Trial Outcomes & Findings for A Trial to Evaluate Safety and Efficacy of Rivaroxaban (COVID-19) (NCT NCT04504032)

NCT ID: NCT04504032

Last Updated: 2021-10-22

Results Overview

An AE is any untoward medical occurrence that occurs in a participant. An AE can be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with treatment, whether considered related to the product. AEs may include the onset of a new illness or undesirable medical condition or the exacerbation of pre-existing medical conditions. AE severity was graded as Grade 3 (Severe) and Grade 4 (Potentially Life-threatening) per the specific toxicity grading by the Division of Acquired Immunodeficiency Syndrome (DAIDS) AE Grading Table.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

497 participants

Primary outcome timeframe

Up to Day 35

Results posted on

2021-10-22

Participant Flow

A total of 538 participants were screened of which only 497 were randomized to treatment.

Participant milestones

Participant milestones
Measure
Rivaroxaban
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Overall Study
STARTED
246
251
Overall Study
COMPLETED
210
223
Overall Study
NOT COMPLETED
36
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Rivaroxaban
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Overall Study
Adverse Event
1
2
Overall Study
Lost to Follow-up
6
9
Overall Study
Protocol Violation
2
0
Overall Study
Study terminated by sponsor
1
2
Overall Study
Withdrawal by Subject
9
11
Overall Study
Disease progression prior to dosing
15
3
Overall Study
Drug supply issues
1
1
Overall Study
Progressed to moderate/severe COVID-19
1
0

Baseline Characteristics

A Trial to Evaluate Safety and Efficacy of Rivaroxaban (COVID-19)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rivaroxaban
n=246 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=251 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Total
n=497 Participants
Total of all reporting groups
Age, Continuous
49.8 years
STANDARD_DEVIATION 12.28 • n=113 Participants
48.6 years
STANDARD_DEVIATION 12.14 • n=163 Participants
49.2 years
STANDARD_DEVIATION 12.21 • n=160 Participants
Sex: Female, Male
Female
140 Participants
n=113 Participants
159 Participants
n=163 Participants
299 Participants
n=160 Participants
Sex: Female, Male
Male
106 Participants
n=113 Participants
92 Participants
n=163 Participants
198 Participants
n=160 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
49 Participants
n=113 Participants
46 Participants
n=163 Participants
95 Participants
n=160 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
197 Participants
n=113 Participants
201 Participants
n=163 Participants
398 Participants
n=160 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=113 Participants
4 Participants
n=163 Participants
4 Participants
n=160 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants
n=113 Participants
2 Participants
n=163 Participants
4 Participants
n=160 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=113 Participants
1 Participants
n=163 Participants
1 Participants
n=160 Participants
Race/Ethnicity, Customized
Black or African American
17 Participants
n=113 Participants
19 Participants
n=163 Participants
36 Participants
n=160 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=113 Participants
0 Participants
n=163 Participants
0 Participants
n=160 Participants
Race/Ethnicity, Customized
White
219 Participants
n=113 Participants
222 Participants
n=163 Participants
441 Participants
n=160 Participants
Race/Ethnicity, Customized
Mixed race
0 Participants
n=113 Participants
0 Participants
n=163 Participants
0 Participants
n=160 Participants
Race/Ethnicity, Customized
Other
7 Participants
n=113 Participants
7 Participants
n=163 Participants
14 Participants
n=160 Participants
Race/Ethnicity, Customized
Unknown
1 Participants
n=113 Participants
0 Participants
n=163 Participants
1 Participants
n=160 Participants

PRIMARY outcome

Timeframe: Up to Day 35

Population: Safety Population: all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.

An AE is any untoward medical occurrence that occurs in a participant. An AE can be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with treatment, whether considered related to the product. AEs may include the onset of a new illness or undesirable medical condition or the exacerbation of pre-existing medical conditions. AE severity was graded as Grade 3 (Severe) and Grade 4 (Potentially Life-threatening) per the specific toxicity grading by the Division of Acquired Immunodeficiency Syndrome (DAIDS) AE Grading Table.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=219 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=230 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With Grade 3 and Grade 4 Adverse Events (AEs) Through Day 35
6 Participants
13 Participants

