Xarelto Paediatric VTE PASS Drug Utilization Study: An Observational, Longitudinal, Multi-source Drug Utilization Safety Study to Evaluate the Drug Use Patterns and Safety of Rivaroxaban Oral Suspension in Children Under Two Years With Venous Thromboembolism
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 850
- 试验地点
- 4
- 主要终点
- Descriptive summary of demographic characteristics of patients
研究概览
简要总结
This is an observational study in which only data are collected from participants receiving their usual treatment. The study is done in children under 2 years old with venous thromboembolism (VTE).
VTE is a condition in which blood clots form in the veins, usually in the leg. This can cause pain and swelling. The clot can also break apart and travel in the blood to the lungs where it can block the blood flow. This can be life threatening.
Rivaroxaban is approved for doctors to prescribe to children with VTE, but there is limited information about how it is used, how well it works, and how safe it is in children under 2 years old. Children in this study are already receiving or will receive rivaroxaban or other currently used medicines for VTE from their doctor according to the approved product information.
The purpose of this study is to collect information on the pattern of use and safety of rivaroxaban and other standard medicines for VTE in children under 2 years old.
The main information that researchers will collect in this study:
- Age, gender, and other information about the child and their illness
- Type of VTE treatment given to the child
- Occurrence of medically important bleeding and its severity
Further information that researchers will collect:
- Changes in the characteristics of the children given VTE treatment (e.g., changes in the age range of children given VTE treatment) and changes in the treatment pattern for VTE
- Return of VTE symptoms
- Types of doctors who prescribe VTE treatment and their set-up (e.g., special clinics versus hospitals) Besides this data collection, no further tests or examinations are needed in this study.
The data for this study will be collected from electronic health records and health insurance claims data until 2026.
Researchers will observe each child during treatment until:
- end of the anticoagulation treatment period e.g. discontinuation of all study drugs,
- their information is no longer available, or
- the study ends.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- — 至 2 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Evidence of initiation of an anticoagulant therapy (index drug), either rivaroxaban oral suspension or other anticoagulation therapies (heparins, Vitamin K antagonists (VKAs), other Direct oral anticoagulants (DOACs)). Initiation will be defined as a first record of any anticoagulation therapy (rivaroxaban or SOC) without any anticoagulation therapy in the previous 6 months, or since date of birth for children less than 6 months
- •Evidence of a prior VTE diagnosis (index VTE), defined as the presence of at least one primary/main or secondary diagnosis code for VTE recorded in inpatient setting in the previous 30 days
- •Age less than two years on index date.
- •Baseline period for availability of patient data history in the data source. A minimal baseline period of six months before index date for children aged between six months and two years, and a baseline period since birth for children less than six months of age will be required.
排除标准
- 未提供
研究组 & 干预措施
Pediatric patients with VTE
Pediatric patients under two years who initiate an anticoagulation therapy with rivaroxaban oral suspension or Standard of care (SOC) following a VTE diagnosis.
干预措施: Rivaroxaban (Xarelto, BAY59-7939) (Drug)
Pediatric patients with VTE
Pediatric patients under two years who initiate an anticoagulation therapy with rivaroxaban oral suspension or Standard of care (SOC) following a VTE diagnosis.
干预措施: Standard of care (SOC) (Drug)
结局指标
主要结局
Descriptive summary of demographic characteristics of patients
时间窗: Retrospective data analysis from 2021 to 2026
Descriptive summary of characteristics of index venous thromboembolism (VTE)
时间窗: Retrospective data analysis from 2021 to 2026
Co-morbidities reported in the previous six months before index date, or since date of birth for children less than six months
时间窗: Retrospective data analysis from 2021 to 2026
Prior treatments reported in the previous six months before index date (or since date of birth for children less than six months)
时间窗: Retrospective data analysis from 2021 to 2026
Comedication during follow-up
时间窗: Retrospective data analysis from 2021 to 2027
Descriptive summary of Health resource utilization in the previous six months before index date (or since date of birth for children less than six months)
时间窗: Retrospective data analysis from 2021 to 2026
Dosing of anticoagulant drug administration
时间窗: Retrospective data analysis from 2021 to 2027
For analyzing Index drug therapy and Maintenance therapy.
Sequence of successive anticoagulation agents during an anticoagulant treatment period
时间窗: Retrospective data analysis from 2021 to 2027
Incidence and severity of clinically Relevant Non-Major (CRNM) bleeding according to anticoagulation therapy
时间窗: Retrospective data analysis from 2021 to 2027
Duration of oral, nasogastric/gastric feeding before index date, if available
时间窗: Retrospective data analysis from 2021 to 2026
Substance and class of anticoagulant drug therapy
时间窗: Retrospective data analysis from 2021 to 2027
For analyzing Index drug therapy and Maintenance therapy.
Duration of use anticoagulant drug therapy
时间窗: Retrospective data analysis from 2021 to 2027
For analyzing Index drug therapy and Maintenance therapy.
Route of anticoagulant drug administration
时间窗: Retrospective data analysis from 2021 to 2027
For analyzing Index drug therapy and Maintenance therapy.
Switching to other anticoagulant therapy (Yes/No)
时间窗: Retrospective data analysis from 2021 to 2027
Number of successive anticoagulation agents during an anticoagulant treatment period
时间窗: Retrospective data analysis from 2021 to 2027
Incidence and severity of major bleeding according to anticoagulation therapy
时间窗: Retrospective data analysis from 2021 to 2027
次要结局
- Time trends by calendar year in anticoagulation treatment patterns(Retrospective data analysis from 2021 to 2026)
- Incidence of recurrent symptomatic VTE according to anticoagulation therapy(Retrospective data analysis from 2021 to 2027)
- Physician specialty and care settings (inpatient care, secondary outpatient care, primary care) for prescriptions of anticoagulation therapy(Retrospective data analysis from 2021 to 2027)
- Time trends by calendar year in patient characteristics(Retrospective data analysis from 2021 to 2026)
