A Study to Evaluate the Safety and Efficacy of Intravenous JNJ-64179375 Versus Oral Apixaban in Participants Undergoing Elective Total Knee Replacement Surgery
NCT ID: NCT03251482
Last Updated: 2019-11-25
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2
308 participants
INTERVENTIONAL
2017-11-13
2018-11-05
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Part 1: Cohort 1 (0.3 mg/kg JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenously (IV) or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 0.3 mg/kg
JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenous (IV) infusion as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 1: Cohort 2 (0.6 mg/kg JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 0.6 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 0.6 mg/kg
JNJ-64179375 0.6 mg/kg IV infusion as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 1: Cohort 3 (1.2 mg/kg JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 1.2 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 1.2 mg/kg
JNJ-64179375 1.2 mg/kg IV infusion as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 4 (JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 Dose to be determined (TBD) based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 (Dose to be Determined)
JNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 5 (JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 (Dose to be Determined)
JNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 6 (JNJ-64179375/Apixaban)
Participants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
JNJ-64179375 (Dose to be Determined)
JNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Part 2: Group A: JNJ-64179375 A mg/kg and apixaban placebo
Participants will receive JNJ-64179375 Dose A mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
JNJ-64179375 A mg/kg
JNJ-64179375 Dose A mg/kg IV as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Part 2: Group B: JNJ-64179375 B mg/kg and apixaban placebo
Participants will receive JNJ-64179375 Dose B mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
JNJ-64179375 B mg/kg
JNJ-64179375 Dose B mg/kg IV as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Part 2: Group C: JNJ-64179375 C mg/kg and apixaban placebo
Participants will receive JNJ-64179375 Dose C mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
JNJ-64179375 C mg/kg
JNJ-64179375 Dose C mg/kg IV as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Part 2: Group D: JNJ-64179375 D mg/kg and apixaban placebo
Participants will receive JNJ-64179375 Dose D mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
JNJ-64179375 D mg/kg
JNJ-64179375 Dose D mg/kg IV as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Part 2: Group E: JNJ-64179375 placebo IV and apixaban 2.5 mg
Participants will receive JNJ-64179375 placebo (saline) IV as a single dose on Day 1 and apixaban 2.5 mg orally twice a day for 10 to 14 days.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Interventions
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JNJ-64179375 0.3 mg/kg
JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenous (IV) infusion as a single dose on Day 1.
JNJ-64179375 0.6 mg/kg
JNJ-64179375 0.6 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 1.2 mg/kg
JNJ-64179375 1.2 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 (Dose to be Determined)
JNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
JNJ-64179375 A mg/kg
JNJ-64179375 Dose A mg/kg IV as a single dose on Day 1.
JNJ-64179375 B mg/kg
JNJ-64179375 Dose B mg/kg IV as a single dose on Day 1.
JNJ-64179375 C mg/kg
JNJ-64179375 Dose C mg/kg IV as a single dose on Day 1.
JNJ-64179375 D mg/kg
JNJ-64179375 Dose D mg/kg IV as a single dose on Day 1.
Placebo JNJ-64179375
Matching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placebo
Matching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mg
Apixaban 2.5 mg administered orally twice a day for 10 to 14 days.