PRIMARY outcome

Timeframe: Up to Day 35

Population: Safety Population

An AE is any untoward medical occurrence that occurs in a participant. An AE can be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with treatment, whether considered related to the product. AEs may include the onset of new illness or undesirable medical condition or the exacerbation of pre-existing medical conditions.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=219 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=230 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With AEs Resulting in Study Intervention Discontinuation Through Day 35
4 Participants
5 Participants

PRIMARY outcome

Timeframe: Up to Day 35

Population: Safety Population

A serious AE is any untoward medical occurrence or effect, that, at any dose: results in death; is life-threatening; requires hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is an important medical event that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require intervention to prevent one of the other outcomes.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=219 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=230 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With Serious Adverse Events Through Day 35
2 Participants
7 Participants

PRIMARY outcome

Timeframe: Up to Day 28

Population: Intent-to-Treat (ITT) Population: All participants assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention to which they were randomized.

Participants who progressed to a moderate or severe disease category or higher (Bill \& Melinda Gates Medical Research Institute \[Gates MRI\] ordinal scale ≥3) are reported. Gates MRI scale scores are assessed on a 7-point scale: 1=Asymptomatic/symptoms similar to pre-COVID-19 status; 2=Mild; 3=Moderate or severe; 4=Critically ill; 5=Critically ill with invasive mechanical ventilation or extrapulmonary complication; 6=Critically ill with Extra-Corporeal Membrane Oxygenation (ECMO); 7=Death.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants Who Progressed to Moderate or Severe Disease or Higher Based on the Gates MRI Ordinal Scale Through Day 28
46 Participants
44 Participants

SECONDARY outcome

Timeframe: Up to Day 28

Population: ITT Population. Only those participants with available data were analyzed.

Time to disease resolution is defined as the time from the first dose to the date of symptoms resolution (new-onset Coronavirus Disease 2019 \[COVID-19\] symptoms resolved, and pre-existing symptoms returned to Baseline) through Day 28. Baseline refers to health status prior to contracting new-onset COVID-19 symptoms. The 95% confidence interval (CI) for median and quartiles of time to disease resolution were calculated using the Kaplan Meier estimates.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=132 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=122 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Median Time to Disease Resolution Based on Symptoms Resolution Through Day 28
21.0 Days
Interval 19.0 to 23.0
23.0 Days
Interval 20.0 to 27.0

SECONDARY outcome

Timeframe: Up to Day 28

Population: ITT Population. Only those participants with available data were analyzed.

Time to disease resolution is defined as the time from the first dose to the date of both viral clearance (two consecutive negative diagnostic tests) and symptoms resolution (new-onset COVID-19 symptoms resolved, and pre-existing symptoms returned to Baseline) through Day 28. Baseline refers to health status prior to contracting new-onset COVID-19 symptoms. The 95% CI for median and quartiles of time to disease resolution were calculated using the Kaplan Meier estimates.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=125 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=115 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Median Time to Disease Resolution Based on Viral Clearance and Symptoms Resolution Through Day 28
23.0 Days
Interval 21.0 to 26.0
26.0 Days
Interval 22.0 to 28.0

SECONDARY outcome

Timeframe: Days 8, 14, and 21

Population: ITT Population

Participants who progressed to a moderate or severe disease category or higher (Gates MRI ordinal scale ≥3) are reported. Gates MRI ordinal scale scores are assessed on a 7-point scale: 1=Asymptomatic/symptoms similar to pre-COVID-19 status; 2=Mild; 3=Moderate or severe; 4=Critically ill; 5=Critically ill with invasive mechanical ventilation or extrapulmonary complication; 6=Critically ill with ECMO; 7=Death.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants Who Progressed to Moderate or Severe Disease or Higher Based on the Gates MRI Ordinal Scale at Day 8, 14, and 21
Day 8
38 Participants
36 Participants
Number of Participants Who Progressed to Moderate or Severe Disease or Higher Based on the Gates MRI Ordinal Scale at Day 8, 14, and 21
Day 14
44 Participants
40 Participants
Number of Participants Who Progressed to Moderate or Severe Disease or Higher Based on the Gates MRI Ordinal Scale at Day 8, 14, and 21
Day 21
45 Participants
42 Participants

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population

Symptoms resolution is defined as new-onset COVID-19 symptoms resolved, and pre-existing symptoms returned to Baseline. Baseline refers to health status prior to contracting new-onset COVID-19 symptoms.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants Who Achieved Disease Resolution Based on Symptoms Resolution at Days 8, 14, 21, and 28
Day 8
26 Participants
30 Participants
Number of Participants Who Achieved Disease Resolution Based on Symptoms Resolution at Days 8, 14, 21, and 28
Day 14
64 Participants
59 Participants
Number of Participants Who Achieved Disease Resolution Based on Symptoms Resolution at Days 8, 14, 21, and 28
Day 21
100 Participants
93 Participants
Number of Participants Who Achieved Disease Resolution Based on Symptoms Resolution at Days 8, 14, 21, and 28
Day 28
132 Participants
122 Participants

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population

Viral clearance is defined as two consecutive negative diagnostic tests. Symptoms resolution is defined as new-onset COVID-19 symptoms resolved, and pre-existing symptoms returned to Baseline. Baseline refers to health status prior to contracting new-onset COVID-19 symptoms.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants Who Achieved Disease Resolution Based on Viral Clearance and Symptoms Resolution at Days 8, 14, 21, and 28
Day 14
49 Participants
44 Participants
Number of Participants Who Achieved Disease Resolution Based on Viral Clearance and Symptoms Resolution at Days 8, 14, 21, and 28
Day 21
86 Participants
83 Participants
Number of Participants Who Achieved Disease Resolution Based on Viral Clearance and Symptoms Resolution at Days 8, 14, 21, and 28
Day 28
125 Participants
115 Participants
Number of Participants Who Achieved Disease Resolution Based on Viral Clearance and Symptoms Resolution at Days 8, 14, 21, and 28
Day 8
12 Participants
20 Participants

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population. Only those participants with available data were analyzed.

Participants who progressed to a moderate or severe disease category or higher (Gates MRI ordinal scale ≥3) are reported. Gates MRI ordinal scale scores are assessed on a 7-point scale: 1=Asymptomatic/symptoms similar to pre-COVID-19 status; 2=Mild; 3=Moderate or severe; 4=Critically ill; 5=Critically ill with invasive mechanical ventilation or extrapulmonary complication; 6=Critically ill with ECMO; 7=Death.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 1
33 Participants
31 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 2
152 Participants
159 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 3
3 Participants
8 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 1
69 Participants
55 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 2
114 Participants
132 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 3
3 Participants
7 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 1
98 Participants
79 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 2
87 Participants
109 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 3
1 Participants
5 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 1
125 Participants
108 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 2
57 Participants
81 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 3
1 Participants
4 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated Gates Medical Research Institute (MRI) Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 7
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population. Only those participants with available data were analyzed.

The WHO ordinal scale score is used to analyze the overall burden of disease and disease severity using an 11-point scale ranging from 0 to 10: 0=Uninfected; No viral ribonucleic acid (RNA) detected; 1=Asymptomatic; viral RNA detected; 2=Symptomatic; independent; 3=Symptomatic; assistance needed; 4=Hospitalized; no oxygen therapy (for isolation only); 5=Hospitalized; oxygen by mask or nasal prongs; 6=Hospitalized; oxygen by non-invasive ventilation (NIV) or high flow; 7=Intubation and mechanical ventilation, partial pressure of oxygen (pO2)/fraction of inspired oxygen (FiO2) ≥150 or oxygen saturation (SpO2)/FiO2 ≥200; 8=Mechanical ventilation pO2/FiO2 \<150 (SpO2/FiO2 \<200) or Vasopressors; 9=Mechanical ventilation pO2/FiO2 \<150 and vasopressors, dialysis, or ECMO; 10=Dead.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 9
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 10
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 0
19 Participants
19 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 1
14 Participants
12 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 2
154 Participants
166 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 3
0 Participants
1 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 4
1 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 8
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 9
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 8 · Score 10
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 0
56 Participants
40 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 1
15 Participants
16 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 2
115 Participants
137 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 3
0 Participants
1 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 8
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 9
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 14 · Score 10
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 0
87 Participants
72 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 1
12 Participants
8 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 2
87 Participants
112 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 3
0 Participants
1 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 21 · Score 8
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 0
117 Participants
106 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 1
9 Participants
4 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 2
57 Participants
82 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 3
0 Participants
1 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 4
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 5
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 6
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 7
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 8
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 9
0 Participants
0 Participants
Number of Participants With the Indicated World Health Organization (WHO) Ordinal Scale Clinical Status at Days 8, 14, 21, and 28
Day 28 · Score 10
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population

Participants who had clinical worsening and who had at least one hospitalization during the study were analyzed.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Number of Participants With Hospitalization Through Days 8, 14, 21, and 28
Up to Day 8
3 Participants
6 Participants
Number of Participants With Hospitalization Through Days 8, 14, 21, and 28
Up to Day 14
3 Participants
7 Participants
Number of Participants With Hospitalization Through Days 8, 14, 21, and 28
Up to Day 21
3 Participants
7 Participants
Number of Participants With Hospitalization Through Days 8, 14, 21, and 28
Up to Day 28
3 Participants
7 Participants

SECONDARY outcome

Timeframe: Up to Day 35

Population: ITT Population

Participants who had clinical worsening and who had at least one hospitalization during the study were analyzed. Hospitalized participants without an end date of hospitalization were not included.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Median Number of Days of Hospitalization Through Day 35
5.0 Days
Interval 4.0 to 5.0
4.0 Days
Interval 2.0 to 30.0

SECONDARY outcome

Timeframe: Days 8, 14, 21, and 28

Population: ITT Population

Gates MRI ordinal scale scores are assessed on a 7-point scale: 1=Asymptomatic/symptoms similar to pre-COVID-19 status; 2=Mild; 3=Moderate or severe; 4=Critically ill; 5=Critically ill with invasive mechanical ventilation or extrapulmonary complication; 6=Critically ill with ECMO; 7=Death. BS= Baseline; PBS= Post-Baseline; NA= Data not available.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score NA
12 Participants
3 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 1
2 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 1
123 Participants
106 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 2
57 Participants
81 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 3
1 Participants
4 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score NA
12 Participants
9 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 1
0 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score NA
12 Participants
3 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 1
2 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 1
31 Participants
30 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 2
152 Participants
158 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 3
3 Participants
8 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score NA
7 Participants
4 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score NA
12 Participants
3 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 1
2 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 1
67 Participants
54 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 2
114 Participants
131 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 3
3 Participants
7 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score NA
9 Participants
8 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 2
0 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score NA
12 Participants
3 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 1
2 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score NA
0 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 1
96 Participants
78 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 2
87 Participants
109 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 3
1 Participants
5 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score >=4
0 Participants
0 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score NA
9 Participants
8 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 1
0 Participants
1 Participants
Shift in Gates Medical Research Institute Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 2
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline; Days 8, 14, 21, and 28

Population: ITT Population

The WHO ordinal scale score is used to analyze the overall burden of disease and disease severity using an 11-point scale ranging from 0 to 10: 0=Uninfected; No viral ribonucleic acid (RNA) detected; 1=Asymptomatic; viral RNA detected; 2=Symptomatic; independent; 3=Symptomatic; assistance needed; 4=Hospitalized; no oxygen therapy (for isolation only); 5=Hospitalized; oxygen by mask or nasal prongs; 6=Hospitalized; oxygen by non-invasive ventilation (NIV) or high flow; 7=Intubation and mechanical ventilation, partial pressure of oxygen (pO2)/fraction of inspired oxygen (FiO2) ≥150 or oxygen saturation (SpO2)/FiO2 ≥200; 8=Mechanical ventilation pO2/FiO2 \<150 (SpO2/FiO2 \<200) or Vasopressors; 9=Mechanical ventilation pO2/FiO2 \<150 and vasopressors, dialysis, or ECMO; 10=Dead. BS= Baseline; PBS= Post-Baseline; NA= Data not available.

Outcome measures

Outcome measures
Measure
Rivaroxaban
n=222 Participants
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=222 Participants
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 0
2 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 0 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 0
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 0
17 Participants
18 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 1
14 Participants
12 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 2
154 Participants
166 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 3
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 4
1 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 2 to PBS score NA
18 Participants
7 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score 3 to PBS score NA
1 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 8: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 0
2 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 0 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score NA
1 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 0
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 0
54 Participants
39 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 1
15 Participants
16 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 2
115 Participants
137 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 3
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 2 to PBS score NA
20 Participants
11 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score 3 to PBS score NA
1 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 14: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 0
2 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 0 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 1 to PBS score NA
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 0
85 Participants
72 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 1
12 Participants
8 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 2
87 Participants
112 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 3
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 2 to PBS score NA
20 Participants
11 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score 3 to PBS score NA
1 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 21: shift from BS score NA to PBS score NA
15 Participants
17 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 0
2 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 0 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 0
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 1 to PBS score NA
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 0
115 Participants
105 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 1
9 Participants
4 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 2
57 Participants
82 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 3
0 Participants
1 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 2 to PBS score NA
23 Participants
12 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score 3 to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 0
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 1
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 2
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 3
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 4
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score 5
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score >=6
0 Participants
0 Participants
Shift in World Health Organization Ordinal Scale Score at Days 8, 14, 21, and 28
Day 28: shift from BS score NA to PBS score NA
15 Participants
17 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline; Days 8, 14, 21, and 28

