Trial Outcomes & Findings for Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Pulmonary Embolism - The EINSTEIN PE Study (NCT NCT00439777)

NCT ID: NCT00439777

Last Updated: 2014-02-27

Results Overview

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for fatal PE) or unexplained death for which DVT/PE could not be ruled out (for fatal PE), and/or case summaries.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

4833 participants

Primary outcome timeframe

3-, 6-, or 12-month study treatment period

Results posted on

2014-02-27

Participant Flow

Participants with confirmed acute symptomatic pulmonary embolism (PE) with or without symptomatic deep vein thrombosis (DVT) were recruited at specialized study sites.

Out of 4843 participants screened, 10 failed screening (6 due to protocol violations, 2 due to investigator decision and another 2 subjects due to technical problems \[interactive voice response system did not work properly\]). 4833 participants were randomized (2420 to rivaroxaban and 2413 to enoxaparin/VKA).

Participant milestones

Participant milestones
Measure
Rivaroxaban (Xarelto, BAY59-7939)
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Treatment Period
STARTED
2420
2413
Treatment Period
Participants Received Treatment
2412
2405
Treatment Period
COMPLETED
2001
1954
Treatment Period
NOT COMPLETED
419
459
Observational Period
STARTED
2206
2197
Observational Period
COMPLETED
2165
2156
Observational Period
NOT COMPLETED
41
41

Reasons for withdrawal

Reasons for withdrawal
Measure
Rivaroxaban (Xarelto, BAY59-7939)
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Treatment Period
Death
29
21
Treatment Period
Study terminated by sponsor
125
132
Treatment Period
Site closed by investigator
0
1
Treatment Period
Did not take study treatment
7
8
Treatment Period
Adverse Event
111
92
Treatment Period
Protocol Violation
23
30
Treatment Period
Withdrawal by Subject
66
118
Treatment Period
Lack of Efficacy
1
4
Treatment Period
Lost to Follow-up
8
10
Treatment Period
Protocol driven decision point
1
3
Treatment Period
Physician Decision
7
18
Treatment Period
Clinical endpoint reached
26
13
Treatment Period
Technical problems
3
1
Treatment Period
Participant convenience
12
8
Observational Period
Protocol Violation
0
2
Observational Period
Withdrawal by Subject
9
5
Observational Period
Lost to Follow-up
1
11
Observational Period
Death
27
20
Observational Period
Study terminated by sponsor
3
1
Observational Period
Protocol driven decision point
0
1
Observational Period
Lack of Efficacy
1
0
Observational Period
Technical problems
0
1

Baseline Characteristics

Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Pulmonary Embolism - The EINSTEIN PE Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Total
n=4832 Participants
Total of all reporting groups
Sex: Female, Male
Female
1309 Participants
n=5 Participants
1247 Participants
n=7 Participants
2556 Participants
n=5 Participants
Age, Continuous
57.9 Years
STANDARD_DEVIATION 17.3 • n=5 Participants
57.5 Years
STANDARD_DEVIATION 17.2 • n=7 Participants
57.7 Years
STANDARD_DEVIATION 17.3 • n=5 Participants
Age, Customized
18 - < 40 years
410 Participants
n=5 Participants
432 Participants
n=7 Participants
842 Participants
n=5 Participants
Age, Customized
40 - < 60 years
794 Participants
n=5 Participants
779 Participants
n=7 Participants
1573 Participants
n=5 Participants
Age, Customized
60 - < 75 years
740 Participants
n=5 Participants
754 Participants
n=7 Participants
1494 Participants
n=5 Participants
Age, Customized
≥ 75 years
475 Participants
n=5 Participants
448 Participants
n=7 Participants
923 Participants
n=5 Participants
Sex: Female, Male
Male
1110 Participants
n=5 Participants
1166 Participants
n=7 Participants
2276 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3-, 6-, or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for fatal PE) or unexplained death for which DVT/PE could not be ruled out (for fatal PE), and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Symptomatic Recurrent Venous Thromboembolism [VTE] (i.e. the Composite of Recurrent Deep Vein Thrombosis [DVT] or Fatal or Non-fatal Pulmonary Embolism [PE]) Until the Intended End of Study Treatment
2.1 Percentage of participants
1.8 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6-, or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for deaths), results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With the Composite Variable Comprising Recurrent DVT, Non-fatal PE and All Cause Mortality Until the Intended End of Study Treatment
4.0 Percentage of participants
3.4 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6-, or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

Net clinical benefit 1: composite of recurrent DVT or non-fatal or fatal PE, and major bleeding. Major bleeding was overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of ≥2 units, occurring in a critical site or contributing to death. Net clinical benefit was considered greater in those participants with fewer composite events. All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound, venography, spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 1 Until the Intended End of Study Treatment
3.4 Percentage of participants
4.0 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Recurrent PE Until the Intended End of Study Treatment
1.4 Percentage of participants
1.2 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound, venography, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Recurrent DVT Until the Intended End of Study Treatment
0.7 Percentage of participants
0.8 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The valid-for-safety analysis population consisted of all participants who were randomized with valid informed consent and received at least one dose of anticoagulant study treatment after randomization (i.e. enoxaparin, warfarin, acenocoumarol, rivaroxaban). Participants were analyzed according to the treatment they actually received.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Clinically relevant bleeding included major bleeding (overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of 2 or more units of packed red blood cells or whole blood, occurring in a critical site or contributing to death) and non-major bleeding associated with medical intervention, unscheduled physician contact, (temporary) cessation of study treatment, discomfort for the participants such as pain, or impairment of activities of daily life.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2412 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2405 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Clinically Relevant Bleeding, Treatment-emergent (Time Window: Until 2 Days After Last Dose)
10.3 Percentage of participants
11.4 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The valid-for-safety analysis population consisted of all participants who were randomized with valid informed consent and received at least one dose of anticoagulant study treatment after randomization (i.e. enoxaparin, warfarin, acenocoumarol, rivaroxaban). Participants were analyzed according to the treatment they actually received.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either autopsy, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2412 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2405 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With All Deaths
All post-randomization
2.6 Percentage of participants
2.1 Percentage of participants
Percentage of Participants With All Deaths
Treatment-emergent (time window: 2 days)
1.2 Percentage of participants
0.8 Percentage of participants
Percentage of Participants With All Deaths
Treatment-emergent (time window: 7 days)
1.5 Percentage of participants
1.1 Percentage of participants

