
| Poland |
|
| Romania |
|
| Australia |
|
| Denmark |
|
| Germany |
|
| Norway |
|
| China |
|
| Sweden |
|
| <0.0001 |
Statistically significant at the 1-sided 0.025 level |
| Risk Difference |
| -2.47 |
| 2-Sided |
| 95 |
| -3.54 |
| 1.50 |
Apixaban-enoxaparin |
| No |
| Superiority or Other |
| OG001 |
| Enoxaparin, 40 mg QD Plus Placebo |
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
|
|
|
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
|
|
|
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
| Units | Counts |
|---|
| Participants |
|
|
| Units | Counts |
|---|
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
|
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
|
|
Participants received enoxaparin, 40 mg QD subcutaneously, and matching apixaban-placebo tablets BID |
|
|
|