Pancreatic Cancer Research

Clinical trialPhase 3Completed

A Study to Evaluate the Efficacy and Safety of Rivaroxaban Venous Thromboembolism (VTE) Prophylaxis in Ambulatory Cancer Participants

Efficacy and Safety of Rivaroxaban Prophylaxis Compared With Placebo in Ambulatory Cancer Patients Initiating Systemic Cancer Therapy and at High Risk for Venous Thromboembolism

Outcome
Outcome unknown
Phase
Phase 3
Status
Completed
Study type
Interventional
Start
11 September 2015
Expected end
24 August 2018
Enrollment
841 participants
Sites
151
Primary outcomes
Percentage of Participants With Time to First Occurrence of Primary Efficacy Endpoint (Composite and Components); Percentage of Participants With Time to the First Occurrence of Major Bleeding Events as Defined by International Society of Thrombosis and Haemostasis (ISTH)
Sponsor
Industry
Results posted
2019-09-12
Last update
12 September 2019

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Posted results (ClinicalTrials.gov registry) · primary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to First Occurrence of Primary Efficacy Endpoint (Composite and Components) [Up to Day 180]. Number, Percentage of participants. Primary efficacy composite endpoint: Placebo (n=421): 8.79; Rivaroxaban 10 mg (n=420): 5.95. Symptomatic lower extremity proximal DVT: Placebo (n=421): 1.90; Rivaroxaban 10 mg (n=420): 2.14. Symptomatic lower extremity distal DVT: Placebo (n=421): 1.19; Rivaroxaban 10 mg (n=420): 0.48. Symptomatic upper extremity DVT: Placebo (n=421): 1.43; Rivaroxaban 10 mg (n=420): 0.95. Symptomatic non-fatal PE: Placebo (n=421): 1.19; Rivaroxaban 10 mg (n=420): 1.19. Asymptomatic lower extremity proximal DVT: Placebo (n=421): 2.61; Rivaroxaban 10 mg (n=420): 0.95. Incidental PE: Placebo (n=421): 2.38; Rivaroxaban 10 mg (n=420): 1.43. VTE-related death: Placebo (n=421): 0.71; Rivaroxaban 10 mg (n=420): 0.24. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.66 (95% CI 0.40 to 1.09); p== 0.101; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 1.12 (95% CI 0.43 to 2.91); p== 0.814; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.40 (95% CI 0.08 to 2.07); p== 0.260; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.67 (95% CI 0.19 to 2.39); p== 0.538; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 1.02 (95% CI 0.29 to 3.52); p== 0.977; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.35 (95% CI 0.11 to 1.11); p== 0.063; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.59 (95% CI 0.21 to 1.62); p== 0.301; Log Rank; superiority. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 0.33 (95% CI 0.03 to 3.18); p== 0.314; Log Rank; superiority.

Posted results (ClinicalTrials.gov registry) · primary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Major Bleeding Events as Defined by International Society of Thrombosis and Haemostasis (ISTH) [From first dose of study drug to 2 days after the last dose of the study drug (up to 32 weeks)]. Number, Percentage of participants. Placebo (n=404): 0.99; Rivaroxaban 10 mg (n=405): 1.98. Analysis, Placebo vs Rivaroxaban 10 mg: Hazard Ratio (HR) 1.96 (95% CI 0.59 to 6.49); p== 0.265; Log Rank; superiority.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Symptomatic VTE Events or VTE-Related Deaths [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 5.23; Rivaroxaban 10 mg (n=420): 3.81.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With All-Cause Mortality [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 23.8; Rivaroxaban 10 mg (n=420): 20.0.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Fatal or Non-fatal Arterial Thromboembolic Events (ATE) [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 1.66; Rivaroxaban 10 mg (n=420): 0.95.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Fatal or Non-fatal Visceral VTE [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 0.48; Rivaroxaban 10 mg (n=420): 0.24.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Composite Efficacy Endpoint 1 [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 29.5; Rivaroxaban 10 mg (n=420): 23.1.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to First Occurrence of Composite Efficacy Endpoint 2 [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 5.23; Rivaroxaban 10 mg (n=420): 3.81.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to First Occurrence of Composite Efficacy Endpoint 3 [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 10.7; Rivaroxaban 10 mg (n=420): 6.90.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to First Occurrence of Composite Efficacy Endpoint 4 [Up to Day 180]. Number, Percentage of participants. Placebo (n=421): 6.89; Rivaroxaban 10 mg (n=420): 5.71.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Clinically Relevant Non-major Bleeding [From first dose of study drug to 2 days after the last dose of the study drug (up to 32 weeks)]. Number, Percentage of participants. Placebo (n=404): 1.98; Rivaroxaban 10 mg (n=405): 2.72.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Minor Bleeding [From first dose of study drug to 2 days after the last dose of the study drug (up to 32 weeks)]. Number, Percentage of participants. Placebo (n=404): 3.96; Rivaroxaban 10 mg (n=405): 6.91.

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Percentage of Participants With Time to the First Occurrence of Any Bleeding [From first dose of study drug to 2 days after the last dose of the study drug (up to 32 weeks)]. Number, Percentage of participants. Placebo (n=404): 6.44; Rivaroxaban 10 mg (n=405): 11.1.