Trial Outcomes & Findings for Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Deep Vein Thrombosis - The EINSTEIN DVT Study (NCT NCT00440193)

NCT ID: NCT00440193

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

3449 participants

Primary outcome timeframe

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

Results posted on

2014-02-27

Participant Flow

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

Out of 3459 participants screened, 10 failed screening due to protocol violations, and 3449 participants were randomized (1731 to rivaroxaban and 1718 to enoxaparin/VKA).

Participant milestones

Participant milestones
Measure
Rivaroxaban (Xarelto, BAY59-7939)
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Treatment Period
STARTED
1731
1718
Treatment Period
Participants Received Treatment
1718
1711
Treatment Period
COMPLETED
1426
1367
Treatment Period
NOT COMPLETED
305
351
Observational Period
STARTED
1425
1407
Observational Period
COMPLETED
1380
1369
Observational Period
NOT COMPLETED
45
38

Reasons for withdrawal

Reasons for withdrawal
Measure
Rivaroxaban (Xarelto, BAY59-7939)
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Treatment Period
Adverse Event
74
67
Treatment Period
Death
19
22
Treatment Period
Lack of Efficacy
0
1
Treatment Period
Lost to Follow-up
12
18
Treatment Period
Physician Decision
3
6
Treatment Period
Protocol Violation
16
19
Treatment Period
Withdrawal by Subject
36
77
Treatment Period
Clinical endpoint reached
28
25
Treatment Period
Study terminated by sponsor
102
94
Treatment Period
Protocol driven decision point
2
2
Treatment Period
Switch to commercial drug
0
2
Treatment Period
Technical problems
1
1
Treatment Period
Participant convenience
5
2
Treatment Period
Participant did not receive treatment
7
13
Treatment Period
Site closed by investigator
0
2
Observational Period
Adverse Event
2
2
Observational Period
Death
15
20
Observational Period
Lost to Follow-up
12
8
Observational Period
Protocol Violation
1
0
Observational Period
Withdrawal by Subject
11
8
Observational Period
Physician Decision
1
0
Observational Period
Clinical endpoint reached
1
0
Observational Period
Participant convenience
2
0

Baseline Characteristics

Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Deep Vein Thrombosis - The EINSTEIN DVT Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Total
n=3449 Participants
Total of all reporting groups
Age, Continuous
55.8 years
STANDARD_DEVIATION 16.4 • n=5 Participants
56.4 years
STANDARD_DEVIATION 16.3 • n=7 Participants
56.1 years
STANDARD_DEVIATION 16.4 • n=5 Participants
Age, Customized
18 - < 40 years
314 participants
n=5 Participants
279 participants
n=7 Participants
593 participants
n=5 Participants
Age, Customized
40 - < 60 years
642 participants
n=5 Participants
662 participants
n=7 Participants
1304 participants
n=5 Participants
Age, Customized
60 - < 75 years
530 participants
n=5 Participants
519 participants
n=7 Participants
1049 participants
n=5 Participants
Age, Customized
≥ 75 years
245 participants
n=5 Participants
258 participants
n=7 Participants
503 participants
n=5 Participants
Sex: Female, Male
Female
738 Participants
n=5 Participants
751 Participants
n=7 Participants
1489 Participants
n=5 Participants
Sex: Female, Male
Male
993 Participants
n=5 Participants
967 Participants
n=7 Participants
1960 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=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 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
3.0 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 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=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 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
5.1 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=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 1 Until the Intended End of Study Treatment
2.9 Percentage of participants
4.2 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=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With Recurrent DVT Until the Intended End of Study Treatment
0.9 Percentage of participants
1.6 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=1718 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1711 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With Clinically Relevant Bleeding, Treatment-emergent (Time Window: Until 2 Days After Last Dose)
8.1 Percentage of participants
8.1 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 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=1718 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1711 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With All Deaths
All post-randomization
2.4 Percentage of participants
3.0 Percentage of participants
Percentage of Participants With All Deaths
Treatment-emergent (time window: 2 days)
1.0 Percentage of participants
1.1 Percentage of participants
Percentage of Participants With All Deaths
Treatment-emergent (time window: 7 days)
1.2 Percentage of participants
1.5 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=1718 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1711 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With Other Vascular Events, On-treatment (Time Window: Until 1 Day After Last Dose)
0.7 Percentage of participants
0.8 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=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (other)
1.8 Percentage of participants
2.0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (PE)
0.06 Percentage of participants
0 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)
0.2 Percentage of participants
0.3 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic PE and DVT
0.06 Percentage of participants
0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic recurrent PE only
1.2 Percentage of participants
1.0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Symptomatic recurrent DVT only
0.8 Percentage of participants
1.6 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (bleeding)
0.06 Percentage of participants
0.3 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes Until the Intended End of Study Treatment
Death (cardiovascular)
0.1 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
Major bleeding
0.9 Percentage of participants
1.3 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), results/films/images of confirmatory testing, and/or case summaries.

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=1425 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1408 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 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]) During Observational Period
0.8 Percentage of participants
0.5 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.

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=1430 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1413 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With the Composite Variable Comprising Recurrent DVT, Non-fatal PE and All Cause Mortality During Observational Period
2.2 Percentage of participants
1.8 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 or 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=1425 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1410 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 1 During Observational Period
1.1 Percentage of participants
1.1 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. 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=1425 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1408 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With Recurrent DVT During Observational Period
0.6 Percentage of participants
0.3 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=1425 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1408 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (PE)
0 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)
0.07 Percentage of participants
0.07 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic PE and DVT
0 Percentage of participants
0 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic recurrent PE only
0.3 Percentage of participants
0.1 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Symptomatic recurrent DVT only
0.6 Percentage of participants
0.3 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (bleeding)
0.07 Percentage of participants
0.1 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (cardiovascular)
0.07 Percentage of participants
0.3 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Death (other)
1.3 Percentage of participants
0.8 Percentage of participants
Percentage of Participants With the Individual Components of Efficacy Outcomes During Observational Period
Major bleeding
0.2 Percentage of participants
0.6 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. Major bleeding was overt 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 confirmed by independent committee blinded to treatment, based on compression ultrasound, venography, spiral CT scan, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy, results/films/images of confirmatory testing and/or case summaries

Outcome measures

Outcome measures
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=1731 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1718 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 2 Until the Intended End of Study Treatment
3.6 Percentage of participants
4.7 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, cardiovascular death, myocardial infarctions, stroke, or non CNS systemic embolism. Major bleeding was 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 (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=1426 Participants
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1410 Participants
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Percentage of Participants With an Event for Net Clinical Benefit 2 During Observational Period
1.2 Percentage of participants
1.3 Percentage of participants

Adverse Events

Rivaroxaban (Xarelto, BAY59-7939)

Serious events: 222 serious events
Other events: 241 other events
Deaths: 0 deaths

