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Study of the Efficacy and Safety of DU-176b in Preventing Blood Clots in Patients Undergoing Total Hip Replacement

Phase 2
Completed
Conditions
Thrombosis
Arthroplasty, Replacement, Hip
Interventions
Registration Number
NCT00107900
Lead Sponsor
Daiichi Sankyo
Brief Summary

Patients who undergo total hip replacement surgery are at greater risk of getting deep vein thrombosis (blood clots). This study evaluates the safety, tolerability and effectiveness of the study drug, DU-176b, in reducing the occurrence of deep vein thrombosis in patients having total hip replacement surgery.

Detailed Description

The primary study objective is to demonstrate prevention of venous thromboembolism in patients undergoing total hip replacement surgery. The secondary objective is to assess the safety and tolerability of DU-176.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
606
Inclusion Criteria
  • Unilateral hip replacement
Exclusion Criteria
  • Patients scheduled for bilateral hip replacement in same procedure
  • Patients with increased risk of bleeding
  • Uncontrolled hypertension (BP greater than 180/100 mmHg)
  • Patients less than 111 lbs or more than 243 lbs
  • Patients on long-term anticoagulants
  • Patients with contraindications to venography
  • Patients with medical history of venous thromboembolism
  • Patients with impaired hepatic function
  • Known to be pregnant
  • Lactating women

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
60mg BIDDU-176b60mg edoxaban administered twice daily (BID)
15mg BIDDU-176b15mg edoxaban administered twice daily (BID)
30mg QDDU-176b30mg edoxaban administered once daily (QD)
120mg QDDU-176b120mg edoxaban administered once daily (QD)
60mg QDDU-176b60mg edoxaban administered once daily (QD)
30mg BIDDU-176b30mg edoxaban administered twice daily (BID)
Primary Outcome Measures
NameTimeMethod
Prevention of Venous Thromboembolism (VTE)2 weeks

The primary efficacy endpoint was the proportion of subjects who experienced at least one of the thromboembolic events listed below during the period from the start of study treatment to the venography at the end of study treatment (approximately 2 weeks post surgery).

Confirmed deep vein thrombosis ( both proximal and distal ) as assessed by unilateral or bilateral ascending contrast venograms 7 to 10 days following surgery Symptomatic and objectively proven Pulmonary Embolism (PE) prior to venography Symptomatic and objectively proven Deep Vein Thrombosis (DVT) prior to venography

Secondary Outcome Measures
NameTimeMethod
Change From Baseline for Prothrombin Time (PT) Resultsend of treatment

Intent to Treat (ITT) population

Change From Baseline for International Normalized Ratio (INR) Resultsend of treatment

Intent to Treat (ITT) population

Change From Baseline for Activated Partial Thromboplastin Time (aPTT) Resultsend of treatment

Intent to Treat (ITT) population

Trial Locations

Locations (1)

Local Institution

🇺🇸

Decatur, Georgia, United States

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