Rivaroxaban for the Treatment of Symptomatic Isolated Distal Deep Vein Thrombosis

NCT ID: NCT02722447

Last Updated: 2018-11-27

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

1100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2021-06-30

Brief Summary

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The treatment of isolated distal deep vein thrombosis remains one of the most debated issues in the field of venous thromboembolism and only very few studies have directly addressed the issue of treatment in objectively confirmed isolated distal deep vein thrombosis. Aim of this study is to assess the long-term risk of recurrent venous thrombotic events in patients with a first acute symptomatic isolated distal deep vein thrombosis of the leg treated with a standard (12 weeks) or with a shorter (6 weeks) duration of therapy with rivaroxaban.

Detailed Description

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Conditions

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Deep Vein Thrombosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rivaroxaban

Rivaroxaban 20 mg od for 6 weeks after an initial course of rivaroxaban for 6 weeks (15 mg bid for 3 weeks and 20 mg od for 3 weeks)

Group Type ACTIVE_COMPARATOR

rivaroxaban

Intervention Type DRUG

Rivaroxaban 20 mg for 6 weeks

Placebo

Placebo for 6 weeks after an initial course of rivaroxaban for 6 weeks (15 mg bid for 3 weeks followed by 20 mg od for 3 weeks)

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Placebo for 6 weeks

Interventions

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rivaroxaban

Rivaroxaban 20 mg for 6 weeks

Intervention Type DRUG

Placebo

Placebo for 6 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Objective diagnosis of isolate distal deep vein thrombosis within 72 hours from the evaluation for inclusion in the study and if any type of parenteral treatment was administered at therapeutic doses for 3 days or less (maximum accepted doses of low molecular weight heparin: 6 doses; of fondaparinux: 3 doses).

Exclusion Criteria

* Age \< 18 years
* Any absolute contraindication to anticoagulant treatment
* Pregnancy or breast-feeding
* Presence of active cancer
* Concomitant presence of proximal deep vein thrombosis or pulmonary embolism
* Any concomitant indication for long-term anticoagulant treatment
* Creatinine clearance ≤30 ml/min, according to Cockcroft-Gault equation
* Cirrhosis Child-Pugh score B or C
* Liver disease associated with coagulopathy and high risk of bleeding
* Any other contraindication to rivaroxaban as per local SmPC
* Failure to provide written informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Walter Ageno

OTHER

Sponsor Role lead

Responsible Party

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Walter Ageno

Associate Professor of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Ospedale di Faenza

Faenza, , Italy

Site Status RECRUITING

Ospedale di Padova

Padua, , Italy

Site Status RECRUITING

Ospedale di Pieve di Soligo

Pieve di Soligo, , Italy

Site Status RECRUITING

Ospedale di Reggio Emilia

Reggio Emilia, , Italy

Site Status RECRUITING

University of Siena

Siena, , Italy

Site Status RECRUITING

Ospedale di Circolo

Varese, , Italy

Site Status RECRUITING

University Of Insubria

Varese, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Lorenza Bertù, PhD

Role: CONTACT

0039 0332 278831

Facility Contacts

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Eugenio Bucherini

Role: primary

Giuseppe Camporese, MD

Role: primary

Giuseppe Zanatta

Role: primary

Angelo Ghirarduzzi

Role: primary

Roberto Cappelli, PhD

Role: primary

Giovanna Colombo

Role: primary

Walter Ageno, MD

Role: primary

+39-0332-278594

References

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Ageno W, Bertu L, Bucherini E, Camporese G, Dentali F, Iotti M, Lessiani G, Parisi R, Prandoni P, Sartori M, Visona A, Bigagli E, Palareti G; RIDTS study group. Rivaroxaban treatment for six weeks versus three months in patients with symptomatic isolated distal deep vein thrombosis: randomised controlled trial. BMJ. 2022 Nov 23;379:e072623. doi: 10.1136/bmj-2022-072623.

Reference Type DERIVED
PMID: 36520715 (View on PubMed)

Other Identifiers

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2016-000958-36

Identifier Type: -

Identifier Source: org_study_id

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