Enoxaparin/VKA

Serious events: 252 serious events
Other events: 212 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=1718 participants at risk
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1711 participants at risk
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Reproductive system and breast disorders
Postmenopausal haemorrhage
0.06%
1/1718
0.00%
0/1711
Reproductive system and breast disorders
Haemorrhagic ovarian cyst
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Asthma
0.06%
1/1718
0.18%
3/1711
Blood and lymphatic system disorders
Anaemia
0.64%
11/1718
0.47%
8/1711
Blood and lymphatic system disorders
Febrile neutropenia
0.06%
1/1718
0.00%
0/1711
Blood and lymphatic system disorders
Lymphadenopathy mediastinal
0.00%
0/1718
0.06%
1/1711
Blood and lymphatic system disorders
Microcytic anaemia
0.06%
1/1718
0.00%
0/1711
Blood and lymphatic system disorders
Normochromic normocytic anaemia
0.06%
1/1718
0.00%
0/1711
Blood and lymphatic system disorders
Splenic haemorrhage
0.00%
0/1718
0.06%
1/1711
Blood and lymphatic system disorders
Thrombocytopenia
0.12%
2/1718
0.06%
1/1711
Blood and lymphatic system disorders
Autoimmune thrombocytopenia
0.00%
0/1718
0.06%
1/1711
Blood and lymphatic system disorders
Haemorrhagic anaemia
0.00%
0/1718
0.06%
1/1711
Blood and lymphatic system disorders
Spontaneous haematoma
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Acute myocardial infarction
0.29%
5/1718
0.06%
1/1711
Cardiac disorders
Angina pectoris
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Angina unstable
0.06%
1/1718
0.18%
3/1711
Cardiac disorders
Arrhythmia
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Atrial fibrillation
0.12%
2/1718
0.18%
3/1711
Cardiac disorders
Atrial flutter
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Atrioventricular block second degree
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Bradycardia
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Cardiac arrest
0.00%
0/1718
0.18%
3/1711
Cardiac disorders
Cardiac failure
0.06%
1/1718
0.06%
1/1711
Cardiac disorders
Cardiac failure chronic
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Cardiac failure congestive
0.00%
0/1718
0.12%
2/1711
Cardiac disorders
Cardio-respiratory arrest
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Myocardial infarction
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Myocardial ischaemia
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Pericarditis
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Right ventricular failure
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Sick sinus syndrome
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Sinus arrhythmia
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Tachycardia
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Ventricular tachycardia
0.00%
0/1718
0.06%
1/1711
Cardiac disorders
Tachyarrhythmia
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Acute coronary syndrome
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Cardiac disorder
0.06%
1/1718
0.00%
0/1711
Cardiac disorders
Aortic valve disease
0.00%
0/1718
0.06%
1/1711
Congenital, familial and genetic disorders
Phimosis
0.00%
0/1718
0.06%
1/1711
Ear and labyrinth disorders
Ear haemorrhage
0.00%
0/1718
0.06%
1/1711
Ear and labyrinth disorders
Vertigo
0.12%
2/1718
0.06%
1/1711
Ear and labyrinth disorders
Sudden hearing loss
0.00%
0/1718
0.06%
1/1711
Endocrine disorders
Basedow's disease
0.06%
1/1718
0.00%
0/1711
Endocrine disorders
Goitre
0.06%
1/1718
0.00%
0/1711
Eye disorders
Blepharochalasis
0.00%
0/1718
0.06%
1/1711
Eye disorders
Conjunctival haemorrhage
0.00%
0/1718
0.12%
2/1711
Eye disorders
Eye haemorrhage
0.06%
1/1718
0.00%
0/1711
Eye disorders
Hyphaema
0.06%
1/1718
0.00%
0/1711
Eye disorders
Maculopathy
0.06%
1/1718
0.00%
0/1711
Eye disorders
Retinal detachment
0.06%
1/1718
0.00%
0/1711
Eye disorders
Vitreous detachment
0.06%
1/1718
0.00%
0/1711
Eye disorders
Vitreous haemorrhage
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Abdominal pain
0.17%
3/1718
0.06%
1/1711
Gastrointestinal disorders
Abdominal pain upper
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Ascites
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Colitis ulcerative
0.06%
1/1718
0.06%
1/1711
Gastrointestinal disorders
Colonic polyp
0.00%
0/1718
0.12%
2/1711
Gastrointestinal disorders
Constipation
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Crohn's disease
0.00%
0/1718
0.23%
4/1711
Gastrointestinal disorders
Diarrhoea
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/1718
0.12%
2/1711
Gastrointestinal disorders
Food poisoning
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Gastric ulcer perforation
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Gastritis
0.06%
1/1718
0.06%
1/1711
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.23%
4/1718
0.00%
0/1711
Gastrointestinal disorders
Gastrointestinal necrosis
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Gingival bleeding
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Haematemesis
0.06%
1/1718
0.18%
3/1711
Gastrointestinal disorders
Haematochezia
0.00%
0/1718
0.12%
2/1711
Gastrointestinal disorders
Haemorrhoids
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Inguinal hernia, obstructive
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Intestinal dilatation
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Intestinal obstruction
0.12%
2/1718
0.06%
1/1711
Gastrointestinal disorders
Intestinal perforation
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Large intestine perforation
0.06%
1/1718
0.06%
1/1711
