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The objective of this study is to evaluate the safety and efficacy of DU-176b compared with enoxaparin sodium for the prevention of venous thromboembolism in patients after elective hip fracture surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DU-176b | Experimental | DU-176b oral tablets, 30 mg., taken once daily for 2 weeks, initiated within 6 to 24 hours after surgery |
|
| Enoxaparin sodium | Active Comparator | Enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks, initiated within 24 to 36 hours after surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DU-176b (edoxaban) | Drug |
| ||
| Enoxaparin sodium 20mg |
| Measure | Description | Time Frame |
|---|---|---|
| The Incidence of Major or Clinically Relevant Non-major Bleeding | Bleeding events during the period from the start of treatment with the study drug (study treatment) to the day of the follow-up examination were assessed as the primary endpoints. | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Subjects With Venous Thromboembolism Events. | 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Takeshi Fuji | Osaka Kouseinennkin Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Osaka | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24680549 | Derived | Fuji T, Fujita S, Kawai Y, Nakamura M, Kimura T, Kiuchi Y, Abe K, Tachibana S. Safety and efficacy of edoxaban in patients undergoing hip fracture surgery. Thromb Res. 2014 Jun;133(6):1016-22. doi: 10.1016/j.thromres.2014.03.009. Epub 2014 Mar 6. |
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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/
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.
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.
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| ID | Title | Description |
|---|---|---|
| FG000 | DU-176b | DU-176b oral tablets, 30 mg., taken once daily for 2 weeks DU-176b (edoxaban) |
| FG001 | Enoxaparin Sodium | Enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks Enoxaparin sodium 20mg |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Number of baseline participants reflects the safety analysis population
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| ID | Title | Description |
|---|---|---|
| BG000 | DU-176b | DU-176b oral tablets, 30 mg., taken once daily for 2 weeks DU-176b (edoxaban) |
| BG001 | Enoxaparin Sodium | Enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks Enoxaparin sodium 20mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Incidence of Major or Clinically Relevant Non-major Bleeding | Bleeding events during the period from the start of treatment with the study drug (study treatment) to the day of the follow-up examination were assessed as the primary endpoints. | Safety Analysis Set defined as all subjects who were secondarily enrolled in study, but excluded those with significant GCP violations, did not receive any study drug, or had no safety data after start of study treatment. However, subjects who had significant GCP violations, but received at least one dose of study drug, safety data were assessed. | Posted | Number | 95% Confidence Interval | percentage of subjects with bleeds | 2 weeks |
|
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Safety Analysis Set defined as all subjects who were enrolled in the study, but excluded those who had significant GCP violations, who did not receive any doses of the study drug, or who had no safety data after the start of study treatment.
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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 | DU-176b | DU-176b oral tablets, 30 mg., taken once daily for 2 weeks DU-176b (edoxaban) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| postoperative wound infection | Infections and infestations | MedDRA/JV.12.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| cystitis | Infections and infestations | MedDRA/JV.12.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kenichi Sakakura, Manager | Daiichi Sankyo.,LTD | 81-90-1885-0271 | sakakura.kenichi.ef@daiichisankyo.co.jp |
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| D013923 | Thromboembolism |
| D013927 | Thrombosis |
| D020246 | Venous Thrombosis |
| D004617 | Embolism |
| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| C552171 | edoxaban |
| C000711671 | enoxaparin sodium |
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|
| Lost to Follow-up |
|
| Physician Decision |
|
| Protocol Violation |
|
| Withdrawal by Subject |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Enoxaparin Sodium |
Enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks Enoxaparin sodium 20mg |
|
|
|
| Secondary | Proportion of Subjects With Venous Thromboembolism Events. | Not Posted | 2 weeks | Participants |
| 3 |
| 59 |
| 43 |
| 59 |
| EG001 | Enoxaparin Sodium | Enoxaparin sodium 20mg(=2000IU)/0.2ml twice daily, subcutaneous injection for 2 weeks Enoxaparin sodium 20mg | 3 | 29 | 24 | 29 |
| subdural haematoma | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| thoracic vertebral fracture | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| fracture displacement | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| nasopharyngitis | Infections and infestations | MedDRA/JV.12.0 | Systematic Assessment |
|
| urinary tract infection | Infections and infestations | MedDRA/JV.12.0 | Systematic Assessment |
|
| constipation | Gastrointestinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| diarrhea | Gastrointestinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| decubitis ulcer | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| haemorrhage subcutaneous | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| urticaria | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| blood urine present | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| contusion | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| Post procedural haematoma | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| Postoperative wound infection | Infections and infestations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| anal haemorrhage | Gastrointestinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| eczema | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Skin haemorrhage | Skin and subcutaneous tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Blood uric acid increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Eosinophil percentage increased | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| Spinal compression fracture | Investigations | MedDRA/JV.12.0 | Systematic Assessment |
|
| Thoracic vertebral fracture | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| Fracture displacement | Injury, poisoning and procedural complications | MedDRA/JV.12.0 | Systematic Assessment |
|
| vertigo | Ear and labyrinth disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| cardiac failure congestive | Cardiac disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Haematoma | Vascular disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Orthostatic hypotension | Vascular disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Wound haemorrhage | Vascular disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Spinal osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| tendon pain | Musculoskeletal and connective tissue disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| Chest discomfort | Cardiac disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| pyrexia | General disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
| dyspepsia | Gastrointestinal disorders | MedDRA/JV.12.0 | Systematic Assessment |
|
PI shall not publish the results of the Study at any time without the prior written approval of Sponsor.