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Clinical Trials/EUCTR2006-006896-19-SE
EUCTR2006-006896-19-SEActive, not recruitingNot Applicable

A Phase 3, Randomized, Double-blind, Active-controlled (Enoxaparin 40 mg QD),Parallel-group, Multi-center Study to Evaluate the Safety and Efficacy of Apixabanin Subjects Undergoing Elective Total Knee Replacement Surgery. Revised Protocol 02: Incorporating Protocol Amendment 02 (v2.0, date 18-Apr-2007) and Protocol Amendment 04 (v2.0, date 05-May-2008).And Pharmacogenetics Blood Sample Amendment 01 (v2.0, date 31-Jan-2007)And Revised Protocol 03 incorporating protocol Amendment 05 (v1.0 dated 31-Oct-2008 and Admin letter 02 (v2.0 dated 12-Jun-2008) - The ADVANCE - 2 Study

Bristol Myers Squibb International Corporation0 sites3,670 target enrollmentStarted: August 6, 2007Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Active, not recruiting
Enrollment
3,670

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Sex
All

Inclusion Criteria

  • 1) Subjects must be willing and able to give written informed consent. Consent to
  • participate in the study must be obtained prior to any screening procedures.
  • 2) Subjects undergoing elective unilateral or bilateral same day total knee replacement or a revision of at least one component of a total knee replacement.
  • 3) Subject must be willing and able to undergo bilateral ascending contrast
  • venography.
  • 4) Men and women, of any race, at least 18 (or legal age of consent if greater) years of age
  • 5) Women of childbearing potential (WOCBP) must be using an adequate method of
  • contraception. WOCBP must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 48 hours prior to the start of investigational product.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

Exclusion Criteria

  • 1) WOCBP who are unwilling or unable to use an acceptable method to avoid
  • pregnancy for the entire treatment period of the study
  • 2) Women who are pregnant or breastfeeding
  • 3) Women with a positive pregnancy test on enrollment or prior to investigational
  • product administration
  • 4) Known or suspected or acquired bleeding or coagulation disorder in the subject or a first degree relative
  • 5) Known or suspected history of heparin-induced thrombocytopenia
  • 6) Known coagulopathy
  • 7) Active bleeding or at high risk for bleeding
  • 8) Brain, spinal, ophthalmologic, or major surgery or trauma within the past 90 days
  • 9) Active hepatobiliary disease
  • 10) Alcohol and/or substance abuse within the past year
  • 11) Any condition, in the opinion of the Investigator, for which surgery or
  • administration of an anticoagulant is contraindicated
  • 12) Two consecutive blood pressure readings within 15-30 minutes with supine
  • SBP > 180 mm Hg or supine DBP > 105 mm Hg
  • 13) Hemoglobin < 10 g/dL
  • 14) Platelet count < 100,000/mm3
  • 15) Creatinine clearance < 30 mL/min as estimated by the method of Cockcroft and
  • Gault (see Section 6.3.4)
  • 16) ALT or AST > 2 x ULN or a Total Bilirubin = 1.5 x ULN (unless an alternative
  • causative factor [eg, Gilbert’s syndrome] is identified)
  • 17) Hypersensitivity to unfractionated heparin (UFH), low molecular weight heparin
  • (LMWH), porcine products, or iodinated contrast medium (for venogram)
  • 18) Need for ongoing treatment with a parenteral or oral anticoagulant (eg, subjects with mechanical valves, warfarin eligible atrial fibrillation)
  • 19) Current use of dextrans or fibrinolytics (but the use of synthetic colloids like
  • pentastarch and hetastarch as blood substitutes is allowed)
  • 20) Treatment with medications affecting coagulation or platelet function as follows:
  • Unfractionated heparin, LMWH, warfarin (or any other VKA), glycoprotein
  • IIb/IIIa inhibitors (eg, abciximab, eptifibatide, tirofiban) within 4 days before
  • Acetylsalicylic acid > 165 mg/day within 4 days before surgery
  • Clopidogrel, ticlopidine, dipyridamole, sulfinpyrazone within 7 days before
  • Non-selective NSAIDs with a T1/2 greater than 17 hours (eg, Piroxicam and
  • Tinoxican) within 7 days before surgery
  • Fondaparinux within 7 days before surgery
  • Anti-fibrinolytics, with exception of the use of tranexamic acid where it
  • represents standard of care for the investigator
  • 21) Planned indwelling intrathecal or epidural catheter that can not be removed at least 5 hours prior to first dose of post-operative study drug.
  • 22) Prisoners or subjects who are involuntarily incarcerated.
  • 23) Subjects who are compulsorily detained for treatment of either a psychiatric or
  • physical (eg, infectious disease) illness.
  • 24) Subjects who have been previously randomized into an apixaban clinical trial.
  • 25) Administration of any investigational drug currently or within 30 days prior to
  • enrollment into this study.
  • 26) Any other contra-indication listed in the country specific labeling for enoxaparin.

Investigators

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