Trial Outcomes & Findings for A Study Exploring Two Treatment Strategies in Patients With Atrial Fibrillation Who Undergo Catheter Ablation Therapy (NCT NCT01729871)

NCT ID: NCT01729871

Last Updated: 2017-03-06

Results Overview

Post-procedure major bleeding events include Thrombolysis in Myocardial Infarction (TIMI), International Society on Thrombosis and Haemostasis (ISTH) and Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) Severe/life threatening bleeding.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

253 participants

Primary outcome timeframe

Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Results posted on

2017-03-06

Participant Flow

Participants were randomized at 37 sites in 5 countries.

248 participants were randomized correctly to study, with an equal number of participants randomized to both treatment arms. The intention to treat (ITT) analysis set includes all participants who were correctly randomized into study. There are 5 screen failures who were not included in ITT analysis set because they were incorrectly randomized.

Participant milestones

Participant milestones
Measure
Rivaroxaban
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Overall Study
STARTED
124
124
Overall Study
COMPLETED
112
101
Overall Study
NOT COMPLETED
12
23

Reasons for withdrawal

Reasons for withdrawal
Measure
Rivaroxaban
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Overall Study
Adverse Event
7
7
Overall Study
Death
0
1
Overall Study
Lack of Efficacy
0
1
Overall Study
Physician Decision
0
2
Overall Study
Protocol Violation
1
0
Overall Study
Withdrawal by Subject
0
3
Overall Study
Other
4
9

Baseline Characteristics

A Study Exploring Two Treatment Strategies in Patients With Atrial Fibrillation Who Undergo Catheter Ablation Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rivaroxaban
n=124 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=124 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Total
n=248 Participants
Total of all reporting groups
Age, Continuous
58.6 years
STANDARD_DEVIATION 9.86 • n=5 Participants
60.5 years
STANDARD_DEVIATION 10.51 • n=7 Participants
59.5 years
STANDARD_DEVIATION 10.21 • n=5 Participants
Sex: Female, Male
Female
38 Participants
n=5 Participants
34 Participants
n=7 Participants
72 Participants
n=5 Participants
Sex: Female, Male
Male
86 Participants
n=5 Participants
90 Participants
n=7 Participants
176 Participants
n=5 Participants
Region of Enrollment
Belgium
24 participants
n=5 Participants
24 participants
n=7 Participants
48 participants
n=5 Participants
Region of Enrollment
France
19 participants
n=5 Participants
19 participants
n=7 Participants
38 participants
n=5 Participants
Region of Enrollment
Germany
18 participants
n=5 Participants
19 participants
n=7 Participants
37 participants
n=5 Participants
Region of Enrollment
Great Britain
24 participants
n=5 Participants
24 participants
n=7 Participants
48 participants
n=5 Participants
Region of Enrollment
United States of America
39 participants
n=5 Participants
38 participants
n=7 Participants
77 participants
n=5 Participants
Race
ASIAN
5 participants
n=5 Participants
2 participants
n=7 Participants
7 participants
n=5 Participants
Race
BLACK
3 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants
Race
N/A
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Race
WHITE
112 participants
n=5 Participants
116 participants
n=7 Participants
228 participants
n=5 Participants
Ethnicity
HISPANIC/LATINO
0 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
Ethnicity
N/A
34 participants
n=5 Participants
26 participants
n=7 Participants
60 participants
n=5 Participants
Ethnicity
NOT HISPANIC/LATINO
90 participants
n=5 Participants
94 participants
n=7 Participants
184 participants
n=5 Participants
Body-Mass Index
29.8 kg/m^2
STANDARD_DEVIATION 5.74 • n=5 Participants
28.9 kg/m^2
STANDARD_DEVIATION 5.49 • n=7 Participants
29.4 kg/m^2
STANDARD_DEVIATION 5.62 • n=5 Participants
Diastolic Blood Pressure
81 mmHg
STANDARD_DEVIATION 9.85 • n=5 Participants
79.4 mmHg
STANDARD_DEVIATION 10.78 • n=7 Participants
80.2 mmHg
STANDARD_DEVIATION 10.34 • n=5 Participants
Systolic Blood Pressure
133.3 mmHg
STANDARD_DEVIATION 15.6 • n=5 Participants
131.2 mmHg
STANDARD_DEVIATION 17.68 • n=7 Participants
132.2 mmHg
STANDARD_DEVIATION 16.67 • n=5 Participants

PRIMARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

Post-procedure major bleeding events include Thrombolysis in Myocardial Infarction (TIMI), International Society on Thrombosis and Haemostasis (ISTH) and Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) Severe/life threatening bleeding.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Incidence of Post-Procedure Major Bleeding Events
TIMI Major Bleeding
0 Participants
0 Participants
Number of Participants With Incidence of Post-Procedure Major Bleeding Events
ISTH Major Bleeding
0 Participants
1 Participants
Number of Participants With Incidence of Post-Procedure Major Bleeding Events
GUSTO Severe/Life Threatening Bleeding
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

