check_circleStudy Completed

Thrombosis

Phase I study on rivaroxaban granules for oral suspension formulation in children

Trial purpose

To characterize the pharmacokinetic profile of rivaroxaban administered as granules for suspension formulation and to document safety and tolerability

Key Participants Requirements

Sex

All

Age

2 - 12 Years
  • - Children with an age ≥2 months and weight between 3 and <12 kg, who have completed anticoagulant treatment at least 10 days prior to the planned study drug administration.
     -- Gestational age at birth of at least 37 weeks
     -- Oral feeding/ nasogastric/ gastric feeding for at least 10 days
    - Normal PT and aPTT within 10 days prior to planned study drug administration
    - Written informed consent provided and, if applicable, child assent provided
  • - Active bleeding or high risk for bleeding, contraindicating anticoagulant therapy
    - Planned invasive procedures, including removal of central lines, within 24 hours before and after single dose intake
    - An estimate glomerular filtration rate (eGFR) < 30 mL/min/1.73m2
    - Hepatic disease which is associated either with:
     -- coagulopathy leading to a clinically relevant bleeding risk, or alanine aminotransferase (ALT) > 5x upper level of normal (ULN), or
     -- total bilirubin > 2x ULN with direct bilirubin > 20% of the total.
    - Platelet count < 50 x 10^9/L
    - Hypertension (defined as systolic and/or diastolic blood pressure >95th percentile for age)
    - Concomitant use of strong inhibitors of both CYP3A4 and P-glycoprotein, e.g., all human immunodeficiency virus protease inhibitors and the following azoleantimycotic agents: ketoconazole, itraconazole, voriconazole, and posaconazole, if used systemically (fluconazole is allowed)
    - Concomitant use of strong inducers of CYP3A4, e.g., rifampicin, rifabutin, phenobarbital, phenytoin and carbamazepine
    - Inability to cooperate with the study procedures
    - Hypersensitivity to rivaroxaban
    - Participation in a study with an investigational drug other than rivaroxaban or a medical device within 30 days prior to treatment
    - History of gastrointestinal disease or surgery associated with impaired absorption

Trial summary

Enrollment Goal
47
Trial Dates
November 2015 - May 2018
Phase
Phase 1
Could I Receive a placebo
No
Products
Xarelto (Rivaroxaban, BAY59-7939)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Withdrawn
Royal Children's Hospital MelbourneParkville, 3052, Australia
Withdrawn
Allgemeines Krankenhaus der Stadt WienWien, 1090, Austria
Withdrawn
Medizinische Universität GrazGraz, 8036, Austria
Completed
Ciutat Sanitària i Universitaria de la Vall d'HebronBarcelona, 08035, Spain
Completed
Hospital de Sant Joan de DéuEsplugues de LLobregat, 08950, Spain
Withdrawn
Hospital Universitario Virgen del RocíoSevilla, 41013, Spain
Completed
Hospital General Universitario Gregorio MarañónMadrid, 28007, Spain
Completed
Fondazione IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilano, 20122, Italy
Completed
A.O.U. Città della Salute e della Scienza di TorinoTorino, 10126, Italy
Completed
A.O. di PadovaPadova, 35128, Italy
Completed
Hopital Necker les enfants malades - ParisPARIS, 75015, France
Withdrawn
Hôpital Mère et Enfants - CHU NANTESNantes, 44093, France
Completed
UZ Leuven GasthuisbergLEUVEN, 3000, Belgium
Completed
Turun yliopistollinen keskussairaala, kantasairaalaTurku, 20520, Finland
Completed
HUS LastenklinikkaHUS, 00029, Finland
Withdrawn
Astrid Lindgrens BarnsjukhusSolna, 171 65, Sweden
Withdrawn
Our Lady's Hospital For Sick ChildrenCrumlin, 12, Ireland
Withdrawn
All Children's Hospital Johns Hopkins MedicineSt. Petersburg, 33701, United States
Completed
Riley Hospital For ChildrenIndianapolis, 46202, United States
Completed
Carolinas Healthcare SystemCharlotte, 28204, United States
Completed
University of Semmelweis/ Semmelweis EgyetemBudapest, 1094, Hungary
Withdrawn
Children's Hospital of PhiladelphiaPhiladelphia, 19104, United States
Withdrawn
Children's Hospital of Pittsburgh of UPMCPittsburgh, 15224, United States
Completed
Children's Hospital OaklandOakland, 94609, United States
Completed
Hospital for Sick ChildrenToronto, M5G 1X8, Canada
Completed
McMaster Children's HospitalHamilton, L8N 3Z5, Canada
Completed
Children's Hospital of Eastern OntarioOttawa, K1H 8L1, Canada
Completed
Arkansas Children's HospitalLittle Rock, 72202, United States
Completed
University of Alberta HospitalEdmonton, T6G 2B7, Canada
Completed
Nationwide Children's HospitalColumbus, 43205-2696, United States
Completed
Hôpital Arnaud de Villeneuve - MontpellierMONTPELLIER, 34059, France

Primary Outcome

  • AUC (area under the curve)
    Only PK will be tested in central lab
    date_rangeTime Frame:
    4x within 8 hrs post study drug administrationh and 1x between 24-28h after administration
    enhanced_encryption
    Safety Issue:
    No
  • Cmax (maximum observed drug concentration)
    Only PK will be tested in central lab
    date_rangeTime Frame:
    4x within 8 hrs post study drug administrationh and 1x between 24-28h after administration
    enhanced_encryption
    Safety Issue:
    No

Secondary Outcome

  • Prothrombin time (PT)
    date_rangeTime Frame:
    Pre-administration, if not done within the past 10 days, and then 24-28 hours after drug administration
    enhanced_encryption
    Safety Issue:
    No
  • Activated partial thromboplastin time (aPTT)
    date_rangeTime Frame:
    Pre-administration, if not done within the past 10 days, and then 24-28 hours after drug administration
    enhanced_encryption
    Safety Issue:
    No
  • Composite of major bleeding and clinically relevant non-major bleeding
    date_rangeTime Frame:
    From dose administration until follow up call on day 8+3
    enhanced_encryption
    Safety Issue:
    Yes

Trial design

Single-dose study testing rivaroxaban granules for oral suspension formulation in children from 2 months to 12 years with previous thrombosis
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Other
Allocation
N/A
Blinding
Open Label
Assignment
Single Group Assignment
Trial Arms
1