Gastrointestinal disorders
Melaena
0.06%
1/1718
0.06%
1/1711
Gastrointestinal disorders
Nausea
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Oesophageal ulcer haemorrhage
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Oesophagitis
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Pancreatic cyst
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Pancreatitis
0.06%
1/1718
0.12%
2/1711
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Rectal haemorrhage
0.29%
5/1718
0.23%
4/1711
Gastrointestinal disorders
Rectal polyp
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Reflux oesophagitis
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Retroperitoneal fibrosis
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/1718
0.12%
2/1711
Gastrointestinal disorders
Vomiting
0.06%
1/1718
0.06%
1/1711
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Enterocutaneous fistula
0.12%
2/1718
0.00%
0/1711
Gastrointestinal disorders
Abdominal wall cyst
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Intra-abdominal haematoma
0.06%
1/1718
0.00%
0/1711
Gastrointestinal disorders
Hernial eventration
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Intestinal mass
0.00%
0/1718
0.06%
1/1711
Gastrointestinal disorders
Intestinal haemorrhage
0.00%
0/1718
0.06%
1/1711
General disorders
Chest pain
0.17%
3/1718
0.06%
1/1711
General disorders
Death
0.12%
2/1718
0.06%
1/1711
General disorders
Generalised oedema
0.06%
1/1718
0.00%
0/1711
General disorders
Impaired healing
0.00%
0/1718
0.06%
1/1711
General disorders
Malaise
0.06%
1/1718
0.06%
1/1711
General disorders
Multi-organ failure
0.17%
3/1718
0.12%
2/1711
General disorders
Oedema peripheral
0.17%
3/1718
0.00%
0/1711
General disorders
Pelvic mass
0.00%
0/1718
0.06%
1/1711
General disorders
Pyrexia
0.17%
3/1718
0.12%
2/1711
General disorders
Sudden death
0.00%
0/1718
0.06%
1/1711
General disorders
Sudden cardiac death
0.06%
1/1718
0.00%
0/1711
General disorders
General physical health deterioration
0.00%
0/1718
0.06%
1/1711
General disorders
Systemic inflammatory response syndrome
0.06%
1/1718
0.00%
0/1711
General disorders
Medical device complication
0.00%
0/1718
0.06%
1/1711
General disorders
Device occlusion
0.06%
1/1718
0.00%
0/1711
Hepatobiliary disorders
Acute hepatic failure
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Biliary colic
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Cholangitis
0.06%
1/1718
0.00%
0/1711
Hepatobiliary disorders
Cholecystitis
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/1718
0.12%
2/1711
Hepatobiliary disorders
Cholelithiasis
0.06%
1/1718
0.00%
0/1711
Hepatobiliary disorders
Hepatic failure
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Hepatic steatosis
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Hepatitis acute
0.06%
1/1718
0.00%
0/1711
Hepatobiliary disorders
Jaundice cholestatic
0.00%
0/1718
0.06%
1/1711
Hepatobiliary disorders
Hepatic mass
0.06%
1/1718
0.00%
0/1711
Immune system disorders
Liver transplant rejection
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Abscess
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Appendicitis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Bacteraemia
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Bronchitis
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Bronchopneumonia
0.17%
3/1718
0.06%
1/1711
Infections and infestations
Cellulitis
0.17%
3/1718
0.23%
4/1711
Infections and infestations
Dengue fever
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Diverticulitis
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Endocarditis staphylococcal
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Epiglottitis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Erysipelas
0.00%
0/1718
0.12%
2/1711
Infections and infestations
Escherichia sepsis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Gastroenteritis
0.00%
0/1718
0.23%
4/1711
Infections and infestations
Influenza
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Lobar pneumonia
0.06%
1/1718
0.18%
3/1711
Infections and infestations
Lower respiratory tract infection
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Mastitis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Paronychia
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Pneumonia
0.29%
5/1718
0.58%
10/1711
Infections and infestations
Postoperative wound infection
0.06%
1/1718
0.06%
1/1711
Infections and infestations
Pulmonary tuberculosis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Pyelonephritis
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Sepsis
0.12%
2/1718
0.41%
7/1711
Infections and infestations
Septic shock
0.06%
1/1718
0.23%
4/1711
Infections and infestations
Tracheobronchitis
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Urinary tract infection
0.29%
5/1718
0.18%
3/1711
Infections and infestations
Viral infection
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Anal abscess
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Incision site abscess
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Abscess limb
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Pulmonary sepsis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Bacterial sepsis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Infective exacerbation of chronic obstructive airways disease
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Cardiac valve vegetation
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Cerebral toxoplasmosis
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Infective aneurysm
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Wound abscess
