Trial Outcomes & Findings for Hemorrhage Risk Prescribed Arixtra (NCT NCT01064362)

NCT ID: NCT01064362

Last Updated: 2015-05-12

Results Overview

Haemorrhages during MOSLL hospitalization or follow-up as identified by ICD-9-CM codes were measured. The PHARMO medical record linkage system (RLS), in the Netherlands, is a population-based patient-centric data tracking system that includes high quality/ complete information of patient demographics, drug dispensing, and hospital morbidity records of approximately 2.3 million inhabitants in the Netherlands.

Recruitment status

COMPLETED

Target enrollment

13442 participants

Primary outcome timeframe

Follow-up continued until the date of first event, death, end of initial therapy, hospital discharge, end of follow-up in PHARMO RLS, or 60 days after discharge, whichever came first

Results posted on

2015-05-12

Participant Flow

Participant milestones

Participant milestones
Measure
Fondaparinux
All dosages of fondaparinux
Low Molecular Weight Heparins (LMWHs)
All dosages of LMWH, including Enoxaparin, Dalteparin, Nadroparin, and Tinzaparin
Overall Study
STARTED
1559
11883
Overall Study
COMPLETED
1559
11883
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hemorrhage Risk Prescribed Arixtra

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fondaparinux
n=1559 Participants
All dosages of fondaparinux
Low Molecular Weight Heparins (LMWHs)
n=11883 Participants
All dosages of LMWH, including Enoxaparin, Dalteparin, Nadroparin, and Tinzaparin
Total
n=13442 Participants
Total of all reporting groups
Age, Customized
18-64 years
478 Participants
n=5 Participants
2962 Participants
n=7 Participants
3440 Participants
n=5 Participants
Age, Customized
65-74 years
568 Participants
n=5 Participants
3433 Participants
n=7 Participants
4001 Participants
n=5 Participants
Age, Customized
>=75 years
513 Participants
n=5 Participants
5488 Participants
n=7 Participants
6001 Participants
n=5 Participants
Sex: Female, Male
Female
1098 Participants
n=5 Participants
8280 Participants
n=7 Participants
9378 Participants
n=5 Participants
Sex: Female, Male
Male
461 Participants
n=5 Participants
3603 Participants
n=7 Participants
4064 Participants
n=5 Participants
Number of participants with the indicated duration of their in-hospital stay
0-7 days
994 participants
n=5 Participants
4826 participants
n=7 Participants
5820 participants
n=5 Participants
Number of participants with the indicated duration of their in-hospital stay
8-10 days
428 participants
n=5 Participants
2965 participants
n=7 Participants
3393 participants
n=5 Participants
Number of participants with the indicated duration of their in-hospital stay
11-14 days
75 participants
n=5 Participants
1608 participants
n=7 Participants
1683 participants
n=5 Participants
Number of participants with the indicated duration of their in-hospital stay
>=15 days
62 participants
n=5 Participants
2484 participants
n=7 Participants
2546 participants
n=5 Participants
Number of participants hospitalized because of hip surgery and knee surgery
Knee surgery
414 participants
n=5 Participants
3073 participants
n=7 Participants
3487 participants
n=5 Participants
Number of participants hospitalized because of hip surgery and knee surgery
Hip surgery
1145 participants
n=5 Participants
8810 participants
n=7 Participants
9955 participants
n=5 Participants
Number of participants with the indicated duration of follow-up
1-14 days
790 participants
n=5 Participants
4331 participants
n=7 Participants
5121 participants
n=5 Participants
Number of participants with the indicated duration of follow-up
15-28 days
477 participants
n=5 Participants
1196 participants
n=7 Participants
1673 participants
n=5 Participants
Number of participants with the indicated duration of follow-up
29-42 days
127 participants
n=5 Participants
2232 participants
n=7 Participants
2359 participants
n=5 Participants
Number of participants with the indicated duration of follow-up
>=43 days
165 participants
n=5 Participants
4124 participants
n=7 Participants
4289 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
PAU: Heparin
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
PAU: LMWHs
3 participants
n=5 Participants
42 participants
n=7 Participants
45 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
PAU: Vitamin K Antagonist (VKA)
30 participants
n=5 Participants
351 participants
n=7 Participants
381 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
PAU: Fondaparinux
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
PAU: Multiple agents
0 participants
n=5 Participants
11 participants
n=7 Participants
11 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Use of platelet inhibitors
293 participants
n=5 Participants
2610 participants
n=7 Participants
2903 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Use of ns-NSAIDs
395 participants
n=5 Participants
2717 participants
n=7 Participants
3112 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Hospitalization for hypercoagulable state
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Hospitalization for cancer
7 participants
n=5 Participants
100 participants
n=7 Participants
107 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Hospitalization for thrombocytopenia
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Hypertension
764 participants
n=5 Participants
5645 participants
n=7 Participants
6409 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Cardiovascular disease
378 participants
n=5 Participants
2923 participants
n=7 Participants
3301 participants
n=5 Participants
Number of participants with the indicated major risk factors or other key characteristics
Hospitalization for cerebrovascular disease
1 participants
n=5 Participants
30 participants
n=7 Participants
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: Follow-up continued until the date of first event, death, end of initial therapy, hospital discharge, end of follow-up in PHARMO RLS, or 60 days after discharge, whichever came first