SECONDARY outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The valid-for-safety analysis population consisted of all participants who were randomized with valid informed consent and received at least one dose of anticoagulant study treatment after randomization (i.e. enoxaparin, warfarin, acenocoumarol, rivaroxaban). Participants were analyzed according to the treatment they actually received.

All pre-defined vascular events (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, unstable angina, ischemic stroke, transient ischemic attack, non-central nervous system systemic embolism or vascular death) were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2412 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2405 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Other Vascular Events, On-treatment (Time Window: Until 1 Day After Last Dose)
1.5 Percentage of participants
1.5 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound, venography, spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries. Major bleeding was overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of ≥2 units, occurring in a critical site or contributing to death.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (PE)
0.1 Percentage of participants
0.04 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (PE cannot be excluded)
0.3 Percentage of participants
0.2 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic PE and DVT
0.0 Percentage of participants
0.1 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic recurrent PE only
1.0 Percentage of participants
0.8 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic recurrent DVT only
0.7 Percentage of participants
0.7 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (bleeding)
0.2 Percentage of participants
0.2 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (cardiovascular)
0.4 Percentage of participants
0.1 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (other)
1.3 Percentage of participants
1.5 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Major bleeding
1.4 Percentage of participants
2.4 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF (electronic case report form) that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for fatal PE) or unexplained death for which DVT/PE could not be ruled out (for fatal PE), and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2211 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2201 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Symptomatic Recurrent VTE (i.e. the Composite of Recurrent DVT or Fatal or Non-fatal PE) During Observational Period
0.9 Percentage of participants
0.7 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for deaths), results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2213 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2203 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With the Composite Variable Comprising Recurrent DVT, Non-fatal PE and All Cause Mortality During Observational Period
2.1 Percentage of participants
1.5 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

Net clinical benefit 1: composite of recurrent DVT or non-fatal or fatal PE, and major bleeding. Major bleeding was overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of ≥2 units, occurring in a critical site or contributing to death. Net clinical benefit was considered greater in those participants with fewer composite events. All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound, venography, spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2212 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2201 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 1 During Observational Period
1.2 Percentage of participants
1.2 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound, venography, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2210 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2201 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With Recurrent DVT During Observational Period
0.3 Percentage of participants
0.1 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound, venography, spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries. Major bleeding was overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of ≥2 units, occurring in a critical site or contributing to death.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2213 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2203 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (PE)
0.09 Percentage of participants
0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (PE cannot be excluded)
0 Percentage of participants
0.05 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic PE and DVT
0.09 Percentage of participants
0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic recurrent PE only
0.5 Percentage of participants
0.5 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic recurrent DVT only
0.2 Percentage of participants
0.1 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (bleeding)
0.09 Percentage of participants
0.09 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (cardiovascular)
0.3 Percentage of participants
0.05 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (other)
0.8 Percentage of participants
0.7 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Major bleeding
0.3 Percentage of participants
0.5 Percentage of participants

POST_HOC outcome

Timeframe: 3-, 6- or 12-month study treatment period

Population: The intention-to-treat (ITT) population consisted of all randomized participants with valid informed consent. Participants were analyzed according to the treatment assigned at randomization.

Net clinical benefit 2: composite of recurrent DVT or non-fatal or fatal PE, major bleeding (associated with 2 g/dL or greater fall in hemoglobin, leading to transfusion of ≥2 units, occurring in a critical site or contributing to death), cardiovascular death, myocardial infarction, stroke, and non CNS (central nervous system) systemic embolism. Net clinical benefit was considered greater in those participants with fewer composite events. All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound (DVT), venography (DVT), spiral CT scanning (PE), pulmonary angiography (PE), ventilation/perfusion lung scan (PE), lung scintigraphy (PE), autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2419 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2413 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 2 Until the Intended End of Study Treatment
4.5 Percentage of participants
4.8 Percentage of participants

POST_HOC outcome

Timeframe: Up to 30 days after the last intake of study medication

Population: Participants entering the observational period were participants for whom the investigator indicated on the eCRF that the participant entered the observational period or had a confirmed event more than one day and up to 30 days after the last dose as a component of the respective composite outcome.

Net clinical benefit 2: composite of recurrent DVT or non-fatal or fatal PE, major bleeding (associated with 2 g/dL or greater fall in hemoglobin, leading to transfusion of ≥2 units, occurring in a critical site or contributing to death), cardiovascular death, myocardial infarction, stroke, and non CNS (central nervous system) systemic embolism. Net clinical benefit was considered greater in those participants with fewer composite events. All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound (DVT), venography (DVT), spiral CT scanning (PE), pulmonary angiography (PE), ventilation/perfusion lung scan (PE), lung scintigraphy (PE), autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2213 Participants
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2201 Participants
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 2 During Observational Period
1.5 Percentage of participants
1.4 Percentage of participants

Adverse Events

Rivaroxaban (Xarelto, BAY59-7939)

Serious events: 504 serious events
Other events: 1053 other events
Deaths: 0 deaths

Enoxaparin/VKA

Serious events: 495 serious events
Other events: 1065 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2412 participants at risk
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2405 participants at risk
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.37%
9/2412
0.21%
5/2405
Respiratory, thoracic and mediastinal disorders
Cough
0.04%
1/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.70%
17/2412
0.54%
13/2405
Respiratory, thoracic and mediastinal disorders
Emphysema
0.04%
1/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.12%
3/2412
0.08%
2/2405
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.25%
6/2412
0.33%
8/2405
Respiratory, thoracic and mediastinal disorders
Haemothorax
0.04%
1/2412
0.08%
2/2405
Respiratory, thoracic and mediastinal disorders
Hyperventilation
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.04%
1/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.12%
3/2412
0.08%
2/2405
Respiratory, thoracic and mediastinal disorders
Pharyngeal cyst
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.37%
9/2412
0.46%
11/2405
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.00%
0/2412
0.17%
4/2405
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.17%
4/2412
0.33%
8/2405
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.04%
1/2412
0.12%
3/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary congestion
0.04%
1/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.25%
6/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
0.08%
2/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
0.17%
4/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary infarction
0.12%
3/2412
0.08%
2/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.04%
1/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary venous thrombosis
0.04%
1/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.04%
1/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.12%
3/2412
0.21%
5/2405
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Mediastinal haemorrhage
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Pulmonary arterial hypertension
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Angioedema
0.04%
1/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Dermatitis exfoliative
0.04%
1/2412
0.00%
0/2405
Skin and subcutaneous tissue disorders
Dermatomyositis
0.04%
1/2412
0.00%
0/2405
Skin and subcutaneous tissue disorders
Drug eruption
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Haemorrhage subcutaneous
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Hyperkeratosis
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Lichen planus
0.04%
1/2412
0.00%
0/2405
Skin and subcutaneous tissue disorders
Purpura
0.04%
1/2412
0.00%
0/2405
Skin and subcutaneous tissue disorders
Rash morbilliform
0.04%
1/2412
0.00%
0/2405
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Skin necrosis
0.00%
0/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Skin ulcer
0.04%
1/2412
0.04%
1/2405
Skin and subcutaneous tissue disorders
Urticaria
0.08%
2/2412
0.00%
0/2405
Social circumstances
Miscarriage of partner
0.04%
1/2412
0.00%
0/2405
Surgical and medical procedures
Abortion induced
0.08%
2/2412
0.12%
3/2405
Vascular disorders
Aortic aneurysm
0.04%
1/2412
0.08%
2/2405
Vascular disorders
Aortic aneurysm rupture
0.00%
0/2412
0.08%
2/2405
Vascular disorders
Aortic dissection
0.08%
2/2412
0.00%
0/2405
Vascular disorders
Aortic thrombosis
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Circulatory collapse
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Embolism arterial
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Haematoma
0.17%
4/2412
0.17%
4/2405
Vascular disorders
Hypertension
0.04%
1/2412
0.12%
3/2405
Vascular disorders
Hypertensive crisis
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Hypotension
0.12%
3/2412
0.04%
1/2405
Vascular disorders
Hypovolaemic shock
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Iliac artery thrombosis
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Orthostatic hypotension
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Peripheral ischaemia
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Temporal arteritis
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Thrombophlebitis superficial
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Vena cava thrombosis
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Lymphocele
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Intra-abdominal haematoma
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Varicophlebitis
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Arterial haemorrhage
0.00%
0/2412
0.04%
1/2405
Vascular disorders
Intra-abdominal haemorrhage
0.04%
1/2412
0.08%
2/2405
Vascular disorders
Paradoxical embolism
0.04%
1/2412
0.00%
0/2405
Vascular disorders
Distributive shock
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Anaemia
0.58%
14/2412
0.25%
6/2405
Blood and lymphatic system disorders
Anaemia folate deficiency
0.04%
1/2412
0.00%
0/2405
Blood and lymphatic system disorders
Coagulopathy
0.00%
0/2412
0.08%
2/2405
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.04%
1/2412
0.00%
0/2405
Blood and lymphatic system disorders
Eosinophilia
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Haemolytic anaemia
0.04%
1/2412
0.00%
0/2405
Blood and lymphatic system disorders
Hypercoagulation
0.04%
1/2412
0.00%
0/2405
Blood and lymphatic system disorders
Idiopathic thrombocytopenic purpura
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Leukopenia
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Lymphadenopathy
0.04%
1/2412
0.04%
1/2405
Blood and lymphatic system disorders
Neutropenia
0.00%
0/2412
0.08%
2/2405
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Pernicious anaemia
0.04%
1/2412
0.00%
0/2405
Blood and lymphatic system disorders
Splenic haemorrhage
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Splenic infarction
0.00%
0/2412
0.04%
1/2405
Blood and lymphatic system disorders
Thrombocytopenia
0.08%
2/2412
0.00%
0/2405
Blood and lymphatic system disorders
Haemorrhagic anaemia
0.04%
1/2412
0.08%
2/2405
Cardiac disorders
Acute myocardial infarction
0.25%
6/2412
0.42%
10/2405
Cardiac disorders
Angina pectoris
0.12%
3/2412
0.17%
4/2405
Cardiac disorders
Angina unstable
0.29%
7/2412
0.08%
2/2405
Cardiac disorders
Arrhythmia
0.08%
2/2412
0.04%
1/2405
Cardiac disorders
Atrial fibrillation
0.33%
8/2412
0.46%
11/2405
Cardiac disorders
Atrial flutter
0.04%
1/2412
0.04%
1/2405
Cardiac disorders
Atrioventricular block
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Cardiac arrest
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Cardiac failure
0.37%
9/2412
0.29%
7/2405
Cardiac disorders
Cardiac failure acute
0.17%
4/2412
0.08%
2/2405
Cardiac disorders
Cardiac failure congestive
0.17%
4/2412
0.21%
5/2405
Cardiac disorders
Cardio-respiratory arrest
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Cardiogenic shock
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Cardiomyopathy
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Cor pulmonale
0.12%
3/2412
0.04%
1/2405
Cardiac disorders
Cor pulmonale acute
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Cor pulmonale chronic
0.04%
1/2412
0.04%
1/2405
Cardiac disorders
Coronary artery disease
0.04%
1/2412
0.33%
8/2405
Cardiac disorders
Coronary artery stenosis
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Left ventricular failure
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Mitral valve incompetence
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Myocardial infarction
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Myocardial ischaemia
0.00%
0/2412
0.08%
2/2405
Cardiac disorders
Myocarditis
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Palpitations
0.08%
2/2412
0.08%
2/2405
Cardiac disorders
Pericardial effusion
0.04%
1/2412
0.04%
1/2405
Cardiac disorders
Pericardial haemorrhage
0.04%
1/2412
0.08%
2/2405
Cardiac disorders
Pericarditis
0.08%
2/2412
0.00%
0/2405
Cardiac disorders
Right ventricular failure
0.12%
3/2412
0.00%
0/2405
Cardiac disorders