0.06%
1/1718
0.00%
0/1711
Infections and infestations
Abdominal abscess
0.00%
0/1718
0.12%
2/1711
Infections and infestations
Pneumonia bacterial
0.00%
0/1718
0.12%
2/1711
Infections and infestations
Lung infection
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Respiratory tract infection
0.06%
1/1718
0.12%
2/1711
Infections and infestations
Device related infection
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Incision site infection
0.00%
0/1718
0.06%
1/1711
Infections and infestations
Post procedural sepsis
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Accident
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Alcohol poisoning
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Cartilage injury
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Clavicle fracture
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Drug toxicity
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/1718
0.12%
2/1711
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Humerus fracture
0.12%
2/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Overdose
0.06%
1/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Pneumothorax traumatic
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Radiation pneumonitis
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Radius fracture
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Rib fracture
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Spinal compression fracture
0.06%
1/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Subdural haematoma
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Therapeutic agent toxicity
0.00%
0/1718
0.12%
2/1711
Injury, poisoning and procedural complications
Ulna fracture
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Wound dehiscence
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Thoracic vertebral fracture
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Contusion
0.12%
2/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.06%
1/1718
0.12%
2/1711
Injury, poisoning and procedural complications
Induced abortion haemorrhage
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Traumatic haemorrhage
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Skin laceration
0.06%
1/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Gastrointestinal disorder postoperative
0.06%
1/1718
0.00%
0/1711
Injury, poisoning and procedural complications
Ligament injury
0.00%
0/1718
0.06%
1/1711
Injury, poisoning and procedural complications
Post procedural haematuria
0.06%
1/1718
0.00%
0/1711
Investigations
Alanine aminotransferase increased
0.12%
2/1718
0.35%
6/1711
Investigations
Blood bilirubin increased
0.06%
1/1718
0.00%
0/1711
Investigations
Chest X-ray abnormal
0.00%
0/1718
0.06%
1/1711
Investigations
International normalised ratio increased
0.00%
0/1718
0.29%
5/1711
Investigations
Liver function test abnormal
0.12%
2/1718
0.23%
4/1711
Investigations
Weight decreased
0.06%
1/1718
0.00%
0/1711
Investigations
Transaminases increased
0.12%
2/1718
0.00%
0/1711
Investigations
Hepatic enzyme increased
0.06%
1/1718
0.29%
5/1711
Investigations
International normalised ratio fluctuation
0.00%
0/1718
0.06%
1/1711
Metabolism and nutrition disorders
Dehydration
0.00%
0/1718
0.06%
1/1711
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
0.06%
1/1718
0.00%
0/1711
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.06%
1/1718
0.00%
0/1711
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/1718
0.06%
1/1711
Metabolism and nutrition disorders
Hypokalaemia
0.06%
1/1718
0.00%
0/1711
Metabolism and nutrition disorders
Hypoproteinaemia
0.06%
1/1718
0.00%
0/1711
Metabolism and nutrition disorders
Tetany
0.06%
1/1718
0.00%
0/1711
Metabolism and nutrition disorders
Metabolic disorder
0.00%
0/1718
0.06%
1/1711
Metabolism and nutrition disorders
Diabetic foot
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Arthralgia
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/1718
0.12%
2/1711
Musculoskeletal and connective tissue disorders
Back pain
0.17%
3/1718
0.12%
2/1711
Musculoskeletal and connective tissue disorders
Bursitis
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Haemarthrosis
0.00%
0/1718
0.12%
2/1711
Musculoskeletal and connective tissue disorders
Muscle haemorrhage
0.00%
0/1718
0.18%
3/1711
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Myalgia
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Osteoporosis
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Pathological fracture
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Synovitis
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Systemic lupus erythematosus
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
0.06%
1/1718
0.00%
0/1711
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.06%
1/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Juvenile arthritis
0.00%
0/1718
0.06%
1/1711
Musculoskeletal and connective tissue disorders
Foot deformity
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute leukaemia
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Angiosarcoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.12%
2/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.17%
3/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma
0.12%
2/1718
0.41%
7/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma stage III
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.12%
2/1718
0.23%
4/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer
0.06%
1/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.06%
1/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer recurrent
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic neoplasm malignant
0.12%
2/1718
0.12%
2/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Large cell carcinoma of the respiratory tract stage unspecified
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.00%
0/1718
0.18%
3/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung carcinoma cell type unspecified recurrent
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.17%
3/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
0.12%
2/1718
0.23%
4/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lung
0.06%
1/1718
0.12%
2/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lymph nodes
0.12%
2/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma
0.12%
2/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal adenocarcinoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.12%
2/1718
0.12%
2/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma
0.17%
3/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastatic
0.00%
0/1718
0.12%
2/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer metastatic
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.06%
1/1718
0.12%
2/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer recurrent
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma recurrent
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rhabdomyosarcoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine cancer
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Waldenstrom's macroglobulinaemia
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to peritoneum
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma cutis
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ear neoplasm malignant
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix cancer metastatic
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer metastatic
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer metastatic
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Retroperitoneal neoplasm
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer metastatic
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.12%
2/1718
0.18%
3/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Large intestine carcinoma
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.06%
1/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small cell lung cancer metastatic
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.06%
1/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic neoplasm
0.12%
2/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian epithelial cancer
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pelvic neoplasm
0.06%
1/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal cancer
0.12%
2/1718
0.00%
0/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal neoplasm
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm
0.12%
2/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Penis carcinoma
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic squamous cell carcinoma
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer recurrent
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder transitional cell carcinoma stage I
0.00%
0/1718
0.06%
1/1711
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Cerebral haemorrhage
0.06%
1/1718
0.06%
1/1711
Nervous system disorders
Dizziness
0.00%
0/1718
0.12%
2/1711
Nervous system disorders
Epilepsy
0.06%
1/1718
0.06%
1/1711
Nervous system disorders
Facial palsy
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Grand mal convulsion
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Haemorrhage intracranial
0.06%
1/1718
0.06%
1/1711
Nervous system disorders
Headache
0.06%
1/1718
0.06%
1/1711
Nervous system disorders
Hypoglycaemic coma
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Migraine
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Mononeuritis
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Multiple sclerosis
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Neuralgia
0.00%
0/1718
0.06%
1/1711
Nervous system disorders
Presyncope
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Syncope
0.06%
1/1718
0.12%
2/1711
Nervous system disorders
Transient ischaemic attack
0.06%
1/1718
0.23%
4/1711
Nervous system disorders
IIIrd nerve paresis
0.00%
0/1718
0.06%
1/1711
Nervous system disorders
Cognitive disorder
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Ischaemic stroke
0.23%
4/1718
0.41%
7/1711
Nervous system disorders
Parkinson's disease
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Metabolic encephalopathy
0.06%
1/1718
0.00%
0/1711
Nervous system disorders
Complex regional pain syndrome
0.00%
0/1718
0.06%
1/1711
Nervous system disorders
Cerebral arteriosclerosis
0.06%
1/1718
0.00%
0/1711
Pregnancy, puerperium and perinatal conditions
Abortion
0.00%
0/1718
0.06%
1/1711
Pregnancy, puerperium and perinatal conditions
Post abortion haemorrhage
0.00%
0/1718
0.06%
1/1711
Psychiatric disorders
Acute psychosis
0.00%
0/1718
0.06%
1/1711
Psychiatric disorders
Alcohol abuse
0.00%
0/1718
0.06%
1/1711
Psychiatric disorders
Completed suicide
0.00%
0/1718
0.06%
1/1711
Psychiatric disorders
Confusional state
0.00%
0/1718
0.06%
1/1711
Psychiatric disorders
Depression
0.17%
3/1718
0.12%
2/1711
Psychiatric disorders
Panic attack
0.06%
1/1718
0.06%
1/1711
Psychiatric disorders
Suicide attempt
0.06%
1/1718
0.00%
0/1711
Psychiatric disorders
Major depression
0.06%
1/1718
0.00%
0/1711
Psychiatric disorders
Psychotic disorder
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Anuria
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Calculus ureteric
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Cystitis haemorrhagic
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Haematuria
0.23%
4/1718
0.47%
8/1711
Renal and urinary disorders
Hydronephrosis
0.00%
0/1718
0.12%
2/1711
Renal and urinary disorders
Nephrolithiasis
0.00%
0/1718
0.06%
1/1711
Renal and urinary disorders
Nephrotic syndrome
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Renal colic
0.00%
0/1718
0.06%
1/1711
Renal and urinary disorders
Renal failure
0.06%
1/1718
0.00%
0/1711
Renal and urinary disorders
Renal failure acute
0.06%
1/1718
0.18%
3/1711
Reproductive system and breast disorders
Menorrhagia
0.29%
5/1718
0.06%
1/1711
Reproductive system and breast disorders
Ovarian cyst
0.06%
1/1718
0.06%
1/1711
Reproductive system and breast disorders
Pelvic pain
0.00%
0/1718
0.06%
1/1711
Reproductive system and breast disorders
Penile swelling
0.00%
0/1718
0.06%
1/1711
Reproductive system and breast disorders
Prostatitis
0.06%
1/1718
0.00%
0/1711
Reproductive system and breast disorders
Scrotal swelling
0.00%
0/1718
0.06%
1/1711
Reproductive system and breast disorders
Uterine polyp
0.06%
1/1718
0.00%
0/1711
Reproductive system and breast disorders
Vaginal haemorrhage
0.17%
3/1718
0.12%
2/1711
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.23%
4/1718
0.12%
2/1711
Respiratory, thoracic and mediastinal disorders
Cough
0.12%
2/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.12%
2/1718
0.29%
5/1711
Respiratory, thoracic and mediastinal disorders
Dyspnoea at rest
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.06%
1/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.06%
1/1718
0.12%
2/1711
Respiratory, thoracic and mediastinal disorders
Haemothorax
0.00%
0/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.00%
0/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.06%
1/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.06%
1/1718
0.12%
2/1711
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.00%
0/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.06%
1/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Tachypnoea
0.00%
0/1718
0.06%
1/1711
Respiratory, thoracic and mediastinal disorders
Wegener's granulomatosis
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Pulmonary mass
0.06%
1/1718
0.00%
0/1711
Respiratory, thoracic and mediastinal disorders
Sputum retention
0.06%
1/1718
0.00%
0/1711
Skin and subcutaneous tissue disorders
Dermatitis exfoliative
0.00%
0/1718
0.06%
1/1711
Skin and subcutaneous tissue disorders
Drug eruption
0.00%
0/1718
0.06%
1/1711
Skin and subcutaneous tissue disorders
Henoch-Schonlein purpura
0.00%
0/1718
0.06%
1/1711
Skin and subcutaneous tissue disorders
Leukocytoclastic vasculitis
0.00%
0/1718
0.06%
1/1711
Skin and subcutaneous tissue disorders
Scar
0.00%
0/1718
0.06%
1/1711
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/1718
0.06%
1/1711
Surgical and medical procedures
Abortion induced
0.00%
0/1718
0.06%
1/1711
Surgical and medical procedures
Bladder catheter removal
0.06%
1/1718
0.00%
0/1711
Surgical and medical procedures
Uterine polypectomy
0.00%
0/1718
0.06%
1/1711
Surgical and medical procedures
Ileostomy closure
0.06%
1/1718
0.00%
0/1711
Vascular disorders
Aortic aneurysm
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Arterial thrombosis limb
0.06%
1/1718
0.06%
1/1711
Vascular disorders
Arteriosclerosis
0.00%
0/1718
0.12%
2/1711
Vascular disorders
Circulatory collapse
0.06%
1/1718
0.00%
0/1711
Vascular disorders
Haematoma
0.06%
1/1718
0.23%
4/1711
Vascular disorders
Hypertension
0.12%
2/1718
0.00%
0/1711
Vascular disorders
Hypertensive crisis
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Hypotension
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Jugular vein thrombosis
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Lymphoedema
0.06%
1/1718
0.00%
0/1711
Vascular disorders
Peripheral ischaemia
0.06%
1/1718
0.12%
2/1711
Vascular disorders
Peripheral vascular disorder
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Shock
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Thrombophlebitis superficial
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Thrombosis
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Post thrombotic syndrome
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Shock haemorrhagic
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Femoral artery occlusion
0.06%
1/1718
0.00%
0/1711
Vascular disorders
Iliac artery stenosis
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Peripheral artery aneurysm
0.06%
1/1718
0.00%
0/1711
Vascular disorders
Extremity necrosis
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Arterial haemorrhage
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Peripheral embolism
0.00%
0/1718
0.06%
1/1711
Vascular disorders
Peripheral arterial occlusive disease
0.12%
2/1718
0.00%
0/1711
Vascular disorders
May-Thurner syndrome
0.00%
0/1718
0.06%
1/1711

Other adverse events

Other adverse events
Measure
Rivaroxaban (Xarelto, BAY59-7939)
n=1718 participants at risk
Participants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Enoxaparin/VKA
n=1711 participants at risk
Participants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Infections and infestations
Nasopharyngitis
5.8%
100/1718
5.3%
91/1711
Nervous system disorders
Headache
5.3%
91/1718
4.1%
70/1711
Respiratory, thoracic and mediastinal disorders
Epistaxis
5.2%
90/1718
4.3%
74/1711

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

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

Restriction type: LTE60