Gates MRI ordinal scale scores are assessed on a 7-point scale: 1=Asymptomatic/symptoms similar to pre- COVID-19 status; 2=Mild; 3=Moderate or severe; 4=Critically ill; 5=Critically ill with invasive mechanical ventilation or extrapulmonary complication; 6=Critically ill with ECMO; 7=Death. Instead of change from baseline, shift in scores from baseline was measured and have been presented in outcome measure 14.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline; Days 8, 14, 21, and 28

The WHO ordinal scale score is used to analyze the overall burden of disease and disease severity using an 11-point scale ranging from 0 to 10: 0=Uninfected; No viral ribonucleic acid (RNA) detected; 1=Asymptomatic; viral RNA detected; 2=Symptomatic; independent; 3=Symptomatic; assistance needed; 4=Hospitalized; no oxygen therapy (for isolation only); 5=Hospitalized; oxygen by mask or nasal prongs; 6=Hospitalized; oxygen by non-invasive ventilation (NIV) or high flow; 7=Intubation and mechanical ventilation, partial pressure of oxygen (pO2)/fraction of inspired oxygen (FiO2) ≥150 or oxygen saturation (SpO2)/FiO2 ≥200; 8=Mechanical ventilation pO2/FiO2 \<150 (SpO2/FiO2 \<200) or Vasopressors; 9=Mechanical ventilation pO2/FiO2 \<150 and vasopressors, dialysis, or ECMO; 10=Dead. Instead of change from baseline, shift in scores from baseline was measured and have been presented in outcome measure 16.

Outcome measures

Outcome data not reported

Adverse Events

Rivaroxaban

Serious events: 2 serious events
Other events: 12 other events
Deaths: 0 deaths

Placebo

Serious events: 7 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rivaroxaban
n=219 participants at risk
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=230 participants at risk
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Gastrointestinal disorders
Pancreatitis
0.00%
0/219 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.43%
1/230 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Infections and infestations
COVID-19 pneumonia
0.91%
2/219 • Number of events 2 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
1.7%
4/230 • Number of events 4 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute kidney injury
0.00%
0/219 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.43%
1/230 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Vascular disorders
Deep vein thrombosis
0.00%
0/219 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.43%
1/230 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Vascular disorders
Malignant hypertension
0.00%
0/219 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.43%
1/230 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.

Other adverse events

Other adverse events
Measure
Rivaroxaban
n=219 participants at risk
Participants self-administered rivaroxaban 10 milligrams (mg) (1 tablet) orally once daily for 21 days.
Placebo
n=230 participants at risk
Participants self-administered rivaroxaban matching placebo orally once daily for 21 days.
Infections and infestations
Urinary Tract Infection
1.8%
4/219 • Number of events 4 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.00%
0/230 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Infections and infestations
COVID -19/COVID-19 pneumonia/pneumonia
0.46%
1/219 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
2.2%
5/230 • Number of events 5 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Nervous system disorders
Headache
1.4%
3/219 • Number of events 3 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
1.7%
4/230 • Number of events 4 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Renal and urinary disorders
Hematuria
1.4%
3/219 • Number of events 3 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
0.00%
0/230 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.46%
1/219 • Number of events 1 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.
1.3%
3/230 • Number of events 3 • Adverse events were collected from the time of consent up to 14 days after the last dose of study treatment (Day 35).
Analysis was performed in the Safety Population, comprised of all participants randomly assigned to study intervention, who received the study intervention. Participants were grouped according to the study intervention they actually received.

Additional Information

Study Director

Gates MRI

Phone: +1 857 702 2108

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER