Trial Condition(s):

Venous Thromboembolism

Dose-ranging study of once-daily regimen of BAY 59-7939 in the prevention of VTE in patients undergoing elective total Hip replacement (ODIXaHIP-OD)

Bayer Identifier:

11527

ClinicalTrials.gov Identifier:

NCT00396786

EudraCT Number:

2004-001341-14

EU CT Number:

Not Available

Study Completed

Trial Purpose

The purpose of this study is to assess different doses of a new drug (BAY 59-7939), taken as a tablet, are safe and can help prevent blood clots forming after a hip replacement operation. Patients undergoing hip replacement surgery are at risk of developing blood clots. To reduce this risk treatment to prevent clots forming is routinely given. The current treatments can include injections under the skin or other treatments that need frequent blood tests to monitor levels of drug in the body. Therefore there is a need for new drugs, which are easier to give and need less monitoring.

Inclusion Criteria
- Male patients aged 18 years or above and postmenopausal female patients
 - Patients scheduled for elective primary total hip replacement (cemented or non-cemented prosthesis)
 - Patients written informed consent for participation after receiving detailed written and oral previous information to any study specific procedures
Exclusion Criteria
- Related to medical history:
 -- Any VTE prior to randomization
 -- Myocardial infarction (MI) or TIA or ischaemic stroke within the last 6 months prior to randomisation
 -- History of heparin-induced thrombocytopenia, allergy to heparins- Intracerebral or intraocular bleeding within the last 6 months prior to randomisation
 - History of gastrointestinal disease with gastrointestinal bleeding within the last 6 months prior to the study
 - History or presence of gastrointestinal disease which could result in an impaired absorption of the study drug (e.g. severe active inflammatory bowel disease, short gut syndrome)
 - Amputation of one legRelated to current symptoms or findings:
 --  Heart insufficiency NYHA class III-IV- Congenital or acquired haemorrhagic diathesis (PT INR/aPTT not within normal limits) including patients with acquired or congenital thrombopathy
 --  Thrombocytopenia (platelets < 100.000/µl)- Macroscopic haematuria- Allergy to contrast media- Severe hypertension (SBP > 200 mmHg, DBP > 100 mmHg)- Impaired liver function (transaminases > 2 x ULN)
 --  Impaired renal function (serum creatinine > 1.5 x ULN or creatinine clearance < 30 ml/min)
 --  Active malignant disease - Presence of active peptic ulcer or gastrointestinal disease with increased risk of gastrointestinal bleeding- Body weight < 45 kg
 --  Drug- or alcohol abuse- Related to current treatment- Patients who cannot stop therapy (in the opinion of the investigator/physician) with anticoagulants (e.g. phenprocoumon, warfarin-sodium, heparins and factor Xa inhibitors other than study medication) should be excluded from the study
 --  Fibrinolytic therapy- Therapy with acetylic salicylic acid or other platelet aggregation inhibitors (e.g. clopidogrel, dipyridamole and ticlopidine) should be stopped one week before enrolment. Patients not able to stop ASA therapy will be excluded
 --  All other drugs influencing coagulation, (exception: NSAIDs with half life < 17 hrs) will be not allowed during the study treatment period- Systemic and topical treatment with azole compounds (e.g. ketoconazole, fluconazole, itraconazole) and other strong CYP3A4-inhibitors eg HIV-protease inhibitors. Azole compounds and other strong CYP3A4-inhibitors eg HIV-protease should be stopped at least four days before enrolment
 - Therapy with another investigational product within 30 days prior start of study
 - Miscellaneous
 - Planned intermittent pneumatic compression during active treatment period
 - Planned epidural anaesthesia with indwelling epidural catheter (spinal or epidural anaesthesia without indwelling catheter are allowed)
 - If traumatic or repeated epidural and spinal puncture occur the patient should be excluded from study
 - Concomitant participation in another trial or study

Trial Summary

Enrollment Goal
877
Trial Dates
black-arrow
Phase
2
Could I receive a placebo?
No
Products
Xarelto (Rivaroxaban, BAY59-7939)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
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Krankenhaus der Barmherzigen Schwestern Linz

Linz, Austria, 4010

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Ziekenhuis Oost-Limburg

GENK, Belgium, 3600

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Städtische Kliniken Frankfurt am Main / Hoechst

Frankfurt, Germany, 65929

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Kings College Hospital

London, United Kingdom, SE5 9RS

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Donauspital im SMZ-Ost der Stadt Wien

Wien, Austria, 1220

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Virga Jesse Ziekenhuis

HASSELT, Belgium, 3500

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Kreiskrankenhaus Rheinfelden