The composite endpoint include Myocardial Infarction (MI), Ischemic Stroke, Non-Central Nervous System (non-CNS) Systemic Embolism and Vascular Death.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Composite Endpoint of Myocardial Infarction (MI), Ischemic Stroke, Non-Central Nervous System (Non-CNS) Systemic Embolism and Vascular Death
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

The MI was defined as clinical symptoms consistent with myocardial ischemia and cardiac biomarker elevation greater than the site's upper limit of normal (ULN) or development of new pathological Q waves in at least 2 contiguous leads on the electrocardiogram (ECG) or autopsy confirmation, OR Creatine kinase-muscle and brain subunit \[or creatine kinase (CK) in the absence of CK-MB\] greater than (\>) 3 or 5 or 10 x ULN for samples obtained within 24 hours of the procedure if the baseline values were normal or at least a 50 percent (%) increase over elevated baseline values that were stable or decreasing or development of new pathological Q waves in at least 2 contiguous leads on the electrocardiogram. Symptoms of cardiac ischemia were not required.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Myocardial Infarction (MI)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

Stroke was defined as a new, sudden, focal neurological deficit resulting from a presumed cerebrovascular cause that was not reversible within 24 hours and not due to a readily identifiable cause such as a tumor or seizure.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Ischemic Stroke
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

The Non-CNS systemic embolism was defined as abrupt vascular insufficiency associated with clinical or radiological evidence of arterial occlusion in the absence of other likely mechanisms, (example; trauma, atherosclerosis, instrumentation).

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Non-Central Nervous System (Non-CNS) Systemic Embolism
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 30 plus or minus (+-) 5 days after the catheter ablation procedure

Population: Per-protocol analysis set included all randomized participants who took at least 1 dose of study drug and had undergone the catheter ablation procedure.

Any death that was not clearly non-vascular. Examples of vascular death included deaths due to bleeding, Myocardial Infarction (MI), stroke, heart failure and arrhythmias.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=114 Participants
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=107 Participants
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Number of Participants With Vascular Death
0 Participants
1 Participants

Adverse Events

Rivaroxaban

Serious events: 17 serious events
Other events: 26 other events
Deaths: 0 deaths

Vitamin K Antagonist

Serious events: 20 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rivaroxaban
n=123 participants at risk
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=121 participants at risk
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
General disorders
Asthenia
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Blood and lymphatic system disorders
Anaemia
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Acute myocardial infarction
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Atrial fibrillation
2.4%
3/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
4.1%
5/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Atrial flutter
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Atrial tachycardia
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Bradycardia
1.6%
2/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Cardiac failure
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Pericarditis
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Sinus arrest
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Tachyarrhythmia
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Cardiac disorders
Ventricular tachycardia
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
General disorders
Chest pain
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
General disorders
Death
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
General disorders
Puncture site haemorrhage
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
General disorders
Pyrexia
1.6%
2/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Hepatobiliary disorders
Bile duct stenosis
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Infections and infestations
Cellulitis
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Infections and infestations
Pharyngitis
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Infections and infestations
Respiratory tract infection
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Contusion
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Excoriation
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Tendon rupture
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
1.6%
2/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
1.7%
2/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Investigations
International normalised ratio increased
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Metabolism and nutrition disorders
Fluid overload
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Nervous system disorders
Atonic seizures
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Nervous system disorders
Ischaemic stroke
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Nervous system disorders
Loss of consciousness
0.81%
1/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.00%
0/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Nervous system disorders
Migraine
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Reproductive system and breast disorders
Pelvic pain
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Vascular disorders
Arteriovenous fistula
0.00%
0/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
0.83%
1/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.

Other adverse events

Other adverse events
Measure
Rivaroxaban
n=123 participants at risk
Participants were received Rivaroxaban 20 milligram (mg) orally once-daily administered preferably with the evening meal for 8-10 weeks.
Vitamin K Antagonist
n=121 participants at risk
Participants were received dose-adjusted vitamin K antagonist (VKA) to achieve a recommended International Normalized Ratio (INR) of 2.0 to 3.0 for 8-10 weeks.
Cardiac disorders
Atrial fibrillation
8.1%
10/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
8.3%
10/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
General disorders
Fatigue
6.5%
8/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
1.7%
2/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
Vascular disorders
Haematoma
7.3%
9/123 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.
7.4%
9/121 • Screening up to Week 8-10
The overall treatment-emergent adverse event (TEAEs), serious adverse events, and adverse events leading to discontinuation are based on 244 participants who were randomized and received at least 1 dose of study drug.

Additional Information

Senior Director Clinical Development

Janssen Scientific Affairs, LLC

Results disclosure agreements

  • Principal investigator is a sponsor employee A copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER