Safety and Efficacy of TeaRx Xa Factor Direct Inhibitor Versus Enoxaparin as a Venous Thromboembolic Events (VTE) Prevention Following Total Knee Replacement

NCT ID: NCT03088358

Last Updated: 2017-03-23

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2015-09-30

Brief Summary

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To evaluate influence of therapy on the following efficacy and safety parameters in different TeaRx dose groups and Enoxaparin group:

* Total venous thromboembolic events (VTE), which includes confirmed deep venous thrombosis (DVT), nonfatal pulmonary embolism (PE), and total mortality
* Incidence of DVT (total, proximal, distal)
* Incidence of nonfatal PE
* Incidence of symptomatic VTE (DVT, PE)
* VTE caused mortality
* Non-VTE caused mortality
* Incidence of all hemorrhagic complications
* Incidence of major and clinically relevant non-major bleeding
* Adverse events (AEs) and serious adverse events (SAEs) from subject complaints, physical examination, vital signs, laboratory results

Detailed Description

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Conditions

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Total Knee Replacement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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TeaRx 50 mg

TeaRx: 50 mg per day PO (active 25 mg + placebo 50 mg every 12 hours) during 12 days (±2 days)

Group Type EXPERIMENTAL

TeaRx

Intervention Type DRUG

TeaRx 100 mg

TeaRx: 100 mg per day PO (placebo 25 mg + active 50 mg every 12 hours) during 12 days (±2 days)

Group Type EXPERIMENTAL

TeaRx

Intervention Type DRUG

TeaRx 150 mg

TeaRx: 150 mg per day PO (active 25 mg + active 50 mg every 12 hours) during 12 days (±2 days)

Group Type EXPERIMENTAL

TeaRx

Intervention Type DRUG

Enoxaparin

Enoxaparin 40 mg subcutaneous per day (24 hours interval) during 12 days (±2 days)

Group Type ACTIVE_COMPARATOR

Enoxaparin

Intervention Type DRUG

Interventions

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TeaRx

Intervention Type DRUG

Enoxaparin

Intervention Type DRUG

Other Intervention Names

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TeaRxaban Clexane ®

Eligibility Criteria

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Inclusion Criteria

* Male or female, age ≥ 18 years;
* Planned total knee replacement surgery;
* Signed informed consent form;
* Willing to comply with the protocol;
* Willing to use adequate contraception during the trial.

Exclusion Criteria

* Surgery for acute fracture 4 weeks before screening; history of septic inflammation in the joint; prosthesis revision or one leg missing
* History of venous thrombosis of any location or PE
* History of heparin induced thrombocytopenia or other thrombocytopathy; hemorrhagic diathesis
* History of evident coagulopathy or in a relative
* Congenital thrombophilia
* Bleeding within 6 months of screening; increased risk of bleeding
* BMI less than 18,5 or more than 40 kg/m2
* Systolic BP \> 180 mmHg and/or diastolic BP \> 110 mmHg registered twice within 15-30 minutes
* Hb ≤ 10.5 g/dL in female or ≤ 11.5 g/dL in male
* Platelets \< 100 000/mm3
* Clinical significant abnormalities of APTT and/or INR
* GFR \< 30 ml/min/1.73 m2
* ALT or AST ≥ 2 x ULN or total bilirubin ≥1,5 x ULN
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TeaRx LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mikhail N. Zamyatin, Prof.

Role: STUDY_CHAIR

Federal State Institution "National Medical and Surgical Center n. a. N. I. Pirogov" of the Ministry of Health of the Russian Federation

Locations

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SHAI "Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan"

Kazan', , Russia

Site Status

Federal State Institution "National Medical and Surgical Center n. a. N. I. Pirogov" of the Ministry of Health of the Russian Federation

Moscow, , Russia

Site Status

SBEI HPE First Moscow State Medical University n.a. I.M. Sechenov Ministry of Health of the Russian Federation

Moscow, , Russia

Site Status

SHI of the city of Moscow City Clinical Hospital n.a. S.P. Botkin

Moscow, , Russia

Site Status

FSBI "Nizhny Novgorod Research Institute of Traumatology and Orthopedics" of the Ministry of Health of the Russian Federation

Nizhny Novgorod, , Russia

Site Status

SBHI "City Clinical Hospital № 4" of the city of Orenburg

Orenburg, , Russia

Site Status

St. Petersburg State Institution of Health "City Hospital № 2"

Saint Petersburg, , Russia

Site Status

SHI of the Yaroslavl Region Emergency care hospital n. a. N. V. Solovyov

Yaroslavl, , Russia

Site Status

Countries

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Russia

Other Identifiers

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CV-TRX-01

Identifier Type: -

Identifier Source: org_study_id

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