Trial Condition(s):

Venous Thromboembolism

EINSTEIN Junior: oral rivaroxaban in children with venous thrombosis (EINSTEIN Jr)

Bayer Identifier:

14372

ClinicalTrials.gov Identifier:

NCT02234843

EudraCT Number:

2014-000565-47

EU CT Number:

Not Available

Study Completed

Trial Purpose

The purpose of this study is to evaluate comparative efficacy and safety of rivaroxaban to standard of care in children with acute venous thromboembolism.

Inclusion Criteria
- Children aged birth to < 18 years with confirmed venous thromboembolism who receive initial treatment with therapeutic dosages of UFH (unfractionated heparin), LMWH (low molecular weight heparin) or fondaparinux and require anticoagulant therapy for at least 90 days. However, children aged birth to < 2 years with catheter-related thrombosis require anticoagulant therapy for at least 30 days.
- For children younger than 6 months: 
-- Gestational age at birth of at least 37 weeks.
-- Oral feeding/nasogastric/gastric feeding for at least 10 days.
-- Body weight ≥2600 g
Exclusion Criteria
- Active bleeding or bleeding risk contraindicating anticoagulant therapy
- An estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m*2 (in children younger than 1 year,  serum creatinine results above 97.5th percentile excludes participation)  
- Hepatic disease which is associated with either: coagulopathy leading to a clinically relevant bleeding risk, or ALT> 5x upper level of normal (ULN) or total bilirubin > 2x ULN with direct bilirubin > 20% of the total
-  Platelet count < 50 x 109/L
-  Sustained uncontrolled hypertension defined as > 95th age percentile   
-  Life expectancy < 3 months
- Concomitant use of strong inhibitors of both cytochrome P450 isoenzyme 3A4 (CYP3A4) and P-glycoprotein (P-gp), including but not limited to all human immunodeficiency virus protease inhibitors and the following azole antimycotics agents: ketoconazole, itraconazole, voriconazole, posaconazole, if used systemically
- Concomitant use of strong inducers of CYP3A4, including but not limited to rifampicin, rifabutin, phenobarbital, phenytoin and carbamazepine
- Childbearing potential without proper contraceptive measures, pregnancy or breast feeding

Trial Summary

Enrollment Goal
500
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
No
Products
Xarelto (Rivaroxaban, BAY59-7939)
Accepts Healthy Volunteers
No

Where to Participate

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Little Rock, United States, 72202-3500

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Los Angeles, United States, 90095

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Chicago, United States, 60611

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Columbus, United States, 43205-2696

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Philadelphia, United States, 19104

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Los Angeles, United States, 90027-6089

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Houston, United States, 77030

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Bern, Switzerland, 3010

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Luzern, Switzerland, 6000

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St. Petersburg, Russia, 197022

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St. Petersburg, Russia, 197110

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Moscow, Russia, 119049

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Nizhny Novgorod, Russia, 603136

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Krasnodar, Russia, 350013

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Yekaterinburg, Russia, 620028

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Volgograd, Russia, 400138

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Moscow, Russia, 117997

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Guadalajara, Mexico

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Durham, United States, 27710

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Gainesville, United States, 32610

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Kansas City, United States, 64108-9898

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Indianapolis, United States, 46202

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Fort Worth, United States, 76104

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Cleveland, United States, 44106

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St. Petersburg, United States, 33701

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Atlanta, United States, 30322

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Miami, United States, 33155

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Lansing, United States, 48912

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Newcastle Upon Tyne, United Kingdom, NE1 4LP

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Glasgow, United Kingdom, G51 4TF

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AMSTERDAM, Netherlands, 1105 AZ

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UTRECHT, Netherlands, 3584 CX

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GRONINGEN, Netherlands, 9713 GZ

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ROTTERDAM, Netherlands, 3015 CE

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Sao Paulo, Brazil, 04023-061

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Campinas, Brazil, 13083-970

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São Paulo, Brazil, 01227-200

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Birmingham, United Kingdom, B4 6NH

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Manchester, United Kingdom, M13 9WL

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Cardiff, United Kingdom, CF14 4XW

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Sheffield, United Kingdom, S10 2TH

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Esplugues de LLobregat, Spain, 08950

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Barcelona, Spain, 08023

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A Coruña, Spain, 15006

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Padova, Italy, 35128

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Milano, Italy, 20122

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Torino, Italy, 10126

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Parkville, Australia, 3052

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MONTPELLIER, France, 34059

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PARIS, France, 75015

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TOULOUSE Cedex 9, France, 31059

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Dresden, Germany, 01307

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Berlin, Germany, 13353

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Halle, Germany, 06120

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Erlangen, Germany, 91054

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Wien, Austria, 1090

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Innsbruck, Austria, 6020

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Graz, Austria, 8036

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Linz, Austria, 4020

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Cincinnati, United States, 45229-3039

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Phoenix, United States, 85016

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San Diego, United States, 92123

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Jacksonville, United States, 32207

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BRUXELLES - BRUSSEL, Belgium, 1200

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EDEGEM, Belgium, 2650

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Ramat Gan, Israel, 5262000

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Jerusalem, Israel, 9112001

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Petach Tikva, Israel, 4920235

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Crumlin, Ireland, 12

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Hamilton, Canada, L8N 3Z5

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Toronto, Canada, M5G 1X8

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NIJMEGEN, Netherlands, 6525 GA

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Afula, Israel, 1834111

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Ottawa, Canada, K1H 8L1

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Calgary, Canada, T3B 6A8

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LEUVEN, Belgium, 3000

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Budapest, Hungary, 1097

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Dallas, United States, 75235

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Hong Kong, Hong Kong, China

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Turku, Finland, 20520

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Leeds, United Kingdom, LS1 3EX

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Montreal, Canada, H4A 3J1

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Sao Paulo, Brazil, 05403-000

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Beijing, China, 100045

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Beijing, China, 100034

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Shanghai, China

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Hangzhou, China, 310056

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Pensacola, United States, 32504

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Solna, Sweden, 171 64

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Ciudad de México, Mexico, 06720

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South Brisbane, Australia, 4101

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Obu, Japan, 474-8710

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Bunkyo-ku, Japan, 113-8655

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Azumino, Japan, 399-8288

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Edinburgh, United Kingdom, EH9 1LF

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Kemerovo, Russia, 650002

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Kazan, Russia, 420138

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San Miguel de Tucumán, Argentina, 4000

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Konya, Turkey, 42080

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Istanbul, Turkey, 34093

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Adana, Turkey, 01130

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Bratislava, Slovakia, 833 41

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Edmonton, Canada, T6G 2B7

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Oxford, United Kingdom, OX3 9DU

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Carnaxide, Portugal, 2795-53

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Singapore, Singapore, 119228

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Singapore, Singapore, 229 899

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Zürich, Switzerland, 8032

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London, United Kingdom, SW3 6NP

Trial Design