Oral Rivaroxaban in Children With Venous Thrombosis

NCT ID: NCT01684423

Last Updated: 2017-09-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-19

Study Completion Date

2016-09-01

Brief Summary

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The purpose of this study is to find out whether rivaroxaban is safe to use in children and how long it stays in the body. There will also be a check for bleeding and worsening of blood clots.

Detailed Description

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Conditions

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Venous Thrombosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rivaroxaban (BAY59-7939) tablet, OD, Age: 12 - <18

Subjects aged from 12 - \<18 years were administered with age and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) IR (immediate-release) tablet once daily (OD) under fed conditions for 30 days. Subjects with a body weight of 14 to less than 50 kilogram (kg) received a dose (equivalent to 20 milligram \[mg\] in adults) ranging from 5 to 15 mg, and subjects with a body weight (comparable to adults) of greater than or equal to 50 kg received a dose of 20 mg.

Group Type EXPERIMENTAL

Rivaroxaban (Xarelto, BAY59-7939)

Intervention Type DRUG

Subjects were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) IR tablet once daily under fed conditions for 30 days.

Comparator, Age: 12 - <18 years

Subjects aged from 12 - \<18 years received comparator as per standard of care. The dosage given was to be adjusted based on the individual body weight (low molecular weight heparin, fondaparinux) or international normalized ratio (INR) adjusted (vitamin K antagonist).

Group Type ACTIVE_COMPARATOR

Active comparator

Intervention Type DRUG

Subjects received comparator as per standard of care. The dosage given was to be adjusted based on the individual body weight (low molecular weight heparin, fondaparinux) or international normalized ratio (INR) adjusted (vitamin K antagonist).

Rivaroxaban (BAY59-7939) tablet, OD, Age: 6 - <12 years

Subjects aged from 6 - \<12 years were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) IR tablet once daily under fed conditions for 30 days. Subjects with a body weight of 14 to less than 50 kg received a dose (equivalent to 20 mg in adults) ranging from 5 to 15 mg, and subjects with a body weight (comparable to adults) of greater than or equal to 50 kg received a dose of 20 mg.

Group Type EXPERIMENTAL

Rivaroxaban (Xarelto, BAY59-7939)

Intervention Type DRUG

Subjects were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) IR tablet once daily under fed conditions for 30 days.

Rivaroxaban (BAY59-7939) suspension, BID, Age: 6 - <12 years

Subjects aged from 6 - \<12 years were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) suspension under fed conditions twice daily (BID). Subjects with a body weight of 9 to less than 50 kg received a total daily dose (equivalent to 20 mg in adults) ranging from 6.4 to 15 mg and subjects with a body weight of greater than or equal to 50 kg received a total daily dose of 20 mg.

Group Type EXPERIMENTAL

Rivaroxaban (BAY59-7939) suspension

Intervention Type DRUG

Subjects aged were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) suspension under fed conditions twice daily.

Comparator, Age: 6 - <12 years

Subjects aged from 6 - \<12 years received comparator as per standard of care. The dosage given was to be adjusted based on the individual body weight (low molecular weight heparin, fondaparinux) or INR-adjusted (vitamin K antagonist).

Group Type ACTIVE_COMPARATOR

Active comparator

Intervention Type DRUG

Subjects received comparator as per standard of care. The dosage given was to be adjusted based on the individual body weight (low molecular weight heparin, fondaparinux) or international normalized ratio (INR) adjusted (vitamin K antagonist).

Interventions

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Rivaroxaban (Xarelto, BAY59-7939)

Subjects were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) IR tablet once daily under fed conditions for 30 days.

Intervention Type DRUG

Active comparator

Subjects received comparator as per standard of care. The dosage given was to be adjusted based on the individual body weight (low molecular weight heparin, fondaparinux) or international normalized ratio (INR) adjusted (vitamin K antagonist).

Intervention Type DRUG

Rivaroxaban (BAY59-7939) suspension

Subjects aged were administered with age- and body weight-adjusted oral dose of rivaroxaban (BAY59-7939) suspension under fed conditions twice daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children aged 6 to \< 18 years with documented symptomatic or asymptomatic venous thrombosis treated for at least 2 months or, in case of catheter related thrombosis, treated for at least 6 weeks with LMWH (low molecular weight heparin), , fondaparinux and/or VKA (vitamin K antagonist).
* Informed consent provided and, if applicable, child assent provided

Exclusion Criteria

* Active bleeding or high risk for bleeding contraindicating anticoagulant therapy
* Symptomatic progression of venous thrombosis during preceding anticoagulant treatment
* Planned invasive procedures, including lumbar puncture and removal of non peripherally placed central lines during study treatment
* An estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m2
* Hepatic disease which is associated with coagulopathy leading to a clinically relevant bleeding risk or ALT \> 5x upper level of normal (ULN) or total bilirubin \> 2x ULN with direct bilirubin \> 20% of the total
* Platelet count \< 50 x 10\^9/L
* Hypertension defined as \> 95th age percentile
* Life expectancy \< 3 months
* Concomitant use of strong inhibitors of both cytochrome P450 isoenzyme 3A4 (CYP3A4) and P-glycoprotein (P-gp), i.e. all human immunodeficiency virus protease inhibitors and the following azole antimycotics agents: ketoconazole, itraconazole, voriconazole, posaconazole, if used systemically
* Concomitant use of strong inducers of CYP3A4, i.e. rifampicin, rifabutin, phenobarbital, phenytoin and carbamazepine
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Little Rock, Arkansas, United States

Site Status

Los Angeles, California, United States

Site Status

Orange, California, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Detroit, Michigan, United States

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Minneapolis, Minnesota, United States

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New Hyde Park, New York, United States

Site Status

Cleveland, Ohio, United States

Site Status

Columbus, Ohio, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Houston, Texas, United States

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Richmond, Virginia, United States

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Westmead, New South Wales, Australia

Site Status

Parkville, Victoria, Australia

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South Brisbane, , Australia

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Graz, Styria, Austria

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Innsbruck, Tyrol, Austria

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Linz, Upper Austria, Austria

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Vienna, , Austria

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Edmonton, Alberta, Canada

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Hamilton, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Québec, , Canada

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Bordeaux, , France

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Montpellier, , France

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Nantes, , France

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Paris, , France

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Paris, , France

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Rennes, , France

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Toulouse, , France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Erlangen, Bavaria, Germany

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Frankfurt am Main, Hesse, Germany

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Dresden, Saxony, Germany

Site Status

Lübeck, Schleswig-Holstein, Germany

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Berlin, , Germany

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Ramat Gan, , Israel

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Bari, Apulia, Italy

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Genoa, Liguria, Italy

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Milan, Lombardy, Italy

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Pavia, Lombardy, Italy

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Turin, Piedmont, Italy

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Padua, Veneto, Italy

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Amsterdam, , Netherlands

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Amsterdam, , Netherlands

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Nijmegen, , Netherlands

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Rotterdam, , Netherlands

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Utrecht, , Netherlands

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Basel, Canton of Basel-City, Switzerland

Site Status

Sankt Gallen, Canton of St. Gallen, Switzerland

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Bern, , Switzerland

Site Status

Lucerne, , Switzerland

Site Status

Zurich, , Switzerland

Site Status

Countries

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United States Australia Austria Canada France Germany Israel Italy Netherlands Switzerland

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Other Identifiers

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2011-004539-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

14373

Identifier Type: -

Identifier Source: org_study_id