Sick sinus syndrome
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Sinus tachycardia
0.00%
0/2412
0.08%
2/2405
Cardiac disorders
Supraventricular tachycardia
0.04%
1/2412
0.17%
4/2405
Cardiac disorders
Tachycardia
0.04%
1/2412
0.08%
2/2405
Cardiac disorders
Ventricular fibrillation
0.04%
1/2412
0.00%
0/2405
Cardiac disorders
Ventricular tachycardia
0.12%
3/2412
0.04%
1/2405
Cardiac disorders
Coronary artery dissection
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Acute coronary syndrome
0.00%
0/2412
0.04%
1/2405
Cardiac disorders
Congestive cardiomyopathy
0.08%
2/2412
0.00%
0/2405
Cardiac disorders
Acute left ventricular failure
0.04%
1/2412
0.00%
0/2405
Congenital, familial and genetic disorders
Atrial septal defect
0.04%
1/2412
0.00%
0/2405
Congenital, familial and genetic disorders
Hydrocele
0.04%
1/2412
0.00%
0/2405
Congenital, familial and genetic disorders
Phimosis
0.00%
0/2412
0.04%
1/2405
Ear and labyrinth disorders
Vertigo
0.12%
3/2412
0.17%
4/2405
Ear and labyrinth disorders
Vertigo positional
0.04%
1/2412
0.00%
0/2405
Ear and labyrinth disorders
Deafness unilateral
0.00%
0/2412
0.04%
1/2405
Ear and labyrinth disorders
Sudden hearing loss
0.04%
1/2412
0.04%
1/2405
Endocrine disorders
Addison's disease
0.04%
1/2412
0.00%
0/2405
Endocrine disorders
Adrenal haemorrhage
0.04%
1/2412
0.04%
1/2405
Endocrine disorders
Diabetes insipidus
0.00%
0/2412
0.04%
1/2405
Endocrine disorders
Goitre
0.00%
0/2412
0.08%
2/2405
Endocrine disorders
Hyperparathyroidism primary
0.00%
0/2412
0.04%
1/2405
Endocrine disorders
Hyperthyroidism
0.00%
0/2412
0.04%
1/2405
Eye disorders
Amaurosis
0.00%
0/2412
0.04%
1/2405
Eye disorders
Cataract
0.00%
0/2412
0.04%
1/2405
Eye disorders
Diplopia
0.04%
1/2412
0.00%
0/2405
Eye disorders
Eye haemorrhage
0.00%
0/2412
0.12%
3/2405
Eye disorders
Eye pain
0.00%
0/2412
0.04%
1/2405
Eye disorders
Optic ischaemic neuropathy
0.04%
1/2412
0.00%
0/2405
Eye disorders
Retinal degeneration
0.00%
0/2412
0.04%
1/2405
Eye disorders
Retinal haemorrhage
0.00%
0/2412
0.04%
1/2405
Eye disorders
Vision blurred
0.00%
0/2412
0.04%
1/2405
Eye disorders
Age-related macular degeneration
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Abdominal pain
0.04%
1/2412
0.17%
4/2405
Gastrointestinal disorders
Abdominal pain upper
0.04%
1/2412
0.17%
4/2405
Gastrointestinal disorders
Acute abdomen
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Anorectal disorder
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Ascites
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Colitis
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Colitis ischaemic
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Colonic polyp
0.08%
2/2412
0.00%
0/2405
Gastrointestinal disorders
Colonic stenosis
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Dental caries
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Diarrhoea
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Diarrhoea haemorrhagic
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Diverticulum
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Diverticulum intestinal
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Diverticulum oesophageal
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Duodenal ulcer
0.08%
2/2412
0.00%
0/2405
Gastrointestinal disorders
Dyspepsia
0.08%
2/2412
0.00%
0/2405
Gastrointestinal disorders
Dysphagia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Gastric perforation
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Gastric ulcer
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Gastritis
0.04%
1/2412
0.08%
2/2405
Gastrointestinal disorders
Gastritis haemorrhagic
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.29%
7/2412
0.21%
5/2405
Gastrointestinal disorders
Haematemesis
0.17%
4/2412
0.08%
2/2405
Gastrointestinal disorders
Haematochezia
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Haemorrhoids
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Hiatus hernia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Ileus
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Inguinal hernia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Intestinal fistula
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Intestinal infarction
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Large intestine perforation
0.04%
1/2412
0.08%
2/2405
Gastrointestinal disorders
Melaena
0.08%
2/2412
0.29%
7/2405
Gastrointestinal disorders
Nausea
0.08%
2/2412
0.00%
0/2405
Gastrointestinal disorders
Oesophageal ulcer
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Oesophageal ulcer haemorrhage
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Pancreatitis
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Rectal haemorrhage
0.25%
6/2412
0.25%
6/2405
Gastrointestinal disorders
Retroperitoneal haemorrhage
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Small intestinal obstruction
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Small intestinal perforation
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Tooth loss
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Umbilical hernia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.08%
2/2412
0.08%
2/2405
Gastrointestinal disorders
Vomiting
0.12%
3/2412
0.12%
3/2405
Gastrointestinal disorders
Intestinal polyp
0.00%
0/2412
0.04%
1/2405
Gastrointestinal disorders
Gastrointestinal dysplasia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Subileus
0.04%
1/2412
0.04%
1/2405
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.08%
2/2412
0.12%
3/2405
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.04%
1/2412
0.08%
2/2405
Gastrointestinal disorders
Retroperitoneal haematoma
0.00%
0/2412
0.08%
2/2405
Gastrointestinal disorders
Intestinal haemorrhage
0.04%
1/2412
0.12%
3/2405
Gastrointestinal disorders
Abdominal hernia
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Large intestinal obstruction
0.04%
1/2412
0.00%
0/2405
Gastrointestinal disorders
Abdominal wall haematoma
0.00%
0/2412
0.08%
2/2405
General disorders
Asthenia
0.04%
1/2412
0.00%
0/2405
General disorders
Chest discomfort
0.04%
1/2412
0.00%
0/2405
General disorders
Chest pain
0.87%
21/2412
1.1%
27/2405
General disorders
Cyst
0.00%
0/2412
0.04%
1/2405
General disorders
Death
0.17%
4/2412
0.08%
2/2405
General disorders
Fatigue
0.08%
2/2412
0.00%
0/2405
General disorders
Gait disturbance
0.04%
1/2412
0.00%
0/2405
General disorders
Granuloma
0.00%
0/2412
0.04%
1/2405
General disorders
Impaired healing
0.00%
0/2412
0.04%
1/2405
General disorders
Malaise
0.04%
1/2412
0.00%
0/2405
General disorders
Multi-organ failure
0.04%
1/2412
0.00%
0/2405
General disorders
Oedema peripheral
0.04%
1/2412
0.08%
2/2405
General disorders
Pyrexia
0.17%
4/2412
0.08%
2/2405
General disorders
Sudden death
0.12%
3/2412
0.04%
1/2405
General disorders
General physical health deterioration
0.12%
3/2412
0.08%
2/2405
General disorders
Adverse drug reaction
0.00%
0/2412
0.04%
1/2405
General disorders
Drug intolerance
0.00%
0/2412
0.04%
1/2405
General disorders
Non-cardiac chest pain
0.25%
6/2412
0.12%
3/2405
General disorders
Implant site thrombosis
0.00%
0/2412
0.04%
1/2405
General disorders
Device deposit issue
0.00%
0/2412
0.04%
1/2405
Hepatobiliary disorders
Bile duct stone
0.04%
1/2412
0.04%
1/2405
Hepatobiliary disorders
Biliary colic
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Cholangitis
0.04%
1/2412
0.04%
1/2405
Hepatobiliary disorders
Cholecystitis
0.08%
2/2412
0.04%
1/2405
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/2412
0.04%
1/2405
Hepatobiliary disorders
Cholelithiasis
0.17%
4/2412
0.21%
5/2405
Hepatobiliary disorders
Hepatic failure
0.04%
1/2412
0.08%
2/2405
Hepatobiliary disorders
Hepatic function abnormal
0.00%
0/2412
0.04%
1/2405
Hepatobiliary disorders
Hepatic pain
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Hepatic steatosis
0.00%
0/2412
0.04%
1/2405
Hepatobiliary disorders
Hepatitis
0.00%
0/2412
0.04%
1/2405
Hepatobiliary disorders
Hepatitis acute
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Hepatitis chronic active
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Ischaemic hepatitis
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Jaundice
0.04%
1/2412
0.00%
0/2405
Hepatobiliary disorders
Cytolytic hepatitis
0.04%
1/2412
0.00%
0/2405
Immune system disorders
Antiphospholipid syndrome
0.04%
1/2412
0.04%
1/2405
Immune system disorders
Drug hypersensitivity
0.00%
0/2412
0.04%
1/2405
Immune system disorders
Hypersensitivity
0.04%
1/2412
0.00%
0/2405
Immune system disorders
Sarcoidosis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Appendicitis
0.00%
0/2412
0.08%
2/2405
Infections and infestations
Bacteraemia
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Bronchitis
0.21%
5/2412
0.33%
8/2405
Infections and infestations
Bronchopneumonia
0.17%
4/2412
0.17%
4/2405
Infections and infestations
Bronchopulmonary aspergillosis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Cellulitis
0.17%
4/2412
0.21%
5/2405
Infections and infestations
Cystitis
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Diverticulitis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Endocarditis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Endocarditis bacterial
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Gastroenteritis
0.12%
3/2412
0.00%
0/2405
Infections and infestations
Gastroenteritis salmonella
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Hepatitis A
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Herpes simplex
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Herpes zoster
0.00%
0/2412
0.08%
2/2405
Infections and infestations
Lobar pneumonia
0.17%
4/2412
0.04%
1/2405
Infections and infestations
Localised infection
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Lower respiratory tract infection
0.12%
3/2412
0.17%
4/2405
Infections and infestations
Lung abscess
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Mastitis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Osteomyelitis
0.00%
0/2412
0.08%
2/2405
Infections and infestations
Pneumonia
0.91%
22/2412
0.87%
21/2405
Infections and infestations
Pneumonia mycoplasmal
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Pneumonia primary atypical
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Postoperative wound infection
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Pyelonephritis
0.12%
3/2412
0.08%
2/2405
Infections and infestations
Pyelonephritis acute
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Sepsis
0.54%
13/2412
0.08%
2/2405
Infections and infestations
Sinusitis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Skin infection
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Tracheobronchitis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Tuberculosis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Urinary tract infection
0.29%
7/2412
0.17%
4/2405
Infections and infestations
Viral rash
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Wound infection
0.08%
2/2412
0.00%
0/2405
Infections and infestations
Urosepsis
0.08%
2/2412
0.08%
2/2405
Infections and infestations
Anal abscess
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Neutropenic sepsis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Appendiceal abscess
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Groin abscess
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Abscess limb
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Abscess soft tissue
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Prostate infection
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Skin bacterial infection
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Abscess neck
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Pneumonia necrotising
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Subdiaphragmatic abscess
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Infective exacerbation of chronic obstructive airways disease
0.04%
1/2412
0.08%
2/2405
Infections and infestations
Biliary sepsis
0.00%
0/2412
0.04%
1/2405
Infections and infestations
Joint abscess
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Wound infection staphylococcal
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Intervertebral discitis
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Lung infection
0.12%
3/2412
0.17%
4/2405
Infections and infestations
Respiratory tract infection
0.04%
1/2412
0.08%
2/2405
Infections and infestations
Cholecystitis infective
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Device related infection
0.04%
1/2412
0.00%
0/2405
Infections and infestations
Infectious peritonitis
0.17%
4/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Alcohol poisoning
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Ankle fracture
0.12%
3/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Cerebral haemorrhage traumatic
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Concussion
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Facial bones fracture
0.08%
2/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Fall
0.17%
4/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Femoral neck fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Femur fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Fibula fracture
0.04%
1/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Hip fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/2412
0.08%
2/2405
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Kidney rupture
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Multiple injuries
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Operative haemorrhage
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Overdose
0.08%
2/2412
0.08%
2/2405
Injury, poisoning and procedural complications
Rib fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Soft tissue injury
0.00%
0/2412
0.08%
2/2405
Injury, poisoning and procedural complications
Spinal compression fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Splenic haematoma
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Sternal fracture
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Subcutaneous haematoma
0.04%
1/2412
0.12%
3/2405
Injury, poisoning and procedural complications
Subdural haematoma
0.04%
1/2412
0.12%
3/2405
Injury, poisoning and procedural complications
Subdural haemorrhage
0.00%
0/2412
0.12%
3/2405
Injury, poisoning and procedural complications
Tendon rupture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Tibia fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Traumatic haematoma
0.00%
0/2412
0.08%
2/2405
Injury, poisoning and procedural complications
Anaemia postoperative
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Perirenal haematoma
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Traumatic fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Thoracic vertebral fracture
0.00%
0/2412
0.08%
2/2405
Injury, poisoning and procedural complications
Contusion
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.08%
2/2412
0.12%
3/2405
Injury, poisoning and procedural complications
Incision site haemorrhage
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Brain contusion
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Cardiac valve replacement complication
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Postoperative ileus
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Procedural complication
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Joint injury
0.08%
2/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Limb injury
0.04%
1/2412
0.00%
0/2405
Injury, poisoning and procedural complications
Chest injury
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Upper limb fracture
0.04%
1/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/2412
0.04%
1/2405
Injury, poisoning and procedural complications
Craniocerebral injury
0.00%
0/2412
0.04%
1/2405
Investigations
Activated partial thromboplastin time prolonged
0.04%
1/2412
0.00%
0/2405
Investigations
Alanine aminotransferase increased
0.25%
6/2412
0.37%
9/2405
Investigations
Aspartate aminotransferase increased
0.04%
1/2412
0.04%
1/2405
Investigations
Blood amylase increased
0.04%
1/2412
0.00%
0/2405
Investigations
Blood potassium increased
0.04%
1/2412
0.00%
0/2405
Investigations
C-reactive protein increased
0.00%
0/2412
0.04%
1/2405
Investigations
Coagulation time prolonged
0.00%
0/2412
0.04%
1/2405
Investigations
Coagulation time shortened
0.00%
0/2412
0.04%
1/2405
Investigations
Gamma-glutamyltransferase increased
0.00%
0/2412
0.04%
1/2405
Investigations
Haemoglobin decreased
0.04%
1/2412
0.00%
0/2405
Investigations
International normalised ratio abnormal
0.00%
0/2412
0.04%
1/2405
Investigations
International normalised ratio increased
0.04%
1/2412
0.17%
4/2405
Investigations
Liver function test abnormal
0.17%
4/2412
0.37%
9/2405
Investigations
Prostatic specific antigen increased
0.04%
1/2412
0.04%
1/2405
Investigations
Ultrasound liver abnormal
0.04%
1/2412
0.00%
0/2405
Investigations
Ejection fraction decreased
0.00%
0/2412
0.04%
1/2405
Investigations
Medical observation
0.04%
1/2412
0.00%
0/2405
Investigations
Transaminases increased
0.08%
2/2412
0.08%
2/2405
Investigations
Hepatic enzyme increased
0.12%
3/2412
0.04%
1/2405
Metabolism and nutrition disorders
Acidosis
0.04%
1/2412
0.00%
0/2405
Metabolism and nutrition disorders
Dehydration
0.04%
1/2412
0.08%
2/2405
Metabolism and nutrition disorders
Diabetes mellitus
0.04%
1/2412
0.00%
0/2405
Metabolism and nutrition disorders
Failure to thrive
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Gout
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hyperglycaemia
0.04%
1/2412
0.00%
0/2405
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hypoalbuminaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hypoglycaemia
0.08%
2/2412
0.00%
0/2405
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Hyponatraemia
0.04%
1/2412
0.08%
2/2405
Metabolism and nutrition disorders
Hypovolaemia
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Shock hypoglycaemic
0.04%
1/2412
0.00%
0/2405
Metabolism and nutrition disorders
Metabolic disorder
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Malnutrition
0.00%
0/2412
0.04%
1/2405
Metabolism and nutrition disorders
Decreased appetite
0.04%
1/2412
0.04%
1/2405
Metabolism and nutrition disorders
Type 2 diabetes mellitus
0.08%
2/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Arthralgia
0.08%
2/2412
0.08%
2/2405
Musculoskeletal and connective tissue disorders
Back pain
0.21%
5/2412
0.25%
6/2405
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/2412
0.12%
3/2405
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.04%
1/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Groin pain
0.04%
1/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Haemarthrosis
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Joint stiffness
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Muscle haemorrhage
0.04%
1/2412
0.37%
9/2405
Musculoskeletal and connective tissue disorders
Muscle twitching
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Muscular weakness
0.17%
4/2412
0.12%
3/2405
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.12%
3/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Myalgia
0.08%
2/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.17%
4/2412
0.25%
6/2405
Musculoskeletal and connective tissue disorders
Osteolysis
0.04%
1/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.04%
1/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Pain in extremity
0.17%
4/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis
0.04%
1/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.08%
2/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Scoliosis
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Spinal osteoarthritis
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Systemic lupus erythematosus
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Temporomandibular joint syndrome
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Pseudarthrosis
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.12%
3/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Intervertebral disc compression
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration
0.00%
0/2412
0.04%
1/2405
Musculoskeletal and connective tissue disorders
Spinal disorder
0.04%
1/2412
0.00%
0/2405
Musculoskeletal and connective tissue disorders
Intervertebral disc disorder
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute lymphocytic leukaemia
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute promyelocytic leukaemia
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
B-cell lymphoma
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign oesophageal neoplasm
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer non-resectable
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.04%
1/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder neoplasm
0.00%
0/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer recurrent
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast neoplasm
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchial carcinoma
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.33%
8/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Fibroadenoma of breast
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gallbladder cancer
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.12%
3/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma multiforme
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.12%
3/2412
0.17%
4/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung carcinoma cell type unspecified recurrent
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung squamous cell carcinoma stage unspecified
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant ascites
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusion
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Mesothelioma malignant
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
0.08%
2/2412
0.17%
4/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lung
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lymph nodes
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to pleura
0.00%
0/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to spine
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myeloma
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelofibrosis
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm malignant
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm prostate
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian germ cell teratoma benign
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastatic
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Parathyroid tumour benign
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Polycythaemia vera
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer recurrent
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostatic adenoma
0.08%
2/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.08%
2/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
0.04%
1/2412
0.12%
3/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small cell lung cancer stage unspecified
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
T-cell lymphoma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.17%
4/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Histiocytosis haematophagic
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
0.04%
1/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal stromal tumour
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to peritoneum
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer metastatic
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer metastatic
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.21%
5/2412
0.17%
4/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.12%
3/2412
0.29%
7/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm
0.08%
2/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon neoplasm
0.08%
2/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Mantle cell lymphoma
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic neoplasm
0.00%
0/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian epithelial cancer
0.08%
2/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pelvic neoplasm
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal cancer
0.08%
2/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal neoplasm
0.04%
1/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adrenal neoplasm
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Extranodal marginal zone B-cell lymphoma (MALT type)
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric neoplasm
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm
0.00%
0/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal neoplasm
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastasis
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic gastric cancer
0.00%
0/2412
0.04%
1/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.00%
0/2412
0.08%
2/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.04%
1/2412
0.00%
0/2405
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Inflammatory pseudotumour
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Altered state of consciousness
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Amyotrophic lateral sclerosis
0.04%
1/2412
0.04%
1/2405
Nervous system disorders
Ataxia
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Carotid artery stenosis
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Cauda equina syndrome
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Cerebellar haemorrhage
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Cerebral haemorrhage
0.00%
0/2412
0.17%
4/2405
Nervous system disorders
Cerebral infarction
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Cerebrovascular accident
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Clumsiness
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Coma
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Convulsion
0.08%
2/2412
0.12%
3/2405
Nervous system disorders
Dementia Alzheimer's type
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Depressed level of consciousness
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Dizziness
0.12%
3/2412
0.12%
3/2405
Nervous system disorders
Encephalopathy
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Epilepsy
0.08%
2/2412
0.04%
1/2405
Nervous system disorders
Guillain-Barre syndrome
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Haemorrhage intracranial
0.00%
0/2412
0.08%
2/2405
Nervous system disorders
Headache
0.12%
3/2412
0.17%
4/2405
Nervous system disorders
Hepatic encephalopathy
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Leukoencephalopathy
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Loss of consciousness
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Migraine
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Nervous system disorder
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Neuropathy peripheral
0.08%
2/2412
0.00%
0/2405
Nervous system disorders
Parkinsonism
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Presyncope
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Sciatica
0.08%
2/2412
0.04%
1/2405
Nervous system disorders
Spinal cord compression
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Subarachnoid haemorrhage
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Syncope
0.33%
8/2412
0.25%
6/2405
Nervous system disorders
Tension headache
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Transient ischaemic attack
0.12%
3/2412
0.12%
3/2405
Nervous system disorders
Balance disorder
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
VIIth nerve paralysis
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Lacunar infarction
0.00%
0/2412
0.04%
1/2405
Nervous system disorders
Haemorrhagic transformation stroke
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Cerebrovascular insufficiency
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Radicular pain
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Ischaemic stroke
0.54%
13/2412
0.21%
5/2405
Nervous system disorders
Parkinson's disease
0.04%
1/2412
0.00%
0/2405
Nervous system disorders
Complex regional pain syndrome
0.00%
0/2412
0.04%
1/2405
Pregnancy, puerperium and perinatal conditions
Post abortion haemorrhage
0.00%
0/2412
0.04%
1/2405
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/2412
0.08%
2/2405
Psychiatric disorders
Alcohol abuse
0.00%
0/2412
0.04%
1/2405
Psychiatric disorders
Alcoholism
0.00%
0/2412
0.04%
1/2405
Psychiatric disorders
Anxiety
0.21%
5/2412
0.12%
3/2405
Psychiatric disorders
Bipolar I disorder
0.04%
1/2412
0.04%
1/2405
Psychiatric disorders
Confusional state
0.00%
0/2412
0.04%
1/2405
Psychiatric disorders
Delusion
0.04%
1/2412
0.00%
0/2405
Psychiatric disorders
Depression
0.17%
4/2412
0.12%
3/2405
Psychiatric disorders
Mania
0.04%
1/2412
0.00%
0/2405
Psychiatric disorders
Panic attack
0.04%
1/2412
0.00%
0/2405
Psychiatric disorders
Suicide attempt
0.04%
1/2412
0.04%
1/2405
Psychiatric disorders
Mental status changes
0.00%
0/2412
0.04%
1/2405
Psychiatric disorders
Somatoform disorder
0.04%
1/2412
0.00%
0/2405
Psychiatric disorders
Mental disorder
0.00%
0/2412
0.04%
1/2405
Psychiatric disorders
Mental disorder due to a general medical condition
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Acute prerenal failure
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Anuria
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Bladder dilatation
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Dysuria
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Glomerulonephritis membranous
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Haematuria
0.33%
8/2412
0.46%
11/2405
Renal and urinary disorders
Nephritis
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Nephrolithiasis
0.00%
0/2412
0.12%
3/2405
Renal and urinary disorders
Nephropathy toxic
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Nephrotic syndrome
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Renal colic
0.00%
0/2412
0.12%
3/2405
Renal and urinary disorders
Renal cyst
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Renal failure acute
0.08%
2/2412
0.17%
4/2405
Renal and urinary disorders
Urinary retention
0.08%
2/2412
0.00%
0/2405
Renal and urinary disorders
Urinary tract disorder
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Urinary bladder polyp
0.04%
1/2412
0.00%
0/2405
Renal and urinary disorders
Renal mass
0.00%
0/2412
0.04%
1/2405
Renal and urinary disorders
Renal impairment
0.04%
1/2412
0.04%
1/2405
Renal and urinary disorders
Urethral stenosis
0.00%
0/2412
0.08%
2/2405
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Cervical dysplasia
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Cervical polyp
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Dysfunctional uterine bleeding
0.04%
1/2412
0.00%
0/2405
Reproductive system and breast disorders
Menorrhagia
0.37%
9/2412
0.08%
2/2405
Reproductive system and breast disorders
Metrorrhagia
0.17%
4/2412
0.08%
2/2405
Reproductive system and breast disorders
Ovarian cyst
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Priapism
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Prostatitis
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Uterine polyp
0.00%
0/2412
0.04%
1/2405
Reproductive system and breast disorders
Uterine prolapse
0.04%
1/2412
0.00%
0/2405
Reproductive system and breast disorders
Vaginal haemorrhage
0.17%
4/2412
0.00%
0/2405
Reproductive system and breast disorders
Vulval disorder
0.04%
1/2412
0.00%
0/2405
Reproductive system and breast disorders
Genital haemorrhage
0.04%
1/2412
0.00%
0/2405
Reproductive system and breast disorders
Prostatic mass
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
0.04%
1/2412
0.00%
0/2405
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.08%
2/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.04%
1/2412
0.17%
4/2405
Respiratory, thoracic and mediastinal disorders
Asthma
0.17%
4/2412
0.08%
2/2405
Respiratory, thoracic and mediastinal disorders
Bronchial obstruction
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Bronchiectasis
0.00%
0/2412
0.04%
1/2405
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.00%
0/2412
0.04%
1/2405

Other adverse events

Other adverse events
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=2412 participants at risk
Participants received 15 mg rivaroxaban (oral) twice daily (b.i.d.) for 3 weeks, followed by 20 mg once daily (o.d.)
Enoxaparin/VKA
n=2405 participants at risk
Participants received enoxaparin (subcutaneous) 1.0 mg/kg b.i.d. for minimal 5 days, plus vitamin K antagonist (VKA) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 - 3.0)
Gastrointestinal disorders
Constipation
6.1%
146/2412
5.9%
141/2405
Gastrointestinal disorders
Diarrhoea
5.3%
128/2412
5.5%
132/2405
Gastrointestinal disorders
Nausea
4.7%
113/2412
5.4%
131/2405
General disorders
Chest pain
7.4%
179/2412
7.5%
181/2405
Infections and infestations
Nasopharyngitis
7.8%
188/2412
8.1%
195/2405
Injury, poisoning and procedural complications
Contusion
3.9%
95/2412
5.5%
133/2405
Musculoskeletal and connective tissue disorders
Back pain
3.6%
87/2412
5.6%
134/2405
Musculoskeletal and connective tissue disorders
Pain in extremity
7.1%
172/2412
6.7%
162/2405
Nervous system disorders
Headache
8.1%
196/2412
7.4%
177/2405
Respiratory, thoracic and mediastinal disorders
Cough
6.6%
160/2412
7.4%
179/2405
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.5%
156/2412
6.1%
147/2405
Respiratory, thoracic and mediastinal disorders
Epistaxis
9.5%
229/2412
8.5%
205/2405

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60