Rivaroxaban in the Treatment of Venous Thromboembolism (VTE) in Cancer Patients

NCT ID: NCT02583191

Last Updated: 2021-05-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-23

Study Completion Date

2019-08-19

Brief Summary

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The purpose of this study is to show feasibility (efficacy and safety) of Rivaroxaban in the treatment of VTE in cancer patients in comparison to the standard treatment with low molecular weight heparin (LMWH).

Tumor patients with active cancer and newly diagnosed thromboembolic events are randomised to receive either Rivaroxaban or the standard treatment with low-molecular heparin.

Detailed Description

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Conditions

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Venous Thromboembolism Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rivaroxaban

Arm A: Rivaroxaban

Group Type EXPERIMENTAL

Rivaroxaban

Intervention Type DRUG

Rivaroxaban 15 mg twice daily for 21 days, followed by 20 mg once daily over a period of 3 months

low-molecular heparine

Arm B: standard treatment with low-molecular heparine

Group Type ACTIVE_COMPARATOR

low-molecular heparine

Intervention Type DRUG

LMWH in therapeutic dosage (1-2× daily s.c.) according to standards of the individual study center, using licensed dosages, e.g.

* Enoxaparin 1 mg/kg BW twice daily
* Tinzaparin 175 I.E./kg BW once daily
* Dalteparin 200 I.E./kg BW once daily

Interventions

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Rivaroxaban

Rivaroxaban 15 mg twice daily for 21 days, followed by 20 mg once daily over a period of 3 months

Intervention Type DRUG

low-molecular heparine

LMWH in therapeutic dosage (1-2× daily s.c.) according to standards of the individual study center, using licensed dosages, e.g.

* Enoxaparin 1 mg/kg BW twice daily
* Tinzaparin 175 I.E./kg BW once daily
* Dalteparin 200 I.E./kg BW once daily

Intervention Type DRUG

Other Intervention Names

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Xarelto

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed and objectively confirmed acute venous thromboembolism
* Active malignancy
* Life expectancy of at least 6 months
* Performance-Status according to Karnofsky Performance Scale ≥ 70 %
* Patient's compliance and geographical situation allowing an adequate follow up
* platelets ≥ 100.000 /μl, INR \< 1.5, PTT \< 40 sec.
* written informed consent of the patient prior to any procedure in connection with the study
* male and female patients with an age of at least 18 years

Exclusion Criteria

* therapeutic anticoagulation \> 96 hours prior to study treatment
* known allergic reactions against the study drugs or the substances included therein
* known conditions associated with high risk of bleeding, known history of hemorrhagic diathesis
* acute clinically relevant bleeding in the last 2 weeks
* any history of spontaneous major/cerebral bleeding
* history of heparin induced thrombocytopenia II
* pregnant or breast-feeding women. Women of child-bearing potential must have a negative pregnancy test performed \< 7 days prior to start of the treatment
* severe renal insufficiency (GFR \< 30 ml/min)
* liver disease with coagulation impairment, including Child B and C
* cirrhosis
* acute medical illness
* treatment of the underlying cancer with experimental therapies
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role collaborator

AIO-Studien-gGmbH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Uniklinik

Aachen, , Germany

Site Status

Countries

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Germany

References

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Riaz IB, Fuentes HE, Naqvi SAA, He H, Sipra QR, Tafur AJ, Padranos L, Wysokinski WE, Marshall AL, Vandvik PO, Montori V, Bryce AH, Liu H, Badgett RG, Murad MH, McBane RD 2nd. Direct Oral Anticoagulants Compared With Dalteparin for Treatment of Cancer-Associated Thrombosis: A Living, Interactive Systematic Review and Network Meta-analysis. Mayo Clin Proc. 2022 Feb;97(2):308-324. doi: 10.1016/j.mayocp.2020.10.041. Epub 2021 Jun 22.

Reference Type DERIVED
PMID: 34172290 (View on PubMed)

Other Identifiers

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CONKO-011 AIO-SUP-0115/ass.

Identifier Type: -

Identifier Source: org_study_id

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