Rheinfelden, Germany, 79618

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Institut Montsouris - Paris

PARIS CEDEX 14, France, 75877

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Ravenscourt Park Hospital

London, United Kingdom, W6 0TN

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IRCCS Ist Clinico Humanitas

Rozzano, Italy, 20089

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St. Maartenskliniek

NIJMEGEN, Netherlands, 6522 JV

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Wojewodzki Szpital Specjalistyczny im. S. Wyszynskiego SPZOZ

Lublin, Poland, 20-718

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Kungälvs Sjukhus

Kungälv, Sweden, 442 83

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Clinique les Maussins-Nollet - Paris

PARIS CEDEX 19, France, 75019

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IRCCS Fondazione San Raffaele

Milano, Italy, 20132

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Nordsjællands Hospital - Hørsholm

Hørsholm, Denmark, DK-2970

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Hospital Clínico Universitario de Valencia

Valencia, Spain, 46010

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PolyClinique de la providence - Poitiers

POITIERS, France, 86000

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Rambam Medical Center

Haifa, Israel, 31096

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AUSL 1 Perugia - Umbria

Gubbio, Italy, 06024

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Tergooiziekenhuizen Hilversum

HILVERSUM, Netherlands, 1213 XZ

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Helse Blefjell Rjukan sykehus

Rjukan, Norway, NO-3660

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Samodzielny Publiczny Szpital Kliniczny nr 4

Lublin, Poland, 20-090

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SU/Östra

Göteborg, Sweden, 416 85

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Regionshospitalet Silkeborg

Silkeborg, Denmark, 8600

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Hospital Clínic i Provincial de Barcelona

Barcelona, Spain, 08036

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Assaf Harofeh Medical Center

Zerifin, Israel, 70300

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Notodden sykehus

Notodden, Norway, NO-3675

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Allgem. öffentl. Krankenhaus Wiener Neustadt

Wiener Neustadt, Austria, 2700

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ZNA Middelheim

ANTWERPEN, Belgium, 2020

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Klinikum Garmisch-Partenkirchen

Garmisch-Partenkirchen, Germany, 82467

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Lovisenberg Diakonale sykehus

Oslo, Norway, 0440

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Länssjukhuset

Halmstad, Sweden, 301 85

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Imeldaziekenhuis - St-Elisabethkliniek

BONHEIDEN, Belgium, 2820

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Sana Kliniken

Sommerfeld, Germany, 16766

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Länssjukhuset Ryhov

Jönköping, Sweden, 551 85

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Edith Wolfson Medical Center

Holon, Israel, 58100

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A.O. San Gerardo di Monza

Monza, Italy, 20052

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Wojskowy Instytut Medyczny

Warszawa, Poland, 00-909

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Rabin Medical Center, Campus Golda

Petach Tikva, Israel, 49372

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Istituto Ortopedico G.Pini

Milano, Italy, 20122

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Szpital Kliniczny nr 3

Gdansk, Poland, 80-742

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Rabin Medical Center - Beilinson Campus

Petach Tikva, Israel, 49100

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Medizinische Einrichtungen der Heinrich-Heine-Universität

Düsseldorf, Germany, 40225

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Asklepios Klinikum Melsungen

Melsungen, Germany, 34212

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Herlev Hospital

Herlev, Denmark, 2730

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Ciutat Sanitària i Universitaria de la Vall d'Hebrón

Barcelona, Spain, 08035

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Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 64239

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Spaarne Ziekenhuis

HOOFDDORP, Netherlands, 2134 TM

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SP Szpital Kliniczny AM w Bialymstoku

Bialystok, Poland, 15-276

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A.ö. Krankenhaus der Stadt Linz

Linz, Austria, 4020

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Gentofte Hospital

Hellerup, Denmark, 2900

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Hospital Universitari Germans Trias i Pujol

Badalona, Spain, 08916

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Polyclinique de l'Atlantique - Saint Herblain

SAINT HERBLAIN, France, 44819

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Sapir Medical Center, Meir General Hospital

Kfar Saba, Israel, 44281

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IRCCS Ist Ortopedico Rizzoli

Bologna, Italy, 40136

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Wojewodzki Szpital Specjalistyczny im. Rydygiera

Krakow, Poland, 31-826

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Klinikum Fürth

Fürth, Germany, 90766

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Hospital Clínico Universitario San Carlos

Madrid, Spain, 28040

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Medizinische Fakultät Carl Gustav Carus

Dresden, Germany, 01307

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Orthopädische Universitätsklinik - Friedrichsheim

Frankfurt, Germany, 60528

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Klinikum der Philipps-Universität

Marburg, Germany, 35043

Trial Design