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.
Papers 5
- Builds on itBiomarker signatures in cancer patients with and without venous thromboembolism events: a substudy of CASSINI. DOI 10.1182/bloodadvances.2021005710↗
- Builds on itPrimary prophylaxis for venous thromboembolism in ambulatory cancer patients receiving chemotherapy. DOI 10.1002/14651858.cd008500.pub5↗
- Builds on itRivaroxaban thromboprophylaxis in ambulatory patients with pancreatic cancer: Results from a pre-specified subgroup ana… DOI 10.1002/cam4.3269↗
- Builds on itRivaroxaban for Thromboprophylaxis in High-Risk Ambulatory Patients with Cancer. DOI 10.1056/nejmoa1814630↗
- Builds on itRivaroxaban for Preventing Venous Thromboembolism in High-Risk Ambulatory Patients with Cancer: Rationale and Design of… DOI 10.1160/th17-03-0171↗