Eligibility Criteria
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Inclusion Criteria
* Medically appropriate for postoperative anticoagulant prophylaxis as determined by the investigator
* Has undergone an elective primary unilateral total knee replacement (TKR)
* Before randomization, a woman must not be of childbearing potential defined as postmenopausal (defined as no menses for 12 months without an alternative medical cause) and/ or permanently sterile (include hysterectomy, bilateral salpingectomy, bilateral tubal occlusion/ligation procedures, and bilateral oophorectomy)
* Contraceptive use by men should be consistent with local regulations regarding the use of contraceptive methods for participant participating in clinical studies
Exclusion Criteria
* Bilateral, revision or unicompartmental procedure
* Known or suspected hypersensitivity or intolerance to any biologic medication or known allergies or clinically significant reactions to murine, chimeric, or human proteins, monoclonal antibodies or antibody fragments, or any of the excipients of JNJ-64179375
* Unable to undergo venography
* Known previous deep vein thrombosis (DVT) in either lower extremity
50 Years
ALL
No
Sponsors
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Janssen Research & Development, LLC
INDUSTRY
Responsible Party
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Principal Investigators
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Janssen Research Development, LLC Clinical Trial
Role: STUDY_DIRECTOR
Janssen Research & Development, LLC
Locations
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Arizona Research Center
Phoenix, Arizona, United States
Harbor-UCLA Medical Center
Torrance, California, United States
Denver Metro Orthopedics, PC
Englewood, Colorado, United States
Florida Research Associates, LLC
DeLand, Florida, United States
Avanza research
Pensacola, Florida, United States
University Orthopedic and Joint Replacement Center
Tamarac, Florida, United States
Memorial Hermann Memorial City Medical Center
Houston, Texas, United States
Hospital Italiano de Buenos Aires
Caba, , Argentina
Clínica Adventista Belgrano
CABA, , Argentina
Hospital San Roque
Córdoba, , Argentina
Clínica Chutro
Córdoba, , Argentina
Hospital Italiano La Plata
La Plata, , Argentina
Sanatorio Britanico de Rosario
Rosario, , Argentina
Sanatorio San Miguel
San Miguel, , Argentina
ZNA Middelheim
Antwerp, , Belgium
Ziekenhuis Oost-Limburg
Genk, , Belgium
Jessa Ziekenhuis
Hasselt, , Belgium
ZNA Jan Palfijn
Merksem, , Belgium
Universidade Federal de Minas Gerais (UFMG) - Faculdade de Medicina
Belo Horizonte, , Brazil
Hospital Sao Francisco de Assis
Belo Horizonte, , Brazil
Unicamp - Hospital de Clinicas
Campinas, , Brazil
Uniort.e - Hospital de ortopedia
Londrina, , Brazil
Irmandade da Santa Casa de Misericórdia de Marília
Marília, , Brazil
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, , Brazil
Hospital e Maternidade Dr Christovão da Gama
Santo André, , Brazil
Hospital Estadual Mario covas
Santo André, , Brazil
Hospital Das Clinicas Da Faculdade De Medicina Da Universidade De Sao Paulo
São Paulo, , Brazil
Multiprofile Hospital for Active Treatment Russe
Rousse, , Bulgaria
Acibadem City Clinic Tokuda Hospital
Sofa, , Bulgaria
Military Medical Academy
Sofia, , Bulgaria
Lakeridge Health Ajax
Ajax, Ontario, Canada
Source Trial Solutions Inc.
Kitchener, Ontario, Canada
The Ottawa Hospital Research Institute
Ottawa, Ontario, Canada
Cliniche Humanitas Gavazzeni
Bergamo, , Italy
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, , Italy
Istituto Ortopedico Rizzoli
Bologna, , Italy
Azienda Ospedaliera Universitaria Careggi
Florence, , Italy
Istituto Clinico Humanitas
Rozzano, , Italy
IRCCS Policlinico San Donato
S. Donato Milanese, , Italy
A.O.U. Città della Salute e della Scienza
Torino, , Italy
Ospedale Mauriziano (Torino)
Torino, , Italy
Matsudo City General Hospital
Chiba, , Japan
Hakodate Goryokaku Hospital
Hakodate, , Japan
Ritsuzankai Iida Hospital
Iida-shi, , Japan
Itami City Hospital
Itami-shi, , Japan
Yonemori Hospital
Kagoshima, , Japan
Bange Kousei General Hospital
Kawanuma-Gun, , Japan
Osaka Saiseikai Nakatsu Hospital
Osaka, , Japan
Osaka Rosai Hospital
Osaka, , Japan
Tokushima Municipal Hospital
Tokushima, , Japan
Yuaikai Tomishiro Central Hospital
Tomishiro, , Japan
Regional Hospital of Liepaja
Liepāja, , Latvia
Riga 2nd Hospital
Riga, , Latvia
Hospital of Traumatology and Orthopedics
Riga, , Latvia
Vidzemes Hospital
Valmiera, , Latvia
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, , Lithuania
Klaipeda University Hospital
Klaipėda, , Lithuania
University Malaya Medical Center
Kuala Lumpur, , Malaysia
Hospital Tengku Ampuan Afzan
Kuantan, , Malaysia
Hospital Miri
Miri, , Malaysia
Hospital Sibu
Sibu, , Malaysia
Hospital Sultan Abdul Halim
Sungai Petani, , Malaysia
Klinika Ortopedii i Traumatologii UMB
Bialystok, , Poland
Oddzial Ortopedii i Traumatologii - Szpital Ogolny im. W.Ginela
Grajewo, , Poland
Klinika Ortopedii Gornoslaskie Centrum Medyczne
Katowice, , Poland
Oddzial Ortopedii i Traumatologii Szpital Specjalistyczny im. L.Rydygiera
Krakow, , Poland
SP ZOZ MSWiA w Krakowie Oddzial Urazowo-Ortopedyczny
Krakow, , Poland
CSK UM Klinika Ortopedii
Lodz, , Poland
Oddzial Urazowo-Ortopedyczny Wojewodzki Szpital Specjalistyczny
Lublin, , Poland
Klinika Ortopedii I Traumatologii,Szpital Kliniczny Ortopedyczno-Rehabilitacyjny UM
Poznan, , Poland
Oddzial Ortopedii Specjalistyczny Szpital im. E.Szczeklika
Tarnów, , Poland
Oddzial Chirurgii Urazowej iOrtopedycznej,Wojewodzki Szpital Brodnowski, SPZOZ
Warsaw, , Poland
Barnaul Federal Center of Traumatology, Orthopedics and Endoprothesis replacement
Barnaul, , Russia
Russian Ilizarov Scientific Center For Restorative Traumatology And Ortopaedics
Kurgan, , Russia
Moscow City Clinical Hospital #1 n.a. N.I.Pirogov
Moscow, , Russia
Privolzhsky Research Medical University of Ministry of Health of Russian Federation
Nizhny Novgorod, , Russia
St. Petersburg State Medical Institution City Multifunctional Hospital #2
Saint Petersburg, , Russia
Russian Research Institute of Traumatology and Orthopaedics n.a.R.R.Vreden
Saint Petersburg, , Russia
State Healthcare Institution Samara Regional Clinical Hospital named after V.D.Seredavin
Samara, , Russia
Clinical Emergency Hospital n.a. N.V. Solovyev
Yaroslavl, , Russia
Hosp. Univ. Germans Trias I Pujol
Badalona, , Spain
Hosp. Clinico San Carlos
Madrid, , Spain
Hosp. Univ. Fund. Jimenez Diaz
Madrid, , Spain
Hosp. Univ. 12 de Octubre
Madrid, , Spain
Hosp. Univ. La Paz
Madrid, , Spain
Corporacio Sanitari Parc Tauli
Sabadell, , Spain
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, , Spain
Hosp. Univ. I Politecni La Fe
Valencia, , Spain
Ankara Numune Research and Training Hospital
Ankara, , Turkey (Türkiye)
Dışkapı Yıldırım Beyazıd Training and Research Hospital
Ankara, , Turkey (Türkiye)
Yıldırım Beyazıt University Yenimahalle Training and Research Hospital
Ankara, , Turkey (Türkiye)
Yildirim Beyazit University Medical Faculty Ankara Atatürk Research and Training Hospital
Ankara, , Turkey (Türkiye)
Bakirkoy Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Umraniye Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Izmir Tepecik Training and Research Hospital
Izmir, , Turkey (Türkiye)
Municipal Institution Cherkasy Regional Hospital of Cherkasy Regional Council
Cherkasy, , Ukraine
Ivano-Frankivsk Regional Clinical Hospital
Ivano-Frankivsk, , Ukraine
Institute of Spine and JointPathology named after Prof.Sytenko of NationalAcademy of MedicalSciences
Kharkiv, , Ukraine
Municipal Institution of Health Care 'Kharkiv Regional Clinical Traumatology Hospital'
Kharkiv, , Ukraine
Kyiv Regional Clinical Hospital
Kyiv, , Ukraine
Communal Institution of Lviv Regional Council 'Lypa Lviv Regional Hospital'
Lviv-Vynnyky, , Ukraine
Vinnytsya Regional Clinical Hospital named after M.I.Pirogov
Vinnytsia, , Ukraine
Zaporizhzhia Regional Clinical Hospital
Zaporizhzhia, , Ukraine
Countries
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Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2016-004550-15
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
64179375THR2001
Identifier Type: OTHER
Identifier Source: secondary_id
CR108344
Identifier Type: -
Identifier Source: org_study_id
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