Population: From the PHARMO RLS, all patients \>=18 years of age with in-hospital pharmacy data, a primary discharge diagnosis for hip fracture and/or a hospitalization for MOSLL, and follow-up between January 2003 (introduction of Arixtra) and December 2008.

Haemorrhages during MOSLL hospitalization or follow-up as identified by ICD-9-CM codes were measured. The PHARMO medical record linkage system (RLS), in the Netherlands, is a population-based patient-centric data tracking system that includes high quality/ complete information of patient demographics, drug dispensing, and hospital morbidity records of approximately 2.3 million inhabitants in the Netherlands.

Outcome measures

Outcome measures
Measure
Fondaparinux
n=1559 Participants
All dosages of fondaparinux
Low Molecular Weight Heparins (LMWHs)
n=11883 Participants
All dosages of LMWH, including Enoxaparin, Dalteparin, Nadroparin, and Tinzaparin
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Bleeding or hematoma as complication of a surgery
7 participants
10 participants
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Epistaxis
0 participants
3 participants
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Gastrointestinal bleeds
0 participants
9 participants
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Hemarthrosis
0 participants
2 participants
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Intracranial bleeds
0 participants
1 participants
Number of Participants With the Indicated Types of Haemorrhages During Hospitalization or Follow-up for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Urinary tract bleeding
1 participants
1 participants

SECONDARY outcome

Timeframe: Follow-up continued until the date of first event, death, end of initial therapy, hospital discharge, end of follow-up in PHARMO RLS, or 60 days after discharge, whichever came first.

Population: From the PHARMO RLS, all patients \>=18 years of age with in-hospital pharmacy data, a primary discharge diagnosis for hip fracture and/or a hospitalization for MOSLL, and follow-up between January 2003 (introduction of Arixtra) and December 2008.

Haemorrhages during MOSLL hospitalization or follow-up as identified by ICD-9-CM codes were measured. The PHARMO medical record linkage system (RLS), in the Netherlands, is a population-based patient-centric data tracking system that includes high quality/ complete information of patient demographics, drug dispensing, and hospital morbidity records of approximately 2.3 million inhabitants in the Netherlands.

Outcome measures

Outcome measures
Measure
Fondaparinux
n=1559 Participants
All dosages of fondaparinux
Low Molecular Weight Heparins (LMWHs)
n=11883 Participants
All dosages of LMWH, including Enoxaparin, Dalteparin, Nadroparin, and Tinzaparin
Number of Participants With the Indicated Haemorrhages During Hospitalization for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Bleeding or hematoma as complication of a surgery
1 participants
0 participants
Number of Participants With the Indicated Haemorrhages During Hospitalization for Major Orthopaedic Surgery of Lower Limbs (MOSLL)
Epistaxis
0 participants
1 participants

Adverse Events

Fondaparinux

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

Low Molecular Weight Heparins (LMWHs)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER